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psnet.ahrq.gov/node/863650/psn-pdf
February 28, 2024 - leadership support to establish the A-F bundle as the standard of care and to
make it an organizational priority
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/antibiotics-respiratory-infection_clinician.pdf
March 01, 2016 - Background
Improving antibiotic prescribing has become an urgent
public health priority.
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www.ahrq.gov/ncepcr/reports/2024-annual-report/recent-grants-person-centered.html
May 01, 2024 - disparities in treatment patterns associated with psychiatric disturbances following TBI, and develops a priority
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hcup-us.ahrq.gov/reports/race/NASHPDisparitiesReport.pdf
January 01, 2020 - requires a commitment to collect it,
a strategy to combine data from different sources, and selection of priority … action steps.28 New Jersey follows this model as well,
presenting data and action steps for 13 “Medical Priority … disparities activities and familiarity with the DHSS strategic plan.51
• As part of a departmental priority … address disparities in
infant mortality, diabetes, heart disease and stroke, and a summary report on
priority … Health_Care_Disparities_Report_4.16.pdf.
60 For more information see Janelle Edwards et al., Addressing Disparities in Ohio’s Priority
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effectivehealthcare.ahrq.gov/sites/default/files/diabetes-horizon-scan-high-impact-1506.pdf
June 01, 2015 - Mellitus
AHRQ Healthcare Horizon Scanning System – Potential
High-Impact Interventions Report
Priority … AHRQ Healthcare Horizon Scanning System Potential High-
Impact Interventions: Priority Area 07: Diabetes … AHRQ makes those investments in 14
priority areas. … (Seventeen topics in this priority area were being tracked in the system as of May 8,
2015.) … Priority Area 07: Diabetes
Topic High-Impact Potential
1. * Extended-release exenatide delivered
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/ptsd-5-final-report-update-2024-executive-summ.pdf
January 01, 2024 - Executive Summary_Pharmacologic and Nonpharmacologic Treatments for Posttraumatic Stress Disorder: 2024 Update of the Evidence Base for the PTSD Trials Standardized Data Repository
Systematic Review
Pharmacologic and Nonpharmacologic
Treatments for Posttraumatic Stress Disorder:
2024 Update of the Evidence …
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www.ahrq.gov/sites/default/files/publications/files/simulproj11.pdf
June 30, 2014 - Improving Patient Safety Through Simulation Research: Funded Projects
Introduction
Simulation in health care creates a safe
learning environment that allows
researchers and practitioners to test new
clinical processes and enhance
individual and team skills before
encountering patients. Many simulation
applications in…
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www.ahrq.gov/sites/default/files/2024-07/mitchell-report.pdf
January 01, 2024 - Final Progress Report: Shared Decision Making in Vulnerable Populations
Final Progress Report
Shared Decision Making in Vulnerable Populations:
Suzanne Mitchell, MD, MS
Principal Investigator: Suzanne Mitchell, MD, MS
Team Members: Brian Jack, MD (Primary mentor); Nancy Kressin, PhD (BMC);
Paul Schroy, MD, MS (…
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psnet.ahrq.gov/node/33821/psn-pdf
December 01, 2016 - Errors and Near Misses: What Health Care Could Learn
From Aviation
December 1, 2016
Macrae C. Errors and Near Misses: What Health Care Could Learn From Aviation. PSNet [internet]. 2016.
https://psnet.ahrq.gov/perspective/errors-and-near-misses-what-health-care-could-learn-aviation
Perspective
Some of the most urg…
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psnet.ahrq.gov/node/850362/psn-pdf
June 14, 2023 - Home Medications Contribute to a Unique Opportunity for
Error on Discharge from the Hospital
June 14, 2023
Agrawal G, Nguyen DM. Home Medications Contribute to a Unique Opportunity for Error on Discharge from
the Hospital. PSNet [internet]. 2023.
