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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/d4d_pdi05-nqi01-pneumothorax-bestpractices.pdf
May 16, 2016 - Selected Best Practices and Suggestions for Improvement
Pediatric Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
1 Tool D.4d
Selected Best Practices and Suggestions for Improvement
NQI 01/PDI 05: Iatrogenic Pneumothorax
Why focus on iatrogenic pneumothorax in neonat…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/e1_pdi_monitorprogress.pdf
June 02, 2025 - Monitoring Progress for Sustainable Improvement
Pediatric Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
i Tool E.1
Monitoring Progress for Sustainable Improvement
What is the purpose of this tool? This tool provides guidance on how to monitor and report
your progres…
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psnet.ahrq.gov/node/33601/psn-pdf
December 15, 2024 - Electronic Health Records
December 15, 2024
Electronic Health Records. PSNet [internet]. 2019.
https://psnet.ahrq.gov/primer/electronic-health-records
PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that
they reflect current research and practice in the patient safet…
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digital.ahrq.gov/sites/default/files/docs/page/2006ConinEganLoonsk_052411comp.pdf
January 17, 2006 - Office of the National Coordinator for Health Information Technology - Panel Discussion
Office of the National Coordinator
for Health Information Technology
Panel Discussion:
Kelly Cronin
John Loonsk, MD
Lynn Egan, JD
Visit our website at:
http://www.hhs.gov/healthit/
Overview
• ONC overview
• ONC Major Initi…
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www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-24-care-model.pdf
September 01, 2015 - Primary Care Practice Facilitation Curriculum Module 24: Introduction to the Care Model
Primary Care
Practice Facilitation
Curriculum
Module 24: Introduction to the Care Model
Agency for Healthcare Research and Quality
Advancing Excellence in Health Care www.ahrq.gov
Primary Ca…
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www.ahrq.gov/ncepcr/research-transform-primary-care/transform/impactgrants/impact-profile-ok.html
April 01, 2015 - Primary Care Extension in Oklahoma: An Evidence-Based Approach to Dissemination and Implementation of Innovations
AHRQ Estimating the Costs of Supporting Primary Care Transformation Grants
Principal Investigator: James W. Mold, MD, MPH
Institution: University of Oklahoma Health Sciences Center, …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/tpc/impact-profile-ok.pdf
April 01, 2015 - Primary Care Extension in Oklahoma: An Evidence-Based Approach to Dissemination and Implementation of Innovations
Primary Care Extension in Oklahoma: An Evidence-Based Approach to
Dissemination and Implementation of Innovations
Principal Investigator: James W. Mold, MD, MPH
Institution: University of …
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www.ahrq.gov/sites/default/files/wysiwyg/nursing-home/materials/implement-staff-vaccination-program.pdf
March 01, 2022 - Implementing a Staff Vaccination Program in Your Nursing Home
Implementing a Staff Vaccination Program
in Your Nursing Home
COVID-19 vaccines help protect nursing home residents who are vulnerable to illness and death if they
become infected with the virus that causes COVID-19. Healthcare staff who are vaccinated…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.362_slideshow.ppt
December 01, 2015 - PowerPoint Presentation
Spotlight
Harm From Alarm Fatigue
This presentation is based on the December 2015
AHRQ WebM&M Spotlight Case
See the full article at https://psnet.ahrq.gov/webmm
CME credit is available
Commentary by: Michele M. Pelter, RN, PhD, and Barbara J. Drew, RN, PhD, University of California, San …
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www.ahrq.gov/sites/default/files/publications/files/haidesign-summary.pdf
September 01, 2013 - Understanding the Role of Health Care Facility Design in the Acquisition and Prevention of HAIs: Summary
1
Contract Final Report
Understanding the Role of Health Care Facility Design
in the Acquisition and Prevention of HAIs
Executive Summary
Prepared for:
Agency for Healthcare Research…
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psnet.ahrq.gov/primer/strategies-and-approaches-investigating-patient-safety-events
March 15, 2025 - Strategies and Approaches for Investigating Patient Safety Events
Citation Text:
Shaikh U. Strategies and Approaches for Investigating Patient Safety Events. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2022.
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Fo…
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psnet.ahrq.gov/node/33579/psn-pdf
September 15, 2024 - Systems Approach
September 15, 2024
Systems Approach. PSNet [internet]. 2019.
https://psnet.ahrq.gov/primer/systems-approach
PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that
they reflect current research and practice in the patient safety field. Last reviewed in …
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psnet.ahrq.gov/perspective/measuring-and-responding-deaths-medical-errors
April 01, 2008 - Annual Perspective
Measuring and Responding to Deaths From Medical Errors
Sumant Ranji, MD | March 22, 2016
View more articles from the same authors.
Citation Text:
Ranji SR. Measuring and Responding to Deaths From Medical Errors. PSNet [internet]. Rockville…
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/breast-biopsy-update_clinician.pdf
May 01, 2016 - Core-Needle Biopsy for Breast Abnormalities
Core-Needle Biopsy for Breast Abnormalities
Clinical Issue
About one in eight women in the United States will develop
invasive breast cancer during her lifetime. Approximately
290,000 new cases of breast cancer are diagnosed each year
in the United States, and more than…
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psnet.ahrq.gov/node/866265/psn-pdf
July 31, 2024 - Misplaced Vial: Medication Kit Variability Contributes to
Medication Error During Patient Transport
July 31, 2024
MacDowell P, McGee E. Misplaced Vial: Medication Kit Variability Contributes to Medication Error During
Patient Transport. PSNet [internet]. 2024.
https://psnet.ahrq.gov/web-mm/misplaced-vial-medicatio…
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www.ahrq.gov/patient-safety/settings/hospital/red/toolkit/redtool1.html
March 01, 2013 - Re-Engineered Discharge (RED) Toolkit
Tool 1: Overview
Previous Page Next 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…
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effectivehealthcare.ahrq.gov/sites/default/files/cer-231-dementia-interventions-evidence-summary_0.pdf
August 01, 2020 - Evidence Summary: CER 231 Care Interventions for People Living With Dementia and Their Caregivers
Comparative Effectiveness Review
Number 231
Care Interventions for People Living
With Dementia and Their Caregivers
Evidence Summary
Main Points
Background and Purpose
The aging of the U.S. population and the co…
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psnet.ahrq.gov/primer/missed-nursing-care
September 15, 2024 - Missed Nursing Care
Citation Text:
Missed Nursing Care. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
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psnet.ahrq.gov/primer/opioid-safety
December 15, 2024 - Opioid Safety
Citation Text:
Opioid Safety. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
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Format:
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psnet.ahrq.gov/primer/fatigue-sleep-deprivation-and-patient-safety
September 15, 2024 - Fatigue, Sleep Deprivation, and Patient Safety
Citation Text:
Fatigue, Sleep Deprivation, and Patient Safety. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
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Format:
Google Scholar BibTeX EndNote X3 X…