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psnet.ahrq.gov/node/60376/psn-pdf
July 30, 2020 - COVID-19: Team and Human Factors to Improve Safety
July 30, 2020
Zipperer L. COVID-19: Team and Human Factors to Improve Safety. PSNet [internet]. 2020.
https://psnet.ahrq.gov/primer/covid-19-team-and-human-factors-improve-safety
Background
The rapid transmission of COVID-19 has resulted in an international pandem…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruprev/saworksheet.pdf
June 02, 2025 - Self-Assessment Worksheet for Pressure Ulcer
Agency for Healthcare Research and Quality Safety Program for Nursing Homes: On-Time Prevention
Self-Assessment Worksheet for Pressure Ulcer Prevention 1
On-Time Pressure Ulcer Prevention
Self-Assessment Worksheet for Pressure Ulcer
The Self-Assessment Worksheet i…
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psnet.ahrq.gov/web-mm/returning-home-safely
December 22, 2018 - Returning Home Safely
Citation Text:
Toles M. Returning Home Safely. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2018.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/training/cbt-basin-bathing.pdf
March 01, 2022 - Nursing Protocol Training_Basin Bed Bathing With 2% Chlorhexidine (CHG) and Showering With 4% CHG Liquid Soap
Decolonization of
Non-ICU Patients With Devices
Section 11-6
Nursing Protocol Training
Basin Bed Bathing With 2% Chlorhexidine (CHG)
and Showering With 4% CHG Liquid Soap
AHRQ Pub. No. 20(22)-0036
March 2…
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www.ahrq.gov/hai/tools/mvp/modules/technical/early-mobility-icu-fac-guide.html
February 01, 2017 - Early Mobility in the Intensive Care Unit: Facilitator Guide
AHRQ Safety Program for Mechanically Ventilated Patients
Slide 1: Early Mobility in the Intensive Care Unit
Say:
In this slide set, we will look at the benefits, safety, feasibility, and sustainability of early mobility. Many hospitals and int…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/educational-bundles/urine-culturing/whento-order/urine-cultures.pptx
March 01, 2017 - The Culture of Culturing: The Importance of Knowing When to Order Urine Cultures
The Culture of Culturing—
The Importance of Knowing When To Order Urine Cultures
AHRQ Pub. No. 16(17)-0003-16-EF
March 2017
AHRQ Safety Program for Long-Term Care: HAIs/CAUTI
Welcome to today’s educational session on The Culture of C…
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psnet.ahrq.gov/node/33596/psn-pdf
June 01, 2025 - Failure to Rescue
January 29, 2025
Tokareva I, Romano P. Failure to Rescue. PSNet [internet]. 2025.
https://psnet.ahrq.gov/primer/failure-rescue
Updated in January 2025 by Irina Tokareva RN, BSN, MAS, CPHQ and Patrick Romano, MD, MPH. PSNet
primers are regularly reviewed and updated to ensure that they reflect cur…
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psnet.ahrq.gov/node/33730/psn-pdf
June 01, 2012 - In Conversation With… Charles Vincent, MPhil, PhD
June 1, 2012
In Conversation With… Charles Vincent, MPhil, PhD. PSNet [internet]. 2012.
https://psnet.ahrq.gov/perspective/conversation-charles-vincent-mphil-phd
Editor's note: Charles Vincent, MPhil, PhD, a psychologist by training, is one of the world's leading p…
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digital.ahrq.gov/sites/default/files/docs/page/2006Arora_051811comp.pdf
February 01, 2006 - Extension for Community Healthcare Outcomes (ECHO): Presentation to AHRQ 2006 Annual Conference
Presentation to AHRQ 2006 Annual Conference
Sanjeev Arora M.D.
Executive Vice Chairman Department of Medicine
University of New Mexico School of Medicine
505/272.2808
SArora@salud.unm.edu
mailto:SArora@salud.unm.edu�
…
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www.ahrq.gov/ncepcr/research-transform-primary-care/transform/cost/guide.html
October 01, 2015 - Estimating the Costs of Primary Care Transformation: A Practical Guide and Synthesis Report
A Practical Guide for Estimating the Costs of Primary Care Transformation
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Table of Contents
Estimating the Costs of Primary Care Transformation: A Practical Guide and Synthesis Report …
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psnet.ahrq.gov/node/49747/psn-pdf
December 01, 2015 - Harm From Alarm Fatigue
December 1, 2015
Pelter MM, Drew BJ. Harm From Alarm Fatigue. PSNet [internet]. 2015.
https://psnet.ahrq.gov/web-mm/harm-alarm-fatigue
Case Objectives
Define alarm fatigue and describe potential errors that can occur due to alarm fatigue.
Identify federal and national agencies focusing on …
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psnet.ahrq.gov/web-mm/case-patient-flow-management
February 23, 2019 - The Case for Patient Flow Management
Citation Text:
Litvak E, Bernheim SA. The Case for Patient Flow Management. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2011.
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www.ahrq.gov/ncepcr/reports/cost-guide/practical-guide.html
February 01, 2017 - Estimating the Costs of Primary Care Transformation: A Practical Guide and Synthesis Report
A Practical Guide for Estimating the Costs of Primary Care Transformation
Previous Page Next Page
Table of Contents
Estimating the Costs of Primary Care Transformation: A Practical Guide and Synthesis Report …
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digital.ahrq.gov/sites/default/files/docs/publication/r03hs020684-handley-final-report-2012.pdf
January 01, 2012 - It is possible that health coaches felt inadequately trained in cultural competency around
depression
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integrationacademy.ahrq.gov/news-and-events/calendar/event/23295
January 01, 2013 - An official website of the Department of Health & Human Services
Search All AHRQ Sites
Careers
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Español
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The Academy
Integrating Behavioral Health & Primary Care
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psnet.ahrq.gov/issue/driving-out-errors
December 15, 2011 - Newspaper/Magazine Article
Driving out errors.
Citation Text:
Weinstock M. Driving out errors,. Hospitals & health networks. 2011;85(4):46-9, 2.
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psnet.ahrq.gov/issue/improving-hand-communication
April 24, 2007 - Book/Report
Classic
Improving Hand-Off Communication.
Citation Text:
Improving Hand-Off Communication. Oakbrook Terrace lL: Joint Commission Resources; 2007. ISBN 9781599400907.
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psnet.ahrq.gov/issue/windows-safety-and-quality-health-care-2008
January 28, 2015 - Book/Report
Windows into Safety and Quality in Health Care 2008.
Citation Text:
Windows into Safety and Quality in Health Care 2008. Sydney, Australia: Australian Commission on Safety and Quality in Health Care; 2008. ISBN: 9780980346275.
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psnet.ahrq.gov/issue/call-action-safeguarding-integrity-healthcare-quality-and-safety-systems
November 09, 2022 - Book/Report
Call to Action: Safeguarding the Integrity of Healthcare Quality and Safety Systems.
Citation Text:
Call to Action: Safeguarding the Integrity of Healthcare Quality and Safety Systems. Glenview, IL: National Association of Healthcare Quality; October 2012.
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psnet.ahrq.gov/issue/addressing-medical-gaslighting-improve-maternal-health-together
August 17, 2022 - Toolkit
Addressing Medical Gaslighting to Improve Maternal Health—Together.
Citation Text:
Addressing Medical Gaslighting to Improve Maternal Health—Together. Oregon Patient Safety Commission: 2023.
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