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psnet.ahrq.gov/node/49864/psn-pdf
June 01, 2019 - Speaking Up for Patient Safety: What They Don't Tell You
in Training About Feedback and Burnout
June 1, 2019
Adair KC, Frankel A, Sexton B. Speaking Up for Patient Safety: What They Don't Tell You in Training About
Feedback and Burnout. PSNet [internet]. 2019.
https://psnet.ahrq.gov/web-mm/speaking-patient-safety-…
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psnet.ahrq.gov/node/49455/psn-pdf
July 01, 2004 - The Worst Headache
July 1, 2004
Edlow JA. The Worst Headache. PSNet [internet]. 2004.
https://psnet.ahrq.gov/web-mm/worst-headache
The Case
A 48-year-old woman with a history of migraine headaches and hypertension presented to her outpatient
clinic with a 4-day history of headache. While shopping 4 days earlier, …
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psnet.ahrq.gov/node/838855/psn-pdf
October 27, 2022 - False Assumptions Result in a Missed Pneumothorax
after Bronchoscopy with Transbronchial Biopsy.
October 27, 2022
Kuhn BT, Chau-Etchepare F. False Assumptions Result in a Missed Pneumothorax after Bronchoscopy
with Transbronchial Biopsy. PSNet [internet]. 2022.
https://psnet.ahrq.gov/web-mm/false-assumptions-resul…
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www.ahrq.gov/sites/default/files/2024-11/devita-report.pdf
January 01, 2024 - Final Progress Report: METs: Preventing Patient Crisies; Protecting Patients in Crisis
AHRQ Final Report
Title of Project: METs: Preventing Patient Crisies; Protecting Patients in Crisis
AHRQ grant: 1 R13 HS 15757-01
Awarded May, 2005.
Dates of project: May 2005-May 2006.
Date of Conference: June 25 and 26, 2005.
…
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www.ahrq.gov/sites/default/files/2024-01/chetty-report.pdf
January 01, 2024 - Final Progress Report: Comprehensive Analysis of Data from Testing the Re-engineered Hospital Discharge
Final Progress Report
Title of Project: Comprehensive Analysis of Data from Testing the Re-engineered Hospital
Discharge
Principal Investigator and Team Members: Veerappa K. Chetty, PhD
Organization: Boston M…
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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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psnet.ahrq.gov/node/49633/psn-pdf
September 01, 2011 - The Safety and Quality of Long Term Care
September 1, 2011
Vogelsmeier AA. The Safety and Quality of Long Term Care. PSNet [internet]. 2011.
https://psnet.ahrq.gov/web-mm/safety-and-quality-long-term-care
Case Objectives
Identify commonly reported adverse events in long-term care.
Identify two to three challenges…
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www.ahrq.gov/sites/default/files/2025-03/smith2-report.pdf
January 01, 2025 - Final Progress Report: A Study of Narrative as the Cognitive Process Underlying Diagnostic Reasoning
A Study of Narrative as the Cognitive Process Underlying Diagnostic Reasoning
PI: Curtis Scott Smith, MD
Team: Chris Francovich, EdD
Magdalena Morris, RN, MSN
Andrew Turner, PhD
Bruce Robbins, PhD
Lynne Robins, …
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www.ahrq.gov/sites/default/files/2024-01/greenfield-report.pdf
January 01, 2024 - Final Report: Collaborative Clinical Culture and Quality of Care
Title of Project: Collaborative Clinical Culture and Quality of Care
Principal Investigator and Team Members
Sheldon Greenfield, Principal Investigator
Sherrie H. Kaplan, Co-Principal Investigator
Douglas Roblin, Co-Principal Investigator
Norma Te…
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www.ahrq.gov/sites/default/files/2024-02/ornstein-report.pdf
January 01, 2024 - Final Progress Report: Medication Safety in Primary Care Practice Translating Research Into Practice (MS-TRIP)
Grant Final Report
Grant ID: 5R18HS017037
Medication Safety in Primary Care Practice
Translating Research into Practice (MS-TRIP)
Inclusive Dates: 09/30/07 – 09/29/10
Principal Investigator:
Steven Ornst…
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www.ahrq.gov/sites/default/files/2024-02/leapfrog-report.pdf
January 01, 2024 - Final Progress Report: The P4P Decision Tool: A Stakeholder Guide to Exploring and Selecting an Appropriate Pay-for-Performance Program
The P4P Decision Tool:
A Stakeholder Guide to Exploring and Selecting
an Appropriate Pay-for-Performance Program
Supported by a grant from the Agency for Healthcare Research and …
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psnet.ahrq.gov/node/843151/psn-pdf
February 01, 2023 - Patient Safety Concerns and the LGBTQ+ Population
February 1, 2023
Wesley C, Van CM, Mossburg S. Patient Safety Concerns and the LGBTQ+ Population. PSNet [internet].
