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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/partnering-patients-family.pdf
April 01, 2022 - Making It Work Tip Sheet: Partnering With Patients and Families To Prevent CLABSI and CAUTI
AHRQ Safety Program for Intensive Care Units:
Preventing CLABSI and CAUTI
Making It Work Tip Sheet
Partnering With Patients and Families To Prevent CLABSI and
CAUTI
This “Making It Work” tip sheet provide…
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/communication-slides.pptx
June 01, 2021 - PowerPoint Presentation
Improving Teamwork and Communication
Long-Term Care
AHRQ Safety Program for Improving Antibiotic Use
AHRQ Pub. No. 17(21)-0029
June 2021
Improving Teamwork
1
Objectives
Recognize the importance of seeking input from all team members when making antibiotic prescribing decisions
Summarize ho…
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integrationacademy.ahrq.gov/about/integrated-behavioral-health/policy-and-financing
September 01, 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
Expand Navi…
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psnet.ahrq.gov/node/867676/psn-pdf
February 26, 2025 - Responding to Patient Safety Events
February 26, 2025
Shaikh U. Responding to Patient Safety Events. PSNet [internet]. 2025.
https://psnet.ahrq.gov/primer/responding-patient-safety-events
Background
Patient safety events that occur in health care facilities require prompt action to ensure that further harm is
mit…
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digital.ahrq.gov/ahrq-funded-projects/advancing-health-information-exchange-hie-during-inter-hospital-transfer-iht
January 01, 2024 - Advancing Health Information Exchange During Inter-Hospital Transfer to Improve Patient Outcomes
Project Description
Publications
Research Story
An enhanced health information exchange platform that improves workflow, interoperability, and visualization of data for …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/standalone_pdi_casestudy.pdf
December 01, 2015 - Children’s Hospital Uses AHRQ’s Pediatric QI Toolkit To Bring Physicians Together To Reduce CLABSIs
Children’s Hospital Uses AHRQ’s Pediatric QI Toolkit To Bring
Physicians Together To Reduce CLABSIs
Abstract
The Ann & Robert H. Lurie Children’s Hospital
used the tools from the Pediatric QI Toolkit – which …
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www.ahrq.gov/talkingquality/resources/design/advice.html
December 01, 2022 - Advice on Using Design Professionals for a Quality Report
This page summarizes input from several report sponsors and web designers who shared the lessons they learned as well as advice for report card sponsors. 1
What Type of Design Team Do You Need?
To produce a report, you will need a design team with a …
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/mcc-summit/mcc-summit-dorr-samal.pdf
May 19, 2020 - Health IT for Multiple Chronic Conditions
Health IT for Multiple
Chronic Conditions
Lipika Samal, MD, MPH
David Dorr, MD, MS
Purpose
People with Multiple Chronic Conditions (MCC) are especially prone to
harm from lack of coordination and communication.
Health Information Technology (HIT) solutions can bring t…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/4-ASC_Webcast_2021-Famolaro.pdf
January 01, 2021 - How to Use the AHRQ SOPS Ambulatory Surgery Center Survey to Improve Patient Safety - Famolaro
SOPS ASC Database and Resources
20
Theresa Famolaro, MPS, MS, MBA
Senior Study Director
User Network for the AHRQ Surveys on Patient Safety Culture (SOPS)
Westat
SOPS Databases
21
Hospital Nursing
Home
Medical
Of…
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digital.ahrq.gov/ahrq-funded-projects/partnering-improve-patient-safety-rural-wv
January 01, 2023 - Partnering to Improve Patient Safety in Rural WV
Project Final Report ( PDF , 399.95 KB) Disclaimer
Disclaimer
The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessarily represent the views of AHRQ. No s…
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psnet.ahrq.gov/primer/handoffs
October 18, 2023 - Handoffs
Citation Text:
Handoffs and Signouts. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
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Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS
Download…
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psnet.ahrq.gov/primer/communication-between-clinicians
September 15, 2024 - Communication Between Clinicians
Citation Text:
Communication Between Clinicians. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tag…
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digital.ahrq.gov/sites/default/files/docs/workflowtoolkit/WhyCareAboutWorkflow.ppt
January 01, 2010 - How Do I Evaluate Workflow?
Why care about workflow when planning, implementing, and using health IT?
Answer #1:
To avoid pain and suffering
Many clinics have implemented health IT only to find that they did not anticipate how much health IT can change clinical and administrative workflows.
The unanticipate…
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digital.ahrq.gov/sites/default/files/docs/2010-02-24%20Transitions%20In%20Care%20(4).pdf
January 01, 2010 - •
Surveys do not tell us exactly what happened,
but they do tell us what the patient
experienced
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psnet.ahrq.gov/web-mm/signout-fallout
November 16, 2022 - The neurosurgical attending and the ICU attending met with both of their teams to discuss what happened
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psnet.ahrq.gov/web-mm/out-sight-out-mind-out-office-test-result-management
September 01, 2007 - The rheumatologist happened to have two patients with the same last name, and both had GCA.
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psnet.ahrq.gov/web-mm/order-interrupted-text-multitasking-mishap
August 21, 2015 - More
Related Resources
WebM&M Cases
What Happened
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psnet.ahrq.gov/web-mm/ecg-not-normal
November 10, 2015 - What exactly happened here?
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psnet.ahrq.gov/node/49654/psn-pdf
June 01, 2012 - Although it was not completely clear to the orthopedic team or anesthesiologists what happened, all agreed
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www.ahrq.gov/sites/default/files/2024-04/baernholdt-report.pdf
January 01, 2024 - Previous studies have assessed
hospital-acquired pressure ulcer rates, which may or may not have happened