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psnet.ahrq.gov/node/73066/psn-pdf
March 24, 2021 - Patient harm resulting from medication reconciliation
process failures: a study of serious events reported by
Pennsylvania hospitals.
March 24, 2021
Harper A, Kukielka E, Jones RM. Patient harm resulting from medication reconciliation process failures: a
study of serious events reported by Pennsylvania hospitals. …
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www.ahrq.gov/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/access/strategy6g-rapid-referral.html
April 01, 2023 - Strategy 6E: Rapid Referral Programs
Contents
6.E.1. The Problem
6.E.2. Intervention #1: The Referral Agreement
6.E.2.a. Key Elements
6.E.2.b. Example
6.E.3. Intervention #2: The Referral Expert
References
Download Strategy 6E:
Rapid Referral Programs
(PDF, 241 KB)
…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/intro-dailycare-slides.pptx
January 01, 2017 - Presentation: Program Overview
Introduction to Daily Care Processes:
Evidence Behind Spontaneous Awakening Trials, Spontaneous Breathing Trials,
and Head of Bed Elevation
AHRQ Safety Program for Mechanically Ventilated Patients
AHRQ Pub. No. 16(17)-0018-42-EF
January 2017
Intro to Daily Care Processes ‹#›
AHRQ …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/training-tools/training-tools-facnotes.docx
May 01, 2017 - AHRQ Safety Program for Ambulatory Surgery
Sustainability Module
Facilitator Notes
SAY:
This module on Sustainability helps an organization maintain and sustain a process that has worked well at a unit level. This module is meant to au…
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www.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/training-tools/fac-notes.html
October 01, 2020 - Sustainability Module: Facilitator Notes
Slide 1: Sustainability Module
Say:
This module on Sustainability helps an organization maintain and sustain a process that has worked well at a unit level. This module is meant to augment the existing Spread module of the CUSP Toolkit while offering organization…
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www.uspreventiveservicestaskforce.org/uspstf/about-uspstf/task-force-at-a-glance
June 22, 2025 - Task Force at a Glance
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The U.S. Preventive Services Task Force works to improve the health of people nationwide. The U.S. Preventive Services Task Force (USPSTF or Task Force…
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www.ahrq.gov/patient-safety/settings/hospital/candor/modules/facguide3.html
August 01, 2022 - Gap Analysis Facilitator's Guide
AHRQ Communication and Optimal Resolution Toolkit
Purpose: To evaluate the extent to which current processes align with the Communication and Optimal Resolution (CANDOR) process and includes:
Identifying the existing process.
Identifying the existing outcome(s).
Ide…
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www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-11-root-cause-analysis.pdf
December 27, 2021 - Using Root Cause Analysis to Help Practices Understand and Improve Their Performance and Outcomes
Primary Care
Practice Facilitation
Curriculum
Module 11: Using Root Cause Analysis to Help
Practices Understand and Improve
Their Performance and Outcomes
Agency for Healthcare Research and Quality …
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psnet.ahrq.gov/node/74057/psn-pdf
November 10, 2021 - Patient and clinician experiences of uncertainty in the
diagnostic process: current understanding and future
directions.
November 10, 2021
Meyer AND, Giardina TD, Khawaja L, et al. Patient and clinician experiences of uncertainty in the
diagnostic process: current understanding and future directions. Patient Educ …
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www.uspreventiveservicestaskforce.org/uspstf/draft-update-summary/early-food-allergen-introduction-infants-counseling
August 29, 2024 - Share to Facebook
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Early Allergen Introduction to Prevent Food Allergies in Infants: Counseling
An Update for This Topic is In Progress
LAST UPDATED: Aug 29, 2024
The Task Force keeps recommendat…
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www.uspreventiveservicestaskforce.org/uspstf/draft-update-summary/chronic-kidney-disease-screening
July 07, 2023 - Share to Facebook
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Chronic Kidney Disease: Screening
An Update for This Topic is In Progress
LAST UPDATED: Jul 07, 2023
The Task Force keeps recommendations as current as possible by routinely up…
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psnet.ahrq.gov/node/42963/psn-pdf
September 27, 2016 - The effects of physical environments in medical wards on
medication communication processes affecting patient
safety.
September 27, 2016
Liu W, Manias E, Gerdtz M. The effects of physical environments in medical wards on medication
communication processes affecting patient safety. Health Place. 2014;26:188-198.
d…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Stock_113.pdf
June 15, 2005 - Developing a Community-Wide Electronic Shared Medication List
Developing a Community-Wide Electronic
Shared Medication List
Ron Stock, MD; Eldon R. Mahoney, PhD; Dawn Gauthier, MIS; Linda Center;
Mary Minniti, CPHQ; James Scott, MD; Marc Pierson, MD; Lori Nichols
Abstract
This study demonstrates the feasib…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/sustainability/sustainability_deep_root_data.pptx
December 01, 2017 - PowerPoint Presentation; Deep-Root Your Data
Deep-Rooting Your Data
AHRQ Safety Program for Surgery
Sustainability
AHRQ Pub. No. 16(18)-0004-15-EF
December 2017
AHRQ Safety Program for Surgery – Sustainability
SAY:
This module focuses on the concept of deep-rooting and set up sustainable interaction with your qual…
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digital.ahrq.gov/ahrq-funded-projects/impact-health-it-implementation-diabetes-process-and-outcome-measures
January 01, 2023 - Impact of Health Information Technology Implementation on Diabetes Process and Outcome Measures
Project Final Report ( PDF , 316.39 KB) Disclaimer
Disclaimer
The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do no…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_learn_from_defects.pptx
December 01, 2017 - Learning From Defects is a powerful tool and teams may benefit from processing the content over an extended
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digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/decision-action-diagram
January 01, 2023 - Decision Action Diagram
Acronym
DAD
Also Known As
Information Flow Diagrams
Description
Decision action diagrams (DADs), also referred to as information flow diagrams, can be used to graphically portray a process, displaying both the decisions required and any associated actions th…
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psnet.ahrq.gov/node/853427/psn-pdf
January 01, 2024 - Patient and family contributions to improve the diagnostic
process through the OurDX electronic health record tool:
a mixed method analysis.
September 13, 2023
Bell SK, Harcourt K, Dong J, et al. Patient and family contributions to improve the diagnostic process
through the OurDX electronic health record tool: a m…
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www.ahrq.gov/patient-safety/settings/hospital/candor/modules/facguide3/ape.html
August 01, 2022 - Gap Analysis Facilitator's Guide: Appendix E
Gap Analysis Report Template
The purpose of the Gap Analysis report is to call attention to common themes among the groups, as well as variations among the groups in their perceptions and degree of commitment to CANDOR principles. Findings should be used for target…
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psnet.ahrq.gov/node/37606/psn-pdf
January 10, 2017 - Enhancing healthcare process design with human factors
engineering and reliability science, part 2: applying the
knowledge to clinical documentation systems.
January 10, 2017
Boston-Fleischhauer C. Enhancing healthcare process design with human factors engineering and
reliability science, part 2: applying the know…