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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/program-overview/research-reports/2023-year-review/dhr-impact-reach
January 01, 2023 - DHR Impact and Reach
DHR is celebrating 20 years of investing in digital healthcare research that impacts the quality, safety, and equity of healthcare. In addition to funding the next generation of pioneers and trailblazers, DHR and its team of experts lead collaborative projects and init…
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care-2/index.html
July 01, 2023 - Toolkits To Reduce Hypertension in Pregnancy and Obstetric Hemorrhage
AHRQ Safety Program for Perinatal Care, Phase 2
Following the release of AHRQ’s Toolkit for Improving Perinatal Safety , a second bundle of AHRQ tools is available to improve the safety culture of labor and delivery (L&D) units. The second…
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www.ahrq.gov/news/newsletters/e-newsletter/969.html
August 01, 2025 - Study Identifies Trends in Attention Deficit Hyperactivity Disorder Medication Misuse
Issue Number
969
AHRQ News Now is a weekly newsletter that highlights agency research and program activities.
August 5, 2025
Today’s Headlines: Study Identifies Trends in Attention Deficit Hyperactivity Disorder Medic…
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/recruitment-call-script-ny.pdf
October 01, 2015 - HealthyHearts NYC -- Call Script
HealthyHearts NYC -- Call Script
1
CALL IS ANSWERED
• Hi my name is NAME; I'm calling from NYC REACH at the New York City Department of Health
and Mental Hygiene. I'm a colleague of PRACTICE OWNER who you might have worked with in
the past.
• May I speak with MAIN CONTACT…
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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/talkingquality/resources/checklist/checklist-assess-reporting-project.pdf
December 26, 2018 - Your Project Checklist: Assess Your Health Care Quality Reporting Project
1
TalkingQuality
Your Project Checklist:
Assess Your Health Care Quality Reporting Project
This document contains checklists for the following sections of Assess Your Health Care Quality
Reporting Project:
• What To Evaluate
• Element…
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www.ahrq.gov/sites/default/files/wysiwyg/talkingquality/resources/checklist/checklist-assess-reporting-project.doc
December 26, 2018 - Assess Complete Checklist
Note: You must use the UP and DOWN ARROW instead of TAB or SHIFT + TAB to fill out this form. This document contains twenty-two links.
TalkingQuality
Note: You must use the UP and DOWN ARROW instead of TAB or SHIFT + TAB to fill out this form. This document contains eighteen links.
Your P…
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digital.ahrq.gov/ahrq-funded-projects/evaluation-scaled-scaling-acceptable-cds-approach-implementation-interoperable-cds-venous
July 31, 2025 - Evaluation of the SCALED (SCaling AcceptabLE cDs) Approach for the Implementation of Interoperable Clinical Decision Support for Venous Thromboembolism Prevention
Project Description
Publications
Research Story
A methodology for scaling patient-centered outcomes res…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/medicaidreadmitguide/mcaidread_tool13_ed_care_plan.docx
May 01, 2015 - Tool 13: ED Care Plan
Tool 13: ED Care Plan
Purpose
The purpose of the emergency department (ED) care plan is to create institutional memory across numerous providers; make easily visible prior recurrent presentations and related testing; identify a patient’s existing clinical, behavioral, and social services; and …
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www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/implementation-guides/implementation-guide1/index.html
March 01, 2019 - Engaging Stakeholders to Improve the Quality of Children’s Health Care
Implementation Guide Number 1
This Implementation Guide includes suggested steps and tips for implementing initiatives for improving child health care quality from the CMS-funded national evaluation of the Children’s Health Insurance Progr…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/man6.html
December 01, 2017 - The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities
Chapter 6. Environment and Equipment Safety
Previous Page Next Page
Table of Contents
The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities
Chapter 1. Introduction and Program Over…
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digital.ahrq.gov/funding-mechanism/ahrq-patient-centered-outcomes-research-pcor-mentored-clinical-investigator-award
January 01, 2023 - AHRQ Patient-Centered Outcomes Research (PCOR) Mentored Clinical Investigator Award (K08)
Using Electronic Health Records to Support Decision-Making in Pediatric Obesity Care
Description
This project will evaluate and compare different tools within electronic health records to…
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psnet.ahrq.gov/node/39455/psn-pdf
May 28, 2014 - Pediatric Patient Safety in the Emergency Department.
May 28, 2014
Krug SE, ed. Oakbrook Terrace, IL: Joint Commission Resources and the American Academy of
Pediatrics; 2010. ISBN: 9781599402123.
https://psnet.ahrq.gov/issue/pediatric-patient-safety-emergency-department
This book presents tools, examples, strategi…
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psnet.ahrq.gov/node/36918/psn-pdf
September 01, 2011 - Developing a culture of safety in ambulatory care
settings.
September 1, 2011
Shostek K. Developing a culture of safety in ambulatory care settings. J Ambul Care Manage.
2007;30(2):105-13.
https://psnet.ahrq.gov/issue/developing-culture-safety-ambulatory-care-settings
The author discusses the issues involved in e…
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psnet.ahrq.gov/node/37716/psn-pdf
October 02, 2017 - The impact of transparency on patient safety and liability.
October 2, 2017
Griffen D. The impact of transparency on patient safety and liability. Bull Am Coll Surg. 2008;93(3):19-23.
https://psnet.ahrq.gov/issue/impact-transparency-patient-safety-and-liability
This commentary describes how transparent disclosure o…
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psnet.ahrq.gov/node/40159/psn-pdf
January 19, 2011 - Shifting the learning curve.
January 19, 2011
Reynolds T, Kong M-L. Shifting the learning curve. BMJ. 2010;341:c6260. doi:10.1136/bmj.c6260.
https://psnet.ahrq.gov/issue/shifting-learning-curve
This article describes how simulation can be used to promote patient safety by helping trainees develop
skills in situati…
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psnet.ahrq.gov/node/40833/psn-pdf
October 05, 2011 - Personal best.
October 5, 2011
Gawande A. New Yorker. October 3, 2011.
https://psnet.ahrq.gov/issue/personal-best
This magazine article explores the role of coaches in helping high-performing professionals, such as
musicians and athletes, improve their performance. By submitting to observation in the operating roo…
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psnet.ahrq.gov/node/38583/psn-pdf
May 08, 2018 - Shared MDIs: can cross-contamination be avoided?
May 8, 2018
ISMP Medication Safety Alert! Acute Care Edition. April 9, 2009;14:1-3.
https://psnet.ahrq.gov/issue/shared-mdis-can-cross-contamination-be-avoided
This article describes the risks of cross-contamination when using shared metered dose inhalers
(MDIs) and…
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psnet.ahrq.gov/node/42448/psn-pdf
July 24, 2013 - Measure twice, cut once.
July 24, 2013
Atkinson WK. Measure twice, cut once. AORN J. 2013;98(1):77-80. doi:10.1016/j.aorn.2013.05.004.
https://psnet.ahrq.gov/issue/measure-twice-cut-once
This piece relates how focusing on quality, education, responsibility, and standardization can help clinicians
ensure safe care.…