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psnet.ahrq.gov/perspective/missed-nursing-care-key-measure-patient-safety
March 01, 2018 - inaction apply not just to staff who are unable to deliver complete care, but also to policymakers and leaders
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www.ahrq.gov/news/events/nac/2016-07-nac/nacmtg0716-minutes.html
November 01, 2016 - AHRQ produced an online toolkit (Communication and Optimal Resolution, or CANDOR) to help hospital leaders
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www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/engineering-safety-practice/safety-engineering-strategies.pdf
March 06, 2025 - Leaders, staff, and
parent participants applied their RPI training to improvement initiatives, which
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psnet.ahrq.gov/innovation/johns-hopkins-venous-thromboembolism-vte-collaborative-studies-and-implements-methods
June 19, 2024 - includes physicians (representing multiple specialties such as medicine and surgery), safety and quality leaders
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs025502-dixon-final-report-2020.pdf
January 01, 2020 - Therefore, HIE use should be
encouraged in policy and supported by health care system leaders.
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/high-risk-drugs-protocol.pdf
July 27, 2023 - EHC Protocol: Addressing Social Isolation To Improve Health of Older Adults: A Rapid Evidence Review
1
Evidence-based Practice Center Rapid Response Protocol
Project Title: Making Healthcare Safer IV:
Protocols for High-Risk Drugs: Reducing Adverse Drug Events
Related to Anticoagulants
Review Qu…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/report/api.html
June 01, 2010 - Environmental Scan of Measures for Medicaid Title XIX Home and Community-Based Services
Appendix I: Online and Journal Resources
Previous Page Next Page
Table of Contents
Environmental Scan of Measures for Medicaid Title XIX Home and Community-Based Services
Executive Summary
Introduction and Sc…
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/mhs-IV-sepsis.pdf
July 01, 2023 - EHC Protocol: Addressing Social Isolation To Improve Health of Older Adults: A Rapid Evidence Review
1
Evidence-based Practice Center Rapid Review Protocol
Project Title: Making Healthcare Safer IV: Sepsis Prediction,
Recognition, and Intervention
Review Questions
1. What is the frequency and s…
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/mhs-IV-surgical-report-cards.pdf
July 01, 2023 - EHC Protocol: Addressing Social Isolation To Improve Health of Older Adults: A Rapid Evidence Review
1
Evidence-based Practice Center Rapid Response Protocol
Project Title: Making Healthcare Safer IV: Use of Report
Cards and Outcome Measurements to Improve the Safety of
Surgical Care
Review Questio…
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psnet.ahrq.gov/node/33855/psn-pdf
April 01, 2018 - In Conversation With… Harlan Krumholz, MD, SM
April 1, 2018
In Conversation With… Harlan Krumholz, MD, SM. PSNet [internet]. 2018.
https://psnet.ahrq.gov/perspective/conversation-harlan-krumholz-md-sm
Editor's note: Dr. Krumholz, Harold H. Hines, Jr. Professor of Medicine at the Yale School of Medicine and
Directo…
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psnet.ahrq.gov/node/50754/psn-pdf
December 18, 2019 - "Do You Want Everything Done?": Clarifying Code Status
December 18, 2019
Steinberg K, Mason Pope T. "Do You Want Everything Done?": Clarifying Code Status. PSNet [internet].
2019.
https://psnet.ahrq.gov/web-mm/do-you-want-everything-done-clarifying-code-status
Disclosure of Relevant Financial Relationships: As a p…
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psnet.ahrq.gov/node/33688/psn-pdf
October 01, 2009 - In Conversation with... Charles Ornstein
October 1, 2009
In Conversation with.. Charles Ornstein . PSNet [internet]. 2009.
https://psnet.ahrq.gov/perspective/conversation-charles-ornstein
Editor's note: Charles Ornstein is a senior reporter at ProPublica, a nonprofit news organization in New
York. Formerly with th…
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www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/highlight05.html
November 01, 2013 - How are CHIPRA Quality Demonstration States encouraging health care providers to put quality measures to work?
Evaluation Highlight No. 5
Author: Leslie Foster
Contents
Key Messages
Background
Findings
Conclusions
Implications
Learn More
Endnotes
The CHIPRA Quality Demonstration …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/breaking-down-barriers-051215.pptx
February 01, 2015 - Slide 1
Breaking Down Barriers to Aseptic Catheter Insertion
Milisa Manojlovich, PhD, RN, CCRN
Associate Professor
University of Michigan School of Nursing
Stacy Martin, RN, BSN, CIC
Manager, Infection Prevention
Moffitt Cancer Center
Stephanie Carraway, MPH candidate
Infection Prevention Specialist
Moffitt Cancer C…
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www.ahrq.gov/hai/tools/mvp/modules/sustainability/premortem-scorecard-fac-guide.html
February 01, 2017 - Tools for Sustainability: Premortem and Scorecard: Facilitator Guide
AHRQ Safety Program for Mechanically Ventilated Patients
Slide 1: Tools for Sustainability: Premortem and Scorecard
Say:
This module will cover sustaining and spreading safety improvements. To preface the sustainability discussions, th…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/man4.html
December 01, 2017 - The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities
Chapter 4. Long Term Management
Previous Page Next Page
Table of Contents
The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities
Chapter 1. Introduction and Program Overview
Chapt…
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www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/module-5-implementation-guide.pdf
June 02, 2025 - TAKEheart Automatic Referral Implementation Guide - Module 5
Module 5 Implementation Guide:
Building and Implementing a Successful Automatic Cardiac Rehab Referral System
Purpose and Overview
This implementation guide is designed to help you think through the steps you will need to address in
designing and i…
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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/module4/facilitator-notes.docx
March 01, 2017 - Facilitator Notes
SAY:
The Teamwork and Communication module will discuss how safety teams in nursing homes can understand and practice successful teamwork and effective communication to improve the resident safety culture in their facility.
SLIDE 1
SAY:
In this module we will—
· Describe effective communicati…
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psnet.ahrq.gov/node/33783/psn-pdf
April 01, 2015 - In Conversation With… Lucian Leape, MD
April 1, 2015
In Conversation With… Lucian Leape, MD. PSNet [internet]. 2015.
https://psnet.ahrq.gov/perspective/conversation-lucian-leape-md
Editor's note: Dr. Lucian Leape is Adjunct Professor of Health Policy at the Harvard School of Public
Health, Chairman of the Lucian …
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www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-29-implementing-care-teams.pdf
September 01, 2015 - Primary Care Practice Facilitation Curriculum Module 29: Implementing Care Teams
Primary Care
Practice Facilitation
Curriculum
Module 29: Implementing Care Teams
Agency for Healthcare Research and Quality
Advancing Excellence in Health Care www.ahrq.gov
…