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digital.ahrq.gov/sites/default/files/docs/citation/r21hs023631-payne-amia-poster-2017.pdf
January 01, 2017 - Improving Electronic Inpatient Progress Notes Using Voice: Results from the VGEENS Project
Figure 1. Use of VGEENS—physician and system
…
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www.uspreventiveservicestaskforce.org/uspstf/document/final-research-plan95/syphilis-infection-in-nonpregnant-adults-and-adolescents-june-2016
September 18, 2014 - Share to Facebook
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Final Research Plan
Syphilis Infection in Nonpregnant Adults and Adolescents: Screening
September 18, 2014
Recommendations made by the USPSTF are independent of the…
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digital.ahrq.gov/ahrq-funded-projects/ambulatory-care-compact-organize-risk-and-decisionmaking-accord/annual-summary/2011
January 01, 2011 - Ambulatory Care Compact to Organize Risk and Decisionmaking (ACCORD) - 2011
Project Name
Ambulatory Care Compact to Organize Risk and Decisionmaking (ACCORD)
Principal Investigator
Chueh, Henry
Organization
Massachusetts General Hospital
Funding Mechanism
RFA: HS07-…
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digital.ahrq.gov/ahrq-funded-projects/improving-rural-health-care-implementing-innovative-integration-solutions/annual-summary/2008
January 01, 2008 - Improving Rural Health Care: Implementing Innovative Integration Solutions - 2008
Project Name
Improving Rural Health Care: Implementing Innovative Integration Solutions
Principal Investigator
Sims, Thomas
Organization
Mt. Ascutney Hospital and Health Center
Funding M…
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digital.ahrq.gov/ahrq-funded-projects/evaluation-and-integration-automatic-fall-prediction-system/annual-summary/2011
January 01, 2011 - Evaluation and Integration of an Automatic Fall Prediction System - 2011
Project Name
Evaluation and Integration of an Automatic Fall Prediction System
Principal Investigator
Kearns, William D.
Organization
University of South Florida
Funding Mechanism
PAR: HS08-269…
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psnet.ahrq.gov/node/42478/psn-pdf
August 07, 2013 - A guide for HCAs on safe patient transfers.
August 7, 2013
Lees L.
https://psnet.ahrq.gov/issue/guide-hcas-safe-patient-transfers
This commentary offers practical advice for health care assistants to reduce risks during patient transfers.
https://psnet.ahrq.gov/issue/guide-hcas-safe-patient-transfers
https://psnet…
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psnet.ahrq.gov/node/38845/psn-pdf
August 05, 2009 - Hospitals tally their avoidable mistakes.
August 5, 2009
Rein L. Washington Post. July 21, 2009:E1.
https://psnet.ahrq.gov/issue/hospitals-tally-their-avoidable-mistakes
This news article reports on Washington, DC–area initiatives to track preventable patient injury and
discusses strategies to hold hospitals accou…
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psnet.ahrq.gov/node/37282/psn-pdf
September 27, 2016 - Verbal medication orders in the OR.
September 27, 2016
Hendrickson T. Verbal medication orders in the OR. AORN J. 2007;86(4):626-9.
https://psnet.ahrq.gov/issue/verbal-medication-orders-or
This article describes the causes of medication errors in the operating room and discusses prevention
strategies, including us…
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www.ahrq.gov/nursing-home/resources/ventilation-covid-19.html
May 01, 2022 - Ventilation (COVID-19)
Resource: Ventilation (COVID-19)
This page provides an updated version of the Centers for Disease Control and Prevention's recommended strategies for using ventilation to reduce exposures to COVID-19, and features ventilation improvement tools and FAQs.
Source: CDC
Topic(s): Inf…
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www.ahrq.gov/hai/cusp/videos/03a-engage-senior-exec/index.html
June 01, 2018 - Engage the Senior Executive
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 toolkit.
