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psnet.ahrq.gov/node/73335/psn-pdf
May 26, 2021 - Hyponatremia Secondary to Home Parenteral Nutrition
Error
May 26, 2021
Haas K, Lee A. Hyponatremia Secondary to Home Parenteral Nutrition Error. PSNet [internet]. 2021.
https://psnet.ahrq.gov/web-mm/hyponatremia-secondary-home-parenteral-nutrition-error
The Case
A 4-year-old (former 33-week premature) boy with a …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/situ/simulation_cord-prolapse.docx
May 01, 2017 - AHRQ Safety Program for Perinatal Care: Sample Scenario for Umbilical Cord Prolapse In Situ Simulation
AHRQ Safety Program for Perinatal Care
Sample Scenario for Umbilical Cord Prolapse In Situ Simulation
Sample Scenario for Umbilical Cord Prolapse In Situ Simulation
Purpose of the tool: The Umbilical Cord Prolapse …
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/situ/simulation-cord-prolapse.html
July 01, 2023 - Sample Scenario for Umbilical Cord Prolapse In Situ Simulation
AHRQ Safety Program for Perinatal Care
Purpose of the tool: The Umbilical Cord Prolapse In Situ Simulation tool provides a sample scenario for labor and delivery (L&D) staff to practice teamwork, communication, and technical skills in…
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www.ahrq.gov/hai/cauti-tools/phys-championsgd/section5.html
October 01, 2015 - Resident Physicians as Champions in Preventing Device-Associated Infections
Resident Physicians as Safety Champions
Previous Page Next Page
Table of Contents
Resident Physicians as Champions in Preventing Device-Associated Infections
Preamble and Summary
Epidemiology of Invasive Devices and Comp…
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psnet.ahrq.gov/node/50768/psn-pdf
December 27, 2019 - In Conversation With... Cindy Brach
December 27, 2019
In Conversation With.. Cindy Brach. PSNet [internet]. 2019.
https://psnet.ahrq.gov/perspective/conversation-cindy-brach
Editor’s note: Cindy Brach, MPP is a Senior Healthcare Researcher at the Agency for Healthcare
Research and Quality and is the Co-Chair of th…
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digital.ahrq.gov/ahrq-funded-projects/infosage-information-sharing-across-generation-and-environments
January 01, 2023 - InfoSage Information Sharing Across Generations and Environments
Project Final Report ( PDF , 673.81 KB) 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 vie…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/asc/2023-ASC-Database-Report-II.pdf
January 01, 2023 - Surveys on Patient Safety Culture (SOPS) Ambulatory Surgery Center Survey: 2023 User Database Report Part II
Surveys on Patient Safety Culture® (SOPS®)
Ambulatory Surgery Center Survey:
2023 User Database Report
Part II: Appendix A - Results by Facility Characteristics
Appendix B - Results by Respondent Charact…
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psnet.ahrq.gov/node/37280/psn-pdf
December 23, 2011 - Special Issue on Health Literacy.
December 23, 2011
Am J Health Behav. 2007;31 Suppl 1:1-133.
https://psnet.ahrq.gov/issue/special-issue-health-literacy
This issue supplement includes articles and commentaries that explore avenues for improvement in health
literacy research.
https://psnet.ahrq.gov/issue/special-i…
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www.ahrq.gov/nursing-home/learning-modules/lead-by-example.html
December 01, 2022 - Leading by Example Learning Module
This learning module offers ideas to help boost morale, build trust, create a positive work environment, and practice open communication.
