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psnet.ahrq.gov/node/867752/psn-pdf
March 12, 2025 - Analyzing and mitigating the risks of patient harm during
operating room to intensive care unit patient handoffs.
March 12, 2025
Martins NRS, Martinez EZ, Simões CM, et al. Analyzing and mitigating the risks of patient harm during
operating room to intensive care unit patient handoffs. Int J Qual Health Care. 2025;…
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psnet.ahrq.gov/node/866078/psn-pdf
June 05, 2024 - Second victim experiences of health care learners and the
influence of the training environment on postevent
adaptation.
June 5, 2024
Huang L, Riggan KA, Torbenson VE, et al. Second victim experiences of health care learners and the
influence of the training environment on postevent adaptation. Mayo Clin Proc Inno…
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www.ahrq.gov/evidencenow/projects/heart-health/research-results/results/webinars/building-primary-care.html
March 01, 2021 - Tools for Building Primary Care
Date
August 22, 2018
Summary
This EvidenceNOW Webinar highlights tools and resources collected as part of AHRQ's EvidenceNOW initiative that can be used by practice facilitators and others interested in helping build primary care practices' capacity to implement the best cl…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy1/Strat1_Tool_14_HO_508.pdf
June 02, 2025 - Strategy 1: Working with Patients & Families as Advisors (Tool 14)
Guide to Patient and Family Engagement
Readiness to Partner With Patient and Family
Advisors
As a clinician or staff member, I am ready to work with patient and family advisors when:
I believe in the importance of patient and family part…
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www.ahrq.gov/teamstepps-program/curriculum/communication/teach/mini.html
May 01, 2023 - Mini-Session Training Content
If you are teaching content from the Communication Module in an even shorter format, focus on one or two specific communication tools or an important communication concept that has been selected based on the needs of the participants. For this format, do the following:
Using th…
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psnet.ahrq.gov/node/852751/psn-pdf
August 23, 2023 - Automated search methods for identifying wrong patient
order entry-a scoping review.
August 23, 2023
Garrod M, Fox A, Rutter P. Automated search methods for identifying wrong patient order entry—a scoping
review. JAMIA Open. 2023;6(3):ooad057. doi:10.1093/jamiaopen/ooad057.
https://psnet.ahrq.gov/issue/automated-s…
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psnet.ahrq.gov/node/73497/psn-pdf
July 14, 2021 - Health care workers' experiences of workplace incidents
that posed a risk of patient and worker injury: a critical
incident technique analysis.
July 14, 2021
Strid EN, Wåhlin C, Ros A, et al. Health care workers’ experiences of workplace incidents that posed a risk
of patient and worker injury: a critical incident…
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psnet.ahrq.gov/node/73117/psn-pdf
April 07, 2021 - Cybersecurity in health is an urgent patient safety
concern: we can learn from existing patient safety
improvement strategies to address it.
