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psnet.ahrq.gov/node/44737/psn-pdf
December 16, 2015 - How effective are incident-reporting systems for
improving patient safety? A systematic literature review.
December 16, 2015
Stavropoulou C, Doherty C, Tosey P. Milbank Q. 2015;93(4):826-866.
https://psnet.ahrq.gov/issue/how-effective-are-incident-reporting-systems-improving-patient-safety-
systematic-literature
…
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psnet.ahrq.gov/node/844768/psn-pdf
September 11, 2019 - Standardized orders for titrating vasopressors: do efforts
to improve safety slow delivery of care?
September 11, 2019
Baker DW, Campbell R. Standardized Orders for Titrating Vasopressors: Do Efforts to Improve Safety Slow
Delivery of Care? Jt Comm J Qual Patient Saf. 2019;45(9):589-590. doi:10.1016/j.jcjq.2019.07.…
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psnet.ahrq.gov/node/43480/psn-pdf
January 01, 2015 - Speaking up: factors and issues in nurses advocating for
patients when patients are in jeopardy.
December 15, 2014
Rainer J. Speaking up: factors and issues in nurses advocating for patients when patients are in jeopardy.
J Nurs Care Qual. 2015;30(1):53-62. doi:10.1097/NCQ.0000000000000081.
https://psnet.ahrq.gov/…
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psnet.ahrq.gov/node/45848/psn-pdf
November 19, 2018 - New Horizons in Patient Safety: Understanding
Communication: Case Studies for Physicians.
November 19, 2018
Hannawa AF, Wu AW, Juhasz RS, eds. Berlin, Germany: DeGruyter; 2017. ISBN: 9783110455014.
https://psnet.ahrq.gov/issue/new-horizons-patient-safety-understanding-communication-case-studies-
physicians
Poor c…
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psnet.ahrq.gov/node/44572/psn-pdf
January 22, 2016 - Can social media be used as a hospital quality
improvement tool?
January 22, 2016
Lagu T, Goff SL, Craft B, et al. Can social media be used as a hospital quality improvement tool? J Hosp
Med. 2016;11(1):52-5. doi:10.1002/jhm.2486.
https://psnet.ahrq.gov/issue/can-social-media-be-used-hospital-quality-improvement-t…
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www.ahrq.gov/patient-safety/settings/esrd/resource/engagement.html
December 01, 2014 - Patient and Family Engagement
ESRD Toolkit
The Patient and Family Engagement module of the ESRD Toolkit defines patient engagement in the context of end-stage renal disease facilities, discusses how to recognize and overcome obstacles to patient engagement, explains how to engage patients and their families i…
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www.uspreventiveservicestaskforce.org/uspstf/recommendation/child-maltreatment-counseling-2004
May 20, 2019 - Share to Facebook
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Share to WhatsApp
Share to Email
Print
archived
Final Recommendation Statement
Child Maltreatment: Counseling, 2004
May 20, 2019
Recommendations made by the USPSTF are independent of the U.S. government…
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psnet.ahrq.gov/node/47438/psn-pdf
June 02, 2019 - Developing an intervention to reduce harm in hospitalized
patients: patients and families in research.
June 2, 2019
Schenk EC, Bryant RA, Van Son CR, et al. Developing an Intervention to Reduce Harm in Hospitalized
Patients: Patients and Families in Research. J Nurs Care Qual. 2019;34(3):273-278.
doi:10.1097/NCQ.0…
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psnet.ahrq.gov/node/73345/psn-pdf
June 02, 2021 - An estimate of missed pediatric sepsis in the emergency
department.
