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psnet.ahrq.gov/sites/default/files/2023-04/failure_to_ensure_patient_safety_leads_to_patient_falls_in_nursing_homes.pdf
January 01, 2023 - Microsoft PowerPoint - FINAL Spotlight_Falls in Skilled Nursing Units_04.12.2023.pptx
Spotlight
Failure to Ensure Patient Safety Leads to Patient Falls in
Nursing Homes
Source and Credits
• This presentation is based on the April 2023 AHRQ WebM&M
Spotlight Case
o See the full article at https://psnet.ahrq.gov/we…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/assemble/assembleteam.docx
June 02, 2025 - SAY:
The “Assemble the Team” module of the Comprehensive Unit-based Safety Program (or CUSP) Toolkit addresses CUSP team composition for your quality improvement initiative. This module will help you understand five concepts: the importance of teamwork and team composition to the CUSP initiative, developing a strategy …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/implement/implement-facilitator-guide.pdf
May 01, 2017 - Implement Teamwork and Communication for Perinatal Safety
AHRQ Safety Program for Perinatal Care
Implement Teamwork and Communication for Perinatal Safety
AHRQ Publication No. 17-0003-3-EF
May 2017
SAY:
The Implement Teamwork and
Communication module of the AHRQ Safety
Program for Perinatal Care will help yo…
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www.ahrq.gov/es/patient-safety/settings/hospital/resource/pressureulcer/tool/pu4a.html
October 01, 2014 - Preventing Pressure Ulcers in Hospitals
4. How Do We Implement Best Practices in Our Organization? (continued)
Previous Page Next Page
Table of Contents
Preventing Pressure Ulcers in Hospitals
Overview
Key Subject Area Index
1. Are we ready for this change?
2. How will we manage change?
3.…
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psnet.ahrq.gov/node/73102/psn-pdf
July 01, 2022 - Care Managers Use Software-Aided Medication Review
Protocol for Frail, Community-Dwelling Seniors, Leading
to More Appropriate Medication Use
March 31, 2021
https://psnet.ahrq.gov/innovation/care-managers-use-software-aided-medication-review-protocol-frail-
community-dwelling
Summary
Care management staff (such …
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psnet.ahrq.gov/node/60268/psn-pdf
April 29, 2020 - Complications of ECMO During Transport
April 29, 2020
Broman M. Complications of ECMO During Transport. PSNet [internet]. 2020.
https://psnet.ahrq.gov/web-mm/complications-ecmo-during-transport
The Case
A 54-year-old woman with end-stage chronic obstructive pulmonary disease (COPD) was admitted with
acute on chro…
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hcup-us.ahrq.gov/reports/race/stand_alone_r_e_rpt.jsp
May 01, 2016 - State Documentation of Racial and Health Disparities to Inform Strategic Action: Summary
An official website of the Department of Health & Human Services
Search All AHRQ Websites
Careers
Con…
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www.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/pu4a.html
October 01, 2014 - Preventing Pressure Ulcers in Hospitals
4. How Do We Implement Best Practices in Our Organization? (continued)
Previous Page Next Page
Table of Contents
Preventing Pressure Ulcers in Hospitals
Overview
Key Subject Area Index
1. Are we ready for this change?
2. How will we manage change?
3.…
-
psnet.ahrq.gov/web-mm/lack-sepsis-recognition-leads-delay-care-following-cesarean-delivery
November 30, 2021 - Lack of Sepsis Recognition Leads to Delay in Care Following Cesarean Delivery.
Citation Text:
Leiserowitz GS, Hedriana H. Lack of Sepsis Recognition Leads to Delay in Care Following Cesarean Delivery.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and …
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psnet.ahrq.gov/print/pdf/node/848754
January 01, 2025 - PSNet
Curated Library
AHRQ: Agency for Healthcare Research and Quality
Implementation of Patient Safety Projects
Curated Library
Foundations
Leading change: why transformation efforts fail.
Kotter JP. Harvard Bus Rev 1995;73(2);59-67.
Kotter, a professor at Harvard Business School, outlines the eight stages …
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www.ahrq.gov/research/findings/factsheets/children/new-starts/2011.html
October 01, 2014 - Fiscal Year 2011 Research on Child and Adolescent Health
New Starts
This fact sheet summarizes new grants and contracts focused on child and adolescent health and health care—including research, conference, and training projects, as well as other initiatives—funded in FY 2011 by the Agency for Hea…
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cdsic.ahrq.gov/sites/default/files/2024-07/CDSiC%20Stakeholder%20Center%20Quarterly%20Report%20Q2%202024_7.18.24.pdf
January 01, 2024 - CDSiC Stakeholder Center Progress Report
STAKEHOLDER CENTER PROGRESS REPORT
J U N E 2 0 2 4
CDSiC Stakeholder
Community and Outreach
Center:
Quarterly Report
Agency for Healthcare Research and Quality
5600 Fishers Lane
Rockville, MD 20857
www.ahrq.gov
Contract No: 75Q80120D00018
Prepared …
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psnet.ahrq.gov/node/72911/psn-pdf
March 15, 2021 - The Impact of Communication on Medication Errors
March 15, 2021
Branch J, Hiner D, Jackson V. The Impact of Communication on Medication Errors. PSNet [internet]. 2021.
https://psnet.ahrq.gov/web-mm/impact-communication-medication-errors
The Case
A 93-year-old man with a history of chronic systolic heart failure…
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effectivehealthcare.ahrq.gov/sites/default/files/module_i1.ppt
May 29, 2025 - Slide 1
Engaging Stakeholders in the
Effective Health Care Program
Information and tools for researchers and investigators
Numeric
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psnet.ahrq.gov/web-mm/laceration-needed-proper-exam-not-x-ray
November 25, 2020 - SPOTLIGHT CASE
A Laceration that Needed a Proper Exam, Not an X-Ray
Citation Text:
Wander J, Barnes DK. A Laceration that Needed a Proper Exam, Not an X-Ray.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2024.
Copy Cit…
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/telehealth-covid-19-disposition-comments.pdf
January 03, 2023 - Use of Telehealth During the COVID-19 Era
Comparative Effectiveness Review Disposition of Comments Report
Research Review Title: Use of Telehealth During the COVID-19 Era
Draft report available for public comment from July 15, 2022, to August 12, 2022.
Citation: Hatef E, Wilson RF, Hannum …
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digital.ahrq.gov/sites/default/files/docs/citation/r01hs021236-franklin-final-report-2017.pdf
January 01, 2017 - These results were integrated with
interview and surveys findings. … Similar questions using the EHR
integrated clinical trackboard were also completed.
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effectivehealthcare.ahrq.gov/sites/default/files/nt_docs/1002-nonpharmacologic-treatment-topic-brief.pdf
June 03, 2024 - for women with
moderate-to-moderately-severe antenatal depressive symptoms: A pilot study within an
integrated … We want to see evidence-based findings that can be integrated into clinical guidance.
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs026257-friedman-final-report-2020.pdf
January 01, 2020 - Objective 2
Design, develop, and test a shareable SMART IPP APPLICATION that can be integrated with … Using the KGrid Activator integrated with a JavaScript runtime, this
function accepts and processes
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www.ahrq.gov/sites/default/files/2025-02/delia-kutzin-report.pdf
January 01, 2025 - protocols,3 the evidence
base for EMS organization and financing is much smaller and it is not well integrated … urges more coordination with the state’s hospital
ED’s to ensure that pre-hospital information is integrated
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Information and reports more than 5 years old may be found in the AHRQ Archive site.
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