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psnet.ahrq.gov/node/43943/psn-pdf
December 04, 2015 - Culture Change in the NHS: Applying the Lessons of the
Francis Inquiries.
December 4, 2015
Department of Health. London, England: Crown Publishing; February 2015. ISBN: 9781474112116.
https://psnet.ahrq.gov/issue/culture-change-nhs-applying-lessons-francis-inquiries
The Francis inquiry uncovered numerous problems …
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psnet.ahrq.gov/node/46931/psn-pdf
January 15, 2019 - Strategies for optimizing OR drug safety.
January 15, 2019
Meyer TA, McAllister RK. Pharmacy Practice News. March 19, 2018.
https://psnet.ahrq.gov/issue/strategies-optimizing-or-drug-safety
Perioperative adverse drug events are common and understudied. Reporting on the complexity of
medication administration durin…
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psnet.ahrq.gov/node/60227/psn-pdf
April 15, 2020 - The next step in learning from sentinel events in
healthcare.
April 15, 2020
Bos K, Dongelmans DA, Greuters S, et al. The next step in learning from sentinel events in healthcare.
BMJ Open Qual. 2020;9(1):e000739. doi:10.1136/bmjoq-2019-000739.
https://psnet.ahrq.gov/issue/next-step-learning-sentinel-events-health…
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digital.ahrq.gov/ahrq-funded-projects/patient-centered-outcomes-research-clinical-decision-support-learning-network/citation/barriers
January 01, 2023 - Barriers, facilitators, and potential solutions to advancing interoperable clinical decision support: Multi-stakeholder consensus recommendations for the opioid use case.
Citation
Marcial LH, Blumenfeld B, Harle C, Jing X, Keller MS, Lee V, Lin Z, Dover A, Midboe AM, Al-Showk S, Bradley V, Breen J, Fa…
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www.ahrq.gov/sites/default/files/wysiwyg/data/infographics/qdr-state-snapshot.pdf
June 02, 2025 - Health Care Quality: How Does Your State Compare?
AHRQ’s 2016 State Snapshots used more than 250
statistical measures to provide state-by-state
summaries of health care quality. Examples in this
illustration show top-scoring states in 2014 in three
areas – avoiding sepsis in surgery patients, ensuring
specialty…
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/ced-topic-refinement.pdf
November 01, 2022 - Separated out the
recommendation regarding
representativeness.
E.
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/topicrefinement/ced-topic-refinement.pdf
November 01, 2022 - Separated out the
recommendation regarding
representativeness.
E.
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www.ahrq.gov/research/findings/final-reports/crcscreeningrpt/crcscreen4.html
April 01, 2018 - We believed that patients would be more encouraged to screen if the recommendation came from their practice
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/depression-treatment-ssri_surveillance.pdf
January 01, 2013 - Depression SSRI Surveillance Assessment_CER 62_Low-1
CER # 62: Treatment of Depression after Unsatisfactory
Response to SSRIs
Original release date: April 2012
Surveillance Report: January 2013
Key Findings:
• All conclusions are up to date.
