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www.ahrq.gov/sites/default/files/2025-04/nemeth-report.pdf
January 01, 2025 - Final Progress Report: Creating Safe Ambulatory Care: The Path to Resilience
28 November 2009
Title of Project Creating Safe Ambulatory Care: The Path to Resilience
Principal Investigator Christopher Nemeth, PhD
Team Members James Walter, MD
Robert Wears, MD, MS
Richard Cook, MD
Organization The University of Ch…
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www.ahrq.gov/sites/default/files/2024-07/gallagher4-report.pdf
January 01, 2024 - Final Progress Report: Enhancing the Disclosure Of Medical Errors to Patients
FINAL REPORT
Agency for Healthcare Research and Quality
Title of Project:
Enhancing The Disclosure Of Medical Errors To Patients
Principal Investigator and Team Members:
Thomas H. Gallagher, MD
Carolyn Prouty, DVM
Mary Lucas
Organizati…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/tools/applying-cusp/learn_from_defects.docx
December 01, 2017 - Learn From Defects Tool
AHRQ Safety Program for Surgery
Learn From Defects Tool – Perioperative Setting
What is a defect? A defect is any event or situation that you don’t want to repeat. This could include an incident that caused patient harm or put patients at risk for harm, such as a patient fall.
Problem statem…
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psnet.ahrq.gov/node/50614/psn-pdf
October 30, 2019 - In Conversation With… Vineet Chopra, MD, MSc
October 30, 2019
In Conversation With… Vineet Chopra, MD, MSc. PSNet [internet]. 2019.
https://psnet.ahrq.gov/perspective/conversation-vineet-chopra-md-msc
Editor's note: Dr. Chopra is Chief of the Division of Hospital Medicine and Associate Professor of
Medicine at the…
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psnet.ahrq.gov/perspective/conversation-david-blumenthal-md-mpp-0
March 27, 2024 - In Conversation With… David Blumenthal, MD, MPP
July 1, 2012
Citation Text:
In Conversation With… David Blumenthal, MD, MPP. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2012.
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www.ahrq.gov/es/patient-safety/settings/hospital/red/toolkit/redtool6.html
March 01, 2025 - Re-Engineered Discharge (RED) Toolkit
Tool 6: How To Monitor RED Implementation and Outcomes
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 "3…
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psnet.ahrq.gov/perspective/health-plan-patient-safety-initiatives
July 10, 2024 - Health Plan Patient Safety Initiatives
Amy Helwig, MD, MS, FAAFP, Zoe Sousane, BS, Sarah Mossburg, RN, PhD | July 10, 2024
Also Read the Conversation
View more articles from the same authors.
Citation Text:
Helwig A, Sousane Z, Mossburg S. Health Plan Patient S…
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psnet.ahrq.gov/perspective/conversation-withamy-helwig-about-health-plan-patient-safety-initiatives
July 10, 2024 - In Conversation With...Amy Helwig about Health Plan Patient Safety Initiatives
Amy Helwig, MD, MS, FAAFP, Zoe Sousane, BS, Sarah Mossburg, RN, PhD | July 10, 2024
Also Read the Essay
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Citation Text:
Helwig A, Sousane Z, …
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effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pdf/epc-pain-management-grand-rounds-slides.pptx
March 01, 2022 - AHRQ Slide Template
AHRQ Evidence-based Practice Center (EPC) Program
Welcome and thank you for joining the EPC Grand Rounds
Full EPC Report Links
The information provided in this presentation only represents a summary of report data. For detailed information, please visit the AHRQ website links below to read the …
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psnet.ahrq.gov/perspective/evolution-patient-safety-surgery
August 01, 2017 - The Evolution of Patient Safety in Surgery
Robert M. Wachter, MD | December 1, 2017
Also Read a Conversation
View more articles from the same authors.
