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psnet.ahrq.gov/node/866937/psn-pdf
October 09, 2024 - Improving nursing home safety through adoption of a
practical resilient health care approach.
October 9, 2024
Hartmann CW, Clark V, Nash P, et al. Improving nursing home safety through adoption of a practical
resilient health care approach. J Am Med Dir Assoc. 2024;25(9):105014. doi:10.1016/j.jamda.2024.03.124.
ht…
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psnet.ahrq.gov/node/867092/psn-pdf
November 06, 2024 - Surgical intraoperative handoff initiative: standardizing
operating room communication using SHRIMPS.
November 6, 2024
Stephens WA, Anderson MJ, Levy BE, et al. Surgical intraoperative handoff initiative: standardizing
operating room communication using SHRIMPS. J Am Coll Surg. 2024;239(4):387-393.
doi:10.1097/xcs…
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psnet.ahrq.gov/node/43909/psn-pdf
March 11, 2015 - Summary and frequency of barriers to adoption of CPOE
in the US.
March 11, 2015
Kruse CS, Goetz K. Summary and frequency of barriers to adoption of CPOE in the U.S. J Med Syst.
2015;39(2):15. doi:10.1007/s10916-015-0198-2.
https://psnet.ahrq.gov/issue/summary-and-frequency-barriers-adoption-cpoe-us
Although compu…
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psnet.ahrq.gov/node/74842/psn-pdf
February 16, 2022 - An initiative to reduce insulin-related adverse drug events
in a children's hospital.
February 16, 2022
Lawson SA, Hornung LN, Lawrence M, et al. An initiative to reduce insulin-related adverse drug events in a
children's hospital. Pediatrics. 2022;149(1):e2020004937. doi:10.1542/peds.2020-004937.
https://psnet.ah…
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psnet.ahrq.gov/node/47870/psn-pdf
April 17, 2019 - Saving without compromising: teaching trainees to safely
provide high value care.
April 17, 2019
Judson TJ, Press MJ, Detsky AS. Saving without compromising: Teaching trainees to safely provide high
value care. Healthc (Amst). 2019;7(1):4-6. doi:10.1016/j.hjdsi.2018.05.003.
https://psnet.ahrq.gov/issue/saving-with…
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psnet.ahrq.gov/node/849607/psn-pdf
May 31, 2023 - Use of technology to improve the adherence to surgical
safety checklists in the operating room.
May 31, 2023
Pati AB, Mishra TS, Chappity P, et al. Use of technology to improve the adherence to surgical safety
checklists in the operating room. Jt Comm J Qual Patient Saf. 2023;49(10):572-577.
doi:10.1016/j.jcjq.202…
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digital.ahrq.gov/ahrq-funded-projects/evaluation-scaled-scaling-acceptable-cds-approach-implementation-interoperable-cds-venous/citation/pragmatic
January 01, 2024 - A pragmatic, stepped-wedge, hybrid type II trial of interoperable clinical decision support to improve venous thromboembolism prophylaxis for patients with traumatic brain injury.
