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psnet.ahrq.gov/node/34584/psn-pdf
July 08, 2014 - Advocate Health Care: a systemwide approach to quality
and safety.
July 8, 2014
Willeumier D. Advocate health care: a systemwide approach to quality and safety. Jt Comm J Qual Patient
Saf. 2004;30(10):559-566.
https://psnet.ahrq.gov/issue/advocate-health-care-systemwide-approach-quality-and-safety
Advocate is a l…
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psnet.ahrq.gov/node/74711/psn-pdf
April 14, 2023 - World Patient Safety, Science & Technology Summit.
April 14, 2023
Patient Safety Movement Foundation. VEA Newport Beach, Newport Beach, CA, June 1-2, 2023.
https://psnet.ahrq.gov/issue/world-patient-safety-science-technology-summit
Multidisciplinary educational opportunities promote cross-industry learning to impro…
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psnet.ahrq.gov/node/35379/psn-pdf
June 15, 2011 - Report 6: Managing Risk and Minimising Mistakes in
Services to Children and Families.
June 15, 2011
Bostock L, Bairstow S, Fish S, et al. London, UK: Social Care Institute for Excellence; September 2005.
https://psnet.ahrq.gov/issue/report-6-managing-risk-and-minimising-mistakes-services-children-and-families
This…
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psnet.ahrq.gov/node/40460/psn-pdf
April 30, 2024 - Patient Safety Authority Annual Reports.
April 30, 2024
Pennsylvania Patient Safety Authority. Harrisburg, PA: Patient Safety Authority; April 2024.
https://psnet.ahrq.gov/issue/patient-safety-authority-annual-reports
This report summarizes patient safety improvement work in the state of Pennsylvania. It reviews th…
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psnet.ahrq.gov/node/36283/psn-pdf
April 19, 2011 - The 80-hour duty week: rationale, early attitudes, and
future questions.
April 19, 2011
Friedlaender GE. The 80-hour duty week: rationale, early attitudes, and future questions. Clin Orthop Relat
Res. 2006;449:138-142.
https://psnet.ahrq.gov/issue/80-hour-duty-week-rationale-early-attitudes-and-future-questions
T…
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digital.ahrq.gov/ahrq-funded-projects/machine-learning-validation-medication-regimen-complexity-critical-care/citation/evaluation
January 01, 2024 - Evaluation of critical care pharmacist evening services at an academic medical center.
Citation
Chase AM, Forehand CC, Keats KR, Taylor AN, Jones TW, Sikora A. Evaluation of critical care pharmacist evening services at an academic medical center. Hosp Pharm. 2024 Apr;59(2):228-233. doi: 10.1177/001857…
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digital.ahrq.gov/organization/mainegeneral-medical-center
January 01, 2023 - Mainegeneral Medical Center
Improving Health Information Technology Implementation in a Rural Health System - 2008
Principal Investigator
Mingle, Daniel
Project Name
Improving Health Information Technology Implementation in a Rural Health System
…
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digital.ahrq.gov/ahrq-funded-projects/health-information-technology-heart-failure-care/citation/early
January 01, 2023 - Early identification of patients with acute decompensated heart failure.
Citation
Blecker S, Sontag D, Horwitz LI, et al. Early identification of patients with acute decompensated heart failure. J Card Fail 2017 Sep 5. pii: S1071-9164(17)31161-2. PMID: 28887109.
Link
https://www.ncbi.nlm.nih.g…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Henriksen_104.pdf
January 01, 2025 - Systems thinking does not come naturally
but must be learned and practiced.
