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psnet.ahrq.gov/web-mm/when-meds-dont-reach-bed
May 16, 2022 - providers by navigating cost-saving strategies. 21 Eliminating barriers to medication access through M2B reduces
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psnet.ahrq.gov/sites/default/files/2025-03/PSNet%20Webinar%20Feb%202025_0.pdf
January 01, 2025 - reduce in-hospital mortality in adults & children (low SOE).
o Cardiorespiratory Arrest: Significantly reduces
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www.ahrq.gov/patient-safety/reports/candor-demo-program/plan-grants/intro.html
August 01, 2022 - Planning Grants Final Evaluation Report
Introduction
Previous Page Next Page
Table of Contents
Planning Grants Final Evaluation Report
Executive Summary
Introduction
Methodology
Findings
Appendix A. Grantee Profiles
Appendix B. References
On September 9, 2009, President O…
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www.ahrq.gov/ncepcr/research/care-management/index.html
December 01, 2023 - Care Management
Care management is a set of activities to improve patient care, reduce unnecessary need for additional medical care, avoid duplication of care, and help patients and their caregivers more effectively manage their health conditions. AHRQ provides data, resources, and research to improve care mana…
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psnet.ahrq.gov/node/40766/psn-pdf
September 14, 2011 - Medicines reconciliation using a shared electronic health
care record.
September 14, 2011
Moore P, Armitage G, Wright J, et al. Medicines reconciliation using a shared electronic health care record.
J Patient Saf. 2011;7(3):148-154. doi:10.1097/PTS.0b013e31822c5bf9.
https://psnet.ahrq.gov/issue/medicines-reconcili…
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psnet.ahrq.gov/node/38411/psn-pdf
December 16, 2014 - A reengineered hospital discharge program to decrease
rehospitalization: a randomized trial.
December 16, 2014
Jack BW, Chetty VK, Anthony D, et al. A reengineered hospital discharge program to decrease
rehospitalization: a randomized trial. Ann Intern Med. 2009;150(3):178-87.
https://psnet.ahrq.gov/issue/reengine…
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psnet.ahrq.gov/node/46986/psn-pdf
June 27, 2018 - A multi-hospital before–after observational study using a
point-prevalence approach with an infusion safety
intervention bundle to reduce intravenous medication
administration errors.
June 27, 2018
Schnock KO, Dykes PC, Albert J, et al. A Multi-hospital Before-After Observational Study Using a Point-
Prevalence A…
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psnet.ahrq.gov/node/844537/psn-pdf
February 15, 2023 - Intended and unintended consequences: changes in
opioid prescribing practices for postsurgical, acute, and
chronic pain indications following two policies in North
Carolina, 2012-2018 - controlled and single-series
interrupted time series analyses.
February 15, 2023
Maierhofer CN, Ranapurwala SI, DiPrete BL, et a…
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www.ahrq.gov/sites/default/files/2025-02/catchpole2-report.pdf
January 01, 2025 - Final Progress Report: Identifying and Reducing Errors in Perioperative Anesthesia Medication Delivery
Identifying and Reducing Errors in Perioperative Anesthesia Medication Delivery
Principal Investigator and Team Members:
Name Role
Medical University of South Carolina
Ken Catchpole, PhD Principal Investigator
My…
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psnet.ahrq.gov/training-catalog/capture-falls-collaboration-and-proactive-teamwork-used-reduce-falls-program
August 11, 2025 - CAPTURE Falls (Collaboration And Proactive Teamwork Used to Reduce Falls) Program
Save
Save to your library
Print
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Organization:
Organization
University of Nebraska College of…
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psnet.ahrq.gov/issue/organizational-framework-reduce-professional-burnout-and-bring-back-joy-practice
February 03, 2016 - Commentary
An organizational framework to reduce professional burnout and bring back joy in practice.