Citation
Tignanelli CJ, Shah S, Vock D, Siegel L, Serrano C, Haut E, Switzer S, Martin CL, Rizvi R, Peta V, Jenkins PC, Le…
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www.ahrq.gov/research/findings/final-reports/crcscreeningrpt/crcscreen2.html
April 01, 2018 - During our pilot, we learned four key lessons regarding the academic detailing that affected how we implemented
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_build_ssibundle_facnotes.docx
December 01, 2017 - Partnering with a senior executive, the team implemented a variety of interventions once it understood
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effectivehealthcare.ahrq.gov/sites/default/files/study-objectives-and-questions-chapter-1.pptx
January 01, 2013 - questions can be presented in preliminary format and then refined as other steps in the process are implemented
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www.ahrq.gov/sites/default/files/wysiwyg/topics/pridx-framework.pdf
July 05, 2023 - The PRIDx framework to engage payers in reducing diagnostic errors in healthcare
Mini Review
Kisha J. Ali*, Christine A. Goeschel, Derek M. DeLia, Leah M. Blackall and Hardeep Singh
The PRIDx framework to engage payers in
reducing diagnostic errors in healthcare
https://doi.org/10.1515/dx-2023-0042
Received April 9…
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integrationacademy.ahrq.gov/products/playbooks/opioid-use-disorder/implement-mat-for-oud/treatment-approaches
January 01, 2020 - An official website of the Department of Health & Human Services
Search All AHRQ Sites
Careers
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Integrating Behavioral Health & Primary Care
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cdsic.ahrq.gov/sites/default/files/2023-08/Innovation%20Center%20Q2%202023%20Progress%20Report.pdf
January 01, 2023 - CDSiC Innovation Center: Quarterly Report
INNOVATION CENTER PROGRESS REPORT
J U L Y 2 0 2 3
CDSiC Innovation Center:
Quarterly Report
Agency for Healthcare Research and Quality
5600 Fishers Lane
Rockville, MD 20857
www.ahrq.gov
Contract No: 75Q80120D00018
Prepared by:
NORC at the University of Chicago…
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digital.ahrq.gov/sites/default/files/Innovation%20Center%20Q2%202023%20Progress%20Report.pdf
October 12, 2023 - CDSiC Innovation Center: Quarterly Report
INNOVATION CENTER PROGRESS REPORT
J U L Y 2 0 2 3
CDSiC Innovation Center:
Quarterly Report
Agency for Healthcare Research and Quality
5600 Fishers Lane
Rockville, MD 20857
www.ahrq.gov
Contract No: 75Q80120D00018
Prepared by:
NORC at the University of Chicago…
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integrationacademy.ahrq.gov/products/playbooks/opioid-use-disorder/implement-mat-for-oud/payment-and-reimbursement
January 01, 2018 - An official website of the Department of Health & Human Services
Search All AHRQ Sites
Careers
Contact Us
Español
FAQs
Email Updates
The Academy
Integrating Behavioral Health & Primary Care
Expand Navi…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/assess-psc-hsop-slides.pptx
January 01, 2017 - Presentation: Program Overview
Assess Patient Safety Culture Using the
Hospital Survey on Patient Safety
AHRQ Safety Program for Mechanically Ventilated Patients
AHRQ Pub. No. 16(17)-0018-30-EF
January 2017
Using HSOPS ‹#›
AHRQ Safety Program for Mechanically Ventilated Patients
1
Learning Objectives
After t…
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www.ahrq.gov/sites/default/files/wysiwyg/diagnostic/dx-safety-workgroup-meeting-notes-aug2025.pdf
September 01, 2025 - Federal Interagency Workgroup: Improving Diagnostic Safety and Quality in Healthcare, August 1, 2025
Federal Interagency Workgroup:
Improving Diagnostic Safety and Quality in Healthcare
August 1, 2025, 10 AM–noon
1
Workgroup Goal: Established by Senate Report 115-150. The Senate Committee on
Appropriation…
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psnet.ahrq.gov/node/33596/psn-pdf
June 01, 2025 - Failure to Rescue
January 29, 2025
Tokareva I, Romano P. Failure to Rescue. PSNet [internet]. 2025.
https://psnet.ahrq.gov/primer/failure-rescue
Updated in January 2025 by Irina Tokareva RN, BSN, MAS, CPHQ and Patrick Romano, MD, MPH. PSNet
primers are regularly reviewed and updated to ensure that they reflect cur…
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www.ahrq.gov/patient-safety/reports/engage/interventions/medmanage-slides.html
May 01, 2017 - Medication Management
Patient and Family Engagement in Primary Care
Slide 1: Medication Management
AHRQ Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families
Slide 2: Speaker
Kelly Smith, PhD
Scientific Director, Quality & Safety
Co-PI, AHRQ Guide to Improve …
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/exercises2.html
December 01, 2017 - AHRQ's Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention
Facilitator Training—Additional Exercises (continued)
Risk Change Report Information Exercises
Objective: Facilitators will understand the process to prioritize residents on the Risk Change Report for use in On‐Time process improvem…