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digital.ahrq.gov/ahrq-funded-projects/bringing-high-performing-systems-small-practices
January 01, 2023 - Bringing High Performing Systems to Small Practices
Project Final Report ( PDF , 253.56 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 the views of AHRQ. N…
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psnet.ahrq.gov/node/50610/psn-pdf
October 30, 2019 - First, Do No Harm: Value-driven Patient Safety in the
Neonatal Intensive Care Unit
October 30, 2019
Profit J, Scheid A, Ridout E. First, Do No Harm: Value-driven Patient Safety in the Neonatal Intensive Care
Unit. PSNet [internet]. 2019.
https://psnet.ahrq.gov/perspective/first-do-no-harm-value-driven-patient-safe…
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psnet.ahrq.gov/node/33851/psn-pdf
January 01, 2017 - The Weekend Effect
January 1, 2017
Ranji SR. The Weekend Effect. PSNet [internet]. 2017.
https://psnet.ahrq.gov/perspective/weekend-effect
Annual Perspective 2017
Introduction
Anyone who has spent time in a hospital as a patient or staff member may recognize that the availability of
services and personnel can va…
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psnet.ahrq.gov/node/49416/psn-pdf
September 01, 2003 - Check the Bags
September 1, 2003
Caldwell M, Dracup KA. Check the Bags. PSNet [internet]. 2003.
https://psnet.ahrq.gov/web-mm/check-bags
The Case
A 50-year-old man with new atrial fibrillation was placed on a diltiazem drip in the emergency department
for rate control. After arriving at the cardiac care unit (CCU…
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www.ahrq.gov/nursing-home/materials/staffing.html
June 01, 2021 - Staffing During the COVID-19 Pandemic: A Guide for Nursing Home Leaders
This resource guide from the Project ECHO and IHI Teams was written by and for directors of nursing, administrators, and other nursing home leaders. It outlines steps to reduce or eliminate urgent staff shortages, particularly shortages of …
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psnet.ahrq.gov/node/49410/psn-pdf
July 01, 2003 - A Little Shuteye
July 1, 2003
Farion KJ. A Little Shuteye. PSNet [internet]. 2003.
https://psnet.ahrq.gov/web-mm/little-shuteye
The Case
A 3-year-old boy was seen in urgent care for a superficial laceration above the left eyebrow. The
pediatrician had heard of the availability of topical skin adhesive that can be…
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www.ahrq.gov/sites/default/files/2024-07/martinez-report.pdf
January 01, 2024 - Final Progress Report: Organization of Care and Outcomes in Cardiac Surgery
Program Director/Principal Investigator (Last, First, Middle): Martinez, Elizabeth A.
Final Progress Report
Title of Project: Organization of Care and Outcomes in Cardiac
Surgery
Principal Investigator: Elizabeth A. Martinez, MD, MHS
T…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/man2.html
December 01, 2017 - The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities
Chapter 2. Fall Response
Previous Page Next Page
Table of Contents
The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities
Chapter 1. Introduction and Program Overview
Chapter 2. F…
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/rapid-response/rapid-response-slides.html
July 01, 2023 - Rapid Response for Perinatal Safety: Slide Presentation
AHRQ Safety Program for Perinatal Care
Slide 1: AHRQ Safety Program for Perinatal Care
Rapid Response for Perinatal Safety
Slide 2: Learning Objectives
Image: Three ascending steps show the learning objectives:
Define components of a rapid …
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.326_slideshow.ppt
June 01, 2014 - PowerPoint Presentation
Spotlight
Wandering Off the Floors: Safety and Security Risks of Patient Wandering
1
This presentation is based on the June 2014
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available
Commentary by: Thomas A. Smith, CHPA, CPP, President, Healthc…
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www.ahrq.gov/es/patient-safety/settings/hospital/vtguide/preface.html
March 01, 2016 - Preventing Hospital-Associated Venous Thromboembolism
Preface
Previous Page Next Page
Table of Contents
Preventing Hospital-Associated Venous Thromboembolism
Preface
Executive Summary
Chapter 1. The Framework for Improvement
Chapter 2. Analyze Care Delivery
Chapter 3. Outline the Evidence …
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digital.ahrq.gov/sites/default/files/docs/citation/cds-connect-year-8-final-report-2024.pdf
January 01, 2024 - CDS Connect: Final Report 2024
CDS Connect: Final Report 2024
CDS Connect
Clinical Decision Support (CDS) Connect is a freely available, web-based platform that enable…
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www.ahrq.gov/news/newsletters/e-newsletter/961.html
June 01, 2025 - Researcher Akira Nishisaki Designs Quality Improvement Processes To Reduce Harm in Pediatric ICUs
Issue Number
961
AHRQ News Now is a weekly newsletter that highlights agency research and program activities.
