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  1. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module5/module5_pu_measurement.docx
    January 01, 2016 - Module 5: How To Measure Pressure Injury Rates and Prevention Practices Module 5: How To Measure Pressure Injury Rates and Prevention Practices Module Aim The aim of this module is to support your efforts to measure and monitor pressure injury rates and pressure injury prevention practices. Module Goals The goals of …
  2. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/sustainability/sustainability_learn_from_defects_facnotes.docx
    December 01, 2017 - Accessible Facilitator Guide: Learn From Defects for Sustainability Slide Title and Commentary Slide Number and Slide Sustainability: Learning From Defects SAY: This module will review some concepts from Learning From Defects Through Sensemaking. It will also cover the Learning From Defects process from the per…
  3. www.ahrq.gov/hai/tools/surgery/modules/sustainability/learn-from-defects-fac-notes.html
    December 01, 2017 - Sustainability: Learning From Defects: Facilitator Notes AHRQ Safety Program for Surgery Slide 1: Sustainability: Learning From Defects Say: This module will review some concepts from Learning From Defects Through Sensemaking. It will also cover the Learning From Defects process from the perspective of …
  4. www.ahrq.gov/practiceimprovement/delivery-initiative/redesigningprimaryhealthcareteams.html
    November 01, 2017 - Redesigning Primary Health Care Teams for Population Health and Quality Improvement Executive Summary Over a 3-year period, Penobscot Community Health Care implemented a primary care transformation initiative that redesigned its care teams and their workflows. Under this "Delegate Model," Penobsco…
  5. psnet.ahrq.gov/perspective/conversation-heidi-wald-md
    November 26, 2019 - In Conversation With... Heidi Wald, MD November 26, 2019  Also Read the Essay Citation Text: In Conversation With.. Heidi Wald, MD. PSNet [internet]. 2019.In Conversation With... Heidi Wald, MD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and …
  6. integrationacademy.ahrq.gov/products/playbooks/moud-playbook/implementing-treatment/counseling-and-other-psychosocial-supports
    January 01, 2025 - An official website of the Department of Health & Human Services Search All AHRQ Sites Careers Contact Us Español FAQs Email Updates The Academy Integrating Behavioral Health & Primary Care Expand Navi…
  7. psnet.ahrq.gov/web-mm/agitated-delirium-contributes-missed-testing-and-delayed-diagnosis-gastric-perforation
    June 28, 2023 - SPOTLIGHT CASE Agitated Delirium Contributes to Missed Testing and Delayed Diagnosis of Gastric Perforation Citation Text: Trask J, Carlsen KM, Kuhn BT. Agitated Delirium Contributes to Missed Testing and Delayed Diagnosis of Gastric Perforation. PSNet [internet]. Rockville (MD): Agency for Healt…
  8. psnet.ahrq.gov/web-mm/case-mistaken-capacity-why-thorough-psychosocial-history-can-improve-care
    July 08, 2022 - SPOTLIGHT CASE A Case of Mistaken Capacity: Why A Thorough Psychosocial History Can Improve Care. Citation Text: Pasao K, Kashkouli P. A Case of Mistaken Capacity: Why A Thorough Psychosocial History Can Improve Care.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, …
  9. digital.ahrq.gov/sites/default/files/docs/publication/r18hs017075-sequist-final-report-2010.pdf
    January 01, 2010 - Can Risk Score Alerts Improve Office Care for Chest Pain? - Final Report Grant Final Report Grant ID: 5R18HS017075-03 Can Risk Score Alerts Improve Office Care for Chest Pain? Inclusive Dates: 09/01/07 - 08/31/10 Principal Investigator: Thomas Dean Sequist, MD, MPH Team Members: Thomas H. Lee, M…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/846171/psn-pdf
    July 26, 2022 - Agitated Delirium Contributes to Missed Testing and Delayed Diagnosis of Gastric Perforation March 15, 2023 Trask J, Carlsen KM, Kuhn BT. Agitated Delirium Contributes to Missed Testing and Delayed Diagnosis of Gastric Perforation. PSNet [internet]. 2023. https://psnet.ahrq.gov/web-mm/agitated-delirium-contributes…
