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psnet.ahrq.gov/node/41701/psn-pdf
September 26, 2019 - The CUSP Method
September 26, 2019
The CUSP Method.
https://psnet.ahrq.gov/issue/cusp-method
The Comprehensive Unit-based Safety Program (CUSP), originally developed at Johns Hopkins Hospital
by Dr. Peter Pronovost and colleagues, has been instrumental in driving patient safety improvement in
several landmark pat…
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psnet.ahrq.gov/node/43070/psn-pdf
August 20, 2014 - Reducing the rate of catheter-associated bloodstream
infections in a surgical intensive care unit using the
Institute for Healthcare Improvement Central Line Bundle.
August 20, 2014
Sacks GD, Diggs BS, Hadjizacharia P, et al. Reducing the rate of catheter-associated bloodstream
infections in a surgical intensive c…
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psnet.ahrq.gov/node/867094/psn-pdf
January 01, 2025 - Maximizing the ability of health IT and AI to improve
patient safety.
November 6, 2024
Singh H, Sittig DF, Classen DC. Maximizing the ability of health IT and AI to improve patient safety. JAMA
Intern Med. 2025;185(1):10-12. doi:10.1001/jamainternmed.2024.4343.
https://psnet.ahrq.gov/issue/maximizing-ability-healt…
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digital.ahrq.gov/organization/harvard-pilgrim-health-care-inc
January 01, 2023 - Harvard Pilgrim Health Care, Inc.
Improving Missing Data Analysis in Distributed Research Networks
Description
This research developed, refined, and assessed the validity of methods for handling missing data in distributed data networks, without sharing individual-level data, …
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digital.ahrq.gov/location/usa-hi-honolulu
January 01, 2023 - USA, HI, Honolulu
Holomua Project-Improving Patient Hand-Offs in Hawaii
Description
Developed approaches to share data on patient clinical and diagnostic information across systems and created an implementation plan for systems integration.
Grant Number
P20 HS015248
…
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psnet.ahrq.gov/node/46749/psn-pdf
April 04, 2018 - Toolkit for Improving Perinatal Safety.
April 4, 2018
Rockville, MD: Agency for Healthcare Research and Quality. June 2017.
https://psnet.ahrq.gov/issue/toolkit-improving-perinatal-safety
Communication in labor and delivery units can be challenging. This AHRQ-funded program draws from
comprehensive unit-based safe…
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digital.ahrq.gov/organization/university-tennessee-knoxville
January 01, 2023 - University of Tennessee, Knoxville
The Long Term Effectiveness of Telephone Intervention Problem Solving (TIPS)
Description
This project evaluated the impact of the “Telephone Intervention Problem Solving” (TIPS) intervention on adherence to treatment for schizoaffective disor…
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digital.ahrq.gov/sites/default/files/docs/page/Human%20Factors%20and%20Sociotechnical%20Systems%20Group%20Report.pdf
June 16, 2021 - Industrial and Systems Engineering and Health Care: Critical Areas of Research Workshop - Human Factors and Sociotechnical Systems Group Report
Breakout Group D Monday Afternoon Presentation
Human Factors RESEARCH AREAS
-Observational studies and research to optimize workflow in the medical work
place. (hospit…
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/CDI-facilitator-guide.pdf
November 01, 2019 - Best Practices in the Diagnosis and Treatment of Clostridioides difficile Infections
AHRQ Safety Program for Improving
Antibiotic Use
1
AHRQ Pub. No. 17(20)-0028-EF
November 2019
Best Practices in the Diagnosis and Treatment of
Clostridioides difficile Infections
Acute Care
Acute …
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psnet.ahrq.gov/sites/default/files/2023-06/under_pressure.pdf
January 01, 2023 - Microsoft PowerPoint - FINAL Spotlight Case_Under Pressure.pptx
Spotlight
Under Pressure: Tracheostomy Cuff Over Inflation
Leading to Tissue Necrosis and Cuff Rupture
Source and Credits
• This presentation is based on the June 2023 AHRQ WebM&M
Spotlight Case
o See the full article at https://psnet.ahrq.gov/webmm…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/patient-safety-technology-resources.pdf
May 01, 2023 - Improving Health Information Technology (IT) Patient Safety: A Resource List for Users of the AHRQ Health Information Technology Supplemental Item Set
SOPS Health IT Patient Safety Supplemental Item Set Resource List 1
Improving Health Information Technology (IT) Patient
Safety: A Resource List for Users of the A…
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www.ahrq.gov/news/events/nac/2019-04-nac/nacmtg0419-minutes.html
July 01, 2019 - Meeting Minutes, April 2019
National Advisory Council
Minutes from the April 11, 2019, meeting of the Agency for Healthcare Research and Quality's National Advisory Council.
Contents
Summary
Call to Order and Approval of November 15, 2018, Meeting Summary
AHRQ Accomplishments
Budget Update
Directo…
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psnet.ahrq.gov/perspective/conversation-shantanu-agrawal-md-mphil
February 26, 2025 - In Conversation With… Shantanu Agrawal, MD, MPhil
September 1, 2019
Citation Text:
In Conversation With… Shantanu Agrawal, MD, MPhil. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
Co…
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psnet.ahrq.gov/innovation/us-department-veterans-affairs-medical-center-houston-tx-and-baylor-college-medicine
February 26, 2025 - U.S. Department of Veterans Affairs Medical Center, Houston, TX, and Baylor College of Medicine Revised Safer Diagnosis (Safer Dx) Instrument
Save
Save to your library
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January …
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psnet.ahrq.gov/node/33771/psn-pdf
August 22, 2014 - Beyond the Hospital: the New Frontier of Patient Safety
August 22, 2014
Plews-Ogan M. Beyond the Hospital: the New Frontier of Patient Safety. PSNet [internet]. 2014.
https://psnet.ahrq.gov/perspective/beyond-hospital-new-frontier-patient-safety
Perspective
The frontier of patient safety outside the hospital has y…
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psnet.ahrq.gov/perspective/conversation-thomas-j-nasca-md-macp
July 10, 2024 - In Conversation With… Thomas J. Nasca, MD, MACP
April 1, 2016
Citation Text:
In Conversation With… Thomas J. Nasca, MD, MACP. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2016.
Copy Citat…
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psnet.ahrq.gov/curated-library/interdisciplinary-teamwork
November 10, 2025 - Breadcrumb
Home
The PSNet Collection
Curated Libraries
Subscribed
Interdisciplinary teamwork
Download
Share
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Created By: Lorri Zipperer, Cybrarian, AHRQ PSNet T…
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digital.ahrq.gov/sites/default/files/docs/citation/ahrq-cdspain-practice-implemenation-guide-overview-and-appendix-a.pdf
March 01, 2024 - Addressing Chronic Pain Through Patient- and Clinician-Facing Clinical Decision Support: Practice Implementation Guide
Addressing Chronic Pain Through
Patient- and Clinician-Facing Clinical
Decision Support: Practice
Implementation Guide
Prepared for
Agency for Healthcare Research and Quality
5600 Fishers La…
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digital.ahrq.gov/sites/default/files/docs/citation/r18hs025638-yazdany-final-report-2022.pdf
January 01, 2022 - Evaluating if participation in a national registry, RISE, improves the collection of PROs for RA.
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/case.html
December 01, 2017 - AHRQ's Safety Program for Nursing Homes
Case Studies
These case studies follow three nursing home facilities that implemented the On-Time Pressure Ulcer Prevention Program.
Select for more AHRQ Impact Case Studies .
Contents
New York Nursing Facility Sees 56 Percent Drop in Pressure Ulcers with AHRQ-Fu…