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psnet.ahrq.gov/node/36242/psn-pdf
March 06, 2019 - Your attention please... designing effective warnings.
March 6, 2019
ISMP Medication Safety Alert! Acute care edition. February 28, 2019.
https://psnet.ahrq.gov/issue/your-attention-please-designing-effective-warnings
Medication warnings inform providers and patients about risks associated with medication use. As w…
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psnet.ahrq.gov/node/844757/psn-pdf
September 11, 2019 - Diagnostic overshadowing in dentistry.
September 11, 2019
Clough S, Handley P. Diagnostic overshadowing in dentistry. Br Dent J. 2019;227(4):311-315.
doi:10.1038/s41415-019-0623-x.
https://psnet.ahrq.gov/issue/diagnostic-overshadowing-dentistry
Assumptions, communication barriers, and implicit biases can compromis…
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psnet.ahrq.gov/node/46461/psn-pdf
November 01, 2017 - Complications: acknowledging, managing, and coping
with human error.
November 1, 2017
Helo S, Moulton C-AE. Complications: acknowledging, managing, and coping with human error. Transl
Androl Urol. 2017;6(4):773-782. doi:10.21037/tau.2017.06.28.
https://psnet.ahrq.gov/issue/complications-acknowledging-managing-and-…
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psnet.ahrq.gov/node/42678/psn-pdf
February 21, 2015 - The reliability of AHRQ Common Format Harm Scales in
rating patient safety events.
February 21, 2015
Williams TL, Szekendi MK, Pavkovic S, et al. The reliability of AHRQ Common Format Harm Scales in
rating patient safety events. J Patient Saf. 2015;11(1):52-59. doi:10.1097/PTS.0b013e3182948ef9.
https://psnet.ahrq.…
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psnet.ahrq.gov/node/867701/psn-pdf
August 01, 2017 - Toolkit To Improve Safety for Mechanically Ventilated
Patients.
August 1, 2017
Agency for Healthcare Research and Quality . Toolkit To Improve Safety for Mechanically Ventilated
Patients. August 2017.
https://psnet.ahrq.gov/issue/toolkit-improve-safety-mechanically-ventilated-patients
Patients requiring mechanica…
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www.uspreventiveservicestaskforce.org/uspstf/document/draft-evidence-review/unhealthy-alcohol-use-adolescents-adults-behavioral-counseling-interventions
August 05, 2025 - Share to Facebook
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in progress
Draft Evidence Review
Unhealthy Alcohol Use in Adolescents and Adults: Screening and Behavioral Counseling Interventions
August 05, 2025
Recommendations made b…
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www.ahrq.gov/pqmp/implementation-qi/toolkit/h2h/key-driver.html
July 01, 2021 - Quality of Pediatric Hospital-to-Home Transitions Toolkit
Key Driver Diagram
Previous Page Next Page
Table of Contents
Quality of Pediatric Hospital-to-Home Transitions Toolkit
Introduction
Overview
About the Measure
Key Driver Diagram
Quality Improvement Strategies
Improvement Data
Ot…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/index.html
March 01, 2017 - Home and Community-based Services
Home and community resources
Assessing the Health and Welfare of the HCBS Population
Report on developing outcome indicators to assess the 'health and welfare' of recipients of Medicaid home- and community-based services (HCBS).
Environmental Scan of Measures …
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psnet.ahrq.gov/node/41273/psn-pdf
June 01, 2012 - Minimizing inappropriate medications in older
populations: a ten-step conceptual framework.
June 1, 2012
Scott IA, Gray LC, Martin J, et al. Minimizing inappropriate medications in older populations: a 10-step
conceptual framework. Am J Med. 2012;125(6):529-37.e4. doi:10.1016/j.amjmed.2011.09.021.
https://psnet.ah…
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psnet.ahrq.gov/node/43882/psn-pdf
February 18, 2015 - Case Studies in Patient Safety: Foundations for Core
Competencies.
February 18, 2015
Johnson JK, Haskell HW, Barach PR. Burlington, MA: Jones and Bartlett Learning; 2015. ISBN:
9781449681548.
https://psnet.ahrq.gov/issue/case-studies-patient-safety-foundations-core-competencies
Patient stories can help illustrate…
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psnet.ahrq.gov/node/47146/psn-pdf
June 27, 2018 - Provider perspectives on partnering with parents of
hospitalized children to improve safety.