Summary Decision
This CER’s priority for updati…
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digital.ahrq.gov/ahrq-funded-projects/using-innovative-communication-technology-improve-health-young-african-american/annual-summary/2010
January 01, 2010 - Using Innovative Communication Technology to Improve the Health of Young African American Women - 2010
Project Name
Using Innovative Communication Technology to Improve the Health of Young African American Women
Principal Investigator
Jack, Brian
Organization
Boston Universit…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/57-senior-executives-facilitator.docx
June 01, 2023 - AHRQ Safety Program for Improving
Surgical Care and Recovery
Facilitator Guide for Engaging Senior Executives Presentation Template
Slide Title and Commentary
Slide Number and Slide
Engaging the Senior Executive
Presentation Template
Title slide for the tool – delete this slide from the presentation to your seni…
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www.ahrq.gov/es/patient-safety/settings/hospital/red/toolkit/redtool-other.html
March 01, 2013 - Re-Engineered Discharge (RED) Toolkit
Tool 6 (continued)
Previous Page
Table of Contents
Re-Engineered Discharge (RED) Toolkit
Tool 1: Overview
Tool 2: How To Begin the Re-engineered Discharge Implementation at Your Hospital
How CMS Measures the "30-Day All Cause Rehospitalization Rate" on t…
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www.ahrq.gov/patient-safety/settings/hospital/red/toolkit/redtool-other.html
March 01, 2013 - Re-Engineered Discharge (RED) Toolkit
Tool 6 (continued)
Previous Page
Table of Contents
Re-Engineered Discharge (RED) Toolkit
Tool 1: Overview
Tool 2: How To Begin the Re-engineered Discharge Implementation at Your Hospital
How CMS Measures the "30-Day All Cause Rehospitalization Rate" on t…
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www.ahrq.gov/ncepcr/reports/2024-annual-report/appendix-b.html
May 01, 2024 - Investments in Primary Care Research for 2021 and 2022
6. Appendix B: Other AHRQ Programs Relevant for Primary Care Research Audiences
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 …
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www.uspreventiveservicestaskforce.org/uspstf/document/final-evidence-summary/prevention-of-human-immunodeficiency-virus-hiv-infection-pre-exposure-prophylaxis
August 22, 2023 - Download Evidence Summary (PDF)
Return to Recommendation
Table of Contents … prophylaxis (PrEP) with effective antiretroviral medications to persons at increased HIV acquisition risk (A recommendation … evidence report was conducted to update the 2019 USPSTF review 2 , 3 to inform the USPSTF for an updated recommendation … the interim that may affect the conclusions or understanding of the evidence and the related USPSTF recommendation … Preexposure prophylaxis for the prevention of HIV infection: US Preventive Services Task Force recommendation
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www.uspreventiveservicestaskforce.org/uspstf/document/evidence-summary/breast-cancer-medications-for-risk-reduction
September 03, 2019 - Download Evidence Summary (PDF)
Return to Recommendation
Table of Contents … In 2013, the US Preventive Services Task Force (USPSTF) issued a B recommendation for clinicians to offer … are available in the full evidence report at https://www.uspreventiveservicestaskforce.org/uspstf/recommendation … -68 , 70 , 71 , 73 Factors associated with adherence included higher breast cancer risk; clinician recommendation … Final recommendation statement: breast cancer screening. USPSTF website.
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www.ahrq.gov/es/patient-safety/settings/hospital/resource/nicu/packet/apb2.html
December 01, 2013 - Transitioning Newborns from NICU to Home
Appendix B. Clinical Materials to Share With Primary Care Providers (continued)
Previous Page Next Page
Table of Contents
Transitioning Newborns from NICU to Home
A Resource Toolkit
Basic Components of the Health Coach Program
Family Information Packet …
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www.ahrq.gov/patient-safety/settings/hospital/resource/nicu/packet/apb2.html
December 01, 2013 - Transitioning Newborns from NICU to Home
Appendix B. Clinical Materials to Share With Primary Care Providers (continued)
Previous Page Next Page
Table of Contents
Transitioning Newborns from NICU to Home
A Resource Toolkit
Basic Components of the Health Coach Program
Family Information Packet …
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www.ahrq.gov/sites/default/files/2024-01/barnsteiner-report.pdf
January 01, 2024 - Final Progress Report: : State of the Science on Safe Medication Administration
Title of Project: State of the Science on Safe Medication Administration
Principal Investigator and Team Members:
Principal Investigator: Jane H. Barnsteiner, RN, PhD, FAAN
Co-investigators: Mary C. Alexander, RN, MA; Kathleen Burke, …
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digital.ahrq.gov/ahrq-funded-projects/personal-health-information-management-and-design-consumer-health-it
January 01, 2023 - Personal Health Information Management and Design of Consumer Health IT
Project Final Report ( PDF , 827.99 KB)
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