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  1. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/guides/sustainability-guide.pdf
    September 01, 2015 - A Model for Sustaining and Spreading Safety Interventions: AHRQ Safety Program for Reducing CAUTI in Hospitals A Model for Sustaining and Spreading Safety Interventions Contents Background and Acknowledgments ............................................................................................... 2 How T…
  2. www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/changing-system-facilitator-guide.docx
    June 01, 2021 - AHRQ Safety Program for Improving Antibiotic Use 1 Changing the System To Improve Patient Safety Long-Term Care Slide Title and Commentary Slide Number and Slide Changing the System To Improve Patient Safety SAY: Hello, and welcome to this presentation: “Changing the System To Improve Patient Safety.” Sl…
  3. www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/resources/resources/PS-tools-2024.pdf
    January 01, 2024 - AHRQ Patient Safety Tools and Resources Diagnostic Excellence Calibrate Dx is a self-evaluation tool for clinicians to improve their diagnostic decision making. This resource provides structured exercises and tools to help clinicians learn from reviewing their clinical practice. Anyone whose scope of practice i…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837324/psn-pdf
    July 08, 2022 - A Statewide Collaborative to Support Vaginal Birth and Reduce Unnecessary Cesarean Deliveries July 8, 2022 https://psnet.ahrq.gov/innovation/statewide-collaborative-support-vaginal-birth-and-reduce-unnecessary- cesarean-deliveries Summary   Started in response to rising maternal morbidity and mortality rates in …
  5. www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module2/defects.html
    March 01, 2017 - Learn From Defects AHRQ Safety Program for Long-Term Care: HAIs/CAUTI Purpose: To identify the types of systems that contributed to the defect (an event or situation that you do not want to happen again) and to plan the followup steps needed to improve safety Who should use this tool? Senior l…
  6. pso.ahrq.gov/resources/improving-patient-safety
    August 01, 2022 - SHARE: More topics in this section Resources Resources Resources About the Patient Safety and Quality Improvement Act of 2005 Resources for Improving Patient Safety and Healthcare Quality Reducing Avoidable Hospital Readmissions …
  7. www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-dx-stewardship9.html
    August 01, 2024 - Diagnostic Stewardship as a Model To Improve the Quality and Safety of Diagnosis Conclusion Previous Page Next Page Table of Contents Diagnostic Stewardship as a Model To Improve the Quality and Safety of Diagnosis Introduction Background Diagnostic Error in the Testing Process Diagnostic …
  8. www.ahrq.gov/patient-safety/reports/advancing-patient-safety.html
    March 01, 2024 - Advancing Patient Safety Advancing Patient Safety: A Decade of Evidence, Design, and Implementation This document highlights some of the Agency's contributions in advancing patient safety during the past decade. Advances in Patient Safety: From Research to Implementation This four-volume set from AHRQ and t…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46670/psn-pdf
    December 18, 2017 - A narrative review of the safety concerns of deprescribing in older adults and strategies to mitigate potential harms. December 18, 2017 Reeve E, Moriarty F, Nahas R, et al. A narrative review of the safety concerns of deprescribing in older adults and strategies to mitigate potential harms. Expert Opin Drug Saf. 2…
  10. digital.ahrq.gov/ahrq-funded-projects/reducing-hospital-readmission-rates-implementing-inpatient-tobacco-cessation/final-report
    January 01, 2023 - Reducing Hospital Readmission Rates by Implementing an Inpatient Tobacco Cessation Service Driven by Interactive-Voice Recognition Technology - Final Report Citation Cartmell, K. Reducing Hospital Readmission Rates by Implementing an Inpatient Tobacco Cessation Service Driven by Interactive-Voice Reco…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45728/psn-pdf
    January 23, 2017 - Executive leadership and physician well-being: nine organizational strategies to promote engagement and reduce burnout. January 23, 2017 Shanafelt TD, Noseworthy JH. Executive Leadership and Physician Well-being: Nine Organizational Strategies to Promote Engagement and Reduce Burnout. Mayo Clin Proc. 2017;92(1):12…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46489/psn-pdf
    January 01, 2021 - Intervening in interruptions: what exactly is the risk we are trying to manage? October 11, 2017 Gao J, Rae AJ, Dekker SWA. Intervening in Interruptions: What Exactly Is the Risk We Are Trying to Manage? J Patient Saf. 2021;17(7):e684-e688. doi:10.1097/PTS.0000000000000429. https://psnet.ahrq.gov/issue/intervening…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/852460/psn-pdf
    August 16, 2023 - Toolkits To Reduce Hypertension in Pregnancy and Obstetric Hemorrhage. August 16, 2023 Rockville, MD: Agency for Healthcare Research and Quality; July 2023. https://psnet.ahrq.gov/issue/toolkits-reduce-hypertension-pregnancy-and-obstetric-hemorrhage Obstetric hemorrhage and severe high blood pressure during pregna…
  14. CERs Report cover (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/related_files/future05-breastcancer-10-5-2010final.pdf
    September 01, 2010 - Breastfeeding reduces breast cancer risk: a case-control study in Tunisia.
  15. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Galt.pdf
    January 01, 2005 - Use of the checklist and rater training substantially reduces the variability introduced with varying
  16. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/medicaidreadmitguide/mcaidread_tool4_comm_inv.docx
    June 02, 2025 - Tool 4: Community Inventory Tool 4: Community Inventory TOol Purpose Identify clinical, behavioral, and social service resources in the community that can improve posthospital care to reduce readmissions. The community inventory is complementary to the hospital inventory when developing a whole-person and data-info…
  17. www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/training-tools/learn.html
    April 01, 2017 - Learn From Defects - Implementation Guide AHRQ Safety Program for Ambulatory Surgery Purpose: To identify the types of systems that contributed to the defect (an event or situation that you do not want to happen again) and to plan the followup steps needed to improve safety. Who should use this tool? Seni…
  18. www.ahrq.gov/hai/cusp/modules/identify/index.html
    July 01, 2018 - Identify Defects Through Sensemaking The Identify Defects Through Sensemaking module of the CUSP Toolkit will help you identify recurring negative events in your system and apply CUSP and Sensemaking tools to help reduce the risk of future harm to your patients. This module includes— Facilitator N…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853610/psn-pdf
    September 20, 2023 - Ten years later, alarm fatigue is still a safety concern. September 20, 2023 Albanowski K, Burdick KJ, Bonafide CP, et al. Ten years later, alarm fatigue is still a safety concern. AACN Adv Crit Care. 2023;34(3):189-197. doi:10.4037/aacnacc2023662. https://psnet.ahrq.gov/issue/ten-years-later-alarm-fatigue-still-sa…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/845642/psn-pdf
    March 08, 2023 - Recognizing our biases, understanding the evidence, and responding equitably: application of the socioecological model to reduce racial disparities in the NICU. March 8, 2023 McCarty DB. Recognizing our biases, understanding the evidence, and responding equitably: application of the socioecological model to reduce…