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www.ahrq.gov/sites/default/files/2024-02/whitney-report.pdf
January 01, 2024 - Final Progress Report: A new approach to the allocation of decisional authority
FINAL REPORT
A new approach to the allocation of decisional authority
Simon Whitney, MD, JD, Principal Investigator
Team members
Robert Volk, PhD, vice chair for research, Baylor College of Medicine, Department of
Family …
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www.ahrq.gov/sites/default/files/2025-04/graber-report.pdf
January 01, 2025 - Final Progress Report: Diagnostic Error in Medicine Conference
Final Progress Report
Grant Number 1R13HS018321-01
Project Period 8/1/2009 - 1/31/2010
Conference: Diagnostic Error In Medicine
PI: Mark L. Graber, MD
SUMMARY: This grant was used in support of “Diagnostic Error in Medicine – 2009,” a 2-day confer…
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psnet.ahrq.gov/perspective/conversation-suchi-saria-phd
March 27, 2024 - administrative-level prioritization to know that of the many things they're thinking through, this should be top of mind
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www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/final-report/section4.html
October 01, 2015 - National Evaluation of the CHIPRA Quality Demonstration Grant Program: Final Project Report
4. Observations About the Evaluation
Previous Page Next Page
Table of Contents
National Evaluation of the CHIPRA Quality Demonstration Grant Program: Final Project Report
1. Overview
2. Synthesis of Key F…
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/improve/behavior-change-slides.pptx
November 01, 2019 - Acute Care Behavior Change Theory for Antibiotic Stewardship Leaders
Making Effective Behavior Changes Around Antibiotic Prescribing
Acute Care
AHRQ Safety Program for Improving
Antibiotic Use
AHRQ Pub. No. 17(20)-0028-EF
November 2019
AHRQ Safety Program for Improving Antibiotic Use – Acute Care
Behavior Changes …
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/cauti-event-reporting-revised.docx
April 01, 2022 - CLABSI Event Reporting Tool
CAUTI Event Report Tool: Data for Event Analysis
This event report tool is designed to be used as a guide through the initial investigation for a defect analysis where the primary goal is to learn what happened and what factors may have contributed to the catheter-associated urinary trac…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/4es-early-mobility-facguide.docx
January 01, 2017 - Facilitator Guide: Build Your SSI Prevention Bundle
Slide Title and Commentary
Slide Number and Slide
Title Slide
The Four Es of Early Mobility
SAY:
This module explains how to apply the Four Es of the TRIP framework to Early Mobility: engage, educate, execute, and evaluate.
Slide 1
Learning Objectives
SAY:
A…
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psnet.ahrq.gov/node/33710/psn-pdf
May 01, 2011 - In Conversation with…Albert Wu, MD, MPH
May 1, 2011
In Conversation with…Albert Wu, MD, MPH. PSNet [internet]. 2011.
https://psnet.ahrq.gov/perspective/conversation-withalbert-wu-md-mph-0
Editor's note: Albert Wu, MD, MPH, is Professor of Health Policy and Management at the Johns Hopkins
School of Public Health. A…
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www.ahrq.gov/teamstepps-program/curriculum/team/implement/teach-coach.html
February 01, 2024 - Teaching Implementation Coaching for Culture Change
Coaching Objectives and Overview
Display Slide 42, “Coaching for Culture Change,” as you transition to the culture section.
Present Slide 43, “Objectives,” after you complete the implementation planning section. Note that executing a plan requires subs…
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psnet.ahrq.gov/node/33664/psn-pdf
March 01, 2008 - It's important for anyone considering starting up a procedure service to keep
in mind that a procedure
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psnet.ahrq.gov/web-mm/unhappy-patient-leaves-against-medical-advice
January 31, 2024 - The Unhappy Patient Leaves Against Medical Advice.
Citation Text:
Nichols A. The Unhappy Patient Leaves Against Medical Advice.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2022.
Copy Citation
Format:
Google Scholar …
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psnet.ahrq.gov/node/33643/psn-pdf
December 01, 2006 - In Conversation with...J. Bryan Sexton, PhD, MA
December 1, 2006
In Conversation with..J. Bryan Sexton, PhD, MA. PSNet [internet]. 2006.
https://psnet.ahrq.gov/perspective/conversation-withj-bryan-sexton-phd-ma
Editor's Note: J. Bryan Sexton, PhD, MA, is Assistant Professor, Department of Anesthesiology and
Critic…
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www.ahrq.gov/patient-safety/reports/advances-new-directions/index.html
July 01, 2022 - Advances in Patient Safety: New Directions and Alternative Approaches
Advances in Patient Safety: New Directions and Alternative Approaches represents years of study by AHRQ-funded patient safety researchers and others. It includes articles on reporting systems, risk assessment, safety culture, m…
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psnet.ahrq.gov/primer/covid-19-team-and-human-factors-improve-safety
September 15, 2024 - COVID-19: Team and Human Factors to Improve Safety
Citation Text:
Zipperer L. COVID-19: Team and Human Factors to Improve Safety. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2020.
Copy Citation
Format:
Google Scholar…
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effectivehealthcare.ahrq.gov/sites/default/files/shah.pdf
May 29, 2025 - Designing with the health care professional in mind, it's really -- it's a
short phrase there, but
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psnet.ahrq.gov/sites/default/files/2024-08/spotlight_case_a_fatal_twist_in_pseudohyperkalemia_slides.pptx
January 01, 2024 - Spotlight
Spotlight
A Fatal Twist in Pseudohyperkalemia
1
Source and Credits
This presentation is based on the August 2024 AHRQ WebM&M Spotlight Case
See the full article at https://psnet.ahrq.gov/webmm
CME credit is available
Commentary by: Justin L. Devera, MD, David K. Barnes, MD, FACEP, and William R. Le…
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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/TableofContents_Vol1.pdf
January 01, 2025 - Table of Contents: Volume 1. Assessment
Contents
Volume 1. Assessment
Prologue: Laying the Foundation
Kerm Henriksen
Looking Forward, Benefiting from the Past
Envisioning Patient Safety in the Year 2025: Eight Perspectives
Kerm Henriksen, Caitlin Oppenheimer, Lucian Leape, et al.
What Exactly Is Patien…
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www.ahrq.gov/patient-safety/resources/learning-lab/design-environments-long-desc.html
April 01, 2021 - Institute for the Design of Environments Aligned for Patient Safety (IDEA4PS)
Principal Investigators: Ann Scheck McAlearney, Sc.D., M.S., The Ohio State University, Columbus, OH; formerly Susan Moffatt-Bruce, M.D., Royal College of Physicians and Surgeons of Canada, Ottawa
AHRQ Grant No.: HS024379
Proj…
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/h5Tt4jScmQJeHeztmo93hu
February 25, 2020 - A second trial
(the Maximizing Independence at Home [MIND] Care Coordina-
tion Trial) (n = 303)40 assessed … care coordination
intervention for elders with memory disorders: the
maximizing independence at home (MIND
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effectivehealthcare.ahrq.gov/sites/default/files/s5.pdf
October 01, 2007 - Creating and synthesizing evidence with decision makers in
mind: integrating evidence from clinical trials