Engage the Seni…
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www.ahrq.gov/antibiotic-use/acute-care/safety/changes.html
November 01, 2019 - Making Effective Changes in Antibiotic Decision Making
After viewing or presenting this presentation viewers will be able to—
Identify relevant factors that could improve antibiotic use
Identify interventions to reduce future harm associated with unnecessary antibiotic use
Apply interventions to effe…
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psnet.ahrq.gov/node/37305/psn-pdf
January 02, 2011 - Medication administration in anesthesia: time for a
paradigm shift.
January 2, 2011
Stabile M; Webster CS; Merry AF.
https://psnet.ahrq.gov/issue/medication-administration-anesthesia-time-paradigm-shift
To reduce anesthesia administration errors, the authors propose changing the organizational culture to
foster a…
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psnet.ahrq.gov/node/37574/psn-pdf
February 27, 2008 - Patient safety: the synergy of technology and behavior.
February 27, 2008
Yarbrough C, Rypkema S. Patient Saf Qual Healthc. January/February 2008.
https://psnet.ahrq.gov/issue/patient-safety-synergy-technology-and-behavior
This article describes how one Veterans Affairs hospital employed teamwork, checklists, and t…
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psnet.ahrq.gov/node/40497/psn-pdf
June 15, 2011 - Are we finally getting serious about medical errors?
June 15, 2011
Burns J.
https://psnet.ahrq.gov/issue/are-we-finally-getting-serious-about-medical-errors
This article explores the challenges to improving patient safety and discusses strategies for reducing
medical errors.
https://psnet.ahrq.gov/issue/are-we-fi…
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psnet.ahrq.gov/node/34905/psn-pdf
February 25, 2009 - On the quest for Six Sigma.
February 25, 2009
Moorman D. On the quest for Six Sigma. Am J Surg. 2005;189(3):253-8.
https://psnet.ahrq.gov/issue/quest-six-sigma
This discussion of patient safety from a surgical perspective highlights issues involving hierarchy, human
factors, and multidisciplinary team training as …
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psnet.ahrq.gov/node/41475/psn-pdf
June 20, 2012 - Behind one hospital's fight against deadly infection.
June 20, 2012
Landro L.
https://psnet.ahrq.gov/issue/behind-one-hospitals-fight-against-deadly-infection
This newspaper article describes how one hospital reduced hospital-acquired infection rates.
https://psnet.ahrq.gov/issue/behind-one-hospitals-fight-against…
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psnet.ahrq.gov/node/40299/psn-pdf
April 16, 2018 - Medication errors in the emergency department: need for
pharmacy involvement?
April 16, 2018
https://psnet.ahrq.gov/issue/medication-errors-emergency-department-need-pharmacy-involvement
This piece reports on the prevalence of medication errors in the emergency department and suggests
expanding pharmacy involvemen…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/urinary-catheter-maintenance-notes.docx
April 01, 2022 - Indwelling Urinary Catheter Maintenance Facilitator Notes
CAUTI Module:
Indwelling Urinary Catheter Maintenance
Facilitator Guide
Slide Number and Image
This module, titled “Indwelling Urinary Catheter Maintenance,” is part of the Agency for Healthcare Research and Quality’s Safety Program for Intensive Care Un…
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www.ahrq.gov/news/newsletters/e-newsletter/961.html
June 01, 2025 - Researcher Akira Nishisaki Designs Quality Improvement Processes To Reduce Harm in Pediatric ICUs
Issue Number
961
AHRQ News Now is a weekly newsletter that highlights agency research and program activities.
June 10, 2025
AHRQ Stats: Annual Expenditures for Diet-Related Health Conditions Treatment for m…
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www.ahrq.gov/news/newsletters/e-newsletter/928.html
September 01, 2024 - Applicants Sought to Establish State-Based Healthcare Extension Cooperatives
Issue Number
928
AHRQ News Now is a weekly newsletter that highlights agency research and program activities.
September 10, 2024
AHRQ Stats: Sepsis Treatment Locations 2019 to 2021 About 85 percent of sepsis cases were treated…