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www.ahrq.gov/npsd/what-is-npsd/index.html
May 01, 2023 - What is the Network of Patient Safety Databases?
The U.S. Department of Health & Human Services was directed in the Patient Safety and Quality Improvement Act of 2005 (PDF, 191 KB) to create and maintain a Network of Patient Safety Databases (NPSD) to provide an interactive, evidence-based management resource…
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www.ahrq.gov/talkingquality/translate/organize/index.html
March 01, 2016 - Organizing Quality Measures To Reduce Information Overload
As the number of available quality measures grows, report designers face the challenge of providing a great deal of information without overwhelming the user. In addition, individual users of the report may be interested in different measures, so they n…
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www.ahrq.gov/hai/cusp/modules/engage/index.html
July 01, 2018 - Engage the Senior Executive
The Engage the Senior Executive module of the CUSP Toolkit focuses on the role and responsibilities of the senior executive within the CUSP team. Engaging a senior executive to partner with a unit will bridge the gap between senior management and frontline providers and will facilita…
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digital.ahrq.gov/principal-investigator/frey-sean
January 01, 2024 - Frey, Sean
Telehealth Education for Asthma Connecting Hospital and Home (TEACHH) - Final Report
Citation
Sean F. Telehealth Education for Asthma Connecting Hospital and Home (TEACHH) – Final Report. (Prepared by University of Rochester under Grant No. R03 HS028033). Rockville,…
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digital.ahrq.gov/location/usa-nc-chapel-hill
January 01, 2023 - USA, NC, Chapel Hill
Development and Assessment of Artificial Intelligence (AI)-Enhanced Pretreatment Peer-review Process to Improve Patient Safety in Radiation Oncology
Description
This research develops and evaluates an artificial intelligence-enhanced pretreatment peer-revi…
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psnet.ahrq.gov/perspective/improving-diagnostic-safety-and-quality
January 31, 2024 - Additional data collection in serious adverse event reports is needed to drive initiatives that will
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psnet.ahrq.gov/node/848107/psn-pdf
April 26, 2023 - Additional data collection in serious adverse event reports is needed to drive
initiatives that will
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integrationacademy.ahrq.gov/products/playbooks/behavioral-health-and-primary-care/planning-for-integration/define-your-vision
January 01, 2024 - Patients
Health IT
The Academy Team
AHRQ Initiatives … Opioid Initiative
Older Adult Opioid Initiative
Other HHS Initiatives
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www.ahrq.gov/patient-safety/reports/candor-demo-program/plan-grants/appa.html
August 01, 2022 - In addition, preliminary quality improvement initiatives are underway to improve the quality of death … certificate data, educate providers, evaluate readiness for patient safety initiatives, conduct reviews
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www.uspreventiveservicestaskforce.org/uspstf/draft-recommendation/syphilis-infection-pregnant-persons
November 19, 2024 - Share to Facebook
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Print
in progress
Draft Recommendation Statement
Syphilis Infection During Pregnancy: Screening
November 19, 2024
Recommendations made by the USPSTF are independent of the U.S. …
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digital.ahrq.gov/sites/default/files/docs/citation/r01hs022677-stockwell-final-report-2019.pdf
January 01, 2019 - PRISM: Personalized Reminders for Immunization using Short Messaging Systems - Final Report
FINAL REPORT
Project Title: PRISM: Personalized Reminders for Immunization using Short Messaging
systems
Principal Investigator: Melissa S…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.45_slideshow.ppt
January 01, 2004 - Spotlight Case [MONTH] 2003
Spotlight Case January 2004
Crushing Chest Pain:
A Missed Opportunity
Source and Credits
This presentation is based on the Jan. 2004
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available through the Web site
Commentary by: Mark Grabe…
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psnet.ahrq.gov/innovation/transition-coachesr-reduce-readmissions-medicare-patients-complex-postdischarge-needs
March 27, 2024 - Transition Coaches® Reduce Readmissions for Medicare Patients With Complex Postdischarge Needs
Save
Save to your library
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June 12, 2020
Innovation
Contact
…
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psnet.ahrq.gov/node/73202/psn-pdf
April 28, 2021 - A Postpartum Woman with an Erroneous SARS-CoV-2
Test
April 28, 2021
Martin SA, Kanjilal S, Schiff G. A Postpartum Woman with an Erroneous SARS-CoV-2 Test. PSNet
[internet]. 2021.
https://psnet.ahrq.gov/web-mm/postpartum-woman-erroneous-sars-cov-2-test
The Case
A full-term pregnant patient was admitted in March 2…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_1-introduction-speaker-notes.pdf
July 01, 2023 - Introduction to the SPPC‐II Teamwork Toolkit for Severe Hypertension
Hospital AIM
Team
Leads
SPPC‐II
Introduction
to the SPPC‐II Teamwork Toolkit
for Severe Hypertension
Module 1 of 8
SPPC‐II
Toolkit
SCRIPT
Thank you for participating in the Safety Program for Perinatal Care II (also known as SPPC‐
II) …
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www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/implementation-guide/app-k-debrief-fac-notes.html
May 01, 2017 - Debrief Example Audio Transcript/Facilitator Notes - Implementation Guide
Slide 1: Debrief Example
Hello everyone, I'm Jeff Durney. I'm one of the quality improvement advisers in the AHRQ Safety Program for Ambulatory Surgery, and for the next few minutes I'll be talking to you about how to turn the work yo…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/implementation-guide/appendix-k-debrief-audio-facnotes.docx
June 02, 2025 - AHRQ Safety Program for Ambulatory Surgery
Implementation Guide
Appendix K. Quality Improvement Study Framework
Debrief Example Audio Transcript/Facilitator Notes
Hello everyone, I'm Jeff Durney. I'm one of the quality improvement advisers in the AHRQ Safety Program for Ambulatory Surgery, and for the next few m…
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psnet.ahrq.gov/web-mm/loss-trust-and-missed-diagnosis
October 31, 2023 - SPOTLIGHT CASE
A Loss of Trust and a Missed Diagnosis
Citation Text:
Landefeld J, Teasdale S, Jain S. A Loss of Trust and a Missed Diagnosis. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2022.
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Format:…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Woolever.pdf
January 01, 2001 - The Impact of a Patient Safety Program on Medical Error Reporting
307
The Impact of a Patient Safety Program
on Medical Error Reporting
Donald R. Woolever
Abstract
Background: In response to the occurrence of a sentinel event—a medical error
with serious consequences—Eglin U.S. Air Force (USAF) Regional Hos…
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psnet.ahrq.gov/web-mm/tale-two-falls
March 27, 2024 - A Tale of Two Falls
Citation Text:
Jackson V, Satake A. A Tale of Two Falls. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2024.
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Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged P…