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psnet.ahrq.gov/node/72739/psn-pdf
February 10, 2021 - Delay in Appropriate Diagnosis and Treatment Leading to
Death from Pulmonary Embolism
February 10, 2021
McCallum W, Barnes DK. Delay in Appropriate Diagnosis and Treatment Leading to Death from Pulmonary
Embolism. PSNet [internet]. 2021.
https://psnet.ahrq.gov/web-mm/delay-appropriate-diagnosis-and-treatment-leadi…
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psnet.ahrq.gov/web-mm/code-status-vs-care-status
September 30, 2020 - SPOTLIGHT CASE
Code Status vs. Care Status
Citation Text:
Krisman RK, Spero H. Code Status vs. Care Status. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2020.
Copy Citation
Format:
Google Scholar BibTeX End…
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psnet.ahrq.gov/web-mm/delay-appropriate-diagnosis-and-treatment-leading-death-pulmonary-embolism
December 31, 2024 - SPOTLIGHT CASE
Delay in Appropriate Diagnosis and Treatment Leading to Death from Pulmonary Embolism
Citation Text:
McCallum W, Barnes DK. Delay in Appropriate Diagnosis and Treatment Leading to Death from Pulmonary Embolism. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Qu…
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psnet.ahrq.gov/node/851568/psn-pdf
July 31, 2023 - A Complicated Course: Severe Alcohol Withdrawal with
Dexmedetomidine Infusion
July 31, 2023
Duong T, Boctor N, Bourgeois JA. A Complicated Course: Severe Alcohol Withdrawal with
Dexmedetomidine Infusion. PSNet [internet]. 2023.
https://psnet.ahrq.gov/web-mm/complicated-course-severe-alcohol-withdrawal-dexmedetomid…
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/TK3_T5_Minimum_Criteria_Nursing_Staff_Training.docx
October 01, 2016 - Today’s training is about improving communications with doctors, nurse practitioners, and physician assistants
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digital.ahrq.gov/sites/default/files/docs/page/SureScripts%20Final%20Report.pdf
January 11, 2007 - Healthcare provider vendors select a communications interface and determine whether to connect directly … following conceptual domains: patient safety, effectiveness of patient care, efficiency of patient care,
communications … with the patient, communications with the physician / prescriber, and effect on relations with
the … cited among negative comments were delays in receiving e-
prescriptions from prescribers and reduced communications
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digital.ahrq.gov/sites/default/files/docs/publication/u18hs016394-lapane-final-report-2006.pdf
January 01, 2006 - Healthcare provider vendors select a communications interface and determine whether to
connect directly … following conceptual domains: patient safety, effectiveness of patient care, efficiency of
patient care, communications … with the patient, communications with the physician / prescriber,
and effect on relations with the … cited among negative comments were delays in receiving e-prescriptions from prescribers and
reduced communications
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digital.ahrq.gov/sites/default/files/docs/publication/developmentmethodskeyinformantinterviewsreport.pdf
July 10, 2012 - for eliciting feedback
Use social media networks to generate
interest about the product
Monitor communications … Launch of
imperfect
products to
learn from
customers
Use social media
networks to monitor
communications … technology
blogs
Provide a channel for eliciting
feedback
Long-term
customer
research
Monitor communications … Communications of the ACM 2006;49(1):126-30.
22. Urban GL, Hauser JR.
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www.ahrq.gov/sites/default/files/publications/files/ptflowguide.pdf
January 01, 2014 - barriers, the team engaged inpatient managers and staff in the early stages of the
design of their new communications … turned over to the director of
strategic initiatives.
