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psnet.ahrq.gov/node/49517/psn-pdf
August 01, 2006 - Miscalculated Risk
August 1, 2006
Strassels SA. Miscalculated Risk. PSNet [internet]. 2006.
https://psnet.ahrq.gov/web-mm/miscalculated-risk
The Case
A healthy 36-year-old man was admitted to a teaching hospital for acute low back strain after lifting his 2-
week-old infant. He received Vicodin (hydrocodone and a…
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psnet.ahrq.gov/node/33881/psn-pdf
August 01, 2019 - In Conversation With… Erik Hollnagel, PhD
June 1, 2019
In Conversation With… Erik Hollnagel, PhD. PSNet [internet]. 2019.
https://psnet.ahrq.gov/perspective/conversation-erik-hollnagel-phd
Editor's note: Dr. Hollnagel is Senior Professor of Patient Safety at the University of Jönköping (Sweden)
as well as Visiting…
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psnet.ahrq.gov/node/33699/psn-pdf
August 01, 2010 - Operationalizing Patient Safety at Academic Medical
Centers
August 1, 2010
Chakraborti C, Kahn MJ, Krane K. Operationalizing Patient Safety at Academic Medical Centers. PSNet
[internet]. 2010.
https://psnet.ahrq.gov/perspective/operationalizing-patient-safety-academic-medical-centers
Perspective
Academic medical…
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www.uspreventiveservicestaskforce.org/uspstf/recommendation/breastfeeding-counseling-2008
October 15, 2008 - Share to Facebook
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archived
Final Recommendation Statement
Breastfeeding: Counseling
October 15, 2008
Recommendations made by the USPSTF are independent of the U.S. government. They shoul…
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digital.ahrq.gov/ahrq-funded-projects/evaluating-impact-acpoecds-system-outcomes
January 01, 2023 - Evaluating the Impact of an ACPOE/CDS System on Outcomes
Project Final Report ( PDF , 806.9 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 views of AHR…
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psnet.ahrq.gov/web-mm/paradoxical-pulse
May 01, 2013 - Paradoxical Pulse
Citation Text:
Roy CL. Paradoxical Pulse. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2011.
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cdsic.ahrq.gov/sites/default/files/2025-07/CDSiC%20Topic%20Highlight_PC%20CDS%20and%20SDM_508_0.pdf
January 01, 2025 - How Patient-Centered Clinical Decision Support Can Strengthen Shared Decision Making
AHRQ Pub. No. 25-0058
June 2025
How Patient-Centered Clinical Decision Support
Can Strengthen Shared Decision Making
This resource describes shared decision making, patient-centered clinical decision support (PC…
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digital.ahrq.gov/sites/default/files/docs/page/0_Overview_0.pdf
July 13, 2007 - 0_Overview
July 13, 2007
Privacy and Security Solutions for
Interoperable Health Information
Exchange
Privacy and Security Assessment of Variation
Toolkit
Prepared for
Jonathan White, MD, Director of Health IT
Agency for Healthcare Research and Quality
540 Gaither Road
Rockville,…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/099-cusp-guide-why-choose-cusp-approach.docx
October 01, 2024 - AHRQ Safety Program for MRSA Prevention
Why Choose a CUSP Approach?
ICU & Non-ICU
Slide Title and Commentary
Slide Number and Slide
Why Choose a CUSP Approach?
SAY:
Welcome to this presentation on the topic of “Why Choose a CUSP Approach?” The term CUSP is short for “the Comprehensive Unit-based Safety Program.” T…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/physician-staff-engagement-facguide.docx
January 01, 2017 - Facilitator Guide: Build Your SSI Prevention Bundle
Slide Title and Commentary
Slide Number and Slide
Title Slide
Physician and Staff Engagement
SAY:
Today, we will give you an overview of physician and staff engagement.
Slide 1
Learning Objectives
SAY:
After this session, you will be able to identify the imp…
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/maternal-mortality-6.html
September 01, 2021 - The Contribution of Diagnostic Errors to Maternal Morbidity and Mortality During and Immediately After Childbirth: State of the Science
References
Previous Page
Table of Contents
The Contribution of Diagnostic Errors to Maternal Morbidity and Mortality During and Immediately After Childbirth: Stat…
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www.ahrq.gov/patient-safety/reports/advances/planning.html
July 01, 2022 - Advances in Patient Safety
Dissemination Planning Tool: Exhibit A from Volume 4
Previous Page
Table of Contents
Advances in Patient Safety
Acknowledgments
Preface
Peer Reviewers for Volume 1. Research Findings
Peer Reviewers for Volume 2. Concepts and Methodology
Peer Reviewers for Volum…
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www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/affinity-details-emerging-strategies-cr.pdf
January 01, 2021 - EVENT SUMMARY
LEARNING COMMUNITY AFFINITY GROUP | SUMMARY AT-AT-GLANCE | 1
AFFINITY GROUP DETAILS AT-A-GLANCE
Title Emerging Strategies for Supporting CR Patients between Onsite Visits
August 13, 2020
Purpose • To provide an opportunity for peer-to-peer sharing related to how CR
programs are suppor…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/teach-back-slides-final508.pdf
June 02, 2025 - Teach-Back
Teach-Back
AHRQ
Guide to Improving Patient Safety in
Primary Care Settings by Engaging
Patients and Families
Presenter
Presentation Notes
The Agency for Healthcare Research and Quality, or AHRQ, funded the development of a Guide to Improving Patient Safety in Primary Care Settings by…
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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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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/131-ss-swiss-cheese.pptx
April 01, 2025 - PowerPoint Presentation
Learning From Defects: Applying the “Swiss Cheese Model” of System Failures
Surgical Services
For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries
AHRQ Pub. No. 25-0029
April 2025
AHRQ Safety Program for MRSA Prevention: Targeting SSI
AHRQ Safety Program for MRSA Prevent…
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/patient-navigation-model-lung-cancer-rapid.pdf
December 01, 2018 - 11 and/3,9
12 (framework* or model* or theor* or concept … meta-analyses
CINAHL(EBSCOhost)
Date searched: July 27, 2018
Searched by: Information Specialist
Concept … A-4
Concept Controlled Vocabulary
Terms
Free Search Terms
Patient Navigation (MH "Patient
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cdsic.ahrq.gov/sites/default/files/2023-10/Final%20OO%20Patient%20Outcomes%20of%20PC%20CDS%20to%20AHRQ%2010.6.23.pdf
January 01, 2023 - patient outcome measures that could be used to assess PC CDS effectiveness—outlining the
measurement concept … be appropriate for evaluating the PC
CDS, as well as details related to each outcome: measurement concept … particular disease or condition that the COA is relevant to, the
population it may be used for, the concept
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/prevention-chronic-care/resources/ccrm-atlas-suppl/ccrm-atlas-suppl.pdf
October 01, 2013 - Definition of “Community” – The concept of “community” is fundamental to the
discussion of clinical-community
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www.ahrq.gov/sites/default/files/publications/files/ccrm-atlas-suppl.pdf
October 01, 2013 - Definition of “Community” – The concept of “community” is fundamental to the
discussion of clinical-community