Citation Text:
Wachter R. The Evolution of Patient Safety in Surgery. PSNet [internet]. Rockville (MD): Agency…
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www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/webinars/workforce-pcr.pptx
August 01, 2024 - Research Methods for Studying the Primary Care Workforce: Slide Presentation
National Center for Excellence in Primary Care Research
Presents
Research Methods for Studying the Primary Care Workforce
May 2, 2024
Presented by:
Hannah Neprash, PhD
Lawrence P. Casalino, MD, PhD
Sylvia Hysong, PhD
Moderated by:
…
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psnet.ahrq.gov/node/846171/psn-pdf
July 26, 2022 - Agitated Delirium Contributes to Missed Testing and
Delayed Diagnosis of Gastric Perforation
March 15, 2023
Trask J, Carlsen KM, Kuhn BT. Agitated Delirium Contributes to Missed Testing and Delayed Diagnosis of
Gastric Perforation. PSNet [internet]. 2023.
https://psnet.ahrq.gov/web-mm/agitated-delirium-contributes…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/american-indian/about/PROD_AI_FieldTestRpt.pdf
September 25, 2006 - Summary of Analyses of American Indian Field Test
CAHPS® American Indian Survey
Summary of Analyses of the Field Test
September 25, 2006
Beverly Weidmer, Patrik Johansson, Debbie Dalpoas, David Wharton, Charles Darby, and Ron D. Hays
Background
The CAHPS® American Indian Survey was developed as part of a c…
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psnet.ahrq.gov/web-mm/loss-trust-and-missed-diagnosis
October 31, 2023 - SPOTLIGHT CASE
A Loss of Trust and a Missed Diagnosis
Citation Text:
Landefeld J, Teasdale S, Jain S. A Loss of Trust and a Missed Diagnosis. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2022.
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www.uspreventiveservicestaskforce.org/uspstf/document/RecommendationStatementFinal/autism-spectrum-disorder-in-young-children-screening
February 16, 2016 - Share to Facebook
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Final Recommendation Statement
Autism Spectrum Disorder in Young Children: Screening
February 16, 2016
Recommendations made by the USPSTF are independent of the U.S. governmen…
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www.ahrq.gov/patient-safety/settings/hospital/red/toolkit/redtool6.html
March 01, 2025 - Re-Engineered Discharge (RED) Toolkit
Tool 6: How To Monitor RED Implementation and Outcomes
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 "3…
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digital.ahrq.gov/ahrq-funded-projects/health-information-technology-and-improving-medication-use
January 01, 2023 - Health Information Technology and Improving Medication Use
Project Final Report ( PDF , 368.03 KB) Disclaimer
Disclaimer
The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessarily represent the views of …
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cdsic.ahrq.gov/sites/default/files/2025-03/Innovation%20Center%20Q1%202025%20Progress%20Report_03.25.25.pdf
January 01, 2025 - CDSiC Innovation Center: Quarterly Report
INNOVATION CENTER PROGRESS REPORT
M A R C H 2 0 2 5
CDSiC Innovation Center:
Quarterly Report
Agency for Healthcare Research and Quality
5600 Fishers Lane
Rockville, MD 20857
www.ahrq.gov
Contract No: 75Q80120D00018
Prepared by:
NORC at the Univer…
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psnet.ahrq.gov/web-mm/critical-echocardiogram-result-lost-follow
July 31, 2023 - Critical Echocardiogram Result Lost to Follow-up
Citation Text:
Boctor N, Molla M. Critical Echocardiogram Result Lost to Follow-up.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2023.
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psnet.ahrq.gov/web-mm/hurried-team-huddle-and-poor-communication-unsafe-practice-during-anesthesia-emergency
September 27, 2023 - SPOTLIGHT CASE
Hurried Team Huddle and Poor Communication: Unsafe Practice During Anesthesia for Emergency Cesarean Delivery
Citation Text:
Curtin A, Schloemerkemper N. Hurried Team Huddle and Poor Communication: Unsafe Practice During Anesthesia for Emergency Cesarean Delivery.. PSNet [internet]…