19
n Finally, your team should consider a communications … Due Date
development of new forms, purchases)
Communications Strategy
Who needs to What information … Sharma 7/1/09
Communications Strategy
Who needs to know What information do When do they Who will provide
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digital.ahrq.gov/sites/default/files/docs/citation/cds-connect-year1-final-report.pdf
October 01, 2017 - These informal communications were tracked throughout the project and have
been shared as an informal … These informal communications were tracked throughout the project and have
been shared as an informal … Lastly, the CDS Repository has been developed
in accordance with the AHRQ publishing and communications … As the project’s second year advances, the development of a strong communications plan
will be of value
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www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-case6.html
November 01, 2014 - Several issues were identified and solved as part of the simulation process: improving communications … In the first live dry run, radios were put on the same channel, and communications broke down, leading
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/improvement-guide/4-approach-qi-process/cahps-section-4-ways-to-approach-qi-process.pdf
May 17, 2017 - The CAHPS Ambulatory Care Improvement Guide: Ways to Approach the Quality Improvement Process
The CAHPS Ambulatory Care
Improvement Guide
Practical Strategies for Improving Patient Experience
Section 4: Ways to Approach the Quality Improvement
Process
Visit the AHRQ Website for the full Guide.
May 2017 (upda…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/asc/Part-I-SOPS-ASC-DatabaseReport.pdf
December 01, 2021 - Surveys on Patient Safety Culture (SOPS) Ambulatory Surgery Center Survey: 2021 User Database Report Part I
SURVEYS ON PATIENT
SAFETY CULTURE™
Surveys on
Patient Safety
Culture™
Ambulatory Surgery Center Survey:
2021 User Database Report
e PATIENT
SAFETY
[This page is intentionally left blank]
Surveys o…
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effectivehealthcare.ahrq.gov/sites/default/files/fagerlin-presentation.pdf
May 29, 2025 - Fagerlin-notes-151007 copy-Teresa
When
we talk about patient engagement and
shared
decision-‐making there are a number
of different problems that evolve.
1
First, patients often do not have information they need to make decisions, nor are they involved in
the
decisions as much
as they would
…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/007-ss-contact-precautions-fg.docx
April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI
Contact Precautions
Surgical Services
For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries
Slide Title and Commentary
Slide Number and Slide
Contact Precautions
SAY:
Welcome to this presentation on contact precautions. This presentation wi…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/ed-catheter-insertions-091013.ppt
January 01, 2010 - Reducing Unecessary Urinary catheter Use in the Emergency Department: How to Implement the Process
The Emergency Department & Catheter Insertions
*
Mohamad Fakih, MD, MPH
St. John Hospital and Medical Center
Lisa Wolf, PhD, RN, CEN, FAEN
Emergency Nurses Association (ENA)
Jeremiah Schuur, MD, MHS, FACEP
Brig…
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psnet.ahrq.gov/node/862983/psn-pdf
February 28, 2024 - Airway Obstruction during Anterior Cervical Spine
Surgery
February 28, 2024
Bohringer C, Vo L. Airway Obstruction during Anterior Cervical Spine Surgery. PSNet [internet]. 2024.
https://psnet.ahrq.gov/web-mm/airway-obstruction-during-anterior-cervical-spine-surgery
The Case
A 47-year-old obese man (body weight 13…
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www.ahrq.gov/patient-safety/reports/liability/brock.html
August 01, 2017 - Advances in Patient Safety and Medical Liability
Applying a Novel Organization Change Scale in a Multisite Patient Safety Initiative
Previous Page Next Page
Table of Contents
Advances in Patient Safety and Medical Liability
Preface
Acknowledgments
Prologue
Silence A Commentary
Reforming th…
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psnet.ahrq.gov/web-mm/open-wider-failure-use-interpreter-results-fractured-teeth-and-hypoxia-during-simple
January 29, 2021 - Open wider: Failure to use an interpreter results in fractured teeth and hypoxia during a simple elective operation.
Citation Text:
Bohringer C, Godoy L. Open wider: Failure to use an interpreter results in fractured teeth and hypoxia during a simple elective operation.. PSNet [internet]. Rockville (MD): Ag…
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digital.ahrq.gov/ahrq-funded-projects/improving-management-test-results-return-after-hospital-discharge/annual-summary/2012
January 01, 2012 - Improving Management of Test Results That Return After Hospital Discharge - 2012
Project Name
Improving Management of Test Results that Return After Hospital Discharge
Principal Investigator
Were, Martin
Organization
Indiana University
Funding Mechanism
PAR: HS09-08…