April 7, 2021
O’Brien N, Ghafur S, Durkin M. Cybersecurity in health is an urgent patient safety concern: we can learn
from existing patient safety improvement strategies to …
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www.ahrq.gov/funding/training-grants/staff-contacts.html
January 01, 2025 - Staff Contacts
For general program information or technical assistance on proposed projects, please contact the appropriate staff member listed below. It is always helpful to include a brief (not to exceed one page) project summary and specific aims of your proposed study/project along with your questions. Maus…
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www.uspreventiveservicestaskforce.org/uspstf/about-uspstf/methods-and-processes/standards-guideline-development
June 01, 2018 - Standards for Guideline Development
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Print
The U.S. Preventive Services Task Force (Task Force) is committed to making its recommendation development process as clear and transparen…
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digital.ahrq.gov/principal-investigator/austein-casnoff-cheryl
January 01, 2023 - Austein-Casnoff, Cheryl
Quality Oral Health Care in Medicaid Through Health Information Technology - Final Report
Citation
Casnoff CA, Rosenberger L, Kwon N, Scherer H. Quality Oral Health Care in Medicaid Through Health Information Technology: Final Report. (Prepared by NORC …
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www.ahrq.gov/pqmp/implementation-qi/toolkit/child-hcahps/introduction.html
August 01, 2021 - CAHPS Child Hospital Survey (Child HCAHPS) Toolkit
Introduction
Previous Page Next Page
Table of Contents
CAHPS Child Hospital Survey (Child HCAHPS) Toolkit
Introduction
Overview
About Measure Specifications and Reporting
Key Driver Diagram
Quality Improvement Strategies
Improvement Data…
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www.ahrq.gov/talkingquality/assess/what-you-evaluate/cost-effectiveness.html
November 01, 2018 - Evaluating the Cost-Effectiveness of a Quality Reporting Project
Report sponsors often want to know whether the reporting project was a good use of limited resources. While it is often difficult and inappropriate to try to justify the expense of an entire quality reporting project based on quantifiable results,…
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psnet.ahrq.gov/node/48101/psn-pdf
August 14, 2019 - Partnering with families and patient advocates: another
line of defense in adverse event surveillance.
August 14, 2019
ISMP Medication Safety Alert! Acute Care Edition. August 1, 2019;24.
https://psnet.ahrq.gov/issue/partnering-families-and-patient-advocates-another-line-defense-adverse-event-
surveillance
Having…
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psnet.ahrq.gov/node/46627/psn-pdf
January 30, 2018 - The lost art of doctoring: reflections of a pediatric
resident.
January 30, 2018
Mitchell SM. The Lost Art of Doctoring: Reflections of a Pediatric Resident. JAMA Pediatr. 2018;172(1):10.
doi:10.1001/jamapediatrics.2017.3247.
https://psnet.ahrq.gov/issue/lost-art-doctoring-reflections-pediatric-resident
There are…
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www.ahrq.gov/ncepcr/tools/obesity-kit/obtoolkit-tool1.html
March 01, 2014 - Community Connections: Linking Primary Care Patients to Local Resources for Better Management of Obesity
Community Connections: Linking Primary Care Patients to Local Resources for Better Management of Obesity
Previous Page Next Page
Table of Contents
Community Connections: Linking Primary Care Pati…
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK2_P2T7-Checklist_for_Identifying_Nursing_Home_Specific_Antibiogram_Modifications_Phase_2.pdf
May 01, 2014 - Phase 3 Implementation
Advancing Excellence in Health Care www.ahrq.gov
Agency for Healthcare Research and Quality HAIs
Healthcare-
Associated
Infections
PREVENT
Comprehensive Antibiogram Toolkit: Phase 2
Checklist for Identifying Nursing Home Specific
Antibiogram Modifications
Wide variation occurs in the …
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www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/video/sbar-inpatient-guide.pdf
June 02, 2025 - TeamSTEPPS Video Debrief Guide: SBAR on Inpatient Medical Unit
TeamSTEPPS Video Debrief Guide: SBAR on Inpatient
Medical Unit
Video Objective
To demonstrate each step of SBAR and emphasize the importance of standard communication and use
of the tool.
TeamSTEPPS Tool or Concept
SBAR.
Brief Video Descriptio…
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www.ahrq.gov/patient-safety/settings/hospital/match/appendix/app-11.html
July 01, 2022 - Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation
Appendix, Post-Implementation Strategies to Increase and Sustain Compliance
Previous Page Next Page
Table of Contents
Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconci…
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psnet.ahrq.gov/node/73676/psn-pdf
September 08, 2021 - Organizational readiness to change as a leverage point
for improving safety: a national nursing home survey.
September 8, 2021
Quach ED, Kazis LE, Zhao S, et al. Organizational readiness to change as a leverage point for improving
safety: a national nursing home survey. BMC Health Serv Res. 2021;21(1):842. doi:10.1…