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www.ahrq.gov/ncepcr/research-transform-primary-care/transform/synthesis-report/conclusions.html
October 01, 2015 - Findings From the AHRQ Transforming Primary Care Grant Initiative: A Synthesis Report
Conclusions and Implications
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Table of Contents
Findings From the AHRQ Transforming Primary Care Grant Initiative: A Synthesis Report
Executive Summary
Introduction
Methods
Overview o…
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psnet.ahrq.gov/issue/transdisciplinary-team-acting-evidence-through-analyses-moot-malpractice-cases
November 03, 2021 - Study
A transdisciplinary team acting on evidence through analyses of moot malpractice cases.
Citation Text:
Constantino RE. A transdisciplinary team acting on evidence through analyses of moot malpractice cases. Dimens Crit Care Nurs. 2007;26(4):150-5.
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psnet.ahrq.gov/issue/embedding-quality-and-safety-otolaryngology-head-and-neck-surgery-education
August 11, 2010 - Commentary
Embedding quality and safety in otolaryngology–head and neck surgery education.
Citation Text:
McCormick ME, Stadler ME, Shah RK. Embedding quality and safety in otolaryngology-head and neck surgery education. Otolaryngol Head Neck Surg. 2015;152(5):778-782. doi:10.1177/019459…
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psnet.ahrq.gov/issue/alcohol-based-surgical-prep-solution-and-risk-fire-operating-room-case-report
February 02, 2022 - Commentary
Alcohol based surgical prep solution and the risk of fire in the operating room: a case report.
Citation Text:
Batra S, Gupta R. Alcohol based surgical prep solution and the risk of fire in the operating room: a case report. Patient Saf Surg. 2008;2(1):10. doi:10.1186/1754-9…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapb6.html
February 01, 2023 - The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities
Appendix B11: Fall Interventions Plan
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Table of Contents
The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities
Chapter 1. Introduction and Program Overview
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www.ahrq.gov/news/newsroom/case-studies/202302.html
September 01, 2023 - American College of Obstetricians and Gynecologists Creates Perinatal Mental Health Clinical Practice Guidelines Using AHRQ Research
Search All Impact Case Studies
September 2023
The American College of Obstetricians and Gynecologists (ACOG) relies on AHRQ’s Effective Health Care Program systematic reviews…
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psnet.ahrq.gov/issue/respectful-management-serious-clinical-adverse-events-second-edition
January 27, 2016 - Book/Report
Classic
Respectful Management of Serious Clinical Adverse Events. Second Edition.
Citation Text:
Respectful Management of Serious Clinical Adverse Events. Second Edition. Conway J, Federico F, Stewart K, Campbell MJ. Cambridge, MA: Institute for Heal…
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psnet.ahrq.gov/issue/physicians-multiple-patient-complaints-ending-our-silence
June 01, 2004 - Commentary
Physicians with multiple patient complaints: ending our silence.
Citation Text:
Gallagher TH, Levinson W. Physicians with multiple patient complaints: ending our silence. BMJ Qual Saf. 2013;22(7):521-4. doi:10.1136/bmjqs-2013-001880.
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DOI G…
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psnet.ahrq.gov/issue/patient-concerns-about-medical-errors-emergency-departments
March 21, 2017 - Study
Patient concerns about medical errors in emergency departments.
Citation Text:
Burroughs TE, Waterman AD, Gallagher TH, et al. Patient concerns about medical errors in emergency departments. Acad Emerg Med. 2005;12(1):57-64.
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www.ahrq.gov/talkingquality/plan/manage.html
November 01, 2018 - How Will You Manage a Health Care Quality Reporting Project?
Managing a quality reporting project requires forethought, patience, and creativity. While detailed advice on how to manage this kind of effort is beyond the scope of TalkingQuality, this page offers some basic guidance to help you keep your project…
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www.ahrq.gov/patient-safety/patients-families/consumer-exp/reporting/index.html
August 01, 2022 - Designing Consumer Reporting Systems for Patient Safety Events
Next Page
Table of Contents
Designing Consumer Reporting Systems for Patient Safety Events
Executive Summary
Chapter 1. Background
Chapter 2. Conceptual Framework and Design
Chapter 3. Description of Methods
Chapter 4. Results an…
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psnet.ahrq.gov/issue/disclosure-and-apology-nursing-and-risk-management-working-together
August 21, 2015 - Commentary
Disclosure and apology: nursing and risk management working together.
Citation Text:
Russell D. Disclosure and apology: Nursing and risk management working together. Nurs Manage. 2018;49(6):17-19. doi:10.1097/01.NUMA.0000533773.14544.e2.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/impl-guide/implementation-guide-appendix-o.docx
June 02, 2025 - Appendix O. CAUTI Event Report Template
When a catheter-associated urinary tract infection (CAUTI) occurs on your unit, teams can use this tool, adapted from a report developed by the North Carolina Quality Center, to identify root causes.
Patient
Medical Record Number
Admit Date
Diagnosis
Did the patien…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/long-term-modules/module6/guide.docx
March 01, 2017 - AHRQ Safety Program for Long-Term Care: HAIs/CAUTI
Long-Term Care Safety Modules
Module 6: Sustainability
Term Care Safety Toolkit
Material Use Guide
Learning Objectives:
· Define sustainability and recognize the importance of maintaining positive change
· Understand the link between sustainability and spread
· …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/sustainability/sustainability-workplan.docx
January 01, 2017 - AHRQ Safety Program for Mechanically Ventilated Patients
Annual Sustainability Work Plan
Caring for Mechanically Ventilated Patients
Year ______________ Hospital Name ________________________________________ Unit ___________________________
This Sustainability Plan template is designed to help you sustain your eff…
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psnet.ahrq.gov/issue/side-errors-neurosurgery
November 17, 2010 - Study
Side errors in neurosurgery.
Citation Text:
Mitchell P, Nicholson CL, Jenkins A. Side errors in neurosurgery. Acta Neurochir (Wien). 2006;148(12):1289-92; discussion 1292.
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www.ahrq.gov/pqmp/about/learning-collaborative.html
September 01, 2021 - PQMP Learning Collaborative
In late 2017, AHRQ—in partnership with the Centers for Medicare & Medicaid Services (CMS)—launched the Pediatric Quality Measures Program (PQMP) Learning Collaborative as a central component of the PQMP strategy to support the dissemination, implementation, performance monitoring, an…
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psnet.ahrq.gov/issue/patient-safety-systems-case-management
December 22, 2008 - Review
Patient safety systems for case management.
Citation Text:
Greenberg L. Patient safety systems for case management. Lippincotts Case Manag. 2004;9(5):223-229. doi:10.1097/00129234-200409000-00004.
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DOI Google Scholar BibTeX EndNote X3 XML EndNo…
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psnet.ahrq.gov/issue/are-you-well-positioned-resolve-conflicts-safety-order-learning-physicians-homicide-trial-and
May 18, 2022 - Newspaper/Magazine Article
Are you well positioned to resolve conflicts with the safety of an order? Learning from a physician’s homicide trial and the firing of multiple healthcare workers.
Citation Text:
Are you well positioned to resolve conflicts with the safety of an order? Learning…
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www.ahrq.gov/cahps/surveys-guidance/helpful-resources/planning/Define-Your-Project-Goals.html
December 01, 2019 - Step 3: Define Your Project Goals
Review all steps in the process of planning a survey project:
Step 1: Form a Project Team .
Step 2: Form an Advisory Group .
Step 3: Define Your Goals.
Step 4: Plan a Communications Strategy .
Step 5: Set the Stage for Conducting the Survey .
Step 6: Develop an…