June 2, 2021
Cifra CL, Westlund E, Ten Eyck P, et al. An estimate of missed pediatric sepsis in the emergency
department. Diagnosis (Berl). 2020;8(2):193-198. doi:10.1515/dx-2020-0023.
https://psnet.ahrq.gov/issue/estimate-missed-pediatric-sepsis-…
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK2_P3T2-Sample_Procedures_Phase_3.doc
January 01, 1999 - Comprehensive Antibiogram Toolkit: Phase 3
Sample Procedures
[NURSING HOME NAME]
[DATE]
Purpose and Scope
This procedure covers the use of an antibiogram at [NURSING HOME NAME]. Antibiotics are among the most commonly prescribed pharmaceuticals in long-term-care settings, yet reports indicate that a high proportion …
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www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/sustainability/assessment-tool.html
March 01, 2017 - Sustainability Action Plan
AHRQ Safety Program for Long-Term Care: HAIs/CAUTI
The Sustainability Assessment Tool is developed to help you understand what project elements and other factors may influence sustainability. There are two formats to choose from. You may print the handout to write in sco…
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psnet.ahrq.gov/node/866162/psn-pdf
June 19, 2024 - Surgeon and surgical trainee experiences after adverse
patient events.
June 19, 2024
Ginzberg SP, Gasior JA, Passman JE, et al. Surgeon and surgical trainee experiences after adverse
patient events. JAMA Netw Open. 2024;7(6):e2414329. doi:10.1001/jamanetworkopen.2024.14329.
https://psnet.ahrq.gov/issue/surgeon-and…
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www.ahrq.gov/patient-safety/reports/engage/strategies.html
April 01, 2018 - Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families
Evidence-Based Strategies To Engage Patients and Families To Improve Patient Safety
This Guide is composed of four evidence-based strategies that promote meaningful engagement with patients and families in ways that …
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www.ahrq.gov/ncepcr/research/care-coordination/index.html
September 01, 2022 - Care Coordination
Care coordination, a key element for delivery of quality primary care, involves deliberately organizing patient care activities and sharing information among all of the participants concerned with a patient's care to achieve safer and more effective care. This means that the patient's needs an…
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www.ahrq.gov/npsd/quality-patient-safety/index.html
August 01, 2020 - What is the NPSD’s Role in Quality and Patient Safety?
By enabling providers, PSOs, and, eventually others to contribute nonidentifiable patient safety data to the NPSD, the stage has been set for breakthroughs in our understanding of how best to improve patient safety. The NPSD will facilitate the aggregation …
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digital.ahrq.gov/health-care-theme/smoking-cessation
January 01, 2023 - Smoking Cessation
Reducing Hospital Readmission Rates by Implementing an Inpatient Tobacco Cessation Service Driven by Interactive Voice Recognition Technology
Description
This study evaluated a smoking cessation program using interactive voice recognition technology and found…
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www.ahrq.gov/cahps/about-cahps/impact-case-studies/index.html
June 01, 2025 - Impact Case Studies on the CAHPS Surveys
AHRQ’s collection of Impact Case Studies highlights successes of organizations using AHRQ’s evidence-based tools and resources. Below are success stories from organizations that used the CAHPS Surveys grouped by the year the case study was published. Contact us at Impac…
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www.ahrq.gov/policy/electronic/links/index.html
July 01, 2025 - Linking to the AHRQ Website
Information about establishing links to the AHRQ website.
Our Home Page address: https://www.ahrq.gov We prefer linkages to the Home Page. If you link to specific items within the website, rather than the Home Page, please Submit a Message to notify us and provide the relevant U…
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www.ahrq.gov/sites/default/files/wysiwyg/data/infographics/state-snapshot-infogr.pdf
June 02, 2025 - Health Care Quality: How Does Your State Compare?
State Snapshots
Health Care Quality: How Does Your State Compare?
AHRQ’s 2017 feature more
than 250 statistical measures to provide
State-by-State summaries of health care quality.
Examples in this illustration show top-scoring States
in 2015 in three areas – …
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www.ahrq.gov/sites/default/files/wysiwyg/data/infographics/teachback-infographic.pdf
June 02, 2025 - Data Infographic: More adults report always being asked to teach back providers' instructions (
More adults report always being asked
to teach back providers’ instructions
To start teach-back, providers ask patients to explain in their own words what they
need to know or do. This approach helps determine whether p…