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digital.ahrq.gov/sites/default/files/docs/publication/r18hs017045-lazarus-final-report-2011.pdf
January 01, 2011 - Electronic Support for Public Health–Vaccine Adverse Event Reporting System (ESP:VAERS)
Grant Final Report
Grant ID: R18 HS 017045
Electronic Support for Public Health–Vaccine Adverse
Event Reporting System (ESP:VAERS)
Inclusive dates: 12/01/07 - 09/30/10
Principal Investigator:
Laz…
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www.ahrq.gov/patient-safety/reports/engage/faq.html
April 01, 2018 - Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families
Frequently Asked Questions
Implementation
Be Prepared to Be Engaged
Create a Safe Medicine List Together
Teach-Back
Warm Handoff Plus
Implementation
1. How do I get leadership buy-in?
Leaders play an imp…
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/ZgcL6cF6JsFzwRRhaSnqc9
December 01, 2022 - Screening for Asymptomatic Carotid Artery Stenosis in the General Population: Updated Evidence Report and Systematic Review for the US Preventive Services Task Force
Letters
RESEARCH LETTER
Screening for Asymptomatic Carotid Artery Stenosis
in the General Population: Updated Evidence Report
and Systematic Review fo…
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www.ahrq.gov/hai/cusp/modules/implement/alt-text.html
April 01, 2013 - Implement Teamwork and Communication Alternative Text
Slide Number and Title
Slide Content
Content for Alternative Text (Illustration)
Slide 1
Cover Slide
(CUSP Toolkit logo)
The “Teamwork and Collaboration” module of the CUSP Toolkit. The CUSP toolkit is a modular approach to patient sa…
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psnet.ahrq.gov/perspective/patient-safety-and-evolution-webmm-and-psnet
April 01, 2008 - Patient Safety and the Evolution of WebM&M and PSNet
September 1, 2019
View more articles from the same authors.
Citation Text:
Ranji SR, Wachter R. Patient Safety and the Evolution of WebM&M and PSNet. PSNet [internet]. Rockville (MD): Agency for Healthcare Resea…
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www.ahrq.gov/sites/default/files/wysiwyg/lhs/lhs_case_studies_utah_health.pdf
April 01, 2019 - University of Utah Health: Creating a Formula for Value-Based Care
University of Utah Health: Creating a Formula for Value-
Based Care
The Agency for Healthcare Research and Quality (AHRQ) has developed a series of case studies
to help health system chief executive officers and other C-suite leaders better unde…
-
psnet.ahrq.gov/node/60746/psn-pdf
July 29, 2020 - Misdiagnosis of a Pelvic Mass versus Pregnancy
July 29, 2020
Leiserowitz GS, Herding H. Misdiagnosis of a Pelvic Mass versus Pregnancy. PSNet [internet]. 2020.
https://psnet.ahrq.gov/web-mm/misdiagnosis-pelvic-mass-versus-pregnancy
The Case
A 28-year-old woman arrived at the Emergency Department (ED) complaining o…
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www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/psychological-safety-slides.pdf
March 18, 2025 - NAA National Webinar, February 2025: Establishing Psychological Safety for Healthcare Workers
Creating and Maintaining a Culture of Safety Series
(Session 1)
Establishing Psychological Safety for Healthcare Workers
NATIONAL WEBINAR SERIES
February 18, 2025
Housekeeping Instructions
• This webinar will be record…
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psnet.ahrq.gov/node/33701/psn-pdf
October 01, 2010 - What Makes a Good Checklist
October 1, 2010
McLaughlin AC. What Makes a Good Checklist. PSNet [internet]. 2010.
