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psnet.ahrq.gov/issue/thinking-about-our-thinking-physicians
August 24, 2016 - Newspaper/Magazine Article
Thinking about our thinking as physicians.
Citation Text:
Thinking about our thinking as physicians. Groopman J; Hartzband P.
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psnet.ahrq.gov/issue/risk-management-learning-mistakes-others
April 08, 2020 - Commentary
Risk management—learning from the mistakes of others.
Citation Text:
Meydan C. Risk management--learning from the mistakes of others. J Eval Clin Pract. 2014;20(4):505-7. doi:10.1111/jep.12165.
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www.ahrq.gov/news/newsroom/case-studies/cquips1002.html
October 01, 2014 - Society of Hospital Medicine Uses Two AHRQ Products in Hospital Discharge Toolkit
Search All Impact Case Studies
July 2010
The Society of Hospital Medicine developed a hospital discharge toolkit based on findings from two AHRQ-funded projects—Patient Safe-D(ischarge) and Project RED (Re-Engineered Discharge…
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psnet.ahrq.gov/issue/going-hospital-dont-forget-pack-nurse
November 11, 2015 - Newspaper/Magazine Article
Going to the hospital? Don't forget to pack a nurse.
Citation Text:
Going to the hospital? Don't forget to pack a nurse. Tugend A.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/resources/tools/prevent/infographic.pdf
March 01, 2017 - Remember C.A.U.T.I. to Prevent CAUTI
Infections are a leading cause
of illness and death in
long-term care facilities.
These infections include
catheter-associated urinary tract
infections (CAUTIs).
R E M E M B E R C . A . U . T . I . T O P R E V E N T C A U T I
Appropriate Indications for an Indwelling Urina…
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psnet.ahrq.gov/issue/quality-care-and-information-technology
September 27, 2017 - Special or Theme Issue
Quality of Care and Information Technology.
Citation Text:
Quality of Care and Information Technology. Suresh S, ed. Pediatr Clin North Am. 2016;63:221-388.
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www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/implementation-guide/guide-prevent.html
May 01, 2017 - Creating a Culture of Safety in the Ambulatory Surgery Environment: Implementation Guide
Infection Prevention
Previous Page Next Page
Table of Contents
Creating a Culture of Safety in the Ambulatory Surgery Environment: Implementation Guide
Overview
The Comprehensive Unit-based Safety Program (C…
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psnet.ahrq.gov/issue/missing-cancer-diagnosis
November 12, 2014 - Newspaper/Magazine Article
Missing a cancer diagnosis.
Citation Text:
Missing a cancer diagnosis. Gubar S.
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20131008_cg/huddle_message_master.pdf
June 02, 2025 - Huddle Messages - Weeks 1-10
Huddle Messages – Weeks 1 - 10
•
•
•
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SCHEDULE TOUCH POINT SERVICE EXPECTATION HUDDLE MESSAGE
Week One Phone Interactions Always answer phones using the 4 part
greeting:
Greeting
Name and Title
Department
What can I do for you?
Discuss why a four part greeting would be import…
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psnet.ahrq.gov/issue/do-doctors-understand-test-results
February 12, 2020 - Newspaper/Magazine Article
Do doctors understand test results?
Citation Text:
Do doctors understand test results? Kremer W.
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psnet.ahrq.gov/issue/why-need-reduce-medical-errors-not-obvious
January 23, 2019 - Commentary
Why the need to reduce medical errors is not obvious.
Citation Text:
Why the need to reduce medical errors is not obvious. Buetow S.
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psnet.ahrq.gov/issue/professional-conduct-toolkit
January 04, 2009 - Toolkit
Professional Conduct Toolkit.
Citation Text:
Professional Conduct Toolkit. Washington, DC: US Department of Defense, Patient Safety Program.
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www.uspreventiveservicestaskforce.org/files/uspstf-year-in-review.pdf
January 16, 2025 - Clinical Practice Update: Notable USPSTF 2024 FINAL Recommendations
Clinical Practice Update:
Notable USPSTF 2024 FINAL Recommendations
The U.S. Preventive Services Task Force (USPSTF) provides evidence-based prevention guidance for 90 health conditions
and diseases.
Listed below are the most impactful final recom…
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pso.ahrq.gov/resources/rule
August 01, 2022 - SHARE:
More topics in this section
Resources
Resources
Resources About the Patient Safety and Quality Improvement Act of 2005
Patient Safety Act
Patient Safety Rule
HHS Guidance
Guides
Other Educational Materials
…
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psnet.ahrq.gov/issue/medical-errors-harm-huge-number-patients-what-will-it-take-make-americas-hospitals-safer
June 23, 2015 - Newspaper/Magazine Article
Medical errors harm huge number of patients. What will it take to make America's hospitals safer?
Citation Text:
Medical errors harm huge number of patients. What will it take to make America's hospitals safer? Sternberg S.
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www.ahrq.gov/es/patient-safety/settings/hospital/resource/nicu/packet/apa.html
December 01, 2013 - Transitioning Newborns from NICU to Home
Appendix A: Family Information Packet
Previous Page Next Page
Table of Contents
Transitioning Newborns from NICU to Home
A Resource Toolkit
Basic Components of the Health Coach Program
Family Information Packet Cover Sheet
Coaching in the Hospital
A…
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digital.ahrq.gov/2019-year-review/research-summary/texting-reminders-low-income-minority-patients-improves
January 01, 2019 - Texting Reminders to Low-Income, Minority Patients Improves Vaccination Rates
Human papillomavirus vaccine series completion rates in a low-income, Latino adolescent population were high for patients receiving text messages reminders.
Principal Investigator: Stockwell, Melissa S. Organization: …
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digital.ahrq.gov/2019-year-review/research-summary/emerging-innovative-newly-funded-research/using-direct-patient-technology-and-clinical-decision-support
January 01, 2019 - Using Direct-to-Patient Technology and Clinical Decision Support to Increase Type 2 Diabetes Screening
A low-cost, novel direct-to-patient CDS tool that identifies patients at high risk of type 2 diabetes and offers them a screening test could increase the number of patients screened and save physicians’ time.
…
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digital.ahrq.gov/2018-year-review/research-spotlights/improving-ehr-design-increases-patient-safety-especially-children
January 01, 2018 - Improving EHR Design Increases Patient Safety—Especially for Children
Poor EHR design can harm patients.
Dr. Raj Ratwani and his research team identified pervasive problems with EHR systems that regularly lead to patient safety errors and other issues, regardless of vendor. “If we don’t focus on EHR technolog…
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digital.ahrq.gov/2019-year-review/research-summary/using-telemedicine-improve-rheumatoid-arthritis-care-patients
January 01, 2019 - Using Telemedicine to Improve Rheumatoid Arthritis Care for Patients in Alaska
In this study of Alaska Native people with rheumatoid arthritis (RA), there was no difference in RA disease activity over 1 year, and no difference in quality of care for patients who receive rheumatology care through telemedicine versus…