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psnet.ahrq.gov/node/36510/psn-pdf
June 13, 2011 - Using clinical decision support to improve medication
reconciliation.
June 13, 2011
Moore G. Patient Saf Qual Healthc. November / December 2006.
https://psnet.ahrq.gov/issue/using-clinical-decision-support-improve-medication-reconciliation
The author provides strategies to enhance the value of medication reconcili…
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psnet.ahrq.gov/node/42689/psn-pdf
October 23, 2013 - Solving the puzzle: improving safety outcomes.
October 23, 2013
Whitehouse D. Br J Healthc Manage. 2013;19(9):446-448.
https://psnet.ahrq.gov/issue/solving-puzzle-improving-safety-outcomes
This article illustrates the importance of recognizing complexity when working to create high reliability in
health care.
htt…
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psnet.ahrq.gov/node/43441/psn-pdf
July 12, 2018 - Fixing Healthcare Delivery.
July 12, 2018
University of Florida, Institute for Healthcare Improvement, Coursera.
https://psnet.ahrq.gov/issue/fixing-healthcare-delivery
This online course presents teamwork, systems design, leadership, and change management as strategies
to improve health care safety. The course in…
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psnet.ahrq.gov/node/35123/psn-pdf
July 03, 2015 - Patient Safety Tools: Improving Safety at the Point of
Care.
July 3, 2015
Agency for Healthcare Research and Quality.
https://psnet.ahrq.gov/issue/patient-safety-tools-improving-safety-point-care
The Agency for Healthcare Research and Quality (AHRQ) awarded more than $8 million to 15 Partnerships
in Implementing …
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psnet.ahrq.gov/innovation/reducing-preventable-patient-harm-due-retained-surgical-items-rsi-bundle
July 23, 2024 - Reducing Preventable Patient Harm Due to Retained Surgical Items: The RSI Bundle
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May 29, 2024
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Inno…
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/rheumatoid-arthritis-medicine_executive.pdf
April 01, 2012 - 1
Comparative Effectiveness Review
Number 55
Drug Therapy for Rheumatoid Arthritis in
Adults: An Update
Executive Summary
Background
Rheumatoid arthritis (RA), which
affects 1.3 million adult Americans, is
an autoimmune disease that involves
inflammation of the synovium (a thin
layer of tissue lining a joint …
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psnet.ahrq.gov/node/33776/psn-pdf
January 01, 2015 - In Conversation With… Mark Graban, MS, MBA
January 1, 2015
In Conversation With… Mark Graban, MS, MBA. PSNet [internet]. 2015.
https://psnet.ahrq.gov/perspective/conversation-mark-graban-ms-mba
Editor's note: Mark Graban, MS, MBA, is an internationally recognized expert in Lean Healthcare, which
has become one of…
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www.ahrq.gov/patient-safety/resources/learning-lab/physiologic-monitoring-long-desc.html
January 01, 2025 - Pediatric Patient Safety Learning Laboratory to Reengineer Continuous Physiologic Monitoring Systems
Principal Investigator: Christopher Bonafide, M.D., M.S.C.E., Children’s Hospital of Philadelphia (CHOP), Philadelphia, PA AHRQ Grant No.: HS26620 Project Period: 09/30/18-07/31/23 Description: This lab’s goa…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/teachback_webinar_slides.pdf
November 08, 2016 - Teach-back
1
Teach-Back
AHRQ
Guide to Improving Patient Safety in Primary
Care Settings by Engaging Patients and
Families
Speaker
Kelly Smith, PhD
Scientific Director, Quality & Safety
Co-PI, AHRQ Guide to Improve Patient
Safety in Primary Care Settings by Engaging
Patients and Families
kell…
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/diabetes-behavior-programs_clinician.pdf
November 01, 2016 - Behavioral Programs for Type 2 Diabetes Mellitus: Current State of the Evidence
Behavioral Programs for Type 2 Diabetes Mellitus:
Current State of the Evidence
Focus of This Summary
This is a summary of a systematic review evaluating the evidence about factors that contribute to the effectiveness of behavioral
p…
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digital.ahrq.gov/ahrq-funded-projects/development-electronic-medical-record-integrated-enhanced-after-visit-summary
January 01, 2023 - Development of an Electronic Medical Record-Integrated Enhanced After-Visit Summary
Project Final Report ( PDF , 603.84 KB) Disclaimer
Disclaimer
The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessaril…
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psnet.ahrq.gov/node/33567/psn-pdf
June 15, 2024 - Handoffs
June 15, 2024
Handoffs and Signouts. PSNet [internet]. 2019.
https://psnet.ahrq.gov/primer/handoffs
PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that
they reflect current research and practice in the patient safety field. Last reviewed in 2024.
Backgroun…
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digital.ahrq.gov/ahrq-funded-projects/using-information-technology-patient-centered-communication-and-decisionmaking
January 01, 2023 - Using Information Technology for Patient-Centered Communication and Decisionmaking about Medications
Project Final Report ( PDF , 1.02 MB) Disclaimer
Disclaimer
The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do…
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digital.ahrq.gov/ahrq-funded-projects/using-evidence-based-nursing-practices-and-electronic-health-record-decision
January 01, 2023 - Using Evidence-Based Nursing Practices and Electronic Health Record Decision Support to Reduce Fall-related Patient Injuries in Acute Care
Project Final Report ( PDF , 3.56 MB)
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Annual Su…
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digital.ahrq.gov/2005-annual-conference
January 01, 2005 - This information is for reference purposes only. It was current when produced and may now be outdated. Archive material is no longer maintained, and some links may not work. Persons with disabilities having difficulty accessing this information should contact us at: https://digital.ahrq.gov/contact-us . Let us know th…
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www.ahrq.gov/sites/default/files/2025-02/feeney-report.pdf
January 01, 2025 - Final Progress Report: The National Quality Forum National Annual Policy Conference 2007
The National Quality Forum
National Annual Policy Conference 2007
Principal Investigator: Dianne Feeney
Team Members: L. Gorban, B. Theil, L. Murray, L.
Thompson
08/01/07– 07/31/08
Federal Project Officer: Kare…
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psnet.ahrq.gov/perspective/medication-safety-nursing-homes-whats-wrong-and-how-fix-it
August 01, 2012 - Medication Safety in Nursing Homes: What's Wrong and How to Fix It
Jerry Gurwitz, MD | August 1, 2012
Also Read a Conversation
View more articles from the same authors.
Citation Text:
Gurwitz JH. Medication Safety in Nursing Homes: What's Wrong and How to Fix I…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.188_slideshow.ppt
November 01, 2008 - Spotlight Case [MONTH] 2003
Spotlight Case November 2008
Dangerous Shift
Source and Credits
This presentation is based on the November 2008
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available
Commentary by: Emily S. Patterson, PhD
Institute for Ergonomics, Ohi…
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www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/implementing-cms-measure-slides.pdf
May 13, 2025 - Implementing the CMS Patient Safety Structural Measure: Slide Presentation
Implementing the CMS Patient Safety
Structural Measure
NATIONAL WEBINAR SERIES
May 13, 2025
Housekeeping Instructions
• This webinar will be recorded and available for viewing on the National Action
Alliance website.
• Please use the ‘…
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www.ahrq.gov/evidencenow/projects/urinary/resources/search.html?page=0
June 01, 2024 - Provider Resource Library
This resource library contains tools and resources intended to support recruitment and retention of primary care practices and physicians for research studies and quality improvement initiatives.
MUI provider resource topics range from budgeting and patient recruitment to practice recruitm…