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digital.ahrq.gov/2020-year-review/research-summary/user-centered-decision-support-tools-chronic-pain
January 01, 2020 - User-Centered Decision Support Tools for Chronic Pain
By characterizing common patterns in information availability, information use, and care planning by primary care providers during patient visits for chronic pain, researchers created new electronic health record-based decision support tools to guide clinicians’…
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digital.ahrq.gov/program-overview/research-stories/improving-electronic-health-record-usability-patient-safety
January 01, 2023 - Improving Electronic Health Record Usability for Patient Safety
Theme:
Optimizing Care Delivery for Clinicians
Subtheme:
Improving Healthcare Technology Design to Advance Patient Safety
Analysis of patient safety event reports showed an association between electronic health record (EHR) us…
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psnet.ahrq.gov/issue/use-tall-man-letters-gaining-wide-acceptance
May 02, 2018 - Newspaper/Magazine Article
Use of tall man letters is gaining wide acceptance.
Citation Text:
Use of tall man letters is gaining wide acceptance. ISMP Medication Safety Alert! Acute Care Edition. July 31, 2008;13:1-3.
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integrationacademy.ahrq.gov/news-and-events/calendar/event/22907
September 25, 2024 - An official website of the Department of Health & Human Services
Search All AHRQ Sites
Careers
Contact Us
Español
FAQs
Email Updates
The Academy
Integrating Behavioral Health & Primary Care
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psnet.ahrq.gov/issue/teamstepps-core-curriculum
August 01, 2012 - Course Material/Curriculum
TeamSTEPPS Core Curriculum.
Citation Text:
TeamSTEPPS Core Curriculum. Rockville, MD: Agency for Healthcare Research and Quality; July 2023.
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psnet.ahrq.gov/issue/addressing-quality-and-safety-gap-parts-i-iii
January 17, 2024 - Book/Report
Addressing the quality and safety gap—parts I-III.
Citation Text:
Addressing the quality and safety gap—parts I-III. Princeton, NJ: Robert Wood Johnson Foundation; November 2010.
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www.ahrq.gov/news/newsroom/case-studies/201804.html
July 01, 2018 - AHRQ Toolkit Helped Madonna Rehabilitation Hospital Reduce Patient Falls by 21 Percent
Search All Impact Case Studies
July 2018
Patient falls resulting in injury were reduced by 21 percent at Madonna Rehabilitation Hospital after the Lincoln, NE, facility implemented AHRQ’s Preventing Falls in Hospitals To…
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digital.ahrq.gov/2019-year-review
January 01, 2019 - 2019 Year in Review
About this Report
This Year in Review report summarizes the research activities and outcomes funded by the AHRQ Digital Healthcare Research Program in 2019. The objective of the report is to support AHRQ stakeholders, including clinicians, health systems, policymake…
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psnet.ahrq.gov/improvement-tools
February 26, 2025 - Improvement Resources Overview
Patient Safety Innovations highlight important innovations that can lead to improvements in patient safety, while Toolkits provide the practical applications of PSNet research and concepts for front line providers to use in their day to day work. Together these support the implementatio…
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psnet.ahrq.gov/issue/american-geriatrics-society-ags-policy-brief-covid-19-and-assisted-living-facilities
February 24, 2022 - Commentary
American Geriatrics Society (AGS) Policy Brief: COVID-19 and assisted living facilities.
Citation Text:
American Geriatrics Society ( AGS ) Policy Brief: COVID ‐19 and Assisted Living Facilities. J Am Geriatr Soc. 2020;68(6):1131-113…
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digital.ahrq.gov/sites/default/files/docs/page/THQITStoriesArora2010.pdf
June 01, 2007 - Project ECHO: Extension for Community Healthcare Outcomes Through Telemedicine
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www.ahrq.gov/hai/tools/mrsa-prevention/surgery/key-strategies.html
April 01, 2025 - MRSA Prevention Toolkit: Targeting SSI
The Four Key Strategies of MRSA Prevention: Targeting SSI
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Table of Contents
MRSA Prevention Toolkit: Targeting SSI
The Four Key Strategies of MRSA Prevention: Targeting SSI
MRSA and SSI Prevention Phases
Importance of MRSA and SSI …
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www.ahrq.gov/patient-safety/reports/safer-together.html
January 01, 2025 - Safer Together: A National Action Plan to Advance Patient Safety
Safer Together: A National Action Plan to Advance Patient Safety illuminates the collective insights of the 27 member organizations of the National Steering Committee for Patient Safety (NSC), convened in 2018 by the Institute for Healthcare Impr…
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www.ahrq.gov/patient-safety/settings/hospital/candor/index.html
August 01, 2022 - Communication and Optimal Resolution (CANDOR)
C ommunication and O ptimal R esolution (CANDOR) is a process that health care institutions and practitioners can use to respond in a timely, thorough, and just way when unexpected events cause patient harm. This AHRQ toolkit, based on the CANDOR process, is inten…
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psnet.ahrq.gov/issue/patient-safety-12
April 26, 2012 - Special or Theme Issue
Patient Safety
Citation Text:
Patient Safety Nicklin W, Hughes L, eds. Healthc Q. 2020;22(Sp2):1-128.
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psnet.ahrq.gov/issue/toolkit-improving-perinatal-safety
May 01, 2017 - Toolkit
Toolkit for Improving Perinatal Safety.
Citation Text:
Toolkit for Improving Perinatal Safety. Rockville, MD: Agency for Healthcare Research and Quality. June 2017.
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psnet.ahrq.gov/issue/alliance-innovation-maternal-health
July 26, 2017 - Multi-use Website
Alliance for Innovation on Maternal Health.
Citation Text:
Alliance for Innovation on Maternal Health. American College of Obstetricians and Gynecologists.
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psnet.ahrq.gov/issue/improving-diagnosis-and-treatment-maternal-sepsis
September 22, 2021 - Toolkit
Improving Diagnosis and Treatment of Maternal Sepsis.
Citation Text:
Improving Diagnosis and Treatment of Maternal Sepsis. Stanford, CA; California Maternal Quality Care Collaborative: July 1, 2022.
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www.ahrq.gov/hai/cusp/toolkit/content-calls/index.html
September 01, 2013 - Content Calls for the Nationwide Implementation of the Comprehensive Unit-based Safety Program (CUSP)
These webinars occurred during first national CUSP implementation project where hospital teams pioneered the use of CUSP. That project focused on reducing central line-associated blood stream infections, Becaus…
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www.ahrq.gov/npsd/how-does-npsd-work/index.html
February 01, 2024 - How Does the NPSD Work?
Information known as Patient Safety Work Product (PSWP) is developed by providers and AHRQ-listed Patient Safety Organizations (PSOs) . This information is submitted by PSOs to the Patient Safety Organization Privacy Protection Center (PSOPPC) using the AHRQ Common Formats for Event…