Citation Text:
Swensen S, Shanafelt TD. An Organizational Framework to Reduce Professional Burnout and Bring Back Joy in Practice. Jt Comm J Qual Patient Saf. 2017;43(6):308-313. doi:10.…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/early-mobility-mvpguide.pdf
January 01, 2017 - Early Mobility Guide for Reducing Ventilator-Associated Events in Mechanically Ventilated Patients
AHRQ Safety Program for
Mechanically Ventilated Patients
Early Mobility Guide for Reducing
Ventilator-Associated Events in
Mechanically Ventilated Patients
AHRQ Publication No. 16(17)-001…
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www.ahrq.gov/sites/default/files/2024-07/rothberg-report.pdf
January 01, 2024 - Final Progress Report: Patient-centered approach to reducing harm from VTE
Title: Patient-centered approach to reducing harm from VTE
Principal Investigator: Michael Rothberg, MD, MPH
Team Members: Aaron Hamilton, Bo Hu, Michael Kattan, Phuc Le, Lei Kou, Jacqueline Fox
Organization: Cleveland Clinic Foundation
In…
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www.ahrq.gov/sites/default/files/2024-01/baker-report.pdf
January 01, 2024 - Final Report: Modeling Risk and Reducing Liability through Better Communication and Teamwork
Agency for Healthcare Research and Quality
Modeling Risk and Reducing Liability through
Better Communication and Teamwork
FINAL REPORT
April 2012
Presented to:
James Battles
Agency for Healthcare Research and Quality
…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/integrating-teamwork-tools-cusp-efforts.ppt
June 02, 2025 - Reducing Unecessary Urinary catheter Use in the Emergency Department: How to Implement the Process
Integrating Teamwork Tools into CUSP Efforts
Shannon Davila, RN, MSN, CIC, CPQH
New Jersey Hospital Association
Slides adapted from original source:
Barbara Edson, RN, MBA, MHA
VP, Clinical Quality, Health Research &…
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www.ahrq.gov/hai/quality/tools/cauti-ltc/reduce.html
March 01, 2017 - Reduce Unnecessary Urine Culturing and Overuse of Antibiotics
Know When To Order Urine Cultures
Educational module and tools that summarize why more urine cultures lead to more catheter-associated urinary tract infection diagnoses, and provide tools to use to appropriately identify when to order a urine cul…
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www.ahrq.gov/hai/cauti-tools/archived-webinars/building-team-process-slides.html
December 01, 2017 - Building a Team and Process to Reduce CAUTI Risk
Slide Presentation
Slide 1
Mohamad Fakih, MD, MPH
Professor of Medicine
Wayne State University School of Medicine
Medical Director, Infection Prevention and Control
St. John Hospital and Medical Center
Barbara Lucas, MD, MHSA
Project Consultant
Mich…
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www.ahrq.gov/sites/default/files/2024-12/selker-report.pdf
January 01, 2024 - Final Progress Report: TIPI Systems To Reduce Errors in Emergency Cardiac Care
Final Report
TIPI Systems to Reduce Errors in Emergency Cardiac Care
Principal Investigator: Harry P. Selker, MD, MSPH
Tufts-New England Medical Center, Boston, MA
Dates of Project: September 15, 2000, to August 31, 2004
Project Offi…
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www.ahrq.gov/sites/default/files/2025-03/greenes-report.pdf
January 01, 2025 - Final Progress Report: Automated Lab Test Followup To Reduce Medical Errors
Principal Investigator/Program Director (Last, first, middle): Greenes, David S.
Automated Lab Test Follow-up to Reduce Medical Errors
Principal Investigator: David S. Greenes, MD
Department of Medicine, Children’s Hospital Boston
Team …
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www.ahrq.gov/hai/cusp/videos/05e-reduce-risk-recur/index.html
June 01, 2018 - What Will You Do to Reduce the Risk of Recurrence?
CUSP Toolkit
The CUSP toolkit includes training tools to make care safer by improving the foundation of how your physicians, nurses, and other clinical team members work together. These videos reinforce the material presented in each module of the CUSP toolki…