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psnet.ahrq.gov/node/49844/psn-pdf
October 01, 2018 - Diffusion of Responsibility Leads to Danger
October 1, 2018
Balcezak TJ, Deshpande O. Diffusion of Responsibility Leads to Danger. PSNet [internet]. 2018.
https://psnet.ahrq.gov/web-mm/diffusion-responsibility-leads-danger
The Case
A 70-year-old man was sent to the emergency department (ED) from a nursing facility…
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psnet.ahrq.gov/innovation/lifepoint-national-quality-program-provides-structured-framework-reducing-inpatient-harm
February 26, 2025 - The LifePoint National Quality Program Provides Structured Framework for Reducing Inpatient Harm
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January 5, 2021
Innovation
Contact
…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/management/huddles/huddles-component-kit.docx
May 01, 2017 - Module 2: Component Kit
AHRQ Safety Program for Ambulatory Surgery
Management Practices for Sustainability
Module 2: Daily Huddles
AHRQ’s Safety Program for Ambulatory
Daily Huddle Component Kit
Contents
1. Why a Daily Huddle? 2
2. “Know What, Know How, Know Why” for Daily Huddle 4
3. Plan-Do-Study-Act “Ramp”: …
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psnet.ahrq.gov/primers-0
March 15, 2025 - Primers
Guides for key topics in patient safety through context, epidemiology, and relevant AHRQ PSNet content. The Patient Safety 101 Primer provides an overview of the patient safety field and covers key definitions and concepts.
Latest Primers
Clinical Decision Support Systems
March…
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www.ahrq.gov/research/findings/final-reports/ssi/ssiapm.html
April 01, 2018 - Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection
Appendix M. Master Risk Factor List with Final Bolded
Previous Page Next Page
Table of Contents
Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection
Executive Summary
…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/howtogetstarted/Ways_To_Learn_More_508.docx
June 02, 2025 - Information to Help Hospitals Get Started
Ways to Learn More
Information to Help Hospitals Get Started
[Type text] [Type text] [Type text]
Information to Help Hospitals Get Started
Guide to Patient and Family Engagement :: 1
Guide to Patient and Family Engagement :: 2
This document contains links to resources on t…
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www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/primary-care-research-funding-tips.pdf
May 09, 2025 - Tips for Obtaining Funding for Primary Care Research
1
TIPS FOR OBTAINING FUNDING FOR PRIMARY
CARE RESEARCH
Primary care research is critical to strengthening the nation’s primary care system. Thus, sustainable
funding to support primary care research is needed to continue to make improvements in the
delivery o…
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/cer-265-radiation-bone-disease-summary.pdf
August 01, 2023 - Executive Summary: Radiation Therapy for Metastatic Bone Disease: Effectiveness and Harms
Comparative Effectiveness Review
Number 265
Radiation Therapy for Metastatic Bone
Disease: Effectiveness and Harms
Executive Summary
Main Points
Background and Purpose
Bone metastases are common in advan…
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psnet.ahrq.gov/node/849598/psn-pdf
May 31, 2023 - Remote Response Team and Customized Alert Settings
Help Improve Management of Sepsis
May 31, 2023
https://psnet.ahrq.gov/innovation/remote-response-team-and-customized-alert-settings-help-improve-
management-sepsis
Summary
Seeking a sustainable process to enhance their hospitals’ response to sepsis, a multidiscip…
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digital.ahrq.gov/sites/default/files/docs/publication/r21hs021780-casarett-final-report-2014.pdf
January 01, 2014 - CHOICE: Coalition of Hospices Organized to Investigate Comparative Effectiveness - Final Report
Grant Final Report
Grant ID: R21HS021780
CHOICE: Coalition of Hospices Organized to
Investigate Comparative Effectiveness
Inclusive Project Dates: 01/01/2012 – 09/30/2014
Principal Investigator: …
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/autism_executive.pdf
April 01, 2011 - Less intensive interventions focusing on providing
parent training for bolstering social communication
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/mgmt-hnhc-patients-protocol.pdf
November 07, 2019 - on the appropriate duration of the time
period and the number and types of utilization.12, 13 Also, focusing
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www.ahrq.gov/sites/default/files/publications2/files/dxsafety-issuebrief-education.pdf
March 11, 2022 - research, curriculum development, and assessment of
diagnostic reasoning.14, 15
Many believe that focusing
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digital.ahrq.gov/ahrq-funded-projects/personalized-engagement-tool-pediatric-bmt-patients-and-caregivers/citation-3
January 01, 2023 - User-centered design groups to engage patients and caregivers with a personalized health information technology tool.
Citation
Maher M, Kaziunas E, Ackerman M, et al. User-centered design groups to engage patients and caregivers with a personalized health information technology tool. Biol Blood Marrow…
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digital.ahrq.gov/ahrq-funded-projects/utilizing-health-information-technology-improve-health-care-quality/citation-6
January 01, 2023 - Consumers’ and providers' perceptions of utilizing a computer-assisted cognitive behavioral therapy for childhood anxiety.
Citation
Salloum A, Crawford EA, Lewin AB, et al. Consumers’ and providers' perceptions of utilizing a computer-assisted cognitive behavioral therapy for childhood anxiety. Behav …
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digital.ahrq.gov/ahrq-funded-projects/reducing-disparities-health-care-quality-priority-populations-approach-focused/citation/hit
January 01, 2023 - Health information technology and quality of health care: strategies for reducing disparities in underresourced settings.
Citation
Millery M, Kukafka R. Health information technology and quality of health care: strategies for reducing disparities in underresourced settings. Med Care Res Rev. 2010 Oct;…
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digital.ahrq.gov/ahrq-funded-projects/reducing-disparities-health-care-quality-priority-populations-approach-focused/citation/innovative
January 01, 2023 - Innovative strategies to reduce disparities in the quality of prenatal care in underresourced settings.
Citation
Lu MC, Kotelchuck M, Hogan VK, et al. Innovative strategies to reduce disparities in the quality of prenatal care in underresourced settings. Med Care Res Rev. 2010 Oct;67(5 Suppl):198S-230…
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digital.ahrq.gov/ahrq-funded-projects/using-precision-performance-measurement-conduct-focused-quality-improvement-6
January 01, 2023 - Patient outreach to promote colorectal cancer screening among patients with an expired order for colonoscopy: a randomized controlled trial.
Citation
Cameron KA, Persell SD, Brown T, et al. Patient outreach to promote colorectal cancer screening among patients with an expired order for colonoscopy: a …
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digital.ahrq.gov/ahrq-funded-projects/self-management-reminders-technology-smart-appraisal-integrated-personal-health/citation/using
January 01, 2023 - Using health information technology to foster engagement: patients' experiences with an active patient health record.
Citation
Rief JJ, Hamm ME, Zickmund SL, et al. Using health information technology to foster engagement: patients' experiences with an active patient health record. Health Commun 2017…
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www.ahrq.gov/patients-consumers/patient-involvement/health-advocate.html
December 01, 2016 - Why It's Wise to Use a Health Advocate
A health advocate is a family member, friend, trusted coworker, or a hired professional who can ask questions, write down information, and speak up for you so you can better understand your illness and get the care and resources you need - giving you a peace of mind so yo…