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www.ahrq.gov/sdm/education-training/index.html
October 01, 2024 - Professional Education and Training in Shared Decision Making
Most healthcare professionals have not been taught how to engage patients in shared decision making (SDM). For SDM to become widespread, SDM skills have to be learned and practiced. AHRQ has developed education and training programs that teach SDM sk…
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www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation.html
May 01, 2017 - Implementation
The Implementation Guide takes users step by step through the execution of technical and cultural interventions surrounding the safe surgery checklist. The tools referenced throughout the guide include items such as checklist templates, quality improvement study frameworks, and coaching materials…
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psnet.ahrq.gov/node/867700/psn-pdf
March 01, 2023 - Toolkit for Reducing Central Line-Associated Blood
Stream Infections.
March 1, 2023
Agency for Healthcare Research and Quality. Toolkit for Reducing Central Line-Associated Blood Stream
Infections. March 2023.
https://psnet.ahrq.gov/issue/toolkit-reducing-central-line-associated-blood-stream-infections
Eliminatin…
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www.ahrq.gov/evidencenow/tools/diy-run-chart.html
July 01, 2022 - Do It Yourself Run Chart for Primary Care Practices
Resource: Do It Yourself Run Chart (XLSX, 86 KB)
Primary care practices can use this Excel spreadsheet to create run charts to track their progress in quality improvement. It includes instructions, an example of a diabetes measure, and a programmed blank s…
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psnet.ahrq.gov/node/854391/psn-pdf
October 11, 2023 - Patient Engagement for Patient Safety: The Why, What,
and How of Patient Engagement for Improving Patient
Safety.
October 11, 2023
Kendir C, Fujisawa R, Brito Fernandes O, et al. Paris, France: OECD Publishing; 2023. OECD Health
Working Papers, No. 159.
https://psnet.ahrq.gov/issue/patient-engagement-patient-safe…
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www.ahrq.gov/patients-consumers/patient-involvement/healthcare411.html
August 01, 2016 - Healthcare 411
Healthcare 411 was an AHRQ-produced podcast series that shared news and information as concise 60-second audio news bites, as well as some longer, more in-depth stories. The current research on important health care topics featured in each item was designed to provide your patients with informati…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/nicu_toolkit/nicupacket-apa_bpd.pdf
June 02, 2025 - NICU Toolkit, Appendix A, Bronchopulmonary Dysplasia (BPD)
Bronchopulmonary Dysplasia (BPD)
What is
Bronchopulmonary
Dysplasia (BPD)?
■ Type of chronic lung disease.
■ Common in babies born early.
■ Damaged lung tissue causes
breathing and health problems.
■ Lungs trap air, fill with fluid, and
produce e…
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psnet.ahrq.gov/perspective/conversation-withbarbara-blakeney-ms-rn
August 01, 2005 - In Conversation with…Barbara A. Blakeney, MS, RN
August 1, 2005
Also Read an Essay
Citation Text:
In Conversation with…Barbara A. Blakeney, MS, RN. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Ser…
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psnet.ahrq.gov/node/74713/psn-pdf
January 26, 2022 - Patient Safety Events Involving Opioid Dose Stacking
January 26, 2022
Porras H, Lammers C. Patient Safety Events Involving Opioid Dose Stacking. PSNet [internet]. 2022.
