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psnet.ahrq.gov/web-mm/delayed-breast-cancer-diagnosis-false-sense-security
May 01, 2005 - to ensure that systems support clinicians and patients and make it easier for them to do the right thing
-
www.ahrq.gov/sites/default/files/wysiwyg/sops/databases/hospital/2024-hospital-workplace-safety-report-ptI.pdf
January 01, 2024 - (Item WPD2)
86
My supervisor, manager, or clinical leader can be trusted to
do the right thing to … 79% 83% 87% 90% 92% 97%
My supervisor, manager, or clinical leader can be trusted
to do the right thing
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/system/delivery-system-initiative/rodriguez/rodriguez.pptx
June 02, 2025 - The right thing to do for patients, but effect sizes are discouraging (compared to control)
Frontline
-
psnet.ahrq.gov/web-mm/despite-clues-failed-rescue
August 02, 2015 - Ghaferi, MD, MS
The death in this case serves as an unfortunate reminder that there is no such thing
-
www.ahrq.gov/sites/default/files/2025-05/schuur-report.pdf
January 01, 2025 - Infection Prevention Success Stories
o Ella Franklin, RN, ED One
Making It Easy to Do the Right Thing
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effectivehealthcare.ahrq.gov/sites/default/files/fleisher.pdf
January 01, 2010 - Fleisher
Slide
1: Health Communication Practice
and Web 2.0: Addressing
Health Disparities
Linda
Fleisher, Ph.D., M.P.H.
Assistant Vice President, Office of Health Communications & Health Disparities
Fo Chase Cancer Center, Philadelphia, PA
Slide
2: Collaborators
Sa…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/system/delivery-system-initiative/leanprimarycarewebinar/webinar_lean_redesigns-slides.pptx
March 01, 2017 - Implementation and Impacts of Lean Redesigns in Primary Care
October 28, 2016
Presenter: Dorothy Hung, Ph.D., Associate Scientist
Palo Alto Medical Foundation Research Institute
Moderator: Michael Harrison, Ph.D., Senior Social Scientist
Center for Delivery, Organization, and Markets, AHRQ
Discussant: Arlene Bierman…
-
www.ahrq.gov/prevention/resources/vision/resources/vision4.html
October 01, 2002 - Chapter 4
Vision Rehabilitation: Care and Benefit Plan Models: Literature Review
Appendix. Disability Primer
Definition of Disability and Goals of Rehabilitation
The Rehabilitation Act of 1973, as amended, defines an individual with a disability as
any person who (i) has a physical or mental impairm…
-
psnet.ahrq.gov/node/33646/psn-pdf
February 01, 2007 - In Conversation with...Joseph Britto, MD
February 1, 2007
In Conversation with..Joseph Britto, MD. PSNet [internet]. 2007.
https://psnet.ahrq.gov/perspective/conversation-withjoseph-britto-md
Editor's Note: Joseph Britto, MD, is CEO and Co-founder of Isabel Healthcare Inc. Isabel, a clinical
decision support syste…
-
psnet.ahrq.gov/node/33739/psn-pdf
October 01, 2012 - The Physical Environment: An Often Unconsidered
Patient Safety Tool
October 1, 2012
Joseph A, Malone EB. The Physical Environment: An Often Unconsidered Patient Safety Tool. PSNet
[internet]. 2012.
https://psnet.ahrq.gov/perspective/physical-environment-often-unconsidered-patient-safety-tool
Perspective
Now that…
-
psnet.ahrq.gov/node/49725/psn-pdf
January 01, 2015 - Haste Makes Care Unsafe
January 1, 2015
Eichhorn JH. Haste Makes Care Unsafe. PSNet [internet]. 2015.
https://psnet.ahrq.gov/web-mm/haste-makes-care-unsafe
The Case
An 80-year-old man with a history of coronary artery disease and atrial fibrillation underwent a combined
elective coronary artery bypass graft (CABG…
-
psnet.ahrq.gov/node/33699/psn-pdf
August 01, 2010 - Operationalizing Patient Safety at Academic Medical
Centers
August 1, 2010
Chakraborti C, Kahn MJ, Krane K. Operationalizing Patient Safety at Academic Medical Centers. PSNet
[internet]. 2010.
https://psnet.ahrq.gov/perspective/operationalizing-patient-safety-academic-medical-centers
Perspective
Academic medical…
-
psnet.ahrq.gov/node/49604/psn-pdf
June 01, 2010 - Tacit Handover, Overt Mishap
June 1, 2010
Cooper JB, Kamdar BB. Tacit Handover, Overt Mishap. PSNet [internet]. 2010.
https://psnet.ahrq.gov/web-mm/tacit-handover-overt-mishap
The Case
A 61-year-old man was admitted for management of an infected aortic stent, which had been placed 3
years earlier to treat an abdo…
-
psnet.ahrq.gov/node/49625/psn-pdf
May 01, 2011 - Pocket Syringe Swap
May 1, 2011
Kulli JC. Pocket Syringe Swap. PSNet [internet]. 2011.
https://psnet.ahrq.gov/web-mm/pocket-syringe-swap
The Case
A 58-year-old man, scheduled for aortoiliac artery bypass graft, had an epidural catheter placed for
postoperative pain management. Surgery proceeded uneventfully under…
-
psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.317_slideshow.ppt
March 01, 2014 - PowerPoint Presentation
Spotlight Case
Tough Call: Addressing Errors From Previous Providers
1
This presentation is based on the March 2014
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available
Commentary by: William Martinez, MD, MS, Assistant Professor of Medicine, …
-
www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/affinity-details-emerging-strategies-cr.pdf
January 01, 2021 - EVENT SUMMARY
LEARNING COMMUNITY AFFINITY GROUP | SUMMARY AT-AT-GLANCE | 1
AFFINITY GROUP DETAILS AT-A-GLANCE
Title Emerging Strategies for Supporting CR Patients between Onsite Visits
August 13, 2020
Purpose • To provide an opportunity for peer-to-peer sharing related to how CR
programs are suppor…
-
www.ahrq.gov/cahps/quality-improvement/improvement-guide/4-approach-qi-process/sect4part2.html
January 01, 2020 - Section 4: Ways To Approach the Quality Improvement Process (Page 2 of 2)
Contents
Page 1 of 2
4.A. Focusing on Microsystems
4.B. Understanding and Implementing the Improvement Cycle
Page 2 of 2
4.C. An Overview of Improvement Models
4.D. Tools To Enhance Quality Improvement Initiatives
References…
-
www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/pf-engagement-fac-guide.html
July 01, 2023 - Patient and Family Engagement for Perinatal Safety: Facilitator Guide
AHRQ Safety Program for Perinatal Care
Slide 1: Patient and Family Engagement for Perinatal Safety
Say:
The Patient and Family Engagement module focuses on an important topic: making sure patients and their family members understand w…
-
www.ahrq.gov/ncepcr/tools/obesity/obpcp1.html
May 01, 2014 - Integrating Primary Care Practices and Community-based Resources to Manage Obesity
Chapter 1: Attaining Zoning and Building Permits
Previous Page Next Page
Table of Contents
Integrating Primary Care Practices and Community-based Resources to Manage Obesity
Acknowledgements
Support
Foreword
O…
-
digital.ahrq.gov/ahrq-funded-projects/scaling-equipped-clinical-decision-support
January 01, 2024 - Scaling E.Q.U.I.P.P.E.D. Clinical Decision Support
Project Final Report ( PDF , 624.72 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 AHRQ. No s…