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psnet.ahrq.gov/node/49720/psn-pdf
December 01, 2014 - A Stroke of Error
December 1, 2014
Barrett KM. A Stroke of Error. PSNet [internet]. 2014.
https://psnet.ahrq.gov/web-mm/stroke-error
Case Objectives
State the key clinical factors to assess in a patient with suspected stroke.
Appreciate the relationship between elevated blood pressure and stroke in the acute sett…
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psnet.ahrq.gov/perspective/conversation-withpeter-j-pronovost-md-phd
June 01, 2005 - In Conversation with…Peter J. Pronovost, MD, PhD
June 1, 2005
Also Read an Essay
Citation Text:
In Conversation with…Peter J. Pronovost, MD, PhD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Servi…
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digital.ahrq.gov/sites/default/files/docs/hit-cdm-slides-062111.pdf
June 21, 2011 - National Web-Based Teleconference on Using Health IT for Chronic Disease Management
National Web-Based Teleconference on
Using Health IT for Chronic Disease
Management
June 21st, 2011
Moderator:
Angela Lavanderos
Agency for Healthcare Research and
Quality
Presenters:
James Fricton
Helene Kopal
Randall Cebu…
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www.uspreventiveservicestaskforce.org/uspstf/sites/default/files/inline-files/currprocess.pdf
July 01, 2007 - Current Processes of the U.S. Preventive Services Task Force: Refining Evidence-Based Recommendation Development
Current Processes of the U.S. Preventive Services Task Force:
Refining Evidence-Based Recommendation Development
Janelle Guirguis-Blake, MD; Ned Calonge, MD, MPH; Therese Miller, DrPH; Albert Siu, MD, MSPH…
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psnet.ahrq.gov/node/867651/psn-pdf
February 26, 2025 - Safety I, Safety II, and the New Views of Safety
February 26, 2025
Scanlon M, Jacobson N. Safety I, Safety II, and the New Views of Safety. PSNet [internet]. 2025.
https://psnet.ahrq.gov/primer/safety-i-safety-ii-and-new-views-safety
Background and Context
Safety I and Safety II (Safety I/II) are not safety method…
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digital.ahrq.gov/sites/default/files/docs/pghd-slides-02222022.pdf
February 22, 2022 - AHRQ National Webinar on Transforming Healthcare Through Patient-Generated Health Data Integration - Slides
AHRQ National Webinar
on Transforming Healthcare Through
Patient-Generated Health Data Integration
Presented by:
Deborah J. Cohen, PhD
Ida Sim, MD, PhD
Leslie Lenert, MD, MS
Moderated by: …
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psnet.ahrq.gov/primer/safety-i-safety-ii-and-new-views-safety
October 02, 2024 - Safety I, Safety II, and the New Views of Safety
Citation Text:
Scanlon M, Jacobson N. Safety I, Safety II, and the New Views of Safety. PSNet [internet]. Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2025.
Copy Citation
Format:
Google Scholar BibTeX E…
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www.ahrq.gov/patient-safety/reports/advancing/index.html
July 01, 2022 - Advancing Patient Safety
A Decade of Evidence, Design, and Implementation
After the Institute of Medicine released its sentinel report, To Err is Human: Building a Safer Health System , the Agency for Healthcare Research and Quality (AHRQ), in conjunction with its Federal partners and non-Federal…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/learn/faclearncusp.docx
January 01, 2009 - SAY:
The “Learn About CUSP” module of the Comprehensive Unit-based Safety Program (or CUSP) Toolkit introduces CUSP and provides an overview of resources to use when applying the CUSP model.
Slide 1
SAY:
This module offers an outline and brief history of the CUSP model, summarizes the CUSP Toolkit modules, and expl…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_6-coaching.pptx
July 01, 2023 - PowerPoint Presentation
Coaching
Module 6 of 8
SPPC-II
Toolkit
AHRQ Pub. No. 23-0046
July 2023
Hospital AIM Team
Leads
SPPC-II
SCRIPT
Welcome to Module 6 of the SPPC-II Teamwork Toolkit. In this module, we’ll learn some tactics for coaching your frontline providers on using the teamwork tools.