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www.ahrq.gov/ncepcr/communities/pbrn/profiles/index.html
August 01, 2025 - PBRN Impact Profile Series
AHRQ’s National Center for Excellence in Primary Care Research (NCEPCR) has launched a PBRN Impact Profile Series to showcase the work of PBRNs. Each profile features the research activities and interests of a PBRN and the ways in which their research positively impacts patient outco…
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psnet.ahrq.gov/training-catalog/leading-healthcare-quality-and-safety
September 14, 2025 - Leading Healthcare Quality and Safety
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Organization:
Organization
Coursera
Event Description: Ensuring patient safety and…
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www.ahrq.gov/nursing-home/tg/learning-modules/health-learning.html
December 01, 2022 - Learning Module: Pagsuporta sa Pang-Damdamin na Kalusugan ng mga Residente
Tutulungan ka ng video na ito na makilala kapag kailangan ng residente ng suporta para sa normal na aktibidad.
Pagsuporta sa Pang-Damdamin na Kalusugan ng mga Residente
Nagkaroon ng maraming pagbabago dahil sa pandemya ng COVID-19, n…
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www.ahrq.gov/teamstepps-program/curriculum/intro/teach/mini.html
June 01, 2023 - Mini-Session Training Content
If you teach aspects of TeamSTEPPS in even shorter formats, focus on one or two specific tools chosen based on the needs of the participants. For this format, follow the guidance for teaching individual tools in modules 1-4 and omit the introductory materials.
If the initial shor…
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www.ahrq.gov/nursing-home/resources/course-1-general-considerations.html
June 01, 2022 - Course 1: Clinical Management of Patients With COVID-19: General Considerations
Resource: Course 1: Clinical Management of Patients With COVID-19: General Considerations
This course gives background on the COVID-19 pandemic and discusses facility operations and preparation, referral systems and interfacili…
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www.ahrq.gov/nursing-home/resources/clinical-conversations.html
April 01, 2022 - Clinical Conversations Training Program
Resource: Clinical Conversations Training Program
Clinical Conversations is a program from the Network of the National Library of Medicine for training clinicians and other clinical staff who interact with patients about health literacy and related concepts. This pro…
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www.ahrq.gov/patients-consumers/diagnosis-treatment/diagnosis/index.html
December 01, 2017 - Diagnosis
Information about what to do after you receive a diagnosis.
Next Steps After Your Diagnosis
This guide offers general advice for people with almost any disease or condition. And it has tips to help you learn more about your specific problem and how it can be treated. The information here is …
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psnet.ahrq.gov/node/38378/psn-pdf
September 24, 2010 - I-CaRe: a case review tool focused on improving inpatient
care.
September 24, 2010
Lee JH, Vidyarthi A, Sehgal NL, et al. I-CaRe: a case review tool focused on improving inpatient care. Jt
Comm J Qual Patient Saf. 2009;35(2):115-119, 61.
https://psnet.ahrq.gov/issue/i-care-case-review-tool-focused-improving-inpati…
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psnet.ahrq.gov/node/60191/psn-pdf
April 01, 2020 - Unprofessional Behavior Leads to Complications.
April 1, 2020
Unprofessional Behavior Leads to Complications. JN Learning. 2020.
https://psnet.ahrq.gov/issue/unprofessional-behavior-leads-complications
Disruptive behavior is a recognized deterrent to safe communication, sharing of concerns and teamwork.
This educa…
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psnet.ahrq.gov/node/43454/psn-pdf
November 20, 2015 - Training in quality and safety: the current landscape.
November 20, 2015
Karasick AS, Nash DB. Training in quality and safety: the current landscape. Am J Med Qual.
2015;30(6):526-38. doi:10.1177/1062860614544194.
https://psnet.ahrq.gov/issue/training-quality-and-safety-current-landscape
This commentary offers inf…
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psnet.ahrq.gov/node/35278/psn-pdf
March 04, 2011 - Appropriateness of use of medicines in elderly inpatients:
qualitative study.
March 4, 2011
Spinewine A, Swine C, Dhillon S, et al. Appropriateness of use of medicines in elderly inpatients: qualitative
study. BMJ. 2005;331(7522). doi:10.1136/bmj.38551.410012.06.
https://psnet.ahrq.gov/issue/appropriateness-use-me…