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psnet.ahrq.gov/primer/never-events
June 15, 2024 - Never Events
Citation Text:
Never Events. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/vGpPzqpTfEzP42Woby59Ds
Microsoft Word - 5As_selfmanagement.doc
© 2002 Glasgow et al, Whitlock et al
5 A’s Behavior Change Model
Adapted for Self-Management Support Improvement
Improvement Goal: All chronic illness patients will have a Self-Management (SM) Action
Plan informed by and including all the 5 A’s elements (Assess, …
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psnet.ahrq.gov/perspective/update-patient-engagement-safety
January 01, 2017 - Annual Perspective
Update: Patient Engagement in Safety
Rachel J. Stern, MD, and Urmimala Sarkar, MD | January 1, 2018
View more articles from the same authors.
Citation Text:
Stern RJ, Sarkar U. Update: Patient Engagement in Safety. PSNet [internet]. Rockvi…
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psnet.ahrq.gov/primer/duty-hours-and-patient-safety
June 15, 2024 - Duty Hours and Patient Safety
Citation Text:
Duty Hours and Patient Safety. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
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psnet.ahrq.gov/print/pdf/node/842920
December 14, 2022 - PSNet
Curated Library
AHRQ: Agency for Healthcare Research and Quality
Diagnostic Errors Case Studies
Curated Library
Web M&Ms
A Postpartum Woman with an Erroneous SARS-CoV-2 Test
Stephen A. Martin, MD, EdM, Gordon D. Schiff, MD, and Sanjat Kanjilal, MD, MPH | April 28, 2021
A pregnant patient was admitted for…
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www.ahrq.gov/cahps/surveys-guidance/survey-methods-research/using-multiple-modes.html
August 01, 2024 - Recommended Data Collection Procedures for CAHPS Surveys
Each survey sponsor will need to work with their survey vendor to choose the data collection modes that are most likely to reach their specific patient population and maximize the response rate at an acceptable cost. Research suggests that sequential mult…
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psnet.ahrq.gov/primer/triggers-and-trigger-tools
September 15, 2024 - Triggers and Trigger Tools
Citation Text:
Triggers and Trigger Tools. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
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www.ahrq.gov/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/communication/strategy6i-shared-decisionmaking.html
April 01, 2023 - Strategy 6I: Shared Decisionmaking
Contents
6.I.1. The Problem
6.I.2. The Intervention
6.I.3. Benefits of This Intervention
6.I.4. Implementation of This Intervention
References
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Shared Decisionmaking
(PDF, 270 KB)
6.I.1. The Problem
Although pat…
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/obsessive-compulsive-disorder-disposition-comments.pdf
December 06, 2024 - Disposition of Comments_Comparative Effectiveness Review No. 276: Diagnosis and Managment of Obsessive Compulsive Disorders in Children
Source: https://effectivehealthcare.ahrq.gov/products/obsessive-compulsive-disorder/research
Published on-line: December 6, 2024
Comparative Effectiveness Review Dispos…
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www.ahrq.gov/hai/cusp/modules/identify/identify.html
December 01, 2012 - Identify Defects Through Sensemaking
CUSP Toolkit
The Identify Defects Through Sensemaking module of the CUSP Toolkit will help you identify recurring negative events in your system and apply CUSP and Sensemaking tools to help reduce the risk of future harm to your patients.
Note : Slide content is presente…
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digital.ahrq.gov/sites/default/files/docs/citation/cds-connect-year7-final-report-2023.pdf
January 01, 2023 - CDS Connect: Final Report 2023
CDS Connect: Final Report 2023
CDS Connect
Clinical Decision Support (CDS) Connect is a freely available, web-based platform that enables …
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www.ahrq.gov/hai/pfp/interimhacrate2014.html
January 01, 2018 - Saving Lives and Saving Money: Hospital-Acquired Conditions Update
Next Page
Table of Contents
Saving Lives and Saving Money: Hospital-Acquired Conditions Update
Appendix: Incidence of Hospital-Acquired Conditions in the Partnership for Patients: Estimates and Projected and Measured Impact
…
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www.ahrq.gov/action-alliance/resources/foundational-area.html
March 01, 2025 - Resources by National Action Plan Foundational Area
Contents Culture, Leadership, and Governance Patient and Family Engagement Workforce Safety Learning Systems Culture, Leadership, and Governance AHRQ Patient Safety Net (PSNet) Primer: Safety Culture This resource provides an overview of patient safety culture…
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www.ahrq.gov/patient-safety/reports/hotline/refs.html
May 01, 2016 - Developing and Testing the Health Care Safety Hotline: A Prototype Consumer Reporting System for Patient Safety Events
References
Previous Page Next Page
Table of Contents
Developing and Testing the Health Care Safety Hotline: A Prototype Consumer Reporting System for Patient Safety Events
Preface…
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www.ahrq.gov/patient-safety/resources/learning-lab/acute-care-threats-long-desc.html
February 01, 2024 - Acute Care Learning Laboratory—Reducing Threats to Diagnostic Fidelity in Critical Illness
Principal Investigator: Brian Pickering, M.B., B.Ch., M.Sc., Mayo Clinic, Rochester, MN
AHRQ Grant No.: HS26609
Project Period: 09/30/18-11/30/22
Description: The overall goal of this learning lab was to reduce …
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/wheelchair-service_technical-brief.pdf
January 01, 2012 - Young people’s experiences using electric
powered indoor—outdoor wheelchairs
(EPIOCs): potential for
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Implement_Hndbook_508_v2.pdf
April 01, 2011 - Throughout this handbook, we include examples and real-world experiences from
Advocate Trinity Hospital … This case study highlights key elements of Trinity’s
experiences with implementation on a 29-bed medical-surgical … A survey of primary care physicians in
eleven countries, 2009: perspectives on care, costs, and experiences
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digital.ahrq.gov/sites/default/files/docs/citation/u13hs19564-holve-final-report-2013.pdf
January 01, 2013 - in which each encounter with the healthcare system is based on
knowledge generated through prior experiences … these groups is a defining feature of the effort, and is due to
investigators’ willingness to share experiences … learned for future research and QI networks based on the
evidence generation and knowledge management experiences
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digital.ahrq.gov/sites/default/files/docs/publication/r01hs015038-friedman-final-report-2007.pdf
January 01, 2007 - Web-based Renal Transplant Patient Medication System - Final Report
Principal Investigator: Amy L. Friedman, MD
Co-Investigators: Richard N. Formica J r., MD, David C. Cronin, MD
Support Staff: Shannon Widman, Stefania Santinon
Organization: Yale University
Funding Source…
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digital.ahrq.gov/sites/default/files/docs/citation/ahrq-step-up-app-challenge-final-report-2020.pdf
January 01, 2020 - AHRQ Challenge Project Report
CHALLENGE PROJECT REPORT: AHRQ STEP UP APP
CHALLENGE
Prepared for:
Agency for Healthcare Research and Quality
5600 Fishers Lane
Rockville, MD 20857
www.ahrq.gov
Contract No. HHSA29032001
Prepared by:
Sensis
500 Penn Street NE
Washington, DC 20002
AHRQ Pub. No.…