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psnet.ahrq.gov/web-mm/infused-not-ingested
February 01, 2017 - Infused, Not Ingested
Citation Text:
Foley M. Infused, Not Ingested. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2005.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/sensemaking/learn-from-defects-facilitator-guide.docx
May 01, 2017 - AHRQ Safety Program for Perinatal Care
Sensemaking and Learn From Defects for Perinatal Safety
Sensemaking and Learn From Defects for Perinatal Safety
SAY:
The Sensemaking and Learn From Defects module of the Safety Program for Perinatal Care will help you identify recurring defects in your system and apply Comprehen…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/engage/pf-engagement-facilitator-guide.pdf
May 01, 2017 - Engage Patients and Families for Perinatal Safety
AHRQ Safety Program for Perinatal Care
Engage Patients and Families for Perinatal Safety
AHRQ Publication No. 17-0003-6-EF
May 2017
SAY:
The Patient and Family Engagement module
focuses on an important topic: making sure
patients and their family members un…
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/learn-from-defects-fac-guide.html
July 01, 2023 - Sensemaking and Learn From Defects for Perinatal Safety: Facilitator Guide
AHRQ Safety Program for Perinatal Care
Slide 1: Sensemaking and Learn From Defects for Perinatal Safety
Say:
The Sensemaking and Learn From Defects module of the Safety Program for Perinatal Care will help you identify recurring …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_scienceofsafety_facnotes.docx
December 01, 2017 - Facilitator Guide: Science of Safety Training & Identifying Defects
Science of Improving Safety and Identifying Defects – Facilitator Notes
Slide Title and Commentary
Slide Number and Slide
Title Slide
The Science of Improving Patient Safety and Identifying Defects
SAY:
The topic of this module is the science of …
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psnet.ahrq.gov/node/33758/psn-pdf
December 01, 2013 - In Conversation With… Hardeep Singh, MD, MPH
December 1, 2013
In Conversation With… Hardeep Singh, MD, MPH. PSNet [internet]. 2013.
https://psnet.ahrq.gov/perspective/conversation-hardeep-singh-md-mph
Editor's note: Hardeep Singh, MD, MPH, is Chief of the Health Policy, Quality and Informatics Program at
the Hous…
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psnet.ahrq.gov/node/33656/psn-pdf
September 01, 2007 - In Conversation with...Atul Gawande, MD, MA, MPH
September 1, 2007
In Conversation with..Atul Gawande, MD, MA, MPH. PSNet [internet]. 2007.
https://psnet.ahrq.gov/perspective/conversation-withatul-gawande-md-ma-mph
Editor's Note: Atul Gawande, MD, MA, MPH, Associate Professor of Surgery at Harvard Medical School
a…
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psnet.ahrq.gov/node/33596/psn-pdf
June 01, 2025 - Failure to Rescue
January 29, 2025
Tokareva I, Romano P. Failure to Rescue. PSNet [internet]. 2025.
https://psnet.ahrq.gov/primer/failure-rescue
Updated in January 2025 by Irina Tokareva RN, BSN, MAS, CPHQ and Patrick Romano, MD, MPH. PSNet
primers are regularly reviewed and updated to ensure that they reflect cur…
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www.ahrq.gov/research/findings/nhqrdr/chartbooks/blackhealth/part2.html
June 01, 2018 - Chartbook on Health Care for Blacks
Part 2: Trends in Priorities of the Heckler Report
Previous Page Next Page
Table of Contents
Chartbook on Health Care for Blacks
Health Care for Blacks
Acknowledgments
Part 1: Overviews of the Report and the Black Population
Part 2: Trends in Priorities of…
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psnet.ahrq.gov/innovation/advance-alert-monitor-program-automated-early-warning-system-adults-risk-hospital
October 30, 2024 - Advance Alert Monitor Program: An Automated Early Warning System for Adults At Risk for In-Hospital Clinical Deterioration
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June 14, 2023
Innov…
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cdsic.ahrq.gov/sites/default/files/2024-12/OY2%20Innovation%20Center%20Charter_508.pdf
January 01, 2024 - OY2 Innovation Center Charter
Innovation Center:
Charter – Option Year 2
Agency for Healthcare Research and Quality
5600 Fishers Lane
Rockville, MD 20857
www.ahrq.gov
Contract No: 75Q80120D00018
Prepared by:
NORC at the University of Chicago
November 2024
…
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psnet.ahrq.gov/periodic-issue/periodic-issue-471
December 31, 2024 - January 22, 2025 Weekly Issue
PSNet highlights the latest patient safety literature, news, and expert commentary, including Weekly
Updates, WebM&M, and Perspectives on Safety. The current issue highlights what's new this week in patient
safety literature, news, conferences, report…
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www.ahrq.gov/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/customer-service/strategy6p-service-recovery.html
April 01, 2022 - Strategy 6P: Service Recovery Programs
Contents
6.P.1. The Problem
6.P.2. The Intervention
6.P.3. Implementing This Intervention
6.P.4. The Impact of Service Recovery Programs
References
Download Strategy 6P:
Service Recovery Programs
(PDF, 748 KB)
6.P.1. The Problem
No ma…
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psnet.ahrq.gov/web-mm/case-patient-flow-management
February 23, 2019 - The Case for Patient Flow Management
Citation Text:
Litvak E, Bernheim SA. The Case for Patient Flow Management. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2011.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/a2_combo_boardpresentation.pdf
October 01, 2015 - Board and Senior Leadership PowerPoint Presentations on the AHRQ Quality Indicators
Tool A.2 Slide 1
Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
Board and Senior Leadership PowerPoint Presentations
on the AHRQ Quality Indicators
What is the purpose of this tool?…
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digital.ahrq.gov/sites/default/files/docs/publication/uc1hs016160-sakuda-final-report-2009.pdf
January 01, 2009 - Title Page
Grant Final Report
Grant ID: UC1HS016160
The Holomua Project: Improving
Transitional Care in Hawaii
Inclusive dates: 09/30/05 - 09/29/09
Principal Investigator:
Christine Mai`i Sakuda, MBA
Team member:
Alice Tse, PhD, APRN
Performing Organization:
Hawaii Prima…
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/methods-research-report-integrating-health-system-data.pdf
April 01, 2020 - Integrating Health System Data With Systematic Reviews_Methods Research Report
Methods Research Report
Integrating Health System Data With Systematic
Reviews: A Framework for When and How
Unpublished Health System Data Can Be Used With
Systematic Reviews To Support Health System
Decision Making
Methods Rese…
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effectivehealthcare.ahrq.gov/sites/default/files/substance-abuse-horizon-scan-high-impact-1406.pdf
January 01, 2020 - #14 SUBSTANCE ABUSE
AHRQ Healthcare Horizon Scanning System – Potential
High-Impact Interventions Report
Priority Area 14: Substance Abuse
Prepared for:
Agency for Healthcare Research and Quality
U.S. Department of Health and Human Services
540 Gaither Road
Rockville, MD 20850
www.ahrq.…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20131008_cg/mythbustingwebcast.pdf
October 01, 2013 - It might be training a
manager on how to communicate and do leader rounding.
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www.ahrq.gov/sites/default/files/2024-05/bonafide-report.pdf
January 01, 2024 - Final Progress Report: Pediatric patient safety learning laboratory to re-engineer continuous physiologic monitoring systems
TITLE PAGE
Title of Project:
Pediatric patient safety learning laboratory to re-engineer continuous physiologic monitoring systems
Team Members:
Principal Investigator: Christopher P. Bonafid…