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www.ahrq.gov/ncepcr/reports/2025-annual-report/appendixb.html
August 01, 2025 - Bridging Community-based Continence Promotion and Primary Care (U18) PIs: Joan Marie Neuner; Heidi
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psnet.ahrq.gov/web-mm/hurried-team-huddle-and-poor-communication-unsafe-practice-during-anesthesia-emergency
September 27, 2023 - SPOTLIGHT CASE
Hurried Team Huddle and Poor Communication: Unsafe Practice During Anesthesia for Emergency Cesarean Delivery
Citation Text:
Curtin A, Schloemerkemper N. Hurried Team Huddle and Poor Communication: Unsafe Practice During Anesthesia for Emergency Cesarean Delivery.. PSNet [internet]…
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psnet.ahrq.gov/node/867035/psn-pdf
October 30, 2024 - A Tale of Two Falls
October 30, 2024
Jackson V, Satake A. A Tale of Two Falls. PSNet [internet]. 2024.
https://psnet.ahrq.gov/web-mm/tale-two-falls
The Cases
Case #1: A 79-year-old woman with a history of impaired cognition at baseline was brought from a skilled
nursing facility to the emergency department (ED) f…
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psnet.ahrq.gov/perspective/conversation-withcarolyn-clancy-md
September 01, 2005 - In Conversation with…Carolyn Clancy, MD
September 1, 2005
Also Read an Essay
Citation Text:
In Conversation with…Carolyn Clancy, MD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2005.
…
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psnet.ahrq.gov/node/60858/psn-pdf
August 26, 2020 - When the Meds Don’t Reach the Bed
August 26, 2020
Molla M, Le K, Mendoza P. When the Meds Don’t Reach the Bed. PSNet [internet]. 2020.
https://psnet.ahrq.gov/web-mm/when-meds-dont-reach-bed
The Case
A 69-year-old man with cognitive impairment and marginal housing was admitted for acute exacerbation of
chronic obs…
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psnet.ahrq.gov/node/60328/psn-pdf
May 27, 2020 - Fatal Patient-Controlled Analgesia (PCA) Opioid-Induced
Respiratory Depression
May 27, 2020
Fazio S, Firestone R. Fatal Patient-Controlled Analgesia (PCA) Opioid-Induced Respiratory Depression.
PSNet [internet]. 2020.
https://psnet.ahrq.gov/web-mm/fatal-patient-controlled-analgesia-pca-opioid-induced-respiratory-
…
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psnet.ahrq.gov/perspective/conversation-david-blumenthal-md-mpp-0
March 27, 2024 - In Conversation With… David Blumenthal, MD, MPP
July 1, 2012
Citation Text:
In Conversation With… David Blumenthal, MD, MPP. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2012.
Copy Citati…
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psnet.ahrq.gov/web-mm/tale-two-falls
March 27, 2024 - A Tale of Two Falls
Citation Text:
Jackson V, Satake A. A Tale of Two Falls. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2024.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged P…
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digital.ahrq.gov/sites/default/files/Innovation%20Center%20Quarterly%20Report%20One_Jan26_0.pdf
January 01, 2024 - Innovation Center Progress Report May 2022
INNOVATION CENTER PROGRESS REPORT
M A Y 2 0 2 2
CDSiC Innovation Center
Quarterly Report
Presented by:
Prashila Dullabh, Dean Sittig, Aziz
Boxwala, Adam Wright, Courtney
Zott, and Emre Sezgin
NORC at the University of Chicago
4350 East-West Highway
Suite 800
B…
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psnet.ahrq.gov/perspective/conversation-carole-stockmeier-about-zero-harm-striving-reduce-preventable-harms-point
September 24, 2024 - In Conversation with Carole Stockmeier about Zero Harm: Striving to Reduce Preventable Harms – Point, Counterpoint, and Areas of Agreement
Carole Stockmeier, Sarah Mossburg, Lee Merton | September 24, 2024
Also Read the Essay
View more articles from the same authors.
