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psnet.ahrq.gov/node/60760/psn-pdf
August 12, 2020 - Do no harm: reaffirming the value of evidence and
equipoise while minimizing cognitive bias in the COVID-
19 era.
August 12, 2020
Ramnath VR, McSharry DG, Malhotra A. Do No Harm. Chest. 2020;158(3):873-876.
doi:10.1016/j.chest.2020.05.548.
https://psnet.ahrq.gov/issue/do-no-harm-reaffirming-value-evidence-and-equ…
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psnet.ahrq.gov/node/72697/psn-pdf
February 03, 2021 - Culture of safety: impact on improvement in infection
prevention process and outcomes.
February 3, 2021
Braun B, Chitavi SO, Suzuki H, et al. Culture of Safety: Impact on Improvement in Infection Prevention
Process and Outcomes. Curr Infect Dis Rep. 2020;22(12):34. doi:10.1007/s11908-020-00741-y.
https://psnet.ahr…
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psnet.ahrq.gov/node/34730/psn-pdf
October 29, 2013 - Medication Errors. 2nd ed.
October 29, 2013
Cohen MR, ed. Washington DC: American Pharmacists Association; 2007.
https://psnet.ahrq.gov/issue/medication-errors-2nd-ed
Cohen, executive director of the Institute for Safe Medication Practices (ISMP), combined 25 years of
experience as a leader in medication safety wi…
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psnet.ahrq.gov/node/34592/psn-pdf
January 04, 2017 - John M. Eisenberg Patient Safety Awards. Advocacy: the
Lexington Veterans Affairs Medical Center.
January 4, 2017
Kraman SS, Cranfill L, Hamm G, et al. John M. Eisenberg Patient Safety Awards. Advocacy: the Lexington
Veterans Affairs Medical Center. Jt Comm J Qual Improv. 2002;28(12):646-50.
https://psnet.ahrq.gov…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/1-sops101-webcast-2023-intro.pdf
January 01, 2023 - An Overview of the SOPS® Surveys for New Users - INTRO
An Overview of the SOPS® Surveys
for New Users
Webcast
November 1, 2023
2:00-3:00 PM ET
Webcast Technical Info
• Audio issues
• Poor Connection
• Use Q&A: For Questions or Other Problems
• Event Website: https://events.westat.com/sops
► Download present…
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psnet.ahrq.gov/node/44803/psn-pdf
January 27, 2016 - Examining the relationship among ambulatory surgical
settings work environment, nurses' characteristics, and
medication errors reporting.
January 27, 2016
Farag AA, Anthony MK. Examining the Relationship Among Ambulatory Surgical Settings Work
Environment, Nurses' Characteristics, and Medication Errors Reporting. …
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digital.ahrq.gov/ahrq-funded-projects/shareable-interoperable-clinical-decision-support-older-adults-advancing-fall/citation/management
January 01, 2023 - Management of fall risk among older adults in diverse primary care settings.
Citation
Shear K, Rice H, Garabedian PM, Bjarnadottir R, Lathum N, Horgas AL, Harle CA, Dykes PC, Lucero R. Management of fall risk among older adults in diverse primary care settings. J Appl Gerontol. 2023 Jun 30:73346482311…
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www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit5-13.html
November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies
Exhibit 5.13. Project Team Composition—Pediatric Continuity of Care
Previous Page Next Page
Table of Contents
Improving Care Delivery Through Lean: Implementation Case Studies
Introduction to the Case Studies
Case 1. Lakeview Heal…
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digital.ahrq.gov/principal-investigator/lattie-emily-gardiner
January 01, 2023 - Lattie, Emily Gardiner
"Our job is to be so temporary": Designing digital tools that meet the needs of care managers and their patients with mental health concerns.
Citation
Kornfield R, Lattie EG, Nicholas J, Knapp AA, Mohr DC, Reddy M. "Our job is to be so temporary": Design…
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digital.ahrq.gov/technology/laboratory-information-system
January 01, 2023 - Laboratory Information System
Completeness and timeliness of notifiable disease reporting: a comparison of laboratory and provider reports submitted to a large county health department.
Citation
Dixon BE, Zhang Z, Lai PTS, et al. Completeness and timeliness of notifiable disea…
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effectivehealthcare.ahrq.gov/sites/default/files/cf_deliberativemethodswebinar_educatingsessionparticipants.pdf
May 29, 2025 - Slide 1
Educating Session Participants
Susan Dorr Goold, MD, MHSA, MA
Professor of Internal Medicine and
Health Management and Policy
University of Michigan
1
Educating Session Participants
• Deliberative procedures usually inform,
educate participants
• Materials should be …
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psnet.ahrq.gov/node/46988/psn-pdf
April 25, 2018 - Opioid Stewardship.
April 25, 2018
Ochsner J. 2018;18(1):20-45.
https://psnet.ahrq.gov/issue/opioid-stewardship
Both organizational and national strategies are required to reduce opioid-related harm. This special issue
section explores one health system's efforts to address the opioid epidemic. Articles discuss em…
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psnet.ahrq.gov/web-mm/infection-after-carpal-tunnel-surgery
May 28, 2014 - Most patients will be well managed on over-the-counter medications such as 8-hour extended-release acetaminophen
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www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/healthitpatientsafetyitemset-hospitals-pilottestreport.pdf
March 01, 2018 - HHSA 290201300003C
Managed and prepared by:
Westat, Rockville, MD
Joann Sorra, Ph.D.
-
psnet.ahrq.gov/node/866579/psn-pdf
August 28, 2024 - Most patients will be well managed on over-the-counter medications such as
8-hour extended-release acetaminophen
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/prev-handouts.html
December 01, 2017 - AHRQ's Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention
Facilitator Training—Handouts: Pressure Ulcer Prevention Implementation
Implementation of the Prevention Reports Into Day-to-Day Practice
Review of the Nursing Home's Pressure Ulcer Prevention Implementation
Scripted Exercise #…
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/TND-0775-150722.pdf
May 12, 2015 - TND-0775-150722
Treatments for Adults with Schizophrenia
Nomination Summary Document
Results of Topic Selection Process & Next Steps
§ This topic will go forw…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/celebrating-success.pdf
April 01, 2022 - Making It Work Tip Sheet: Celebrating Success and Spreading CLABSI and CAUTI Prevention Beyond the Unit
AHRQ Safety Program for Intensive Care Units:
Preventing CLABSI and CAUTI
Making It Work Tip Sheet
Celebrating Success and Spreading CLABSI and CAUTI
Prevention Beyond the Unit
This “Making It Work”…
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psnet.ahrq.gov/node/33588/psn-pdf
March 15, 2025 - Second Victims: Support for Clinicians Involved in Errors
and Adverse Events
March 15, 2025
Second Victims: Support for Clinicians Involved in Errors and Adverse Events. PSNet [internet]. 2019.
https://psnet.ahrq.gov/primer/second-victims-support-clinicians-involved-errors-and-adverse-events
PSNet primers are regu…
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/chipra_1415-p012-ef.pdf
January 01, 2015 - Measure: Adolescent Assessment of Preparation for Transition (ADAPT) to Adult-Focused Health Care
Measure: Adolescent Assessment
of Preparation for Transition (ADAPT)
to Adult-Focused Health Care
Measure Developer: Center of Excellence for Pediatric Quality Measurement (CEPQM)
Numerator Denominator Exclusions …