Leading by Example
No matter what your position, there are simple things you can do to take on a leadership and mentorship role in…
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digital.ahrq.gov/sites/default/files/docs/publication/r18hs017220-wolf-final-report-2012.pdf
January 01, 2012 - Using Information Technology for Patient-Centered Communication and Decisionmaking about Medications - Final Report
1
USING IT FOR PA TIENT-CENTERED C OMMUNICATION
AND DECISION MA KING A BOUT MEDICA TIONS
FINAL REPORT
FEBRUARY 2012
AGENCY FOR HEALTHCARE…
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digital.ahrq.gov/sites/default/files/docs/survey/qualitative-interview-ehr-implementation.pdf
June 16, 2021 - Qualitative Interview Questions for Electronic Health Record Implementation
Qualitative Interview Questions for Electronic Health Record Implementation
Michigan Public Health Institute, Ann Arbor MI
This is an interview guide designed to be conducted with administrators, clinical staff,
implementers, and office st…
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www.ahrq.gov/teamstepps-program/curriculum/team/tools/index.html
July 01, 2023 - Section 2: Explanation of Key Team Leadership Concepts and Tools
This section contains explanations and illustrations to help you better understand and appreciate the importance of team structure, leadership, and leadership tools. If you teach this content or want additional insights into how the material can b…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/long-term-modules/module6/facilitator-notes.docx
March 01, 2017 - Facilitator Notes
SAY:
The Sustainability module of this toolkit helps an organization maintain and sustain a process that has worked well.
SLIDE 1
SAY:
In this module we will—
· Define sustainability and understand the importance of maintaining positive change
· Describe the link between sustainability and spr…
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digital.ahrq.gov/ahrq-funded-projects/virtual-continuity-and-its-impact-complex-hospitalized-patients-care/annual-summary/2011
January 01, 2011 - Virtual Continuity and its Impact on Complex Hospitalized Patients' Care - 2011
Project Name
Virtual Continuity and its Impact on Complex Hospitalized Patients' Care
Principal Investigator
Smith, Kenneth J.
Organization
University of Pittsburgh
Funding Mechanism
PAR…
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psnet.ahrq.gov/issue/fda-alerts-patients-and-health-care-professionals-epipen-auto-injector-errors-related-device
April 07, 2019 - Press Release/Announcement
FDA alerts patients and health care professionals of EpiPen auto-injector errors related to device malfunctions and user administration.
Citation Text:
FDA alerts patients and health care professionals of EpiPen auto-injector errors related to device malfunctio…
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psnet.ahrq.gov/issue/adverse-drug-events-resulting-patient-errors-older-adults
March 11, 2011 - Study
Adverse drug events resulting from patient errors in older adults.
Citation Text:
Field TS, Mazor KM, Briesacher BA, et al. Adverse Drug Events Resulting from Patient Errors in Older Adults. J Am Geriatr Soc. 2007;55(2):271-276. doi:10.1111/j.1532-5415.2007.01047.x.
Copy Citati…
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psnet.ahrq.gov/issue/whats-going-well-qualitative-analysis-positive-patient-and-family-feedback-context-diagnostic
October 27, 2021 - Study
What's going well: a qualitative analysis of positive patient and family feedback in the context of the diagnostic process.
Citation Text:
Liu SK, Bourgeois FC, Dong J, et al. What’s going well: a qualitative analysis of positive patient and family feedback in the context of the d…
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digital.ahrq.gov/sites/default/files/docs/page/Information%20Technology,%20Finance%20and%20Quantitative%20Decision%20Making%20Group%20Report.pdf
September 21, 2009 - Industrial and Systems Engineering and Health Care: Critical Areas of Research Workshop - Information Technology, Finance and Quantitative Decision Making Group Report
Industrial and Systems Engineering and Health Care: Critical Areas of Research Workshop
Monday, September 21, 2009 Information Technology/Finance and…
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digital.ahrq.gov/ahrq-funded-projects/myhealthportal-using-electronic-portal-empower-patients-breast-cancer/annual-summary/2011
January 01, 2011 - MyHealthPortal: Using an Electronic Portal to Empower Patients with Breast Cancer - 2011
Project Name
MyHealthPortal: Using an Electronic Portal to Empower Patients with Breast Cancer
Principal Investigator
Wen, Kuang-Yi
Organization
Fox Chase Cancer Center
Funding Me…
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psnet.ahrq.gov/issue/relationships-between-pediatric-safety-indicators-across-national-sample-pediatric-hospitals
April 06, 2022 - Study
Relationships between pediatric safety indicators across a national sample of pediatric hospitals: dispelling the myth of the "safest" hospital.
Citation Text:
Milliren CE, Bailey G, Graham DA, et al. Relationships between pediatric safety indicators across a national sample of ped…