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psnet.ahrq.gov/node/838855/psn-pdf
October 27, 2022 - False Assumptions Result in a Missed Pneumothorax
after Bronchoscopy with Transbronchial Biopsy.
October 27, 2022
Kuhn BT, Chau-Etchepare F. False Assumptions Result in a Missed Pneumothorax after Bronchoscopy
with Transbronchial Biopsy. PSNet [internet]. 2022.
https://psnet.ahrq.gov/web-mm/false-assumptions-resul…
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psnet.ahrq.gov/node/61078/psn-pdf
October 28, 2020 - Inpatient Stroke Management in an Adolescent with Type
1 Diabetes and Home Insulin Pump
October 28, 2020
Bagley B, Zuidema D, Crossen S, et al. Inpatient Stroke Management in an Adolescent with Type 1
Diabetes and Home Insulin Pump . PSNet [internet]. 2020.
https://psnet.ahrq.gov/web-mm/inpatient-stroke-management…
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www.ahrq.gov/sites/default/files/2024-01/grahamlear-report.pdf
January 01, 2024 - Final Progress Report: Improving Quality in Medication Management in Schools
Project Title: Improving Quality in Medication Management in Schools
Principal Investigator: Julia Graham Lear, PhD
Team Members: Annette Ferebee, MPH, Project Director
Nancy Eichner, MUP, Senior Program Manager
Theresa Chapman, Executive …
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www.ahrq.gov/sites/default/files/2024-02/ornstein-report.pdf
January 01, 2024 - Final Progress Report: Medication Safety in Primary Care Practice Translating Research Into Practice (MS-TRIP)
Grant Final Report
Grant ID: 5R18HS017037
Medication Safety in Primary Care Practice
Translating Research into Practice (MS-TRIP)
Inclusive Dates: 09/30/07 – 09/29/10
Principal Investigator:
Steven Ornst…
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/assemble-slides.html
July 01, 2023 - Assemble the Team and Engage Leadership for Perinatal Safety
AHRQ Safety Program for Perinatal Care
Slide 1: AHRQ Safety Program for Perinatal Care
Assemble the Team and Engage Leadership for Perinatal Safety
Slide 2: Learning Objectives
Image: Four ascending steps show the learning objectives:
…
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www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/progress-update-2024-slides.pdf
January 01, 2024 - Slide Presentation - Progress Update: The National Action Alliance for Patient and Workforce Safety—What, Why and How?
The National Action Alliance for Patient and Workforce
Safety - What, Why, and How?
NATIONAL WEBINAR
April 23, 2024
Housekeeping Notes
• This webinar will be recorded and available for viewing…
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/labor-delivery-unit/tool-obhemorrhage.html
July 01, 2023 - Labor and Delivery Unit Safety: Obstetric Hemorrhage
AHRQ Safety Program for Perinatal Care
Purpose of the tool: This tool describes the key perinatal safety elements related to the management obstetric hemorrhage. The key elements are presented within the framework of the Comprehensive Unit-base…
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psnet.ahrq.gov/node/49482/psn-pdf
May 01, 2005 - Pregnant With Danger
May 1, 2005
Pearlman MD, Desmond JS. Pregnant With Danger. PSNet [internet]. 2005.