…
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digital.ahrq.gov/sites/default/files/docs/digital-healthcare-innovations-engage-empower-slides-10112023.pdf
October 11, 2023 - digital-healthcare-innovations-engage-empower-slides-10112023
Digital Healthcare Innovations to Engage and
Empower Patients in Their Care
Presented by:
Kimberley D. Lakes, Ph.D.
David H. Gustafson, Ph.D.
Sunit P. Jariwala, M.D.
Moderated by:
Sheena Patel, M.P.H.
Agency for Healthcare …
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www.ahrq.gov/sites/default/files/2024-10/sirio2-report.pdf
January 01, 2024 - Final Progress Report: Systems Approach for Improving Region-Wide Patient Safety
FINAL PROGRESS REPORT
Systems Approach for Improving Region-Wide Patient Safety
Carl A. Sirio, MD (Principal Investigator)
Rober Weber, RPh
Carlene Muto, MD
Donna Keyser, PhD
Jan Pringle, PhD
Rangaraj Ramanujam, PhD
John Jernig…
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www.ahrq.gov/hai/cauti-tools/archived-webinars/cauti-sustainability-slides.html
December 01, 2017 - CAUTI Sustainability: Embedding CAUTI Policies, Using Data to Monitor Proress and Hardwiring CUSP Principles
Slide Presentation
Slide 1
CAUTI Sustainability: Embedding CAUTI Policies, Using Data to Monitor Progress and Hardwiring CUSP Principles
Diane Byrum, RN, MSN, CCRN, CCNS, FCCM
Manager, Quality I…
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www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/action-alliance-rfi-report-040323_LOCKED.pdf
March 01, 2023 - Patient Safety Action Alliance: Request for Information (RFI) Summary Report
Patient Safety Action Alliance
Request for Information (RFI) Summary Report
March 2023
Background:
At the direction of Secretary Becerra, the Department of Health and Human Services (HHS)
launched a National Healthcare System Action…
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www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/research/gathering-stakeholder-input-summary.pdf
January 01, 2024 - Executive Summary: Person-Centered Preventive Healthcare: Gathering Stakeholder Input on Evidence Implementation
1
2
This document is a stand-alone executive summary of the Person-Centered Preventive
Healthcare: Gathering Stakeholder Input on Evidence and Implementation Full Report.
Prepared for AHRQ by …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/tpc/national_pcep_meeting_white_paper.docx
May 05, 2014 - The National Primary Care Extension Program: Next Steps
A White Paper based upon the Proceedings of the National Primary Care Extension Program Meeting in Washington, DC Feb 21, 2014
Executive Summary
The Primary Care Extension Program (PCEP) is a strategy to improve community health by helping primary care practices a…
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-teamwork-leadership-2025.pdf
January 01, 2025 - AHRQ-Funded Patient Safety Project Highlights: Improving Healthcare Safety by Enhancing Teamwork and Leadership
AHRQ-Funded Patient Safety
Project Highlights
Improving Healthcare Safety by
Enhancing Teamwork and Leadership
According to The Joint Commission, failures in communication and teamwork as well as consist…
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digital.ahrq.gov/sites/default/files/docs/publication/developmentmethodskeyinformantinterviewsreport.pdf
July 10, 2012 - The 2008 Bronze Award
for Health
Promotion/Disease and
Injury Prevention
Information for Web site … These included
high prices, poor quality, design problems, and inappropriate or inadequate promotion … Am J Prev
Med 1999 Jan;16(1):10-5 Source: Office of Disease
Prevention and Health Promotion, U.S.
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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/bestpractices-web-sopssurveys-transcript.pdf
June 12, 2019 - 8
As Theresa mentioned, you might want to use a vendor, so you should let them know in this promotion
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psnet.ahrq.gov/node/72834/psn-pdf
March 10, 2021 - Approach to Improving Patient Safety: Communication
March 10, 2021
Schnipper JL, Fitall E, Hall KK, et al. Approach to Improving Patient Safety: Communication . PSNet
[internet]. 2021.
https://psnet.ahrq.gov/perspective/approach-improving-patient-safety-communication
Introduction
Each one of the countless necessa…