https://psnet.ahrq.gov/perspective/what-makes-good-checklist
Perspective
The use of checklists is a primitive yet remarkably effective strategy for ensuring accuracy in complex
tasks. Checklists have lo…
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psnet.ahrq.gov/sites/default/files/2020-06/final_june-spotlight_case_slides_06.12.2020.pdf
January 01, 2020 - Microsoft PowerPoint - FINAL June-Spotlight Case Slides_06.12.2020.pptx
Spotlight
When the Indications for Drug
Administration Blur
Source and Credits
• This presentation is based on the June 2020 AHRQ
WebM&M Spotlight Case
o See the full article at https://psnet.ahrq.gov/webmm
• Commentary by: Julia Munsch,…
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www.ahrq.gov/teamstepps-program/curriculum/communication/tools/index.html
July 01, 2023 - Section 2: Explanation of Key Concepts and Tools
This section contains explanations and illustrations to help you better understand and appreciate the importance of TeamSTEPPS communication concepts and tools. If you teach this content or want additional insights into how the material can be more fully learned,…
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www.ahrq.gov/hai/cusp/modules/implement/teamwork.html
December 01, 2012 - Implement Teamwork and Communication
CUSP Toolkit
The Implement Teamwork and Communication module of the CUSP Toolkit will help you to identify barriers to communication.
Contents
Slide 1. Cover Slide
Slide 2. Learning Objectives
Slide 3. Basic Components and Process of Communication 2
Slide 4. Four…
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psnet.ahrq.gov/node/50843/psn-pdf
January 29, 2020 - Incomplete Orders for Hypertonic Saline to Treat
Hyponatremia
January 29, 2020
Wiegley N, Morfín JA. Incomplete Orders for Hypertonic Saline to Treat Hyponatremia. PSNet [internet].
2020.
https://psnet.ahrq.gov/web-mm/incomplete-orders-hypertonic-saline-treat-hyponatremia
The Case
A 54-year-old man was brought t…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module7/module7-resolution-facilitator.pptx
August 24, 2015 - PowerPoint Presentation
Communication and Optimal Resolution
(CANDOR)
Toolkit
Module 7: Resolution
Module 7 of the CANDOR Toolkit describes the resolution phase of the CANDOR process.
1
Objectives
Define the CANDOR Resolution component and its importance in the CANDOR process.
List the steps of the resolution pr…
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psnet.ahrq.gov/node/49844/psn-pdf
October 01, 2018 - Diffusion of Responsibility Leads to Danger
October 1, 2018
Balcezak TJ, Deshpande O. Diffusion of Responsibility Leads to Danger. PSNet [internet]. 2018.
https://psnet.ahrq.gov/web-mm/diffusion-responsibility-leads-danger
The Case
A 70-year-old man was sent to the emergency department (ED) from a nursing facility…
-
psnet.ahrq.gov/node/49686/psn-pdf
May 01, 2013 - Don't Use That Port: Insert a PICC
May 1, 2013
Ilan R. Don't Use That Port: Insert a PICC. PSNet [internet]. 2013.
https://psnet.ahrq.gov/web-mm/dont-use-port-insert-picc
The Case
A 48-year-old woman receiving neoadjuvant therapy for breast cancer was admitted to the hospital with
fever and abdominal pain. A comp…
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/implement-slides.html
July 01, 2023 - Implement Teamwork and Communication for Perinatal Safety
AHRQ Safety Program for Perinatal Care
Slide 1: AHRQ Safety Program for Perinatal Care
Implement Teamwork and Communication for Perinatal Safety
Slide 2: Learning Objectives
Image: Four ascending steps show the learning objectives:
Recogn…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/man1.html
December 01, 2017 - The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities
Chapter 1. Introduction and Program Overview
Previous Page Next Page
Table of Contents
The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities
Chapter 1. Introduction and Program Ove…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/implementation-guide/appendix-o-part2-transcript.docx
June 02, 2025 - Strategy 2: Communicating to Improve Quality (Tool 3)
AHRQ Safety Program for Ambulatory Surgery
Implementation Guide
Appendix O. A Clear View on Flexible Endoscope Processing – Part 2, Disinfection/Sterilization Record Keeping
Transcript/Facilitator Notes
Sue Klacik:
(Slide 1) Hi, and welcome to Part 2 of A Clea…
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www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/implementation-guide/app-o-fac-notes.html
May 01, 2017 - Appendix O. Part 2—Disinfection/Sterilization Record Keeping: Facilitator Notes
Implementation Guide
Slide 1: Appendix O. Part 2: A Clear View of Flexible Endoscope Processing: Disinfection/Sterilization Record Keeping
Hi, and welcome to Part 2 of A Clear View on Flexible Endoscope Processing . In this p…