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www.ahrq.gov/patient-safety/quality-measures/21st-century/challenges.html
June 01, 2018 - HCFA distributed letters to Medicare beneficiaries, provided physician reminders, trained nurses to recognize
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs026584-pitts-final-report-2022.pdf
January 01, 2022 - A trained pharmacy data analyst exported EHR data on discontinued medic ations e-
prescribed to
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digital.ahrq.gov/sites/default/files/docs/citation/r01hs023306-harle-final-report-2020.pdf
January 01, 2020 - Each interview lasted approximately 45-60 minutes, and was conducted by 1-3 trained
interviewers who
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psnet.ahrq.gov/web-mm/perils-cross-coverage
September 22, 2010 - video-based clinical information, and then verbally hand off the "patient" and receive feedback from a trained
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psnet.ahrq.gov/node/867357/psn-pdf
December 18, 2024 - Clinicians who have never been
trained in these procedures should not administer neuromuscular blocking
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/treatment-resistant-depression_research-protocol.pdf
December 09, 2009 - Trained abstractors will extract the relevant data from
each included article into preformatted tables
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psnet.ahrq.gov/perspective/harm-reduction-strategies-improve-safety-people-who-use-substances
October 30, 2024 - It certainly depends on when people trained.
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psnet.ahrq.gov/perspective/conversation-elizabeth-salisbury-afshar-about-harm-reduction-strategies-improve-safety
October 30, 2024 - It certainly depends on when people trained.
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/autism-update_research-protocol.pdf
September 20, 2013 - however, that the UCLA/Lovaas method relies heavily on one-on-one therapy sessions during
which a trained
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/improvement-guide/4-approach-qi-process/cahps-section-4-ways-to-approach-qi-process.pdf
May 17, 2017 - health care organizations, one of the biggest challenges to improvement is
getting a team of highly trained
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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/node/867653/psn-pdf
February 26, 2025 - In Conversation with Jessica Behrhorst about The
Evolution of Root Cause Analysis
February 26, 2025
Behrhorst J, Gale B, Van CM. In Conversation with Jessica Behrhorst about The Evolution of Root Cause
Analysis. PSNet [internet]. 2025.
https://psnet.ahrq.gov/perspective/conversation-jessica-behrhorst-about-evoluti…
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psnet.ahrq.gov/web-mm/mobility-lost-icu
August 01, 2018 - SPOTLIGHT CASE
Mobility Lost in the ICU
Citation Text:
Smith J. Mobility Lost in the ICU. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2011.
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Format:
Google Scholar BibTeX EndNote X3 XML EndNot…
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psnet.ahrq.gov/web-mm/difficult-encounters-cmo-and-cno-respond
March 01, 2018 - SPOTLIGHT CASE
Difficult Encounters: A CMO and CNO Respond
Citation Text:
Ring EJ, Hirsch JE. Difficult Encounters: A CMO and CNO Respond. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2009.
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Format:
…
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psnet.ahrq.gov/node/49483/psn-pdf
June 01, 2005 - Getting to the Root of the Matter
June 1, 2005
Saint S, Flanders S. Getting to the Root of the Matter. PSNet [internet]. 2005.
https://psnet.ahrq.gov/web-mm/getting-root-matter
Case Objectives
Appreciate the goals and limitations of root cause analysis
Outline the steps to conduct root cause analysis
The Case
A…
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www.ahrq.gov/sites/default/files/2025-05/schuur-report.pdf
January 01, 2025 - Final Progress Report: Infection Prevention in Emergency Care: A Systems Approach
Title: Infection Prevention in Emergency Care: A Systems Approach
Principal Investigator: Jeremiah D. Schuur, MD, MHS
Team Members:
Conference Co-Chair: Connie Price, MD
Project Coordinator: Corine Sinnette, MA
Organization: Brigh…
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www.ahrq.gov/evidencenow/projects/state/how-to-guide/guide3.html
August 01, 2024 - Developing and Sustaining State-Based Infrastructure To Support Primary Care Quality Improvement
3. Building and Maintaining a Network of Primary Care Practices
Previous Page Next Page
Table of Contents
Developing and Sustaining State-Based Infrastructure To Support Primary Care Quality Improvement …
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psnet.ahrq.gov/node/49849/psn-pdf
January 01, 2019 - Spotlight: Mistaken Attribution, Diagnostic Misstep
January 1, 2019
Kreider TR, Young JQ. Spotlight: Mistaken Attribution, Diagnostic Misstep. PSNet [internet]. 2019.
https://psnet.ahrq.gov/web-mm/spotlight-mistaken-attribution-diagnostic-misstep
Case Objectives
List the patient safety events that are unique to in…
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effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pdf/epc-march-2023-grand-rounds-slides.pdf
January 01, 2023 - AHRQ Evidence-based Practice Center (EPC) Program
1
AHRQ Evidence-based Practice
Center (EPC) Program
Grand Rounds
March 16th, 2023
Welcome and thank you for joining!
2
Logistics
This meeting will be recorded and shared externally. Please use
the chat and hand-raising functionality.
3
…
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psnet.ahrq.gov/web-mm/getting-root-matter
September 01, 2005 - SPOTLIGHT CASE
Getting to the Root of the Matter
Citation Text:
Saint S, Flanders S. Getting to the Root of the Matter. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2005.
Copy Citation
Format:
Google Schola…