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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Flack.pdf
January 01, 2005 - It
includes summaries of reported events (with no patient or hospital identifiers),
safety resources
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Martin.pdf
March 01, 2004 - This review resulted in the following summaries:
• Aviation Safety Reporting System (ASRS).
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Nieva.pdf
January 07, 2005 - The process may take a variety of forms, including
development of evidence summaries and synthesis papers
-
effectivehealthcare.ahrq.gov/sites/default/files/pdf/community-health-worker-protocol.pdf
March 26, 2019 - Technical Brief Protocol: Impact of Community Health Worker Certification on Workforce and Service Delivery for Asthma and Other Selected Chronic Diseases
Evidence-based Practice Center Technical Brief Protocol
Project Title: Impact of Community Health Worker Certification on Workforce and
Service Delivery …
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psnet.ahrq.gov/web-mm/dying-hospital-advanced-dementia
November 01, 2016 - SPOTLIGHT CASE
Dying in the Hospital With Advanced Dementia
Citation Text:
Umscheid CA, McGreevey JD, Greysen RS. Dying in the Hospital With Advanced Dementia. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017.
Copy Ci…
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/acs-pci-adjunctive-devices_research-protocol.pdf
July 01, 2010 - Source: www.effectivehealthcare.ahrq.gov
Published Online: July 01, 2010
1
Evidence-based Practice Center Systematic Review Protocol
Project Title: Comparative Effectiveness of Adjunctive Devices to
Remove Thrombi or Protect Against Distal Embolization in Patients with
Acute Coronary Syndrome Undergoing P…
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psnet.ahrq.gov/innovation/university-michigan-emergency-critical-care-center-ec3-provides-timely-intensive-care
October 30, 2024 - The University of Michigan Emergency Critical Care Center (EC3) Provides Timely Intensive Care to Critically Ill Patients in the Emergency Department
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psnet.ahrq.gov/sites/default/files/2022-04/final_spotlight_case_and_commentatry_io_line_extravasation-04.08.2022.pdf
January 01, 2022 - Spotlight
Spotlight
Intraosseous Line Extravasation in a
Pediatric Trauma Patient
Source and Credits
• This presentation is based on the April 2022 AHRQ WebM&M
Spotlight Case
o See the full article at https://psnet.ahrq.gov/webmm
o CME credit is available
o Commentary by: David Barnes, MD and Joseph Yoon, MD
o…
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psnet.ahrq.gov/node/836892/psn-pdf
April 07, 2022 - The University of Michigan Emergency Critical Care
Center (EC3) Provides Timely Intensive Care to Critically
Ill Patients in the Emergency Department
April 7, 2022
https://psnet.ahrq.gov/innovation/university-michigan-emergency-critical-care-center-ec3-provides-timely-
intensive-care
Summary
An increasing volume…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/advanced-practice-guide-brochure.pdf
March 01, 2016 - Resources for Advanced Practices
Resources
for Advanced
Practices
The Guide to Improving Patient Safety
in Primary Care Settings by Engaging Patients
and Families
Table of Contents
Introduction ......................................................................1
Shared Decisionmaking .................…
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www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/module7-presenters-notes.pdf
January 01, 2008 - TeamSTEPPS® Diagnosis Improvement: Module 7: Putting It All Together
Slide 1
TeamSTEPPS® for Diagnosis
Improvement
…
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www.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/pu4.html
October 01, 2014 - Preventing Pressure Ulcers in Hospitals
4. How do we implement best practices in our organization?
Previous Page Next Page
Table of Contents
Preventing Pressure Ulcers in Hospitals
Overview
Key Subject Area Index
1. Are we ready for this change?
2. How will we manage change?
3. What are th…
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www.ahrq.gov/sites/default/files/publications2/files/interimhacrate2014_cx.pdf
November 19, 2015 - Saving Lives and Saving Money: Hospital-Acquired Conditions Update - Interim Data From National Efforts To Make Care Safer, 2010-2014
Saving Lives and Saving Money: Hospital-Acquired Conditions
Update
Interim Data From National Efforts To Make Care Safer, 2010-2014
Summary
Interim estimates for 2014 show a sust…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/public-reporting/report-1-public-reporting.pdf
June 01, 2010 - Best Practices in Public Reporting No. 1: How To Effectively Present Health Care Performance Data To Consumers
Best Practices in Public Reporting No. 1: How To
Effectively Present Health Care Performance Data To
Consumers
Prepared for:
Agency …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/engaging-nurse-physician-patient.pptx
May 28, 2015 - Slide 1
Engaging The Nurse, Physician, Patient/Family; CUSP – Learn from Defects
Jenny Tuttle, RN, MSNEd, CNRN
Clinical Nurse Leader
Neuro/Medical/Surgical ICU
Tucson Medical Center
Tucson, Arizona
Christin Ko, MD, MBA, SFHM, FACP
Assistant Professor
Feinberg School of Medicine
Northwestern University
Chicago, IL
…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/identify/sensemakingnotes.docx
June 02, 2025 - SAY:
The “Identify Defects Through Sensemaking” module of the Comprehensive Unit-based Safety Program (or CUSP) Toolkit will help you identify recurring defects in your system and apply CUSP and Sensemaking tools to help reduce the risk of future harm to your patients.
Slide 1
SAY:
Some of the tools that will help…
-
www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/CHIPRA202-Materials_VIIIA.pdf
June 02, 2025 - EHR Data Feasibility Tool copyright 2011 American Medical
Association. All Rights Reserved. This tool and the information
contained therein may not be reproduced or distributed and may
only be used for collecting data in connection with an agreement
with the American Medical Association. THIS TOOL IS PROVIDED …
-
www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/CHIPRA204-Materials_VIIIA.pdf
June 02, 2025 - EHR Data Feasibility Tool copyright 2011 American Medical
Association. All Rights Reserved. This tool and the information
contained therein may not be reproduced or distributed and may
only be used for collecting data in connection with an agreement
with the American Medical Association. THIS TOOL IS PROVIDED …
-
www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/CHIPRA205-Materials_VIIIA.pdf
June 02, 2025 - EHR Data Feasibility Tool copyright 2011 American Medical
Association. All Rights Reserved. This tool and the information
contained therein may not be reproduced or distributed and may
only be used for collecting data in connection with an agreement
with the American Medical Association. THIS TOOL IS PROVIDED …
-
psnet.ahrq.gov/innovation/affordable-housing-community-offers-seniors-onsite-health-care-coordination-and-support
March 27, 2024 - Affordable Housing Community Offers Seniors Onsite Health Care Coordination and Support, Reducing Hospital Admissions and Falls and Improving Resident Health
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