https://psnet.ahrq.gov/web-mm/home-medications-contribute-unique-opp…
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www.ahrq.gov/patient-safety/reports/issue-briefs/state-of-science-2b.html
June 01, 2020 - Operational Measurement of Diagnostic Safety: State of the Science
Special Considerations for Measurement of Diagnostic Safety (continued)
Previous Page Next Page
Table of Contents
Operational Measurement of Diagnostic Safety: State of the Science
Introduction
Special Considerations for Measurem…
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www.ahrq.gov/sops/bibliography/index.html?page=8
January 01, 2025 - SOPS Bibliography
Browse or search for publications about the development and use of SOPS surveys and other topics related to assessing patient safety culture.
Results
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module1/module1-overview.pptx
June 02, 2025 - Module 1: Communication and Optimal Resolution (CANDOR) Toolkit Module 1: An Overview of the CANDOR Process
Communication and Optimal Resolution
(CANDOR)
Toolkit
Module 1: An Overview of the CANDOR Process
The CANDOR Toolkit is composed of eight distinct modules that can be used to teach users about the CANDOR Pro…
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www.ahrq.gov/sops/news/previous-announcements.html
March 01, 2025 - Previous Announcements About SOPS Surveys
2022 Announcements Date Announcements December 2022 AHRQ Post-Webcast Materials for “Understanding SOPS Surveys: A Primer for New Users” This webcast provided an overview of the Surveys on Patient Safety Culture (SOPS) Surveys. Speakers described the SOPS program, surve…
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www.ahrq.gov/es/sops/bibliography/index.html?page=8
January 01, 2025 - SOPS Bibliography
Browse or search for publications about the development and use of SOPS surveys and other topics related to assessing patient safety culture.
Results
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psnet.ahrq.gov/node/49814/psn-pdf
December 01, 2017 - Miscommunication in the OR Leads to Anticoagulation
Mishap
December 1, 2017
Solsky I, Haynes AB. Miscommunication in the OR Leads to Anticoagulation Mishap. PSNet [internet].
2017.
https://psnet.ahrq.gov/web-mm/miscommunication-or-leads-anticoagulation-mishap
The Case
A 63-year-old man with a history of coronary…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/sustainability/premortem-scorecard-slides.pptx
January 01, 2017 - Presentation: Tools for Sustainability: Premortem and Scorecard
Tools for Sustainability:
Premortem and Scorecard
AHRQ Safety Program for Mechanically Ventilated Patients
AHRQ Pub. No. 16(17)-0018-39-EF
January 2017
Sustainability Tools ‹#›
AHRQ Safety Program for Mechanically Ventilated Patients
1
Learning Ob…
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psnet.ahrq.gov/node/33876/psn-pdf
August 01, 2018 - Building a Safety Program in a Vast Health Care Network
March 1, 2019
Phrampus P. Building a Safety Program in a Vast Health Care Network. PSNet [internet]. 2019.
https://psnet.ahrq.gov/perspective/building-safety-program-vast-health-care-network
Perspective
Background
As hospital-based health care in the United …
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www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/module-2-slides.pdf
December 31, 2021 - Module 2 Slides: Systems Change: Laying the Foundation, Leadership and Action Plans
Systems Change: Laying the
Foundation, Leadership and
Action Plans
K i m N e w l i n , R N , C N S , A N P - C
K a t h l e e n T r a y n o r , RN, MS, FAACVPR
F e b r u a r y 2 7 , 2 0 2 0
Module 2
American Hospital A…
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www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/module-8-slides.pdf
November 18, 2021 - Implementing Effective Care
Coordination
Module 8
Diann Gaalema, PhD
Hicham Skali, MD, MSc
TAKEheart Training and Technical Assistance Components
2
PURPOSE
Training sessions guided by the Million
Hearts®/AACVPR Cardiac Rehabilitation
Change Package (CRCP), located in the
Resource Center TAKEheart Website
M…