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psnet.ahrq.gov/node/44217/psn-pdf
November 10, 2015 - Assessing the potential adoption and usefulness of
concurrent, action-oriented, electronic adverse drug
event triggers designed for the outpatient setting.
November 10, 2015
Mull HJ, Rosen AK, Shimada SL, et al. Assessing the potential adoption and usefulness of concurrent,
action-oriented, electronic adverse drug…
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www.ahrq.gov/cahps/about-cahps/impact-case-studies/index.html
June 01, 2025 - Impact Case Studies on the CAHPS Surveys
AHRQ’s collection of Impact Case Studies highlights successes of organizations using AHRQ’s evidence-based tools and resources. Below are success stories from organizations that used the CAHPS Surveys grouped by the year the case study was published. Contact us at Impac…
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www.ahrq.gov/hai/cusp/modules/identify/index.html
July 01, 2018 - Identify Defects Through Sensemaking
The Identify Defects Through Sensemaking module of the CUSP Toolkit will help you identify recurring negative events in your system and apply CUSP and Sensemaking tools to help reduce the risk of future harm to your patients.
This module includes—
Facilitator N…
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www.ahrq.gov/pcor/ahrq-pcor-trust-fund-training-projects/pcortf-tcdhs13008.html
June 01, 2018 - Institutional Mentored Career Development Award Program in Patient-Centered Outcomes Research
AHRQ Training Projects Funded by PCOR Trust Fund
RFA-HS-13-008
This concept launches a multiyear, large-scale effort to support the development of researchers in academic and applied settings (e.g., the health care…
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www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/naa-commitment-statement.pdf
June 02, 2025 - National Action Alliance for Patient and Workforce Safety Commitment
National Action Alliance for
Patient and Workforce Safety
Commitment
Vision
Safe care everywhere, zero preventable harm for all.
Mission
A total systems approach to safety that is focused on culture, leadership, and governance; pa�ent a…
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psnet.ahrq.gov/node/851870/psn-pdf
July 31, 2023 - In Conversation with... Regina Hoffman about Building
Capacity for Patient Safety
July 31, 2023
In Conversation with.. Regina Hoffman about Building Capacity for Patient Safety. PSNet [internet]. 2023.
https://psnet.ahrq.gov/perspective/conversation-regina-hoffman-about-building-capacity-patient-safety
Editor’s no…
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psnet.ahrq.gov/web-mm/weighing-surgical-safety
August 04, 2021 - SPOTLIGHT CASE
Weighing In on Surgical Safety
Citation Text:
Brodsky JB, Margarson M. Weighing In on Surgical Safety. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2010.
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Format:
Google Scholar …
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psnet.ahrq.gov/node/842919/psn-pdf
February 01, 2023 - Hospital-Acquired Diabetic Ketoacidosis.
February 1, 2023
Zuidema D, Bagley B, Tan CL. Hospital-Acquired Diabetic Ketoacidosis. PSNet [internet]. 2023.
https://psnet.ahrq.gov/web-mm/hospital-acquired-diabetic-ketoacidosis
The Cases
Case #1: A 46-year-old Hindi-speaking resident of a skilled nursing facility (SNF) …
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www.ahrq.gov/ncepcr/tools/confid-report/system-design.html
February 01, 2016 - Confidential Physician Feedback Reports: Designing for Optimal Impact on Performance
Part Two: Design of Physician Feedback Reporting Systems
Previous Page Next Page
Table of Contents
Confidential Physician Feedback Reports: Designing for Optimal Impact on Performance
Foreword
Introduction
Par…
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www.ahrq.gov/sites/default/files/wysiwyg/chsp/news-and-events/events/webinars/chsp-webinar-slides-011221.pdf
January 12, 2021 - Advancing Understanding of Health Care Delivery Using the AHRQ Compendium of U.S. Health Systems
Advancing Understanding of
Health Care Delivery
Using the Compendium of
U.S. Health Systems
January 12, 2021
Presenters
Genna Cohen
Mathematica
Michael Furukawa
Agency for Healthcare
Research and Quality
David J…
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www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/module-10-slides.pdf
February 24, 2022 - Using Hybrid Cardiac Rehabilitation
to Expand System Capacity and
Patient-Centeredness
Module 10
Steven Keteyian, PhD
Anne M Gavic-Ott, MPA, RCEP, MAACVPR
PURPOSE
TAKEheart Training and Technical Assistance Components
Training sessions g…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/central-catheter-insertion-notes.docx
April 01, 2022 - Central Venous Catheter Insertion Bundle Facilitator Notes
CLABSI Module:
Central Venous Catheter Insertion
Facilitator Guide
Slide Number and Image
This module, titled Central Venous Catheter Insertion, is part of the Agency for Healthcare Research and Quality’s Safety Program for Intensive Care Units (ICUs) t…
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psnet.ahrq.gov/node/49861/psn-pdf
May 01, 2019 - Updates in the Management of High-Risk Pulmonary
Embolism
May 1, 2019
Kabrhel C, Aaronson E. Updates in the Management of High-Risk Pulmonary Embolism. PSNet [internet].
2019.
https://psnet.ahrq.gov/web-mm/updates-management-high-risk-pulmonary-embolism
Case Objectives
Review common risk factors, typical present…
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psnet.ahrq.gov/curated-library/organizational-learning
August 11, 2025 - Breadcrumb
Home
The PSNet Collection
Curated Libraries
Subscribed
Organizational Learning
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Created By: Lorri Zipperer, Cybrarian, AHRQ PSNet Team…
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www.ahrq.gov/research/findings/final-reports/crcscreeningrpt/crcscreen2.html
April 01, 2018 - Health Care Systems for Tracking Colorectal Cancer Screening Tests
2. Description of the Intervention
Previous Page Next Page
Table of Contents
Health Care Systems for Tracking Colorectal Cancer Screening Tests
Executive Summary
1. Introduction
2. Description of the Intervention
2. Descripti…
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meps.ahrq.gov/data_files/publications/mr9/mr9.shtml
May 01, 2000 - Methodology Report #9: Design, Methods, and Field Results of the 1996 MEPS Medical Provider Component
Skip to main content
An official website of the Department of Health & Human Services
More
…
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cds.ahrq.gov/sites/default/files/AHRQ_Final_Report_2020.pdf
January 01, 2020 - These themes bounded the scope of updates prioritized for CDS Connect during year 4 and
guided sprint planning … and other minor stylistic changes to improve overall accessibility.
2.3.2.1.6 Maintainability
In planning … The prioritization framework was
designed to streamline future planning efforts on CDS Connect.
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digital.ahrq.gov/sites/default/files/docs/citation/cds-connect-year4-final-report-2020.pdf
January 01, 2020 - These themes bounded the scope of updates prioritized for CDS Connect during year 4 and
guided sprint planning … and other minor stylistic changes to improve overall accessibility.
2.3.2.1.6 Maintainability
In planning … The prioritization framework was
designed to streamline future planning efforts on CDS Connect.
-
www.ahrq.gov/data/apcd/envscan/summary.html
June 01, 2017 - For example, population-level measures of utilization and cost are important to strategic planning to
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/57-ohio-hhoi-charter.pdf
August 01, 2021 - Members will serve as ad hoc working members of project teams and contribute to team
planning and work