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psnet.ahrq.gov/node/49788/psn-pdf
March 01, 2017 - Correct Treatment Plan for Incorrect Diagnosis: A
Pharmacist Intervention
March 1, 2017
Nelson SD. Correct Treatment Plan for Incorrect Diagnosis: A Pharmacist Intervention. PSNet [internet].
2017.
https://psnet.ahrq.gov/web-mm/correct-treatment-plan-incorrect-diagnosis-pharmacist-intervention
The Case
A 48-year…
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psnet.ahrq.gov/node/49580/psn-pdf
March 21, 2009 - Medication Reconciliation Victory After an Avoidable
Error
March 21, 2009
Cutler TW. Medication Reconciliation Victory After an Avoidable Error. PSNet [internet]. 2009.
https://psnet.ahrq.gov/web-mm/medication-reconciliation-victory-after-avoidable-error
The Case
A 91-year-old woman, previously active and indepen…
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psnet.ahrq.gov/node/49453/psn-pdf
July 01, 2004 - Bowel Prep
July 1, 2004
Nelson D. Bowel Prep. PSNet [internet]. 2004.
https://psnet.ahrq.gov/web-mm/bowel-prep
The Case
The patient is a 73-year-old woman who 20 years ago underwent treatment for breast cancer. At her
daughter's suggestion, the patient requested referral for colonoscopy, as she understood there w…
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psnet.ahrq.gov/node/33694/psn-pdf
April 01, 2010 - In Conversation with…Janet Corrigan, PhD, MBA
April 1, 2010
In Conversation with…Janet Corrigan, PhD, MBA. PSNet [internet]. 2010.
https://psnet.ahrq.gov/perspective/conversation-withjanet-corrigan-phd-mba
Editor's note: Janet M. Corrigan, PhD, MBA, is president and CEO of the National Quality Forum (NQF), a
priva…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/102-how-integrate-cusp-approach-guide.docx
October 01, 2024 - AHRQ Safety Program for MRSA Prevention
How To Integrate a CUSP Approach
ICU & Non-ICU
Slide Title and Commentary
Slide Number and Slide
How to Integrate a CUSP Approach
SAY:
Welcome to this presentation about the Comprehensive Unit-based Safety Program, or CUSP. This presentation discusses how to integrate a CUSP…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.212_slideshow.ppt
February 01, 2010 - Spotlight Case July 2008
Spotlight Case
Adolescent Diabetes:
A Routine Visit?
Source and Credits
This presentation is based on the February 2010
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available
Commentary by: Gail B. Slap, MD, MSc, Children’s Hospital of P…
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psnet.ahrq.gov/node/49427/psn-pdf
January 01, 2004 - Inadvertent Castration
January 1, 2004
Calland FJ. Inadvertent Castration. PSNet [internet]. 2004.