1
Coaching
Involve…
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www.ahrq.gov/hai/cauti-tools/archived-webinars/cauti-sustainability-slides.html
December 01, 2017 - CAUTI Sustainability: Embedding CAUTI Policies, Using Data to Monitor Proress and Hardwiring CUSP Principles
Slide Presentation
Slide 1
CAUTI Sustainability: Embedding CAUTI Policies, Using Data to Monitor Progress and Hardwiring CUSP Principles
Diane Byrum, RN, MSN, CCRN, CCNS, FCCM
Manager, Quality I…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/sustainability/sustainability_learn_from_defects_facnotes.docx
December 01, 2017 - Accessible Facilitator Guide: Learn From Defects for Sustainability
Slide Title and Commentary
Slide Number and Slide
Sustainability: Learning From Defects
SAY:
This module will review some concepts from Learning From Defects Through Sensemaking. It will also cover the Learning From Defects process from the per…
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www.ahrq.gov/hai/tools/surgery/modules/sustainability/learn-from-defects-fac-notes.html
December 01, 2017 - Sustainability: Learning From Defects: Facilitator Notes
AHRQ Safety Program for Surgery
Slide 1: Sustainability: Learning From Defects
Say:
This module will review some concepts from Learning From Defects Through Sensemaking. It will also cover the Learning From Defects process from the perspective of …
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_6-coaching.pptx
July 01, 2023 - PowerPoint Presentation
Coaching
Module 6 of 8
SPPC-II
Toolkit
AHRQ Pub. No. 23-0046
July 2023
Hospital AIM Team
Leads
SPPC-II
SCRIPT
Welcome to Module 6 of the SPPC-II Teamwork Toolkit. In this module, we’ll learn some tactics for coaching your frontline providers on using the teamwork tools.
1
Coaching
Involve…
-
www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/action-alliance-rfi-report-040323_LOCKED.pdf
March 01, 2023 - Patient Safety Action Alliance: Request for Information (RFI) Summary Report
Patient Safety Action Alliance
Request for Information (RFI) Summary Report
March 2023
Background:
At the direction of Secretary Becerra, the Department of Health and Human Services (HHS)
launched a National Healthcare System Action…
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www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/webinars/workforce-pcr.pptx
August 01, 2024 - Research Methods for Studying the Primary Care Workforce: Slide Presentation
National Center for Excellence in Primary Care Research
Presents
Research Methods for Studying the Primary Care Workforce
May 2, 2024
Presented by:
Hannah Neprash, PhD
Lawrence P. Casalino, MD, PhD
Sylvia Hysong, PhD
Moderated by:
…
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www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/about/ncepcr-older-adults-presentation.pptx
March 15, 2025 - Approaches to Address Health Risks for Older Adults
National Center for Excellence in Primary Care
1
National Center for Excellence in Primary Care Research
Presents
Approaches to Address Health Risks for Older Adults
January 16, 2025
Presented by:
Lisa Kern, MD, MPH
Alberta K. Tran, Ph.D., RN, CCRN
Yu-J…
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www.ahrq.gov/news/events/nac/2015-03-nac/nacmtg0315-minutes.html
July 01, 2015 - Meeting Minutes, March 27, 2015
National Advisory Council
Minutes from the March 27, 2015, meeting of the Agency for Healthcare Research and Quality's National Advisory Council.
Contents
Summary
Call to Order and Approval of November 7, 2014, Meeting Summary
Director's Update and Strategic Directi…
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www.ahrq.gov/sites/default/files/publications/files/advancing-patient-safety.pdf
January 01, 2010 - Advancing Patient Safety: A Decade of Evidence, Design, and Implementation
Evidence
Design and
Implementation
Advancing Excellence in Health Care •www.ahrq.gov
Agency for Healthcare Research and Quality
Advancing Patient Safety:
A Decade of
1999
1
Introduction
Patient safety was a fairly new
field when the …
-
digital.ahrq.gov/sites/default/files/docs/HOW%20HEALTH%20IT%20CAN%20REDUCE%20UNNECESSARY%20REHOSPITALIZATION.pdf
June 16, 2021 - I think people probably get the idea. … And if it is shown to be effective, then it will be available, but
I have no idea, you know, how exactly