  11. psnet.ahrq.gov/perspective/conversation-sigall-k-bell-md
    February 26, 2025 - In Conversation With… Sigall K. Bell, MD September 1, 2018  Citation Text: In Conversation With… Sigall K. Bell, MD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2018. Copy Citation Fo…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33866/psn-pdf
    September 01, 2018 - In Conversation With… Sigall K. Bell, MD September 1, 2018 In Conversation With… Sigall K. Bell, MD. PSNet [internet]. 2018. https://psnet.ahrq.gov/perspective/conversation-sigall-k-bell-md Editor's note: Dr. Bell is Director of Patient Safety and Discovery at OpenNotes, Beth Israel Deaconess Medical Center and As…
  13. www.ahrq.gov/sites/default/files/2024-05/gore-report.pdf
    January 01, 2024 - preserving independence, sustaining relationships, minimizing the burden that illness places on others, and ensuring … Filippou responded that palliative care could help with financial toxicity by ensuring that patients … The first is to develop and maintain collaborative and trusting relationships by ensuring that surgeons … responsibility of meeting the patient’s needs should be shared, but there should be one person responsible for ensuring
  14. www.ahrq.gov/ncepcr/tools/workforce-financing/case-example-1.html
    July 01, 2019 - Co-location and co-charting in the team room provides constant training and QI exposure, ensuring that
  15. digital.ahrq.gov/sites/default/files/docs/citation/cedar_environmental_scan.pdf
    April 01, 2023 - AHRQ CEDAR Environmental Scan Version 2.0 6 Technology (TRUST) principles for ensuring confidence … changes to the repositories’ data models and data schemas, and APIs, as well as the best approach for ensuring
  16. effectivehealthcare.ahrq.gov/sites/default/files/pdf/methods-guidance-topic-refinement_methods.pdf
    January 01, 2013 - The Refinement of Topics for Systematic Reviews: Lessons and Recommendations From the Effective Health Care Program Methods Guide for Comparative Effectiveness Reviews The Refinement of Topics for Systematic Reviews: Lessons and Recommendations From the Effective Health Care Program …
  17. www.ahrq.gov/sites/default/files/2024-01/arbaje-report.pdf
    January 01, 2024 - SHHC providers rated each risk identified in SA1 on (1) its importance to ensuring safety during care … used to create tools that provide real-time feedback to healthcare providers, a critical step for ensuring
  18. integrationacademy.ahrq.gov/sites/default/files/2025-07/MOUD_Playbook_Environmental_Scan_2025.pdf
    January 01, 2025 - significantly accelerated the adoption and integration of telehealth, highlighting its critical role in ensuring … these policies are intended to balance effective treatment with the goal of preventing misuse and ensuring … Facilitators provide essential training and support to healthcare teams, ensuring they are well-equipped … This role is crucial in expanding access to effective treatment for opioid use disorder and ensuring … the importance of a multi-pronged approach to overcoming stigma, enhancing provider education, and ensuring
  19. effectivehealthcare.ahrq.gov/sites/default/files/related_files/breastfeeding-health-outcomes-disposition-comments.pdf
    March 31, 2025 - This includes ensuring comprehensive lactation care that is not limited to privileged populations but … provide a strong foundation by incorporating diverse inputs from the CDC, AHRQ, and technical experts, ensuring … This clarity will be crucial for ensuring accurate interpretation and application of the evidence,
  20. www.ahrq.gov/sites/default/files/wysiwyg/topics/managing-interruptions-improve-diagnostic-decisionmaking.pdf
    December 29, 2022 - tasks that involve remembering to do something in the future24 (e.g., several sequential tasks of ensuring