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  1. psnet.ahrq.gov/web-mm/other-side
    May 01, 2007 - SPOTLIGHT CASE The Other Side Citation Text: Vincent CA. The Other Side. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2003. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote t…
  2. psnet.ahrq.gov/web-mm/weight-and-height-juxtaposition-electronic-medical-record-causing-accidental-medication
    March 15, 2023 - Weight and Height Juxtaposition in the Electronic Medical Record Causing an Accidental Medication Overdose Citation Text: Jain NP, Dakwa D. Weight and Height Juxtaposition in the Electronic Medical Record Causing an Accidental Medication Overdose. PSNet [internet]. Rockville (MD): Agency for Healthcare Rese…
  3. www.ahrq.gov/sites/default/files/2024-09/fowler-report.pdf
    January 01, 2024 - Final Progress Report: Determining a Learning Curve for Complex Laparoscopic Gastrointestinal Surgery Title Page Final Progress Report Determining a Learning Curve for Complex Laparoscopic Gastrointestinal Surgery Principal Investigator: Dennis L. Fowler, MD, MPH Co-Investigator: R. Todd Ogden, PhD Co-Investigato…
  4. www.ahrq.gov/research/findings/evidence-based-reports/makinghcsafer.html
    June 01, 2022 - Patient Safety Tools The Agency for Healthcare Research and Quality (AHRQ) offers tools for health care organizations, providers, policymakers, and patients to improve patient safety in health care settings. The free tools and resources listed here are available online and in print. Contents   Tools for H…
  5. www.ahrq.gov/evidencenow/projects/state/how-to-guide/guide4.html
    August 01, 2024 - Developing and Sustaining State-Based Infrastructure To Support Primary Care Quality Improvement 4. Selecting and Delivering Services To Support Quality Improvement Previous Page Next Page Table of Contents Developing and Sustaining State-Based Infrastructure To Support Primary Care Quality Improvem…
  6. www.ahrq.gov/ncepcr/reports/2024-annual-report/recent-grants-person-centered.html
    May 01, 2024 - Investments in Primary Care Research for 2021 and 2022 Person-Centered Care Previous Page Next Page Table of Contents Investments in Primary Care Research for 2021 and 2022 Acknowledgments and Authors Message from the Acting Director of AHRQ's National Center for Excellence in Primary Care Resea…
  7. psnet.ahrq.gov/web-mm/transfer-or-not-transfer
    November 23, 2016 - SPOTLIGHT CASE To Transfer or Not to Transfer Citation Text: Pines JM. To Transfer or Not to Transfer. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2009. Copy Citation Format: Google Scholar BibTeX EndNote …
  8. www.ahrq.gov/ncepcr/reports/2025-annual-report/patient-safety.html
    August 01, 2025 - AHRQ’s Investments in Primary Care Research for 2023 and 2024 Patient Safety Previous Page Next Page Table of Contents AHRQ’s Investments in Primary Care Research for 2023 and 2024 Acknowledgements and Authors Message from the Director of AHRQ’s National Center for Excellence in Primary Care R…
  9. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Montgomery_42.pdf
    March 05, 2008 - Impact of Staff-Led Safety Walk Rounds Impact of Staff-Led Safety Walk Rounds Vicki L. Montgomery, MD, FAAP, FCCM Abstract Objectives: The primary objectives of this study were to provide a venue for discussing safety concerns and to facilitate finding solutions for everyday safety issues. Methods: The mul…
  10. www.ahrq.gov/patient-safety/reports/hotline/intro1.html
    May 01, 2016 - Developing and Testing the Health Care Safety Hotline: A Prototype Consumer Reporting System for Patient Safety Events I. Introduction Previous Page Next Page Table of Contents Developing and Testing the Health Care Safety Hotline: A Prototype Consumer Reporting System for Patient Safety Events Pr…
  11. www.ahrq.gov/sites/default/files/wysiwyg/nhguide/4_TK1_T4-Urinalysis_and_UTIs_Improving_Care-updated.docx
    October 01, 2016 - Nursing Home Antimicrobial Stewardship Guide Determine Whether To Treat Tool 4. Training Modules: Urinalysis and UTIs Improving Care Overview These training modules are designed to be flexible to meet your needs. Training coordinators can use them individually or combine them to suit the needs of their facility. Goal…
  12. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/urinary-catheter-removal-notes.docx
    April 01, 2022 - Prompting Removal of Unnecessary Indwelling Urinary Catheters Facilitator Notes CAUTI Module: Indwelling Urinary Catheter Removal Facilitator Guide Slide Number and Image This module, titled “Indwelling Urinary Catheter Removal,” is part of the Agency for Healthcare Research and Quality’s Safety Program for In…
  13. www.ahrq.gov/hai/tools/mvp/modules/technical/intro-daily-care-facguide.html
    February 01, 2017 - Introduction to Daily Care Processes: Evidence Behind Spontaneous Awakening Trials, Spontaneous Breathing Trials, and Head of Bed Elevation: Facilitator Guide AHRQ Safety Program for Mechanically Ventilated Patients Slide 1: Introduction to Daily Care Processes: Evidence Behind Spontaneous Awakening Trials, S…
  14. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/learn/learn-about-cusp-facilitator-guide.pdf
    May 01, 2017 - Learn About the Comprehensive Unit-Based Safety Program for Perinatal Safety AHRQ Safety Program for Perinatal Care Learn About the Comprehensive Unit-Based Safety Program for Perinatal Safety AHRQ Publication No. 17-0003-1-EF May 2017 SAY: This module introduces the comprehensive unit-based safety program, …
  15. Scoring CPCQ (pdf file)

    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…
  16. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-143-fullreport.pdf
    April 01, 2018 - eventually, even that process could be automated to some degree due to advances in natural language processing
  17. digital.ahrq.gov/sites/default/files/docs/citation/pccds-ln-opioid-action-plan-2019.pdf
    January 01, 2019 - 1 A Stakeholder-driven Action Plan for Improving Pain Management, Opioid Use, and Opioid Use Disorder Treatment Through Patient-Centered Clinical Decision Support Jerome A. Osheroff, MD Barry H. Blumenfeld, MD, MS Joshua E. Richardson, PhD, MS, MLIS Beth Lasater, MSPH …
  18. effectivehealthcare.ahrq.gov/sites/default/files/related_files/trauma-child-interventions_disposition-comments.pdf
    February 11, 2013 - a trauma intervention focused on adolescents and is, thus, for example, more focused on cognitive processing
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867042/psn-pdf
    October 30, 2024 - The foundational science of learning health systems. October 30, 2024 Kilbourne AM, Borsky AE, O'Brien RW, et al. The foundational science of learning health systems. Health Serv Res. 2024;59(6):e14374. doi:10.1111/1475-6773.14374. https://psnet.ahrq.gov/issue/foundational-science-learning-health-systems Learning …
  20. effectivehealthcare.ahrq.gov/sites/default/files/delilberative-methods-design-abelson-2.pdf
    May 29, 2025 - Synthesizing the Outputs of Deliberative Forum Synthesizing the Outputs of Deliberative Forum Julia Abelson, PhD Department of Clinical Epidemiology & Biostatistics McMaster University Hamilton, Ontario CANADA Slide 27 Linking deliberation objectives to outputs  What is the expected deliverable of th…