https://psnet.ahrq.gov/web-mm/inadvertent-castration
The Case
An 83-year-old man presented with a left groin mass, "which had been there for years" but had recently
increased in size. The patient described persisten…
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psnet.ahrq.gov/innovation/echo-care-transitions-successfully-reduces-patient-readmissions-skilled-nursing
October 30, 2024 - ECHO-Care Transitions Successfully Reduces Patient Readmissions from Skilled Nursing Facilities, Reduces Length of Stay
Save
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August 25, 2021
Innova…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hospitalsurvey2-spanishitems.pdf
June 02, 2025 - Hospital Survey on Patient Safety Culture Version 2.0: Items and Composite Measures Spanish
SOPSTM Hospital Survey
Items and Composite Measures
Version: 2.0
Language: Spanish
Notes
• For more information on getting started, selecting a sample, determining data collection
methods, establishing data collectio…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/nursing-protocols/nursing-chg-basin-bathing.pdf
March 01, 2022 - Standardized Nursing Protocol: Basin Bed Bathing With 2% Liquid Chlorhexidine (CHG) and Showering With 4% CHG Liquid Soap
Decolonization of
Non-ICU Patients With Devices
Section 9-2 – Standardized Nursing Protocol:
Basin Bed Bathing With 2% Liquid Chlorhexidine
(CHG) and Showering With 4% CHG Liquid Soap …
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/nursing-protocols/nursing-chg-bed-bathing.pdf
March 01, 2022 - Standardized Nursing Protocol: Bed Bathing With 2% Chlorhexidine (CHG) No-Rinse Bathing Cloths and Showering With 4% CHG Liquid Soap
Decolonization of
Non-ICU Patients With Devices
Section 9-1 – Standardized Nursing Protocol:
Bed Bathing With 2% Chlorhexidine (CHG) No-Rinse
Bathing Cloths and Showering
…
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psnet.ahrq.gov/web-mm/hazards-loading-doses
December 01, 2003 - Hazards of Loading Doses
Citation Text:
Mucksavage JJ, Tesoro EP. Hazards of Loading Doses. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML E…
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psnet.ahrq.gov/node/49596/psn-pdf
December 01, 2009 - Round-Trip Service
December 1, 2009
McGrath MH. Round-Trip Service. PSNet [internet]. 2009.
https://psnet.ahrq.gov/web-mm/round-trip-service
The Case
A 70-year-old man with a long history of degenerative joint disease was experiencing increased symptoms
in his left knee. He was referred by his primary care provid…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/teach-back-role-play-final508.pdf
June 02, 2025 - Teach-Back
Teach-Back
Teach-Back: Role Play Scenarios
The Guide to Improving Patient Safety in Primary Care
Settings by Engaging Patients and Families
Teach-Back
Role Play Scenario 1
Facilitator Instructions
1. As facilitator, play the role of the patient.
2. Request a volunteer to play the role of the clinici…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/community-pharmacy/measures-spanish.pdf
April 01, 2014 - Spanish Community Pharmacy Survey on Patient Safety Culture Items and Dimensions
Spanish Translation of AHRQ’s Community Pharmacy Survey on Patient Safety Culture
April 2014
This document explains the process that was used to develop a Spanish translation of the Agency for Healthcare
Research and Quality (AHRQ) C…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/engage/pf-engagement-facilitator-guide.docx
May 01, 2017 - AHRQ Safety Program for Perinatal Care
Engage Patients and Families for Perinatal Safety
Engage Patients and Families for Perinatal Safety
SAY:
The Patient and Family Engagement module focuses on an important topic: making sure patients and their family members understand what is happening during the patient’s hospi…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/man5.html
December 01, 2017 - The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities
Chapter 5. Information and Training for Staff, Primary Care Providers, and Residents and their Families
Previous Page Next Page
Table of Contents
The Falls Management Program: A Quality Improvement Initiative for N…
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www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/training-tools/coaching-slides.html
May 01, 2017 - Coaching Clinical Teams Module
Slide 1: Coaching Clinical Teams Module
Slide 2: Objectives
The objectives are listed as a series of steps:
Understand current team training in the health care setting
Describe coaching in the clinical environment
Outline benefits of coaching
Identify the characterist…
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psnet.ahrq.gov/node/33813/psn-pdf
August 01, 2016 - Safety In Dentistry
August 1, 2016
Ramoni R, Walji MF, Kalenderian E. Safety In Dentistry. PSNet [internet]. 2016.
https://psnet.ahrq.gov/perspective/safety-dentistry
Perspective
In a famous scene from the 1976 film, Marathon Man, Laurence Olivier, playing dentist Dr. Christian Szell
tortures Babe Levy (played by…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/painmgmt-facguide.docx
January 01, 2017 - Facilitator Guide: Build Your SSI Prevention Bundle
Slide Title and Commentary
Slide Number and Slide
Title Slide
Evidence Behind Pain, Agitation, and Delirium: Assessments and Sedation Management
SAY:
In this module, you will learn about the evidence behind pain, agitation, and delirium. You will also learn abou…