https://psnet.ahrq.gov/web-mm/pregnant-danger
The Case
A 35-year-old woman, 38 weeks pregnant, presented to the emergency department (ED) in the middle of
the night complaining of left leg pain. She also had so…
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www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/final-report/section4.html
October 01, 2015 - National Evaluation of the CHIPRA Quality Demonstration Grant Program: Final Project Report
4. Observations About the Evaluation
Previous Page Next Page
Table of Contents
National Evaluation of the CHIPRA Quality Demonstration Grant Program: Final Project Report
1. Overview
2. Synthesis of Key F…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/medicaidmgmt/mm6.html
October 01, 2014 - Designing and Implementing Medicaid Disease and Care Management Programs
Section 6: Operating a Care Management Program
Previous Page Next Page
Table of Contents
Designing and Implementing Medicaid Disease and Care Management Programs
Introduction
Section 1: Planning a Care Management Program
…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/3-sorra-sops-hospital-survey-2-0-webcast.pdf
July 20, 2020 - AHRQ Webcast Introducing the New SOPS Hospital Survey 2.0 - Sorra
AHRQ Surveys on Patient Safety Culture™
Hospital Survey Version 2.0
Joann Sorra, PhD
Project Director, AHRQ Surveys on Patient Safety Culture User Network, Westat
12
HSOPS 2.0 Development Team
• Westat Research Team:
Theresa Famolaro, MPS, MS, …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/educational-bundles/indwelling-urinary-catheteruse/catheter-insertion/licensed-staff/licensed-catheter.pptx
March 01, 2017 - Catheter Types and Being Part of the Insertion Team
Urinary Catheter Types and
Being Part of the Insertion Team
AHRQ Pub. No. 16(17)-0003-7-EF
March 2017
AHRQ Safety Program for Long-Term Care: HAIs/CAUTI
Welcome to today’s session on being a part of the urinary catheter insertion team. This training is part o…
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psnet.ahrq.gov/node/49859/psn-pdf
April 01, 2019 - E-cigarette Explosion in a Patient Room
April 1, 2019
Benowitz NL. E-cigarette Explosion in a Patient Room. PSNet [internet]. 2019.
https://psnet.ahrq.gov/web-mm/e-cigarette-explosion-patient-room
The Case
A 49-year-old woman was admitted for an exacerbation of chronic obstructive pulmonary disease (COPD)
without…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/urinary-catheter-indications.pptx
April 01, 2022 - Indwelling Urinary Catheter Indications
Indwelling Urinary Catheter Indications
Avoiding Placement and Determining Appropriateness
AHRQ Safety Program for Intensive Care Units: Preventing CLABSI and CAUTI
AHRQ Pub. No. 17(22)-0019
April 2022
AHRQ Safety Program for Intensive Care Units: Preventing CLABSI and CAUTI
…
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/practice-survey-part2-mw.pdf
June 02, 2025 - H3 Practice Survey, Part 2
1
H3 Practice Survey, Part 2
H3 Baseline Practice Survey
Part 2
We appreciate your taking the time to complete Part 2 of the H3 baseline survey. This should take 10-
15 minutes to complete and has 3 sections. Remember, we only need one person at each practice to
complete thi…
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/member-codebook-6mon-post-intervention.pdf
January 01, 2014 - Practice Member Survey Code Book
Practice Member Survey Code Book
Variable / Core-optional
Status
Item Timing
The purpose of this survey is t…
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psnet.ahrq.gov/node/49678/psn-pdf
March 01, 2013 - A Weighty Mistake
March 1, 2013
Bokser SJ. A Weighty Mistake. PSNet [internet]. 2013.
https://psnet.ahrq.gov/web-mm/weighty-mistake
Case Objectives
Understand factors associated with weight-based dosing medication errors in pediatric populations.
Describe how adoption of computerized provider order entry (CPOE) s…
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psnet.ahrq.gov/node/867985/psn-pdf
January 01, 2025 - Suicide Prevention
March 25, 2025
Boudreaux E, Gale B, Mossburg SE. Suicide Prevention. PSNet [internet]. 20024.
https://psnet.ahrq.gov/perspective/suicide-prevention
Introduction
Suicide is one of the leading causes of death in the United States, accounting for nearly 50,000 deaths in
2022, a 36% rise since 2000…
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www.ahrq.gov/teamstepps-program/curriculum/team/implement/teach-coach.html
February 01, 2024 - Teaching Implementation Coaching for Culture Change
Coaching Objectives and Overview
Display Slide 42, “Coaching for Culture Change,” as you transition to the culture section.
Present Slide 43, “Objectives,” after you complete the implementation planning section. Note that executing a plan requires subs…
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psnet.ahrq.gov/node/33664/psn-pdf
March 01, 2008 - In Conversation with...Bradley T. Rosen, MD, MBA
March 1, 2008
In Conversation with..Bradley T. Rosen, MD, MBA. PSNet [internet]. 2008.
https://psnet.ahrq.gov/perspective/conversation-withbradley-t-rosen-md-mba
Editor's note: Dr. Rosen is Medical Director of the Inpatient Specialty Program (ISP) Hospitalist service…