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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork.html
July 01, 2023 - Teamwork and Communication for Perinatal Safety
Toolkit for Improving Perinatal Safety
This pillar presents six concepts of the Comprehensive Unit-based Safety Program (CUSP) to help teams understand CUSP and its application to perinatal safety.
Learn About CUSP for Perinatal Safety
Slide Presentation (…
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www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/video/module-3-situation-monitoring-facilitator-prep-checklist.pdf
June 02, 2025 - TeamSTEPPS Situation Monitoring Facilitator Prep Checklist
…
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psnet.ahrq.gov/node/73091/psn-pdf
March 31, 2021 - Has the COVID pandemic strengthened or weakened
health care teams? A field guide to healthy workforce
best practices.
March 31, 2021
Thompson R, Kusy M. Has the COVID pandemic strengthened or weakened health care teams? A field
guide to healthy workforce best practices. Nurs Adm Q. 2021;45(2):135-141.
doi:10.1097…
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psnet.ahrq.gov/node/43496/psn-pdf
November 01, 2016 - Designing and Delivering Whole-Person Transitional
Care: Hospital Guide to Reducing Medicaid
Readmissions.
November 1, 2016
Boutwell A, Bourgoin A , Maxwell J, et al. Rockville, MD: Agency for Healthcare Research and Quality;
September 2016. AHRQ Publication No. 16-0047-EF.
https://psnet.ahrq.gov/issue/designing-…
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psnet.ahrq.gov/node/47952/psn-pdf
January 01, 2020 - Overlooked guide wire: a multicomplicated Swiss Cheese
Model example. Analysis of a case and review of the
literature.
May 15, 2019
Thonon H, Espeel F, Frederic F, et al. Overlooked guide wire: a multicomplicated Swiss Cheese Model
example. Analysis of a case and review of the literature. Acta Clin Belg. 2020;75(3…
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psnet.ahrq.gov/node/43710/psn-pdf
October 06, 2016 - Improving medication administration safety: using naïve
observation to assess practice and guide improvements
in process and outcomes.
October 6, 2016
Donaldson N, Aydin C, Fridman M, et al. Improving medication administration safety: using naïve
observation to assess practice and guide improvements in process and…
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psnet.ahrq.gov/node/847730/psn-pdf
February 26, 2018 - “Brave men” and “emotional women”: a theory-guided
literature review on gender bias in health care and
gendered norms towards patients with chronic pain.
February 26, 2018
Samulowitz A, Gremyr I, Eriksson E, et al. “Brave men” and “emotional women”: a theory-guided literature
review on gender bias in health care a…
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psnet.ahrq.gov/node/46506/psn-pdf
October 11, 2017 - Getting Ahead of Harm Before It Happens: A Guide About
Proactive Analysis for Improving Surgical Care Safety.
October 11, 2017
Wiley K, Davies JM. Edmonton, AB: Canadian Patient Safety Institute; 2017.
https://psnet.ahrq.gov/issue/getting-ahead-harm-it-happens-guide-about-proactive-analysis-improving-
surgical-car…
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psnet.ahrq.gov/node/867381/psn-pdf
December 18, 2024 - Promoting medication safety for older adults upon
hospital discharge: guiding principles for a medication
discharge plan.
December 18, 2024
Zhang FH, Lauzon J, Payette J, et al. Promoting medication safety for older adults upon hospital discharge:
guiding principles for a medication discharge plan. Br J Clin Pharm…
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www.ahrq.gov/patient-safety/resources/designer-guide/index.html
December 01, 2017 - Bringing Human Factors into Home Health Care
Institute of Medicine Report and Designer's Guide
Many health care technologies that involve information technology (IT) are moving into the home, for use by caregivers who look after the growing number of older adults with chronic illnesses. With funding from the …
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www.ahrq.gov/hai/tools/clabsi-cauti-icu/implement/index.html
April 01, 2022 - Implementing CLABSI and CAUTI Prevention
The implementation guide will help your team be supported with resources to move through a program that enhances previous CUSP resources to reduce central line-associated bloodstream infection (CLABSI) and catheter-associated urinary tract infection (CAUTI) in the hospit…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/sustainability/sustaining-guide.pdf
March 01, 2017 - Guide to Sustaining a Program To Reduce Catheter-Associated Urinary Tract Infections in Long-Term Care
AHRQ Safety Program for
Long-Term Care: HAIs/CAUTI
Guide to Sustaining a Program To Reduce
Catheter-Associated Urinary Tract
Infections in Long-Term Care
AHRQ Public…
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www.ahrq.gov/patient-safety/reports/engage/methods.html
March 01, 2017 - The semistructured interview guides for patients, providers, and practice staff are available in Appendix
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www.ahrq.gov/research/findings/final-reports/crctoolkit/index.html
March 01, 2023 - Tracking and Improving Screening for Colorectal Cancer Intervention
Next Page
Table of Contents
Tracking and Improving Screening for Colorectal Cancer Intervention
I. Introduction
II. Background
III. Intervention Steps and Tools
IV. References
1.a-1 Information Packet for Participating Pract…
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/epc-synthesizing-evidence-improve.pdf
July 01, 2020 - AHRQ’s Evidence-based Practice
Center Program
Synthesizing evidence to improve health care practice and delivery
1
EPC Program Methods for Systematic Reviews
What is the Evidence-based Practice Center Program?
The vision for AHRQ’s Evidence-based Practice Center (EPC) Program is that all health care decisions are…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/pfepc-fullguide-appa-final508.pdf
June 02, 2025 - The Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families
The Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families | 19
Appendix A – Be Prepared To Be Engaged Implementation Guidance
To help you plan and design your Be Prepared To Be E…
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digital.ahrq.gov/ahrq-funded-projects/past-initiatives/privacy-and-security-project/health-information-security-and-privacy
January 01, 2023 - Health Information Security and Privacy Collaboration Toolkit
What is the Health Information Security and Privacy Collaboration Toolkit?
This toolkit provides guidance for conducting organization-level assessments of business practices, policies, and State laws that govern the privacy …
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www.ahrq.gov/patient-safety/reports/engage/addresources.html
April 01, 2018 - Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families
Additional Resources
Environmental Scan
The environmental scan report describes approaches to engage patients and families in primary care settings and how engagement leads to patient safety.
Case Studies
Four…
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digital.ahrq.gov/program-overview/research-stories/development-digital-healthcare-equity-framework
January 01, 2023 - Development of a Digital Healthcare Equity Framework
Theme:
Supporting Health Systems in Advancing Care Delivery
Subtheme:
Advancing Health Equity
A framework and guide to help creators and users of healthcare solutions that involve digital technologies ensure that their solutions are equi…
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psnet.ahrq.gov/node/45953/psn-pdf
July 22, 2020 - Root Cause Analysis in Health Care: A Joint Commission
Guide to Analysis and Corrective Action of Sentinel and
Adverse Events.
July 22, 2020
Oakbrook Terrace, IL: Joint Commission Resources; 2020. ISBN: 9781635851618.
https://psnet.ahrq.gov/issue/root-cause-analysis-health-care-joint-commission-guide-analysis-and-…