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psnet.ahrq.gov/node/837740/psn-pdf
July 27, 2022 - Reducing near miss medication events using an
evidence-based approach.
July 27, 2022
Smith-Love J. Reducing near miss medication events using an evidence-based approach. J Nurs Care
Qual. 2022;37(4):327-333. doi:10.1097/ncq.0000000000000630.
https://psnet.ahrq.gov/issue/reducing-near-miss-medication-events-using-e…
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psnet.ahrq.gov/node/837348/psn-pdf
June 08, 2022 - Does malpractice liability make healthcare safer? Aligning
law and policy with evidence.
June 8, 2022
Saks MJ, Landsman S. Wake Forest J Law Policy. 2022;12:205-257.
https://psnet.ahrq.gov/issue/does-malpractice-liability-make-healthcare-safer-aligning-law-and-policy-
evidence
The malpractice liability sys…
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psnet.ahrq.gov/node/45794/psn-pdf
February 15, 2017 - Teaching the diagnostic process as a model to improve
medical education.
February 15, 2017
Sklar DP. Teaching the Diagnostic Process as a Model to Improve Medical Education. Acad Med.
2017;92(1):1-4. doi:10.1097/ACM.0000000000001481.
https://psnet.ahrq.gov/issue/teaching-diagnostic-process-model-improve-medical-ed…
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psnet.ahrq.gov/node/44675/psn-pdf
July 05, 2016 - Why July matters.
July 5, 2016
Petrilli CM, Del Valle J, Chopra V. Why July Matters. Acad Med. 2016;91(7):910-912.
doi:10.1097/ACM.0000000000001196.
https://psnet.ahrq.gov/issue/why-july-matters
Studies have reached conflicting conclusions about whether the "July Effect"—the belief that inpatient
mortality increa…
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psnet.ahrq.gov/node/47222/psn-pdf
October 03, 2018 - Decision support tools, systems, and artificial intelligence
in cardiac imaging.
October 3, 2018
Massalha S, Clarkin O, Thornhill R, et al. Decision Support Tools, Systems, and Artificial Intelligence in
Cardiac Imaging. Can J Cardiol. 2018;34(7):827-838. doi:10.1016/j.cjca.2018.04.032.
https://psnet.ahrq.gov/issu…
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psnet.ahrq.gov/node/855431/psn-pdf
January 01, 2024 - The benefits and opportunities: engaging patients in
identifying and reporting patient safety incidents.
November 15, 2023
Pozzobon LD, Rotter T, Sears K. The benefits and opportunities: engaging patients in identifying and
reporting patient safety incidents. Healthc Manage Forum. 2024;37(4):196-201.
doi:10.1177/0…
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www.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4/apf.html
August 01, 2022 - Event Investigation and Analysis Guide: Appendix F
Solutions Meeting Announcement Template
On behalf of (insert executive sponsor name), we would like you to participate in our upcoming solutions meeting related to (describe safety event).
The solutions meeting will take place at (time) (date) (location).
…
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psnet.ahrq.gov/node/44738/psn-pdf
May 21, 2016 - The Habits of an Improver. Thinking About Learning for
Improvement in Health Care.
May 21, 2016
Lucas B, Nacer H. London, UK: Health Foundation; October 2015. ISBN: 9781906461676.
https://psnet.ahrq.gov/issue/habits-improver-thinking-about-learning-improvement-health-care
Committed leadership is essential to enhan…
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www.ahrq.gov/evidencenow/tools/root-cause-analysis.html
February 01, 2025 - Using Root Cause Analysis to Improve Quality and Performance
Resource: Using Root Cause Analysis to Help Practices Understand and Improve Their Performance and Outcomes (PDF, 908 KB, 18 pages) Part of an AHRQ curriculum used to train practice facilitators, this resource describes how practices can use a roo…
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www.uspreventiveservicestaskforce.org/apps/index.jsp
The Prevention TaskForce (formerly ePSS) application assists primary care clinicians to identify the screening, counseling, and preventive medication services that are appropriate for their patients.
