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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4p_combo_pdi02-pressureulcer-bestpractices.pdf
January 01, 2012 - Selected Best Practices and Suggestions for Improvement
Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
1 Tool D.4p
Selected Best Practices and Suggestions for Improvement
PDI 02: Pressure Ulcer
Why focus on pressure ulcers in children?
• Although children are typi…
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psnet.ahrq.gov/node/60172/psn-pdf
March 01, 2021 - Verification Screen That Includes Prominent Patient
Photograph Significantly Reduces Errors Caused by
Orders Placed in Wrong Chart
Originally published on June 12, 2020
Last updated on January 11, 2021
https://psnet.ahrq.gov/innovation/verification-screen-includes-prominent-patient-photograph-significantly-
reduc…
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psnet.ahrq.gov/web-mm/low-totem-pole
October 01, 2003 - SPOTLIGHT CASE
Low on the Totem Pole
Citation Text:
Wachter R. Low on the Totem Pole. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2005.
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Format:
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www.uspreventiveservicestaskforce.org/uspstf/about-uspstf/methods-and-processes/current-processes-refining-evidence-based-recommendation-development
January 01, 2014 - Current Processes: Refining Evidence-based Recommendation Development
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Table of Contents
Preface
Introduction
Types of Recommendations
Types of Evidence Reviews
Co…
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psnet.ahrq.gov/node/33769/psn-pdf
June 01, 2014 - Patient Advocacy in Patient Safety: Have Things
Changed?
June 1, 2014
Haskell H. Patient Advocacy in Patient Safety: Have Things Changed? PSNet [internet]. 2014.
https://psnet.ahrq.gov/perspective/patient-advocacy-patient-safety-have-things-changed
Perspective
In 1981, a cancer patient named Paula Carroll founded…
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psnet.ahrq.gov/node/33714/psn-pdf
July 01, 2011 - In Conversation with…William B. Munier, MD, MBA
July 1, 2011
In Conversation with…William B. Munier, MD, MBA. PSNet [internet]. 2011.
https://psnet.ahrq.gov/perspective/conversation-withwilliam-b-munier-md-mba
Editor's note: William B. Munier, MD, MBA, is the Director of the Center for Quality Improvement and
Pati…
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psnet.ahrq.gov/web-mm/sudden-collapse-during-upper-gastrointestinal-endoscopy-expect-unexpected
September 25, 2024 - interventions to address these barriers, such as requiring multidisciplinary education for junior team members, establishing
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/availability/chipra-134-fullreport.pdf
November 01, 2019 - made by our Expert Panel is particularly important for the vulnerable Medicaid
population – that is, establishing … The method for establishing the reliability of a measure will
depend on the type of measure, data source … The method for establishing the validity of a measure will depend
on the type of measure, data source
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digital.ahrq.gov/sites/default/files/docs/citation/r01hs021472-cummins-final-report-2019.pdf
January 01, 2019 - safety vulnerabilities in this process. (4) Examples of
safety vulnerabilities include: difficulty establishing
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/ambulatory/6bb-toolkit-prepare.pdf
February 18, 2021 - Six Building Blocks How-To-Implement Toolkit: Prepare and Launch Guide
Table of Contents
Introduction ......................................................................................................................................1
What Is the Prepare and Launch Guide? .....................................…
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www.ahrq.gov/sites/default/files/2025-03/blike-report.pdf
January 01, 2025 - Final Progress Report: Failure To Rescue-Patient Safety Learning Lab (FTR-PSLL)
Title of Project: Failure to Rescue-Patient Safety Learning Lab (FTR-PSLL)
Principal Investigator and Team Members:
Dartmouth-Hitchcock: George Blike, MD, MHCDS, PI; Susan McGrath, PhD, CoI; Todd McKenzie, PhD;
Irina Pearrard, PhD…
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www.ahrq.gov/sites/default/files/2024-01/manojlovich-report.pdf
January 01, 2024 - Significance and Implications
By establishing the feasibility of using the VRE methodology for this
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www.ahrq.gov/sites/default/files/wysiwyg/hai/clabsi-tools/clabsi-tools-revised.pdf
January 01, 2013 - Establishing well-stocked line
insertion carts that contain all the equipment and supplies needed to
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Seagull_98.pdf
April 07, 2008 - effectively employed in a number of arenas, including
training in “crisis resource management” (CRM),27, 28 establishing … Some of our current work is focused on establishing quantitative, valid measures of workflow
within
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psnet.ahrq.gov/perspective/telehealth-and-patient-safety-during-covid-19-response
May 14, 2020 - Checklist Centers for Disease Control and Prevention Telehealth and Telemedicine Publications and Resources Establishing … So it’s important to find ways to train providers to be thinking about that and to be establishing a
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digital.ahrq.gov/sites/default/files/docs/citation/r01hs023793-gold-final-report-2021.pdf
January 01, 2021 - This issue was highlighted in a study
where CPOE implementation in an ICU, while in theory establishing … Importantly not only do we observe the same gaps in data presentation between
actual and simulated rounds (establishing
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digital.ahrq.gov/ahrq-funded-projects/implementation-health-improvement-collaboration-cherokee-county-ok
January 01, 2023 - Implementation of Health Improvement Collaboration in Cherokee County, OK
Project Final Report ( PDF , 114.4 KB) Disclaimer
Disclaimer
The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessarily represent…
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psnet.ahrq.gov/node/60329/psn-pdf
May 14, 2020 - So it’s important to find ways to train providers to be thinking about that and to
be establishing a
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs021322-sarkar-final-report-2015.pdf
January 01, 2015 - While we did not utilize all fields for this study period during which we were establishing
a baseline
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digital.ahrq.gov/sites/default/files/docs/citation/uc1hs015182-bentley-final-report-2008.pdf
January 01, 2008 - allowed
ARH to take a major step toward advancing its electronic information exchange platform and
establishing