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www.ahrq.gov/sites/default/files/2025-03/berner-report.pdf
January 01, 2025 - Final Progress Report: Reducing Harm to Patients from Diagnostic Errors
Final Progress Report
Reducing Harm to Patients from Diagnostic Errors
Eta S. Berner, EdD, Principal Investigator
Team Members:
Marcie H. Battles, MS, Project Assistant
Mark L. Graber, MD, Consultant
Gordon D. Schiff, MD, Consultant
Pat …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/learn/learncusp.pptx
April 01, 2011 - Introduce CUSP
1
Learning Objectives
Review the impact of errors and patient harm and the underlying causes of errors
Show how CUSP supports other quality and safety tools
Describe Comprehensive Unit-based Safety Program (CUSP) framework and the goals of the CUSP Toolkit
Demonstrate how to apply the CUSP T…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/community-pharmacy/pharmacy-survey-english.pdf
June 02, 2025 - Community Pharmacy Survey on Patient Safety
SOPS
TM
Community Pharmacy Survey
Version: 1.0
Language: English
Note
• For more information on getting started, selecting a sample, determining data collection
methods, establishing data collection procedures, conducting a Web-based survey, and
preparing and anal…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/nursing-home-survey-english-2.0.pdf
June 05, 2025 - SOPS Nursing Home Survey Version 2.0
SOPS® Nursing Home Survey
Version: 2.0
Language: English
• For more information on getting started, selecting a sample, determining data collection
methods, establishing data collection procedures, conducting a web-based survey, and
preparing and analyzing data, and produc…
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/rapid-response/rapid-response-slides.html
July 01, 2023 - Rapid Response for Perinatal Safety: Slide Presentation
AHRQ Safety Program for Perinatal Care
Slide 1: AHRQ Safety Program for Perinatal Care
Rapid Response for Perinatal Safety
Slide 2: Learning Objectives
Image: Three ascending steps show the learning objectives:
Define components of a rapid …
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psnet.ahrq.gov/node/33617/psn-pdf
August 01, 2005 - In Conversation with…Barbara A. Blakeney, MS, RN
August 1, 2005
In Conversation with…Barbara A. Blakeney, MS, RN. PSNet [internet]. 2005.
https://psnet.ahrq.gov/perspective/conversation-withbarbara-blakeney-ms-rn
Editor's Note: Barbara A. Blakeney, MS, RN, is President of the 150,000-member American Nurses
Associa…
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/chipra_1415-p005-2-ef.pdf
October 01, 2014 - Measure: Behavior Therapy as First-Line Treatment for Preschool-Aged Children with ADHD
Measure: Behavior Therapy as First-Line
Treatment for Preschool-Aged Children
with ADHD
Measure Developer: Pediatric Measurement Center of Excellence (PMCoE)
Numerator Denominator Exclusions Data Source(s)
Patients for wh…
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www.ahrq.gov/sites/default/files/publications/files/sustainability-guideapa.pdf
January 01, 2009 - Topic
AHRQ Safety Program for Reducing CAUTI in Hospitals
A Model for Sustaining and Spreading Safety Interventions
Appendix A. Action Plan Tool for Project Sustainability
The Purpose of This Tool
This tool is intended to support sustainability efforts for your catheter-associated urinary tract infect…
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psnet.ahrq.gov/node/49767/psn-pdf
August 21, 2016 - Falling Between the Cracks in the Software
August 21, 2016
Adler-Milstein J. Falling Between the Cracks in the Software. PSNet [internet]. 2016.
https://psnet.ahrq.gov/web-mm/falling-between-cracks-software
The Case
A 61-year-old man with a history of osteoarthritis was scheduled for a total knee replacement. Prio…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.251_slideshow.ppt
October 01, 2011 - Spotlight Case [MONTH] 2003
Spotlight Case
Mobility Lost in the ICU
*
*
Source and Credits
This presentation is based on the October 2011
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available
Commentary by: Jim Smith, PT, DPT, MA; Associate Professor of Physical …
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.64_slideshow.ppt
June 01, 2004 - Spotlight Case [MONTH] 2003
Spotlight Case June 2004
The Wrong Shot:
Error Disclosure
Source and Credits
This presentation is based on the June 2004
AHRQ WebM&M Spotlight Case in Pediatrics
CME credit is available through the Web site
See the full article at http://webmm.ahrq.gov
Commentary by: Thomas H. …
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www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/education-bundles/urine-culturing/antibiotic-stewardship/part-2-slides.html
February 01, 2019 - Antibiotic Stewardship
AHRQ Safety Program for Long-Term Care: HAIs/CAUTI
Slide 1: Antibiotic Stewardship
Slide 2: Objectives
Upon completion of this webinar, participants will be able to—
Describe how antibiotic stewardship is linked to infection prevention.
Explain how overtreating urinary tra…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.257_slideshow.ppt
December 01, 2011 - Spotlight Case July 2008
Spotlight Case
Order Interrupted by Text: Multitasking Mishap
*
*
Source and Credits
This presentation is based on the December 2011
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available
Commentary by: John Halamka, MD, MS, Chief Informa…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.299_slideshow.ppt
May 01, 2013 - Spotlight Case July 2008
Spotlight Case
Right Regimen, Wrong Cancer: Patient Catches Medical Error
*
*
Source and Credits
This presentation is based on the May 2013
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available
Commentary by: Joseph O. Jacobson, MD, MSc…
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psnet.ahrq.gov/node/33780/psn-pdf
July 01, 2015 - Safety and Medical Education
January 1, 2014
Ranji SR. Safety and Medical Education. PSNet [internet]. 2014.
https://psnet.ahrq.gov/perspective/safety-and-medical-education
Annual Perspective 2014
As the patient safety field has grown, so too has the appreciation for the need to improve safety in medical
educatio…
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www.ahrq.gov/research/shuttered/toolkitchecklist/surgetkit3.html
July 01, 2018 - Equipment and Supplies
Public Health Emergency Preparedness
1. Preplanning
Description: The equipment and supplies team must lay the groundwork for procurement prior to a surge event. Key decisions include: determining whether to outsource staffing and procurement of the equipment and supplies, deciding wh…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.326_slideshow.ppt
June 01, 2014 - PowerPoint Presentation
Spotlight
Wandering Off the Floors: Safety and Security Risks of Patient Wandering
1
This presentation is based on the June 2014
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available
Commentary by: Thomas A. Smith, CHPA, CPP, President, Healthc…
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digital.ahrq.gov/2019-year-review/executive-summary
January 01, 2019 - Executive Summary
We are at the beginning of a digital revolution in healthcare, and it’s an exciting time with the potential for innovative whole-person care, data- and evidence-based solutions, and improvements in the healthcare system. The evolution of technology and digitization of d…
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digital.ahrq.gov/sites/default/files/docs/citation/cds-connect-year-8-final-report-2024.pdf
January 01, 2024 - CDS Connect: Final Report 2024
CDS Connect: Final Report 2024
CDS Connect
Clinical Decision Support (CDS) Connect is a freely available, web-based platform that enable…
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meps.ahrq.gov/data_files/publications/st510/stat510.shtml
April 01, 2018 - STATISTICAL BRIEF #510: Transitions in Health Insurance Status: Longitudinal Data from the MEPS Household Component, 20132015
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