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www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/dxsafety-particpant-workbook.pdf
February 04, 2022 - Inquiry for Improvement
Reflection is
seeing what we
did not see
before, looking
at the same
thing … Reflection is seeing what we did not see before, looking at the same thing but seeing
it differently
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www.uspreventiveservicestaskforce.org/uspstf/document/evidence-summary-screening-for-women-and-elderly-adults/intimate-partner-violence-and-elderly-abuse-screening-2004
March 08, 2004 - Share to Facebook
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Evidence Summary: Screening for Women and Elderly Adults
Intimate Partner Violence and Elderly Abuse: Screening, 2004
March 08, 2004
Recommendations made by the …
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/SvB6EjoVaaQxQr4vpCRtWp
March 01, 2004 - Screening Women and Elderly Adults for Family and Intimate Partner Violence: A Review of the Evidence
As many as 1 to 4 million women are physically,
sexually, or emotionally abused by their intimate
partners each year in the U.S.,1,2 with 31% of all
women reporting lifetime abuse.3 Prevalence rates
of abuse in clini…
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www.ahrq.gov/sites/default/files/wysiwyg/mcc/pccp4p/human-social-service-rapid-scan-report.pdf
May 01, 2025 - And I think the same thing happens with us - Area Agency on Aging Leadership KI
Having trained personnel … Conditions (PCCP4P)
Task Order: 75Q80124F32002
Task #2b: Rapid Scan May 1, 2025
19
The one thing
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www.ahrq.gov/sites/default/files/2025-02/feeney-report.pdf
January 01, 2025 - She stated “everyone
thinks collaboration is a good thing, but clearly there is a shortage of time and
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www.ahrq.gov/sites/default/files/wysiwyg/sops/databases/pharmacy/2015-report-part-1.pdf
January 01, 2015 - Community Pharmacy Survey on Patient Safety Culture: 2015 User Comparative Database Report, Part 1
COMMUNITY
PHARMACY
SURVEY
ON PATIENT
SAFETY
CULTURE
2015 USER COMPARATIVE DATABASE REPORT
PATIENT
SAFETY
Community Pharmacy Survey on Patient Safety
Culture: 2015 User Comparative Database Report
Prepared for…
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digital.ahrq.gov/sites/default/files/docs/publication/r18hs017837-feldman-final-report-2012.pdf
January 01, 2012 - the
intervention group
(N=2550)
Patient Instructions
Indicator that nurse taught at least one thing … patients about straight-forward self-management practices such as medication list maintenance is
a simple thing
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www.ahrq.gov/sites/default/files/2024-01/feldman-report.pdf
January 01, 2024 - intervention
group
(N=2,550)
Patient Instructions
Indicator that nurse taught at least one thing … about straight-forward self-management practices, such as medication list
maintenance, is a simple thing
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digital.ahrq.gov/sites/default/files/docs/citation/r01hs021681-zikmund-fisher-final-report-2017.pdf
January 01, 2017 - Systematic Design of Meaningful Presentations of Medical Test Data for Patients - Final Report
Final Progress Report
November 16, 2017
Title: Systematic Design of Meaningful Pre…
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www.ahrq.gov/practiceimprovement/delivery-initiative/leanprimarycarewebinar.html
December 01, 2017 - Implementation and Impacts of Lean Redesigns in Primary Care
October 28, 2016
Lean is a set of principles, practices, and problem-solving tools that aim to improve efficiency and quality. This webinar, presented on October 28, 2016, discussed implementation and impact of Lean redesign in primary care.
Con…
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/maternal-child-outcomes-wic-disposition-comments.pdf
April 19, 2022 - Disposition of Comments_Comparative Effectiveness Review No. 253: Maternal and Child Outcomes Associated With the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC)
Comparative Effectiveness Review Disposition of Comments Report
Title: Maternal and Child Outcomes Associated W…
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psnet.ahrq.gov/web-mm/production-pressures
November 16, 2022 - Production Pressures
Citation Text:
Carayon P. Production Pressures. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2007.
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Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId …
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psnet.ahrq.gov/web-mm/diagnosing-missed-diagnosis
October 26, 2022 - Diagnosing a Missed Diagnosis
Citation Text:
Reilly JB, Webster C. Diagnosing a Missed Diagnosis. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017.
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psnet.ahrq.gov/web-mm/empty-handoff
August 01, 2017 - Empty Handoff
Citation Text:
Goldman A, Catchpole K. Empty Handoff. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2012.
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psnet.ahrq.gov/web-mm/more-treatment-better-care
August 11, 2021 - More Treatment—Better Care?
Citation Text:
Redberg R. More Treatment—Better Care?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2011.
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psnet.ahrq.gov/web-mm/tacit-handover-overt-mishap
August 01, 2006 - Tacit Handover, Overt Mishap
Citation Text:
Cooper JB, Kamdar BB. Tacit Handover, Overt Mishap. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2010.
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Format:
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psnet.ahrq.gov/node/49639/psn-pdf
November 01, 2011 - Near Miss with Bedside Medications
November 1, 2011
Wu AW. Near Miss with Bedside Medications. PSNet [internet]. 2011.
https://psnet.ahrq.gov/web-mm/near-miss-bedside-medications
Case Objectives
Understanding the definition of near miss—also known as close call.
Appreciate the importance of close calls in reducin…
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psnet.ahrq.gov/node/33805/psn-pdf
April 01, 2016 - In Conversation With… Thomas J. Nasca, MD, MACP
April 1, 2016
In Conversation With… Thomas J. Nasca, MD, MACP. PSNet [internet]. 2016.
https://psnet.ahrq.gov/perspective/conversation-thomas-j-nasca-md-macp
Editor's note: Dr. Nasca is Chief Executive Officer of the Accreditation Council for Graduate Medical
Educat…
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psnet.ahrq.gov/node/33652/psn-pdf
June 01, 2007 - Advancing Patient Safety Through State Reporting
Systems
June 1, 2007
Rosenthal J. Advancing Patient Safety Through State Reporting Systems. PSNet [internet]. 2007.
https://psnet.ahrq.gov/perspective/advancing-patient-safety-through-state-reporting-systems
Perspective
Seven years ago, the Institute of Medicine (I…
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www.ahrq.gov/research/findings/final-reports/stpra/stpraapd.html
April 01, 2018 - Proactive Risk Assessment of Surgical Site Infection in Ambulatory Surgery Centers
Appendix D. Site Visit Process Comparison
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Table of Contents
Proactive Risk Assessment of Surgical Site Infection in Ambulatory Surgery Centers
Executive Summary
Chapter 1. Introduction
Ch…