June 10, 2025
AHRQ Stats: Annual Expenditures for Diet-Related Health Conditions Treatment for m…
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psnet.ahrq.gov/node/33595/psn-pdf
December 15, 2024 - Fatigue, Sleep Deprivation, and Patient Safety
December 15, 2024
Fatigue, Sleep Deprivation, and Patient Safety. PSNet [internet]. 2019.
https://psnet.ahrq.gov/primer/fatigue-sleep-deprivation-and-patient-safety
PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that
th…
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psnet.ahrq.gov/node/33636/psn-pdf
July 01, 2006 - Key Issues in Developing a Successful Hospital Safety
Program
July 1, 2006
Whittington JC. Key Issues in Developing a Successful Hospital Safety Program. PSNet [internet]. 2006.
https://psnet.ahrq.gov/perspective/key-issues-developing-successful-hospital-safety-program
Perspective
What are the key success factors…
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www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-28-using-the-ahrq-care-model.pdf
September 01, 2015 - Primary Care Practice Facilitation Curriculum Module 28: Using the AHRQ Care Model Toolkit with Practices
Primary Care
Practice Facilitation
Curriculum
Module 28: Using the AHRQ Care Model Toolkit with Practices
Agency for Healthcare Research and Quality
Advancing Excellence in Health Care www.ahrq.gov …
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-care-transitions2.html
June 01, 2023 - Diagnostic Safety Across Transitions of Care Throughout the Healthcare System: Current State and a Call to Action
ED-to-Hospital Transitions
Previous Page Next Page
Table of Contents
Diagnostic Safety Across Transitions of Care Throughout the Healthcare System: Current State and a Call to Action
I…
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www.ahrq.gov/prevention/resources/chronic-care/clinical-community-relationships-measures-atlas/ccrm-atlas4.html
March 01, 2013 - Clinical-Community Relationships Measures (CCRM) Atlas
4. How Do Existing Measures of Clinical-Community Relationships Align with the Measurement Framework?
Previous Page Next Page
Table of Contents
Clinical-Community Relationships Measures (CCRM) Atlas
Introduction
Acknowledgments
1. Why Was …
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www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/affinity-details-coping-staff-challenges.pdf
September 16, 2020 - EVENT SUMMARY
LEARNING COMMUNITY AFFINITY GROUP | SUMMARY AT-AT-GLANCE | 1
AFFINITY GROUP DETAILS AT-A-GLANCE
Title Coping with Staffing Challenges in Today’s Cardiac Rehabilitation Programs
September 16, 2020
Purpose • To provide an opportunity for peer-to-peer sharing related how CR
programs are r…
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www.ahrq.gov/patient-safety/settings/hospital/vtguide/preface.html
March 01, 2016 - Preventing Hospital-Associated Venous Thromboembolism
Preface
Previous Page Next Page
Table of Contents
Preventing Hospital-Associated Venous Thromboembolism
Preface
Executive Summary
Chapter 1. The Framework for Improvement
Chapter 2. Analyze Care Delivery
Chapter 3. Outline the Evidence …