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psnet.ahrq.gov/node/866621/psn-pdf
August 28, 2024 - Application of Safety-II Principles
August 28, 2024
Venkatesan C, Helak K, Sousane Z, et al. Application of Safety-II Principles. PSNet [internet]. 2024.
https://psnet.ahrq.gov/perspective/application-safety-ii-principles
Traditional approaches to patient safety have often been reactive rather than proactive, seeki…
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psnet.ahrq.gov/node/50931/psn-pdf
February 26, 2020 - Timely diagnosis of esophageal perforation
February 26, 2020
Utter GH, Cooke DT. Timely diagnosis of esophageal perforation. PSNet [internet]. 2020.
https://psnet.ahrq.gov/web-mm/timely-diagnosis-esophageal-perforation
The Case
A man with mixed connective tissue disease on low-dose prednisone and methotrexate pre…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.287_slideshow.ppt
December 01, 2012 - Spotlight Case July 2008
Spotlight Case
The Lung Nodule That Refused To Grow
*
*
Source and Credits
This presentation is based on the December 2012
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available
Commentary by: Alex A. Balekian, MD, MSHS, Keck School of Med…
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psnet.ahrq.gov/node/49697/psn-pdf
December 01, 2013 - Check the Anesthesia Machine
December 1, 2013
Saddawi-Konefka D, Cooper JB. Check the Anesthesia Machine. PSNet [internet]. 2013.
https://psnet.ahrq.gov/web-mm/check-anesthesia-machine
The Case
A 62-year-old man with weight of 134 kg (body mass index [BMI] of 40) and history of hypertension,
diabetes, sleep apnea…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/04-new_sops_diagnostic_safety-yount.pdf
October 20, 2021 - New AHRQ SOPS® Diagnostic Safety Supplemental Items for Medical Offices - Yount
Diagnostic Safety Supplemental Items
for the SOPS Medical Office Survey
Naomi Yount, PhD
Westat
39
Diagnostic Safety Supplemental Items
40
• Designed as a supplemental item set that can be added to the
end of the SOPS Medical Off…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/rapid-response/rapidresponse.pptx
October 01, 2017 - AHRQ Safety Program for Perinatal Care: Rapid Response for Perinatal Safety
AHRQ Safety Program for Perinatal Care
Rapid Response for Perinatal Safety
AHRQ Publication No. 17-0003-20-EF
October 2017
1
Learning Objectives
AHRQ Safety Program for Perinatal Care
2
Rapid Response
Perinatal Safety
2
Rapid Respons…
-
www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/curriculum/teamstepps-module-2-slides.pptx
June 02, 2025 - TeamSTEPPS Team Leadership Module 2
Team Leadership
Module 2
1
Understanding Teams and Team Structure
2
Objectives: Team Structure
Team Leadership
Understand the benefits of teamwork and clear team structure.
Define a “team.”
Identify the roles of patients and family caregivers within the care team.
Desc…
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www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module4/mod4-slides.html
March 01, 2017 - Module 4: Teamwork and Communication
AHRQ Safety Program for Long-Term Care: HAIs/CAUTI
Slide 1: Module 4: Teamwork and Communication
Slide 2: Objectives
Describe effective communication and teamwork.
Describe why teamwork training and improved communication optimizes resident safety.