2023.
https://psnet.ahrq.gov/perspective/patient-safety-concerns-and-lgbtq-population
Challenges to Obtaining Needed Patient-Centered and Safe Health…
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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/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/overview-cuspmvp-facguide.docx
January 01, 2017 - Facilitator Guide: Build Your SSI Prevention Bundle
Slide Title and Commentary
Slide Number and Slide
Title Slide
Overview of the Comprehensive Unit-based Safety Program for Application to Mechanically Ventilated Patients
SAY:
Today, we will be giving you an overview of the Comprehensive Unit-based Safety Program…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/medicaidmgmt/mm6.html
October 01, 2014 - Designing and Implementing Medicaid Disease and Care Management Programs
Section 6: Operating a Care Management Program
Previous Page Next Page
Table of Contents
Designing and Implementing Medicaid Disease and Care Management Programs
Introduction
Section 1: Planning a Care Management Program
…
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psnet.ahrq.gov/node/50949/psn-pdf
February 26, 2020 - Pre-analytical pitfalls: Missing and mislabeled specimens
February 26, 2020
Tran NK, Liu Y. Pre-analytical pitfalls: Missing and mislabeled specimens . PSNet [internet]. 2020.
https://psnet.ahrq.gov/web-mm/pre-analytical-pitfalls-missing-and-mislabeled-specimens
The Case
Case #1:
A 56-year-old man was admitted to…
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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/module2/engagement-slides-spanish.pptx
January 01, 2006 - Módulo 2: Participación de los directivos
Módulo 2: Participación de los directivos
Programa de seguridad de la AHRQ para cuidados a largo plazo: HAI/CAUTI
Kit de herramientas de seguridad para cuidados a largo plazo
AHRQ Pub. No. 16(17)-0003-03-EF
Marzo de 2017
Participación de los directivos | ‹#›
1
Objetivos
I…
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/cpcq-scoring.pdf
May 01, 2017 - Scoring CPCQ
1
Scoring the Change Process Capability
Questionnaire Strategies Items:
Current Plan
National Evaluation Team
May 1, 2017
2
Introduction
The RFA from AHRQ for EvidenceNOW:
http://grants.nih.gov/grants/guide/rfa-files/RFA-HS-14-008.html
described the required measures of practice…
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psnet.ahrq.gov/node/33744/psn-pdf
February 01, 2013 - In Conversation With… Beverley H. Johnson
February 1, 2013
In Conversation With… Beverley H. Johnson. PSNet [internet]. 2013.
https://psnet.ahrq.gov/perspective/conversation-beverley-h-johnson
Editor's note: Beverley H. Johnson is the President and Chief Executive Officer of the Institute for Patient-
and Family-…
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www.ahrq.gov/ncepcr/care/coordination/atlas/chapter6w.html
June 01, 2014 - Care Coordination Measures Atlas Update
Chapter 6. Measure Maps and Profiles (continued, 24)
Previous Page Next Page
Table of Contents
Care Coordination Measures Atlas Update
Chapter 1: Background
Chapter 2. What is Care Coordination?
Chapter 3. Care Coordination Measurement Framework
Chapte…