June 27, 2018
Rosenberg RE, Williams E, Ramchandani N, et al. Provider Perspectives on Partnering With Parents of
Hospitalized Children to Improve Safety. Hosp Pediatr. 2018;8(6):330-337. doi:10.1542/hpeds.2017-0159.
https…
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psnet.ahrq.gov/node/37846/psn-pdf
April 11, 2011 - Clinical profile of hospitalized children provided with
urgent assistance from a medical emergency team.
April 11, 2011
Kinney S, Tibballs J, Johnston L, et al. Clinical profile of hospitalized children provided with urgent
assistance from a medical emergency team. Pediatrics. 2008;121(6):e1577-e1584. doi:10.1542/p…
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psnet.ahrq.gov/node/43649/psn-pdf
November 05, 2014 - How patients can improve the accuracy of their medical
records.
November 5, 2014
Dullabh P, Sondheimer N, Katsh E, et al. How Patients Can Improve the Accuracy of their Medical
Records. eGEMs (Generating Evidence & Methods to improve patient outcomes). 2014;2(3).
doi:10.13063/2327-9214.1080.
https://psnet.ahrq.go…
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psnet.ahrq.gov/node/46602/psn-pdf
February 21, 2018 - Are quality improvement collaboratives effective? A
systematic review.
February 21, 2018
Wells S, Tamir O, Gray J, et al. Are quality improvement collaboratives effective? A systematic review. BMJ
Qual Saf. 2018;27(3):226-240. doi:10.1136/bmjqs-2017-006926.
https://psnet.ahrq.gov/issue/are-quality-improvement-coll…
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psnet.ahrq.gov/node/41420/psn-pdf
September 26, 2012 - Improving healthcare quality through organisational peer-
to-peer assessment: lessons from the nuclear power
industry.
September 26, 2012
Pronovost P, Hudson DW. Improving healthcare quality through organisational peer-to-peer assessment:
lessons from the nuclear power industry. BMJ Qual Saf. 2012;21(10):872-5.
h…
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psnet.ahrq.gov/node/866072/psn-pdf
June 05, 2024 - WHO Global Report on Patient Safety.
June 5, 2024
Geneva, Switzerland: World Health Organization; 2024. ISBN 9789240095458.
https://psnet.ahrq.gov/issue/who-global-report-patient-safety
Comparative data can help to inform and motivate patient safety improvement efforts. This report uses the
seven objectives of the…
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psnet.ahrq.gov/node/46483/psn-pdf
October 04, 2017 - Fall Prevention in Hospitals Training Program.
October 4, 2017
Rockville, MD: Agency for Healthcare Research and Quality; 2017.
https://psnet.ahrq.gov/issue/fall-prevention-hospitals-training-program
Falls are a primary focus of quality and patient safety improvement efforts in hospitals. This training
program pro…
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psnet.ahrq.gov/node/46161/psn-pdf
May 31, 2017 - Developing team cognition: a role for simulation.
May 31, 2017
Fernandez R, Shah S, Rosenman ED, et al. Developing Team Cognition. Simul Healthc. 2017;12(2):96-
103. doi:10.1097/sih.0000000000000200.
https://psnet.ahrq.gov/issue/developing-team-cognition-role-simulation
Simulation training has been advocated as a …
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psnet.ahrq.gov/node/46243/psn-pdf
June 05, 2019 - AHRQ Safety Program for Improving Surgical Care and
Recovery.
June 5, 2019
Agency for Healthcare Research and Quality.
https://psnet.ahrq.gov/issue/ahrq-safety-program-improving-surgical-care-and-recovery
Patients are vulnerable to harm after surgery. This program used methods from the Comprehensive Unit-
based S…
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psnet.ahrq.gov/node/45019/psn-pdf
April 27, 2016 - Effectiveness of surgical safety checklists in improving
patient safety.
April 27, 2016
Ragusa PS, Bitterman A, Auerbach B, et al. Effectiveness of Surgical Safety Checklists in Improving
Patient Safety. Orthopedics. 2016;39(2):e307-10. doi:10.3928/01477447-20160301-02.
https://psnet.ahrq.gov/issue/effectiveness-s…