https://psnet.ahrq.gov/web-mm/patient-safety-events-involving-opioid-dose-stacking
Disclosure of Relevant Financial Relationships: As a provider ac…
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psnet.ahrq.gov/sites/default/files/2022-01/final_spotlight_stacked_opioid_administration_01.03.2022.pdf
January 01, 2022 - Spotlight
Spotlight
Patient Safety Events Involving Opioid
Dose Stacking
Source and Credits
• This presentation is based on the January 2022 AHRQ WebM&M
Spotlight Case
o See the full article at https://psnet.ahrq.gov/webmm
o CME credit is available
o Commentary by: Hollie Porras, PharmD, BCPS and Cathy Lammers…
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psnet.ahrq.gov/web-mm/moving-pains
August 17, 2017 - SPOTLIGHT CASE
Moving Pains
Citation Text:
Schell H, Wachter R. Moving Pains. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2006.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endn…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/shareddec-1.pdf
September 08, 2016 - Shared Decisionmaking To Improve Patient Safety, Education, and Empowerment
Case Study
Problem Addressed
In many health care situations, there is not necessarily a
“correct” decision. Often, multiple options are available,
such as testing or treatment, where risks and expected
outcomes must be balanced with patie…
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psnet.ahrq.gov/node/854849/psn-pdf
October 31, 2023 - “Copy and Paste” Notes and Autopopulated Text in the
Electronic Health Records
October 31, 2023
MacDonald S. “Copy and Paste” Notes and Autopopulated Text in the Electronic Health Records. PSNet
[internet]. 2023.
https://psnet.ahrq.gov/web-mm/copy-and-paste-notes-and-autopopulated-text-electronic-health-record
Th…
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www.ahrq.gov/sites/default/files/2024-07/bates2-report.pdf
January 01, 2024 - Final Progress Report: Improving Quality With Outpatient Decision Support
Title: Improving Quality With Outpatient Decision Support
Principal Investigator: David W. Bates, MD
Organization: Brigham and Women's Hospital, Boston, Massachusetts
Federal Project Officer: Stanley Edinger
Grant Number: 5 U18 HS011046
Grant S…
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psnet.ahrq.gov/node/73300/psn-pdf
July 01, 2022 - Project BOOST Increases Patient Understanding of
Treatment and Follow-up Care
May 26, 2021
https://psnet.ahrq.gov/innovation/project-boost-increases-patient-understanding-treatment-and-follow-care
Summary
The Patient Safe-D(ischarge) program used standardized tools to educate patients about their discharge
needs,…
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psnet.ahrq.gov/node/49758/psn-pdf
April 01, 2016 - Dropping to New Lows
April 1, 2016
Juang PC, Kulasa K. Dropping to New Lows. PSNet [internet]. 2016.
https://psnet.ahrq.gov/web-mm/dropping-new-lows
Case Objectives
State how to manage diabetes medications when patients are admitted to the hospital
Describe a guideline-recommended insulin regimen for a hospitaliz…
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www.ahrq.gov/hai/clabsi-tools/guide.html
January 01, 2020 - Guide: Purpose and Use of CLABSI Tools
Purpose of the Tools
These tools are designed to support your efforts to implement evidence-based practices and eliminate central line-associated blood stream infections (CLABSI) in your unit. When used with the Comprehensive Unit-based Safety Program (CUSP) Toolkit, the…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/labor-delivery-unit/tool_obhemorrhage.docx
May 01, 2017 - AHRQ Safety Program for Perinatal Care: Labor and Delivery Unit Safety Obstetric Hemorrhage
AHRQ Safety Program for Perinatal Care
Labor and Delivery Unit Safety
Obstetric Hemorrhage
Labor and Delivery Unit Safety—Obstetric Hemorrhage
Purpose of the tool: This tool describes the key perinatal safety elements related t…
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/safety/communication-facilitator-guide.pdf
November 01, 2019 - Improving Communication and Teamwork Around Antibiotic Decision Making
AHRQ Safety Program for Improving
Antibiotic Use
1
AHRQ Pub. No. 17(20)-0028-EF
November 2019
Improving Communication and Teamwork
Around Antibiotic Decision Making
Acute Care
Slide Title and Commentary Slide Num…
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www.ahrq.gov/teamstepps-program/curriculum/implement/activity/plan.html
February 01, 2024 - Implementation Planning
If your organization decides that implementing part or all of the TeamSTEPPS curriculum would be of value, carefully think through how to implement and sustain what you intend to teach. Successful and sustainable implementation begins with effective implementation planning.
Basis of Im…