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psnet.ahrq.gov/web-mm/stroke-error
February 01, 2016 - SPOTLIGHT CASE
A Stroke of Error
Citation Text:
Barrett KM. A Stroke of Error. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2014.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy2/Strat2_Tool_6_Pres_TX_508.pptx
July 23, 2010 - Strategy 2: Communicating for Improve Quality (Tool 6)
Insert hospital logo here
Communicating to
Improve Quality
Training
[Hospital Name | Presenter name and title | Date of presentation]
Strategy 2: Communicating to Improve Quality Training (Tool 6)
Guide to Patient & Family Engagement
As people enter the …
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integrationacademy.ahrq.gov/products/ibh-lexicon
February 01, 2025 - An official website of the Department of Health & Human Services
Search All AHRQ Sites
Careers
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The Academy
Integrating Behavioral Health & Primary Care
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integrationacademy.ahrq.gov/sites/default/files/2020-06/Lexicon_ExecSummary.pdf
January 01, 2020 - Executive Summary - Lexicon for Behavioral Health and Primary Care Integration Concepts and Definitions Developed by Expert Consensus
Lexicon for Behavioral
Health and Primary
Care Integration
Executive Summary
Concepts and Definitions Developed by
Expert Consensus
http://www.ahrq.gov
Executive Summary
Lexic…
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www.ahrq.gov/sites/default/files/2025-02/poghosyan-report.pdf
January 01, 2025 - Final Progress Report: Further Psychometric Testing and Validation of the Errors of Care Omission Survey (ECOS)
Further Psychometric Testing and Validation of the Errors of Care Omission Survey (ECOS)
Principal Investigator: Lusine Poghosyan, PhD, MPH, RN, FAAN,
Columbia University School of Nursing
Elaine M. Fle…
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pso.ahrq.gov/sites/default/files/wysiwyg/ai-healthcare-safety-program.pdf
July 01, 2025 - Artificial Intelligence (AI) in Healthcare Safety Program: October 2024 Update
1
Artificial Intelligence (AI) in Healthcare
Safety Program – October 2024 Update
Overview
In response to Executive Order 14110, Safe, Secure, and Trustworthy Development and Use of Artificial
Intelligence (“EO 14110”), HHS establish…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_6-coaching-speaker-notes.pdf
July 01, 2023 - Coaching
Hospital AIM
Team
Leads
SPPC‐II
Coaching
Module 6 of 8
SPPC‐II
Toolkit
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
Hospital AIM
Team
Leads
SPPC‐II
Coaching
…
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www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/CMS-Aug-23-board-session.pdf
August 22, 2023 - National Action Alliance to Advance Patient Safety Webinar Series
National Action Alliance to Advance Patient Safety
Webinar Series
Engaging Boards and Executive Leadership In Safety
August 22, 2023
Beth Daley Ullem
Founder and CEO, Quality and Safety First
National Action Alliance To Advance …
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_6-coaching-speaker-notes.pdf
July 01, 2023 - Coaching
Hospital AIM
Team
Leads
SPPC‐II
Coaching
Module 6 of 8
SPPC‐II
Toolkit
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
Hospital AIM
Team
Leads
SPPC‐II
Coaching …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_ssibundle_facnotes.docx
December 01, 2017 - Facilitator Guide: Implementing Your SSI Prevention Bundle
Slide Title and Commentary
Slide Number and Slide
Implementing Your SSI Prevention Bundle
SAY:
This module is about implementing your surgical site infection (SSI) prevention bundle.
Slide 1
Learning Objectives
SAY:
This module will help you develop …
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www.ahrq.gov/hai/tools/surgery/modules/implementation/ssi-bundle-fac-notes.html
October 01, 2020 - Implementing Your Surgical Site Infection Prevention Bundle: Facilitator Notes
AHRQ Safety Program for Surgery
Slide 1: Implementing Your SSI Prevention Bundle
Say:
This module is about implementing your surgical site infection (SSI) prevention bundle.
Slide 2: Learning Objectives
Say:
This modu…
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www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/public-action-alliance-slides-040323_LOCKED.pdf
May 25, 2023 - The National Action Alliance to Advance Patient Safety Summer Webinar Series - PowerPoint Presentation
The National Action Alliance to Advance Patient
Safety Summer Webinar Series
Robert Otto Valdez, Ph.D.
Director
Agency for Healthcare Research & Quality
April 25, 2023
Welcome and Thank-You!
Presenter Notes
P…
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digital.ahrq.gov/sites/default/files/docs/cds-slides-10192021.pdf
October 19, 2021 - AHRQ National Web Conference on Clinical Decision Support Efforts That Assist Clinical Cognitive Processes - Slides
AHRQ National Web Conference
on Clinical Decision Support Efforts
That Assist Clinical Cognitive Processes
Moderated by:
Roland Gamache, PhD, MBA, FAMIA
Agency for Healthcare Research and Quality
…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/McNeill.pdf
January 01, 2004 - Beyond the Dusty Shelf: Shifting Paradigms and Effecting Change
383
Beyond the Dusty Shelf: Shifting
Paradigms and Effecting Change
Dwight McNeill, Howard Holland, Kerm Henriksen
Abstract
This paper addresses how to make happen the improvements in the quality of
health care that have been identified from si…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Kizer1.pdf
April 01, 2004 - Safe Practices for Better Health Care
23
Safe Practices for Better Health Care
Kenneth W. Kizer, Laura N. Blum
Abstract
Modern health care is highly complex, high risk, and error prone. Not
surprisingly, health care errors and consequent adverse events are a leading cause
of death and injury, even though wel…
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/autism_research-protocol.pdf
December 09, 2009 - Evidence-based Practice Center Systematic Review Protocol
Source: www.effectivehealthcare.ahrq.gov
Published Online: December 7, 2009
1
Evidence-based Practice Center Systematic Review Protocol
Project Title: Therapies for Children with Autism
Spectrum Disorders
I. Backgrou…
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digital.ahrq.gov/sites/default/files/docs/publication/r21hs019092-artinian-final-report-2014.pdf
January 01, 2014 - through our formative research, it became
clear that target end users were adamantly opposed to this idea
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/booklets/hip-fracture_spanish.pdf
October 01, 2023 - Es una buena idea que todos lo tengan y que se hable con los familiares
sobre esto.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/booklets/laparotomy_spanish.pdf
October 01, 2023 - Es una buena idea que todos lo tengan y que se hable
con los familiares sobre esto.
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/cancer-survivor-care-transition_disposition-comments.pdf
March 18, 2014 - We disagree with the
idea that we focus on the service provider rather than
the content of the service … We agree regarding the idea of a continuum of need,
hence the last paragraph in this section on categories … As noted above, the premise of our report is based on
the idea that a single service does not constitute … survivorship care, and only including models that
contained at least two components, which
supports the idea