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integrationacademy.ahrq.gov/products/playbooks/moud-playbook/implementing-treatment/screening-and-diagnosis
January 01, 2010 - An official website of the Department of Health & Human Services
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hcup-us.ahrq.gov/datainnovations/grants.jsp
July 01, 2016 - Enhanced State Data Grants
An official website of the Department of Health & Human Services
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psnet.ahrq.gov/primer/covid-19-team-and-human-factors-improve-safety
September 15, 2024 - COVID-19: Team and Human Factors to Improve Safety
Citation Text:
Zipperer L. COVID-19: Team and Human Factors to Improve Safety. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2020.
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psnet.ahrq.gov/web-mm/norepinephrine-dosing-error-associated-multiple-health-system-vulnerabilities
November 27, 2019 - Norepinephrine Dosing Error Associated with Multiple Health System Vulnerabilities
Citation Text:
Duby JJ, Schomer K, Oyewole V, et al. Norepinephrine Dosing Error Associated with Multiple Health System Vulnerabilities. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Departm…
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www.ahrq.gov/action-alliance/resources/type-harm.html
July 01, 2025 - Resources by Safety Topic
Contents Diagnostic Safety Emergency Preparedness Falls Healthcare-Associated Infections Maternal Safety Medication Safety Never Events Opioid Safety Pressure Ulcers Readmissions Sepsis Surgical Safety Transitions in Care Venous Thromboembolism Diagnostic Safety AHRQ Diagnostic Steward…
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www.ahrq.gov/patient-safety/news-events/summit-research-2020/questions.html
March 01, 2021 - Summary of Patient Safety Research Opportunities
AHRQ Summit and Roundtable on Research Priorities for Patient Safety Improvement
Research questions, topics, and key themes that were addressed as part of the Patient Safety Roundtable and Patient Safety Summit included the items listed below. It is important t…
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www.uspreventiveservicestaskforce.org/uspstf/recommendation/suicide-risk-screening-1996
January 01, 1996 - study evaluated suicide rates before and 1 year after all postgraduate physicians in a community were trained
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs019792-li-final-report-2014.pdf
January 01, 2014 - Exploring Clinically-relevant Image Retrieval for Diabetic Retinopathy Diagnosis - Final Report
AHRQ Grant Final Report
Title of Project:
Exploring Clinically-relevant Image Retrieval for Diabetic Retinopathy…
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psnet.ahrq.gov/perspective/conversation-chris-cebollero-bs-ccemt-p
May 26, 2021 - In Conversation With... Chris Cebollero, BS, CCEMT-P
May 26, 2021
Also Read the Essay
Citation Text:
In Conversation With.. Chris Cebollero, BS, CCEMT-P. PSNet [internet]. 2021.In Conversation With... Chris Cebollero, BS, CCEMT-P. PSNet [internet]. Rockville (MD)…
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psnet.ahrq.gov/node/867428/psn-pdf
December 18, 2024 - In Conversation with Patricia Dykes about The Ongoing
Journey to Prevent Patient Falls
December 18, 2024
Dykes PC, Sousane Z, Mossburg SE. In Conversation with Patricia Dykes about The Ongoing Journey to
Prevent Patient Falls. PSNet [internet]. 2024.
https://psnet.ahrq.gov/perspective/conversation-patricia-dykes-a…
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/pressure-ulcer-treatment_research-protocol.pdf
November 08, 2011 - Evidence-based Practice Center Systematic Review Protocol
Source: www.effectivehealthcare.ahrq.gov
Published Online: November 8, 2011
Evidence-based Practice Center Systematic Review Protocol
Pressure Ulcer Treatment Strategies: A Comparative Effectiveness Review
I. Background and Objectives for t…
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psnet.ahrq.gov/node/836840/psn-pdf
April 22, 2021 - The Johns Hopkins Venous Thromboembolism (VTE)
Collaborative Studies and Implements Methods to Prevent
Avoidable Cases of Hospital Associated VTE
April 7, 2022
https://psnet.ahrq.gov/innovation/johns-hopkins-venous-thromboembolism-vte-collaborative-studies-and-
implements-methods
Summary
Venous thromboembolism (…
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www.ahrq.gov/sites/default/files/wysiwyg/topics/dxsafety-psychological-safety.pdf
September 01, 2023 - Strategies for Improving Clinician Psychological Safety in Reporting and Discussing Diagnostic Error
Issue Brief 15
Strategies for Improving Clinician
Psychological Safety in Reporting
and Discussing Diagnostic Error
PATIENT
SAFETY
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Issue Brief 15
Strategies for I…
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integrationacademy.ahrq.gov/products/playbooks/behavioral-health-and-primary-care/implementing-plan/obtain-behavioral-health-expertise-and-build-culture-integration
August 01, 2025 - An official website of the Department of Health & Human Services
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psnet.ahrq.gov/perspective/safety-culture-ems
May 26, 2021 - Safety Culture in EMS
May 26, 2021
Also Read the Conversation
View more articles from the same authors.
Citation Text:
Cebollero C, Fitall E, Hall KK, et al. Safety Culture in EMS. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US…
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www.ahrq.gov/sites/default/files/publications/files/ltcmodule3.pdf
June 01, 2012 - Only by
carefully observing residents
from our various trained
viewpoints can we prevent falls.
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digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/lean
January 01, 2023 - Lean
Also Known As
Toyota Production System (TPS)
Examples
Smith M, Cunningham S. Case study: using lean principles, how Charleston area medical center ED was able to reduce wait time by 95%. 2007 Society for Health Systems Conference; 2007; New Orleans, LA; 2007.
Description
L…
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digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/potential-problem-analysis
January 01, 2023 - Potential Problem Analysis
Acronym
PPA
Description
A potential problem analysis (PPA) is a systematic method for determining what could go wrong in a plan under development. The problem causes are rated according to their likelihood of occurrence and the severity of their consequences. Prevent…
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digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/critical-incident
January 01, 2023 - Critical Incident
Description
The critical incident method is utilized to identify a process, subprocess, or problem that can be fixed or enhanced. It can also be used to identify a source of a performance deficiency. The technique attempts to find information pertaining to organizational problems, an…
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digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/5s
January 01, 2023 - 5S
Also Known As
Sort, Straighten, Scrub, Standardize, and Sustain
Description
This tool is used to improve performance within an organization. It demonstrates the five steps for organizing a workplace: sort, straighten, scrub, standardize, and sustain. Implementing this tool can provide n…