List barri…
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cdsic.ahrq.gov/sites/default/files/2022-05/Final%20Workgroup%20Charter_CDS%20Outcomes%20and%20Objectives_DTP%20Formatted.pdf
January 01, 2022 - Final Workgroup Charter: CDS Outcomes and Objectives
FINAL WORKGROUP CHARTER: CDS
OUTCOMES AND OBJECTIVES
A P R I L 2 0 2 2
Agency for Healthcare
Research and Quality:
Clinical Decision Support
Innovation Collaborative
(CDSiC)
Presented by:
NORC at the University of Chicago
Presented to:…
-
cdsic.ahrq.gov/sites/default/files/2023-01/Final%20Workgroup%20Charter_Trust%20and%20Patient-Centeredness_Personnel%20Update_Jan26.pdf
January 01, 2023 - FINAL WORKGROUP CHARTER: TRUST AND PATIENT-CENTEREDNES
FINAL WORKGROUP CHARTER: TRUST AND
PATIENT-CENTEREDNESS
O C T O B E R 2 0 2 2
Agency for Healthcare
Research and Quality:
Clinical Decision Support
Innovation Collaborative
(CDSiC)
Presented by:
NORC at the University of Chicago
…
-
www.ahrq.gov/ncepcr/funding/tips-obtaining.html
May 01, 2025 - Tips for Obtaining Funding for Primary Care Research
Primary care research is critical to strengthening the nation’s primary care system. Thus, sustainable funding to support primary care research is needed to continue to make improvements in the delivery of primary care. AHRQ’s National Center for Excellence …
-
www.ahrq.gov/research/publications/pubcomguide/pcguide2.html
July 01, 2023 - Publishing and Communications Guidelines
Section 2: Web Products and Website Development and Redesign
Previous Page Next Page
Table of Contents
Publishing and Communications Guidelines
Section 1: Product Development
Audio and Video Products
Appendix 1-A. Release Forms
Appendix 1-B. Trademark…
-
www.ahrq.gov/research/publications/pubcomguide/pcguide2apa.html
November 01, 2018 - Publishing and Communications Guidelines
Appendix 2-A. Application and System Development Requirements
Previous Page Next Page
Table of Contents
Publishing and Communications Guidelines
Section 1: Product Development
Audio and Video Products
Appendix 1-A. Release Forms
Appendix 1-B. Trademar…
-
www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/statesummaries/chipra-750-georgia-state-snapshot.pdf
January 01, 2018 - Spotlight on Georgia -- National Evaluation of the CHIPRA Quality Demonstration Grant Program
This brief highlights the major strategies, lessons learned,
and outcomes from Georgia’s experience from February
2010 to February 2016 with the quality demonstration
funded by the Centers for Medicare & Medicaid
Service…
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www.ahrq.gov/ncepcr/research-transform-primary-care/transform/impactgrants/impact-profile-nc.html
August 01, 2018 - North Carolina IMPaCT: Advancing and Spreading Primary Care Transformation
Principal Investigator: Darren DeWalt, MD, and Mark Holmes, PhD
Institution: University of North Carolina
AHRQ Grant Number: U18HS020940
Overview of Primary Care Extension in North Carolina
AHRQ's IMPaCT grants were d…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/tpc/impact-profile-nc.pdf
April 01, 2015 - North Carolina IMPaCT: Advancing and Spreading Primary Care Transformation
North Carolina IMPaCT: Advancing and Spreading Primary Care
Transformation
Principal Investigator: Darren DeWalt, MD, and Mark Holmes, PhD
Institution: University of North Carolina
AHRQ Grant Number: U18HS020940
Overview…
-
www.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide6.html
August 01, 2022 - Care for the Caregiver Program Implementation Guide
AHRQ Communication and Optimal Resolution Toolkit
Purpose: To guide an organization in developing and implementing a Care for the Caregiver program.
Who should use this tool? The Care for the Caregiver Program Lead
How to use this tool: Use this guide…
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www.ahrq.gov/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/communication/strategy6htools.html
April 01, 2023 - Strategy 6H: Tools To Help Patients Communicate Their Needs
Contents
6.H.1. The Problem
6.H.2. The Intervention
6.H.2.a. Record Sharing
6.H.2.b. Patient Question Lists (a.k.a. Doc Talk Cards)
6.H.2.c. Feed Forward
6.H.2.d. Coached Care
References
Download Strategy 6H:
Tools …
-
www.ahrq.gov/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/health-promotion-education/strategy6r-reminder-systems.html
March 01, 2020 - Strategy 6R: Reminder Systems for Immunizations and Preventive Services
Contents
6.R.1. The Problem
6.R.2. The Intervention
6.R.2.a. Reminder Systems for Patients
6.R.2.b. Reminder Systems for Physicians
References
Download Strategy 6R:
Reminder Systems for Immunizations and Preventiv…
-
digital.ahrq.gov/sites/default/files/Final%20Workgroup%20Charter_Trust%20and%20Patient-Centeredness_Personnel%20Update_Jan26.pdf
October 01, 2022 - FINAL WORKGROUP CHARTER: TRUST AND PATIENT-CENTEREDNES
FINAL WORKGROUP CHARTER: TRUST AND
PATIENT-CENTEREDNESS
O C T O B E R 2 0 2 2
Agency for Healthcare
Research and Quality:
Clinical Decision Support
Innovation Collaborative
(CDSiC)
Presented by:
NORC at the University of Chicago
…