The Prevention TaskForce data is based on the current recommendations of the U.S. Preventive Services Task Force (USPS…
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digital.ahrq.gov/sites/default/files/docs/citation/appendix-j-cdspain-additional-resources.docx
August 12, 2024 - AppendixJ_AHRQ_CDSPain
Appendix J. Additional Resources
The resources outlined in Appendix J are meant to provide the practice champion, implementation team, and clinicians with additional resources to support their learning and improvement efforts.
Clinician Resources
· Prescribing opioids
· Strategies to engage with…
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www.ahrq.gov/nursing-home/materials/index.html
March 01, 2022 - Materials by Topic
Following are selected COVID-19 nursing home safety and quality improvement resources for nursing homes on a range of topics including preventing the spread of COVID-19, vaccination, leadership, management and quality improvement, and staff and resident well-being.
Preventing the Spread o…
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digital.ahrq.gov/sites/default/files/docs/citation/u18hs027557-dykes-final-report-2022.pdf
January 01, 2022 - Shareable, Interoperable Clinical Decision Support for Older Adults: Advancing Fall Assessment and Prevention Patient-Centered Outcomes Research Findings into Diverse Primary Care Practices (ASPIRE) - Final Report
…
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www.ahrq.gov/research/shuttered/acfselection/appendixd.html
July 01, 2018 - Disaster Alternate Care Facilities: Report and Interactive Tools
Appendix D: Alternate Care Facility Questionnaire—Summary of Results
Previous Page
Table of Contents
Disaster Alternate Care Facilities: Report and Interactive Tools
Executive Summary
Chapter 1. Objectives
Chapter 2. Background…
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/binge-eating_research-protocol.pdf
July 21, 2014 - Evidence-based Practice Center Systematic Review Protocol
Project Title: Management and Outcomes of Binge Eating Disorder (BED)
I. Background and Objectives for the Systematic Review
Binge eating disorder (BED) is characterized by recurrent episodes of binge eating and,
subsequently, significant psychological di…
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psnet.ahrq.gov/node/72516/psn-pdf
November 25, 2020 - Premature Closure: Was It Just Syncope?
November 25, 2020
Maurier D, Barnes DK. Premature Closure: Was It Just Syncope? PSNet [internet]. 2020.
https://psnet.ahrq.gov/web-mm/premature-closure-was-it-just-syncope
Disclosure of Relevant Financial Relationships: As a provider accredited by the Accreditation Council fo…
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www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/module7-presenters-notes.pdf
January 01, 2008 - TeamSTEPPS® Diagnosis Improvement: Module 7: Putting It All Together
Slide 1
TeamSTEPPS® for Diagnosis
Improvement
…
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www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/module7-all-together.pptx
January 01, 2008 - Module 7: Putting It All Together
Module 7
Putting It All Together
TeamSTEPPS® for Diagnosis Improvement
Welcome to the TeamSTEPPS for Diagnosis Improvement Course. This presentation will cover Module 7, Putting It All Together, that you will review as the course facilitator.
The purpose of this summary module is…
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/safety/patient-safety-facilitator-guide.pdf
November 01, 2019 - Making the Case That Improving Antibiotic Use Is a Patient Safety Issue
AHRQ Safety Program for Improving
Antibiotic Use
1
AHRQ Pub. No. 17(20)-0028-EF
November 2019
Making the Case That Improving Antibiotic Use Is a Patient
Safety Issue
Acute Care
Slide Title and Commentary Slide Number…
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digital.ahrq.gov/sites/default/files/docs/lesson/09-0029-ef-cdm.pdf
January 01, 2009 - Innovations in Using Health IT for Chronic Disease Management
Innovations in Using
Health IT for
Chronic Disease Management
Agency for Healthcare Research and Quality
Advancing Excellence in Health Care www.ahrq.gov Health IT
http://www.ahrq.gov/
Innovations in Using
Health IT for
Chronic D…