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www.ahrq.gov/es/patient-safety/settings/hospital/vtguide/guide5.html
October 01, 2022 - Preventing Hospital-Associated Venous Thromboembolism
Chapter 5. Implement the VTE Prevention Protocol
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Table of Contents
Preventing Hospital-Associated Venous Thromboembolism
Preface
Executive Summary
Chapter 1. The Framework for Improvement
Chapter 2. Analyze Care De…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/cauti-event-reporting-revised.docx
April 01, 2022 - CLABSI Event Reporting Tool
CAUTI Event Report Tool: Data for Event Analysis
This event report tool is designed to be used as a guide through the initial investigation for a defect analysis where the primary goal is to learn what happened and what factors may have contributed to the catheter-associated urinary trac…
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/rapid-response/tool-rapid-response-systems.html
July 01, 2023 - Rapid Response for Perinatal Safety: Rapid Response Systems
AHRQ Safety Program for Perinatal Care
Purpose of the tool: This tool describes the key perinatal safety elements that support rapid response systems. The key safety elements are presented within the framework of the Comprehensive Unit-b…
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www.ahrq.gov/patient-safety/reports/candor-demo-program/plan-grants/findings.html
August 01, 2022 - Planning Grants Final Evaluation Report
Findings
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Table of Contents
Planning Grants Final Evaluation Report
Executive Summary
Introduction
Methodology
Findings
Appendix A. Grantee Profiles
Appendix B. References
Improving Communication
Four planni…
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/assemble-slides.html
July 01, 2023 - Assemble the Team and Engage Leadership for Perinatal Safety
AHRQ Safety Program for Perinatal Care
Slide 1: AHRQ Safety Program for Perinatal Care
Assemble the Team and Engage Leadership for Perinatal Safety
Slide 2: Learning Objectives
Image: Four ascending steps show the learning objectives:
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/labor-delivery-unit/tool_shoulder-dystocia.docx
May 01, 2017 - AHRQ Safety Program for Perinatal Care: Labor and Delivery Unit Safety Shoulder Dystocia
AHRQ Safety Program for Perinatal Care
Labor and Delivery Unit Safety
Shoulder Dystocia
Labor and Delivery Unit Safety—Shoulder Dystocia
Purpose of the tool: This tool describes the key perinatal safety elements related to the saf…
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psnet.ahrq.gov/web-mm/hyperbilirubinemia-refractory-phototherapy
March 01, 2006 - Hyperbilirubinemia Refractory to Phototherapy
Citation Text:
Bhutani VK, Wong RJ. Hyperbilirubinemia Refractory to Phototherapy. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017.
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psnet.ahrq.gov/web-mm/forgotten-line
March 11, 2011 - The Forgotten Line
Citation Text:
Render ML. The Forgotten Line. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2012.
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Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …
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www.ahrq.gov/research/findings/final-reports/crcscreeningrpt/crcscreen1.html
April 01, 2018 - Health Care Systems for Tracking Colorectal Cancer Screening Tests
1. Introduction
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Table of Contents
Health Care Systems for Tracking Colorectal Cancer Screening Tests
Executive Summary
1. Introduction
2. Description of the Intervention
2. Description of the Intervent…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/medmanage_quickstartbrochure.pdf
December 15, 2016 - Implementation Quick Start Guide: Medication Management (Half-Page)
Implementation
Quick Start Guide
Medication
Management
The Guide to Improving Patient Safety
in Primary Care Settings by Engaging Patients
and Families
Table of Contents
What Is the Medication Management Strategy? ...................1
W…
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/improve/behavior-change-slides.pptx
November 01, 2019 - Acute Care Behavior Change Theory for Antibiotic Stewardship Leaders
Making Effective Behavior Changes Around Antibiotic Prescribing
Acute Care
AHRQ Safety Program for Improving
Antibiotic Use
AHRQ Pub. No. 17(20)-0028-EF
November 2019
AHRQ Safety Program for Improving Antibiotic Use – Acute Care
Behavior Changes …
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psnet.ahrq.gov/primer/personal-health-literacy
October 31, 2023 - Personal Health Literacy
Citation Text:
Bakerjian D. Personal Health Literacy. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2023.
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cdsic.ahrq.gov/sites/default/files/2025-06/TPC%20Topic%20Highlight%20Patient%20Preferences.pdf
January 01, 2025 - Incorporating Patient Preferences in Patient-Centered Clinical Decision Support
AHRQ Pub. No. 25-0055
June 2025
Incorporating Patient Preferences in
Patient-Centered Clinical Decision Support
Patient preferences can support a patient’s care experience and healthcare decision making. This
resource shows differe…
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psnet.ahrq.gov/primer/medication-administration-errors
December 15, 2024 - Medication Administration Errors
Citation Text:
MacDowell P, Cabri A, Davis M. Medication Administration Errors. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2021.
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psnet.ahrq.gov/web-mm/getting-diagnosis-both-right-and-wrong
May 29, 2024 - Getting the Diagnosis Both Right and Wrong
Citation Text:
Olson AP. Getting the Diagnosis Both Right and Wrong. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
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www.uspreventiveservicestaskforce.org/uspstf/recommendation/aspirin-prophylaxis-pregnancy-1996
January 01, 1996 - Share to Facebook
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archived
Final Recommendation Statement
Aspirin Prophylaxis in Pregnancy: Preventive Medication, 1996
January 01, 1996
Recommendations made by the USPSTF are independen…
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psnet.ahrq.gov/web-mm/emergency-error
January 18, 2013 - SPOTLIGHT CASE
Emergency Error
Citation Text:
Symons NRA. Emergency Error. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2013.
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www.uspreventiveservicestaskforce.org/uspstf/recommendation/syphilis-infection-screening-1996
January 01, 1996 - Share to Facebook
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archived
Final Recommendation Statement
Syphilis Infection: Screening, 1996
January 01, 1996
Recommendations made by the USPSTF are independent of the U.S. government. …
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psnet.ahrq.gov/web-mm/dangerous-dialysis
June 12, 2024 - SPOTLIGHT CASE
Dangerous Dialysis
Citation Text:
Holley JL. Dangerous Dialysis . PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2010.
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psnet.ahrq.gov/web-mm/communication-error-closed-icu
July 01, 2016 - Communication Error in a Closed ICU
Citation Text:
Haas B, Conn LG. Communication Error in a Closed ICU. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017.
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