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digital.ahrq.gov/sites/default/files/docs/citation/shareable-cds-efficiencies-final-report.pdf
December 01, 2019 - Efficiencies Gained through Shareable Clinical Decision Support Resources: Final Report 2
• should provide features … However, most also reported that updating features of CDS Connect would improve the likelihood of
using … Participants reported confusion about several features. … Shareable CDS platforms should provide features that help users connect with other CDS teams
across
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs022938-mitchell-final-report-2017.pdf
January 01, 2017 - Treating Comorbid Depression In Care Transitions with Relational Agents - Final Report
Title of Project: Treating Comorbid Depression In Care Transitions with Relational Agents
Principle …
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psnet.ahrq.gov/perspective/becoming-certified-professional-patient-safety-pharmacists-perspective
June 01, 2016 - Becoming a Certified Professional in Patient Safety—A Pharmacist's Perspective
Zahra Khudeira, PharmD | June 1, 2016
Also Read a Conversation
View more articles from the same authors.
Citation Text:
Khudeira Z. Becoming a Certified Professional in Patient Safet…
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psnet.ahrq.gov/perspective/patient-safety-perspective-office-practice
May 01, 2009 - Patient Safety: A Perspective from Office Practice
Richard J. Baron, MD | May 1, 2009
Also Read a Conversation
View more articles from the same authors.
Citation Text:
Baron RJ. Patient Safety: A Perspective from Office Practice. PSNet [internet]. Rockville (MD…
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psnet.ahrq.gov/perspective/human-factors-engineering-can-teach-you-how-be-surprised-again
November 01, 2006 - Human Factors Engineering Can Teach You How to Be Surprised Again
John Gosbee, MD, MS | November 1, 2006
Also Read a Conversation
View more articles from the same authors.
Citation Text:
Gosbee JW. Human Factors Engineering Can Teach You How to Be Surprised Aga…
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psnet.ahrq.gov/node/60611/psn-pdf
June 24, 2020 - Direct Oral Anticoagulants are High-Risk Medications with
Potentially Complex Dosing
June 24, 2020
Giannini J, Wong M, Dager W, et al. Direct Oral Anticoagulants are High-Risk Medications with Potentially
Complex Dosing. PSNet [internet]. 2020.
https://psnet.ahrq.gov/web-mm/direct-oral-anticoagulants-are-high-risk…
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effectivehealthcare.ahrq.gov/sites/default/files/pregnancy-horizon-scan-high-impact-1312.pdf
December 01, 2013 - PREGNANCY, INCLUDING PRETERM BIRTH #12
AHRQ Healthcare Horizon Scanning System – Potential
High-Impact Interventions Report
Priority Area 12: Pregnancy, Including Preterm Birth
Prepared for:
Agency for Healthcare Research and Quality
U.S. Department of Health and Human Services
540 Gaither R…
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www.ahrq.gov/sites/default/files/2024-07/grannis-report.pdf
January 01, 2024 - Final Progress Report: Advancing Patient Identity Management in the Context of Real-World Health Information Exchange
Final Progress Report
Project Title:
Advancing Patient Identity Management in the Context of Real-World Health Information Exchange
Principal Investigator:
Shaun Grannis, MD, MS, FAAFP
Team Membe…
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psnet.ahrq.gov/node/836840/psn-pdf
April 22, 2021 - The Johns Hopkins Venous Thromboembolism (VTE)
Collaborative Studies and Implements Methods to Prevent
Avoidable Cases of Hospital Associated VTE
April 7, 2022
https://psnet.ahrq.gov/innovation/johns-hopkins-venous-thromboembolism-vte-collaborative-studies-and-
implements-methods
Summary
Venous thromboembolism (…
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www.ahrq.gov/sites/default/files/2025-05/wears2-report.pdf
January 01, 2025 - Final Progress Report: Center for Safety In Emergency Care
Center for Safety In Emergency Care
Final Progress Report
Principal Investigator
Robert L Wears, MD, MS
Team Members
Christopher Beach, MD
Ravi Behara, PhD
Patrick Croskerry, MD, PhD
Shawna J Perry, MD
Marc Shapir…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_ssibundle_facnotes.docx
December 01, 2017 - Facilitator Guide: Implementing Your SSI Prevention Bundle
Slide Title and Commentary
Slide Number and Slide
Implementing Your SSI Prevention Bundle
SAY:
This module is about implementing your surgical site infection (SSI) prevention bundle.
Slide 1
Learning Objectives
SAY:
This module will help you develop …
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www.ahrq.gov/hai/tools/surgery/modules/implementation/ssi-bundle-fac-notes.html
October 01, 2020 - Implementing Your Surgical Site Infection Prevention Bundle: Facilitator Notes
AHRQ Safety Program for Surgery
Slide 1: Implementing Your SSI Prevention Bundle
Say:
This module is about implementing your surgical site infection (SSI) prevention bundle.
Slide 2: Learning Objectives
Say:
This modu…
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/medication/tool-safe-oxytocin.html
July 01, 2023 - Safe Medication Administration: Oxytocin
AHRQ Safety Program for Perinatal Care
Purpose of the tool: This tool describes the key perinatal safety elements with examples for the safe administration of oxytocin during labor. The key elements are presented within the framework of the Comprehensive U…
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psnet.ahrq.gov/perspective/conversation-withwilliam-b-weeks-md-mba
May 01, 2009 - In Conversation with…William B. Weeks, MD, MBA
May 1, 2009
Also Read an Essay
Citation Text:
In Conversation with…William B. Weeks, MD, MBA. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. …
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www.ahrq.gov/policymakers/chipra/overview/background/next-steps2.html
December 01, 2009 - Background Report for the Request for Public Comment on Initial, Recommended Core Set of Children's Healthcare Quality Measures for Voluntary Use by Medicaid and CHIP Programs
Background Report on request for public comment on initial, recommended core set of Children's Healthcare Quality Measures for voluntary…
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/clinical-care-protocol.pdf
January 01, 2024 - Making Healthcare Safer IV: Programs for Responding to Harms Experienced by Patients during Clinical Care
Evidence-based Practice Center Rapid Review Protocol
Project Title: Making Healthcare Safer IV: Programs for Responding to
Harms Experienced by Patients during Clinical Care
Review Question…
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/LgBN7_z7hqynt6BRzUUYA-
February 01, 2009 - Screening for Skin Cancer: An Update of the Evidence
Clinical Guidelines Annals of Internal Medicine
Screening for Skin Cancer: An Update of the Evidence for the U.S.
Preventive Services Task Force
Tracy Wolff, MD, MPH; Eric Tai, MD, MS; and Therese Miller, DrPH
Background: Skin cancer is the most commonly dia…
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psnet.ahrq.gov/innovation/johns-hopkins-venous-thromboembolism-vte-collaborative-studies-and-implements-methods
June 19, 2024 - The Johns Hopkins Venous Thromboembolism (VTE) Collaborative Studies and Implements Methods to Prevent Avoidable Cases of Hospital Associated VTE
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-surgery/105-what-are-the-4-es-notes.docx
April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI
What Are the 4 Es?
Surgical Services
For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries
Slide Title and Commentary
Slide Number and Slide
What Are the 4 Es?
SAY:
This presentation reviews the 4 Es, a framework to guide the implementation…
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hcup-us.ahrq.gov/reports/statbriefs/sb158.jsp
July 01, 2013 - Origin of Adverse Drug Events in U.S. Hospitals, 2011 - Statistical Brief #158
An official website of the Department of Health & Human Services
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