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effectivehealthcare.ahrq.gov/sites/default/files/pdf/advanced-care-decision-aids_research-protocol.pdf
December 09, 2013 - the person is no longer capable of communicating them, or explicit
instructions for the person to communicate
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psnet.ahrq.gov/web-mm/delayed-diagnosis-mesenteric-ischemia
March 31, 2021 - failure to (a) establish an accurate and timely explanation of the patient’s health problem(s) or (b) communicate
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psnet.ahrq.gov/web-mm/case-mistaken-capacity-why-thorough-psychosocial-history-can-improve-care
July 08, 2022 - comprehend the information presented, understand the risks, benefits, and consequences of their decisions, communicate
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psnet.ahrq.gov/web-mm/spotlight-mistaken-attribution-diagnostic-misstep
July 01, 2011 - Her agitation and hallucinations impaired her ability to communicate or answer review of systems questions
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/017-contact-precautions-webinar-slides-notes.docx
October 01, 2024 - Communication, Signage, and Flagging
SAY:
For contact precautions to be effective, there needs to be a way to communicate
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/cmJ4Bm9BysHuBX2Wy8MQbc
December 07, 2005 - Screening for Speech and Language Delay in Preschool Children: Systematic Evidence Review
1
Screening for Speech and Language Delay in Preschool Children: Systematic Evidence
Review for the US Preventive Services Task Force
Heidi D. Nelson, MD, MPH (1, 2, 4)
Peggy Nygren, MA (1, 4)
Miranda Walker, B…
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www.ahrq.gov/funding/training-grants/grants/active/dissrt12/dissrt12.html
October 01, 2014 - AHRQ's Health Services Research Dissertation Grant Program: New Starts, Fiscal Year 2012
Fiscal Year 2012
This fact sheet presents information about AHRQ's research dissertation grant program and describes the 14 dissertation grant awards funded by the agency in Fiscal Year 2012.
Contents
Introduction…
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digital.ahrq.gov/ahrq-funded-projects/personalized-engagement-tool-pediatric-bmt-patients-and-caregivers
January 01, 2023 - Personalized Engagement Tool for Pediatric BMT Patients and Caregivers
Project Final Report ( PDF , 1.71 MB) Disclaimer
Disclaimer
The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessarily represent the…
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psnet.ahrq.gov/node/49565/psn-pdf
July 01, 2008 - Wrong Route for Nutrients
July 1, 2008
Scott-Cawiezell JR. Wrong Route for Nutrients. PSNet [internet]. 2008.
https://psnet.ahrq.gov/web-mm/wrong-route-nutrients
The Case
An 82-year-old man living in a skilled nursing facility (SNF) had not been eating or drinking well for about 6
months. He had lost weight and d…
-
effectivehealthcare.ahrq.gov/sites/default/files/investing_elwyn_presentation.pdf
January 01, 2009 - Elwyn_Presentation_REVISED_FINAL
Source:
Eisenberg
Center
Conference
Series
2009,
Translating
Information
Into
Action:
Improving
Quality
of
Care
Through
Interactive
Media,
Effective
Health
Care
Program
Web
site
(http://www.effectivehealt…
-
psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.245_slideshow.ppt
July 01, 2011 - Spotlight Case July 2008
Spotlight Case
Watch the Warfarin!
1
2
Source and Credits
This presentation is based on the July 2011
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available
Commentary by: Raman Khanna, MD, and Margaret Fang, MD, MPH; University of California, Sa…
-
psnet.ahrq.gov/node/49416/psn-pdf
September 01, 2003 - Check the Bags
September 1, 2003
Caldwell M, Dracup KA. Check the Bags. PSNet [internet]. 2003.
https://psnet.ahrq.gov/web-mm/check-bags
The Case
A 50-year-old man with new atrial fibrillation was placed on a diltiazem drip in the emergency department
for rate control. After arriving at the cardiac care unit (CCU…
-
psnet.ahrq.gov/node/49460/psn-pdf
September 01, 2004 - Security Lapse
September 1, 2004
Mason D. Security Lapse. PSNet [internet]. 2004.
https://psnet.ahrq.gov/web-mm/security-lapse
The Case
A medical student learned that the hospital's radiology image library was accessible throughout the
university's computer system, meaning that patient x-rays could be viewed in d…
-
psnet.ahrq.gov/node/49667/psn-pdf
October 01, 2012 - Looking for Meds in All the Wrong Places
October 1, 2012
Manias E. Looking for Meds in All the Wrong Places. PSNet [internet]. 2012.
https://psnet.ahrq.gov/web-mm/looking-meds-all-wrong-places
The Case
A 40-year-old uninsured woman with anxiety ran out of her prescribed clonazepam and had a seizure. She
went to t…
-
psnet.ahrq.gov/node/49692/psn-pdf
September 01, 2013 - A Picture Speaks 1000 Words
September 1, 2013
Hemphill RR. A Picture Speaks 1000 Words. PSNet [internet]. 2013.
https://psnet.ahrq.gov/web-mm/picture-speaks-1000-words
The Case
A 62-year-old man with a past medical history of hypertension, hyperlipidemia, and type A aortic dissection
repair presented with chest p…
-
digital.ahrq.gov/2020-year-review/research-summary/improving-delivery-health-services-health-systems-level-emerging-research
January 01, 2020 - Improving the Delivery of Health Services at the Health Systems Level - Emerging Research
Facilitating Long-Distance Care, Education, and Monitoring with Telehealth and Telemedicine
Clinicians have used telehealth and telemedicine in rural settings and for hard-to-access specialties …
-
www.ahrq.gov/news/newsletters/e-newsletter/957.html
May 01, 2025 - National Hospital Week Spotlight on Patient Safety Tools
Issue Number
957
AHRQ News Now is a weekly newsletter that highlights agency research and program activities.
May 13, 2025
AHRQ Stats: Changes in Healthcare Spending Among Highest Spenders People in the top 1 percent of healthcare expenses spent a…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/d4f_pdi08-postophemorrhage-bestpractices.pdf
May 16, 2016 - Selected Best Practices and Suggestions for Improvement
Pediatric Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
1 Tool D.4f
Selected Best Practices and Suggestions for Improvement
PDI 08: Perioperative Hemorrhage or Hematoma
Why focus on perioperative hemorrhage an…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/warm-handoff-design-guide-final508.pdf
June 02, 2025 - Design Guide for Warm Handoff Plus
The Guide to Improving Patient Safety in Primary Care
Settings by Engaging Patients and Families
Design Guide for
Warm Handoff Plus
Introduction
In a typical primary care visit, the patient transitions from one member of the healthcare team
to another multiple times, often wit…
-
www.ahrq.gov/sites/default/files/wysiwyg/nursing-home/materials/covid19-vaccine-confidence-learning-guide-leadership.pdf
June 30, 2021 - COVID-19 Vaccine Learning Guide for Leadership
Learning Guide for Leadership
Take Your Best Shot!
Strategies To Increase Nursing Home Staff Confidence in the
COVID-19 Vaccine
Nursing home staff are at the front lines of the COVID-19 pandemic. Vaccinations are critical tools in protecting
nursing home staff and…