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www.ahrq.gov/hai/tools/ambulatory-care/cap-toolkit/index.html
January 01, 2018 - Community-Acquired Pneumonia Clinical Decision Support Implementation Toolkit
The Community-Acquired Pneumonia (CAP) Patient Safety Clinical Decision Support Implementation Toolkit is a resource to help clinicians and clinical informaticians in primary care and other ambulatory settings implement and adopt the …
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psnet.ahrq.gov/issue/diagnostic-error-medicine-0
November 28, 2018 - Special or Theme Issue
Diagnostic Error in Medicine.
Citation Text:
Diagnostic Error in Medicine. Singh H, ed. BMJ Qual Saf. 2013;22(suppl 2):ii1-ii72.
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integrationacademy.ahrq.gov/expert-insight/webcast/10986
January 01, 2013 - An official website of the Department of Health & Human Services
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integrationacademy.ahrq.gov/expert-insight/webcast/10966
January 01, 2013 - An official website of the Department of Health & Human Services
Search All AHRQ Sites
Careers
Contact Us
Español
FAQs
Email Updates
The Academy
Integrating Behavioral Health & Primary Care
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www.ahrq.gov/news/newsroom/press-releases/nac-meeting-july12.html
July 01, 2023 - AHRQ National Advisory Council to Meet Virtually on July 12 with 5 New Members
Press Release Date: July 6, 2023
The National Advisory Council (NAC) for the Agency for Healthcare Research and Quality (AHRQ) has added five new members who will convene with the Council for their next meeting on Wednesday, July 12, 1…
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psnet.ahrq.gov/issue/external-inquiry-adverse-incident-occurred-queens-medical-centre-nottingham-4th-january-2001
September 10, 2014 - Book/Report
External Inquiry into the adverse incident that occurred at Queen's Medical Centre, Nottingham, 4th January 2001.
Citation Text:
External Inquiry into the adverse incident that occurred at Queen's Medical Centre, Nottingham, 4th January 2001. Toft B. London, UK; Crown C…
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www.ahrq.gov/news/newsroom/case-studies/201804.html
July 01, 2018 - AHRQ Toolkit Helped Madonna Rehabilitation Hospital Reduce Patient Falls by 21 Percent
Search All Impact Case Studies
July 2018
Patient falls resulting in injury were reduced by 21 percent at Madonna Rehabilitation Hospital after the Lincoln, NE, facility implemented AHRQ’s Preventing Falls in Hospitals To…
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psnet.ahrq.gov/issue/debriefing-patient-safety
December 10, 2014 - Newspaper/Magazine Article
Debriefing for patient safety.
Citation Text:
Debriefing for patient safety. Turner SH, Kurtz WD. Patient Saf Qual Healthc. November/December 2008:5:42-44,46.
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/mcc-summit/mcc-summit-bayliss.pdf
June 02, 2025 - Models of High Value Care for Persons with Multiple Chronic Conditions: Slide Presentation
Models of High Value Care for Persons with
Multiple Chronic Conditions
Elizabeth A. Bayliss, MD, MSPH
Institute for Health Research, Kaiser Permanente Colorado
Lucy A. Savitz, PhD, MBA
Center for Health Research, Kaiser Perm…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/fallspxmanapb19.html
December 01, 2017 - The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities
Appendix B19: Handout for Inservice #1, Why Falls Happen, Spanish
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Table of Contents
The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities
Chapter 1. Introdu…
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psnet.ahrq.gov/issue/healthcare-safety-nursing-personnel-organizational-guide-achieving-results
February 11, 2015 - Book/Report
Healthcare Safety for Nursing Personnel: An Organizational Guide to Achieving Results.
Citation Text:
Healthcare Safety for Nursing Personnel: An Organizational Guide to Achieving Results. Tweedy JT. Boca Raton, FL: CRC Press; 2014. ISBN: 9781482230277.
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psnet.ahrq.gov/issue/interdisciplinary-approach-safer-blood-transfusion
June 01, 2016 - Newspaper/Magazine Article
An interdisciplinary approach to safer blood transfusion.
Citation Text:
An interdisciplinary approach to safer blood transfusion. LaRocco M, Brient K. Patient Saf Qual Healthc. March April 2008.
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psnet.ahrq.gov/issue/front-line-ownership-generating-cure-mindset-patient-safety
November 10, 2010 - Special or Theme Issue
Front-Line Ownership: Generating a Cure Mindset for Patient Safety.
Citation Text:
Front-Line Ownership: Generating a Cure Mindset for Patient Safety. Kitts J, ed. Healthcare Papers. 2013;13:1-82.
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/healthsystem-key-drive-diagram.pdf
June 02, 2025 - Transcranial Doppler Screening for Children with Sickle Cell Anemia: Health System - Key Driver Diagram
Transcranial Doppler Screening for Children with Sickle Cell Anemia
Health System - Key Driver Diagram
Key Drivers
Strategies Global
Aim
To reduce the
incidence of
stroke in …
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-ehr-impact2.html
July 01, 2024 - Documenting Diagnosis: Exploring the Impact of Electronic Health Records on Diagnostic Safety
Introduction on Diagnostic Documentation
Previous Page Next Page
Table of Contents
Documenting Diagnosis: Exploring the Impact of Electronic Health Records on Diagnostic Safety
Introduction on Diagnostic …
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/experience/neil-n-et-al-2003
January 01, 2003 - Neil N et al. 2003 "Improving rates of screening and prevention by leveraging existing information systems."
Reference
Neil N. Improving rates of screening and prevention by leveraging existing information systems. Jt Comm J Qual Patient Saf 2003;29(11):610-618.
Abstract
"BACKGROUND: In 1997 V…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/2018hospitalsopsrptexecsum_0.pdf
March 01, 2018 - 2018 Hospital SOPS Database Report Executive Summary Infograpic
Surveys on Patient Safety Culture™
EXECUTIVE SUMMARY
2018 HOSPITAL SURVEY DATABASE
This overview of survey findings summarizes how hospital employees perceive 12 areas of patient safety
culture based on the 2018 Hospital Survey on Patient Safety CUi…
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/jarvis-selinger-s-et-al
January 01, 2023 - Jarvis-Selinger S et al. 2008 "Clinical telehealth across the disciplines: lessons learned."
Reference
Jarvis-Selinger S, Chan E, Payne R, et al. Clinical telehealth across the disciplines: lessons learned. Telemed J E Health 2008;14(7):720-725.
Abstract
"Videoconferencing technologies can vas…
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psnet.ahrq.gov/issue/resilience-engineering-concepts-and-precepts
January 12, 2011 - Book/Report
Resilience Engineering: Concepts and Precepts.
Citation Text:
Resilience Engineering: Concepts and Precepts. Hollnagel E, Woods DD, Leveson N. Burlington, VT: Ashgate; 2006. ISBN: 978-0754649045.
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psnet.ahrq.gov/perspective/conversation-anna-legreid-dopp-pharm-d
June 29, 2020 - Information .” [1] This is the longest published federally designated drug compendia that’s issued and managed