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psnet.ahrq.gov/web-mm/time-death
January 03, 2017 - Time of Death?
Citation Text:
Taekman JM, Wright MC. Time of Death?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2005.
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psnet.ahrq.gov/node/50841/psn-pdf
January 29, 2020 - “This is the wrong patient's blood!”: Evaluating a Near-
Miss Wrong Transfusion Event
January 29, 2020
Barnhard S. “This is the wrong patient's blood!”: Evaluating a Near-Miss Wrong Transfusion Event. PSNet
[internet]. 2020.
https://psnet.ahrq.gov/web-mm/wrong-patients-blood-evaluating-near-miss-wrong-transfusion-…
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www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/module-5-implementation-guide.pdf
June 02, 2025 - TAKEheart Automatic Referral Implementation Guide - Module 5
Module 5 Implementation Guide:
Building and Implementing a Successful Automatic Cardiac Rehab Referral System
Purpose and Overview
This implementation guide is designed to help you think through the steps you will need to address in
designing and i…
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psnet.ahrq.gov/curated-library/implementation-patient-safety-projects
September 15, 2025 - Breadcrumb
Home
The PSNet Collection
Curated Libraries
Subscribed
Implementation of Patient Safety Projects
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Created By: Lorri Zipperer, Cybraria…
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psnet.ahrq.gov/primer/debriefing-clinical-learning
September 15, 2024 - Debriefing for Clinical Learning
Citation Text:
Edwards JJ, Wexner S, Nichols A. Debriefing for Clinical Learning. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2021.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/034-ss-action-chart-decisionmaking-readiness.docx
April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI
Preoperative Decolonization Program Decision Making and Readiness for Implementation
Surgical Services
For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries
Review and Share the Evidence for Decolonization
A surgical site infection (SSI) is an …
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs026803-wells-final-report-2022.pdf
January 01, 2022 - A Direct-to-Patient Alert for Glycated Hemoglobin Screening Using Prediction Modeling and Mobile Health (mHealth) - Final Report
A Direct-to-Patient Alert for Glycated Hemoglobin Screening Using Prediction Modeling and Mobile Health (mHealth)
Principal Investig…
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www.ahrq.gov/hai/tools/mvp/modules/cusp/learn-from-defects-fac-guide.html
February 01, 2017 - Learn From Defects in Care of Mechanically Ventilated Patients: Facilitator Guide
AHRQ Safety Program for Mechanically Ventilated Patients
Slide 1: Learn From Defects in Care of Mechanically Ventilated Patients
Say:
In this module, we will discuss the Learning From Defects tool. It is a very useful proc…
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www.ahrq.gov/sites/default/files/2024-11/mccarthy2-report.pdf
January 01, 2024 - Final Progress Report: Developing Metrics for Measuring Hospital Response Capability for Mass Casualty Incidents
Final Progress Report for AHRQ Grant 1R13HS017577-01
Title: Developing Metrics For Measuring Hospital Response Capability For Mass Casualty
Incidents
Principal Investigator: Melissa L. McCarthy, ScD
Te…
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/highlight06.pdf
September 08, 2015 - Evaluation Highlight No. 6: How are CHIPRA Quality Demonstration States Working Together to Improve the Quality of Health Care for Children?
The CHIPRA Quality
Demonstration Grant Program
In February 2010, the Centers for Medicare &
Medicaid Services (CMS) awarded 10 grants,
funding 18 States, to improve the qual…
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www.ahrq.gov/hai/tools/surgery/tools/applying-cusp/learn-from-defects.html
December 01, 2017 - Learn From Defects Tool—Perioperative Setting
AHRQ Safety Program for Surgery
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 statement: …
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www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/webinars/behavioral-health-primary-care-webinar.pptx
March 07, 2024 - Research on the Integration of Behavioral Health in Primary Care webinar
National Center for Excellence in Primary Care Research
Presents
Research on the Integration of Behavioral Health in Primary Care
March 7, 2024
Presented by:
Nathalie Moise, MD, MS, FAHA
Andrea K. Graham, PhD
Garrett E. Moran, PhD
Neil Ko…
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www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/webinars/innovative-use-pcr-091423.pdf
September 14, 2023 - Innovative Use of Technology in Primary Care Delivery - Slide Presentation
National Center for Excellence in Primary Care Research
Presents
Innovative Use of Technology in Primary Care Delivery
September 14, 2023
Presented by:
Anjana Estelle Sharma, MD, MAS
Adrian Aguilera, PhD
Ryan J Coller, MD, MPH
Nicole…
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digital.ahrq.gov/electronic-medical-record-systems
January 01, 2023 - This information is for reference purposes only. It was current when produced and may now be outdated. Archive material is no longer maintained, and some links may not work. Persons with disabilities having difficulty accessing this information should contact us at: https://digital.ahrq.gov/contact-us . Let us know th…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/b1_combo_applyingqis.pdf
March 01, 2016 - Applying the AHRQ Quality Indicators to Hospital Data
Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
i Tool B.1
Applying the AHRQ Quality Indicators to Hospital Data
What is the purpose of this tool? This tool provides guidance on how to calculate your
hospital’s rat…
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/prevent-hai-protocol.pdf
April 16, 2024 - Environmental, Clinical and Economic Outcomes of Hospital Resources to Prevent Hospital-Acquired Infections
Evidence-based Practice Center Technical Brief Protocol
Project Title: Environmental, Clinical and Economic Outcomes of Hospital
Resources to Prevent Hospital-Acquired Infections
I. Background and …
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/011-ss-decolonization-strategies-fg.docx
April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI
Decolonization Strategies
Surgical Services
For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries
Slide Title and Commentary
Slide Number and Slide
Decolonization Strategies
SAY:
Hello. Welcome to this presentation on decolonization strateg…
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/monitoring-programs-protocol.pdf
January 01, 2024 - Making Healthcare Safer IV: Supply Chain Disruption Monitoring Programs
Evidence-based Practice Center Rapid Review Protocol
Project Title: Making Healthcare Safer IV: Supply Chain Disruption
Monitoring Programs
Review Questions
Review Question
How effective are patient safety practices (PSPs…
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www.ahrq.gov/patient-safety/settings/hospital/red/toolkit/redtool2.html
March 01, 2013 - Re-Engineered Discharge (RED) Toolkit
Tool 2: How To Begin the Re-engineered Discharge Implementation at Your Hospital
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…
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psnet.ahrq.gov/web-mm/hospital-acquired-diabetic-ketoacidosis
October 28, 2020 - Hospital-Acquired Diabetic Ketoacidosis.
Citation Text:
Zuidema D, Bagley B, Tan CL. Hospital-Acquired Diabetic Ketoacidosis.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2023.
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