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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/49459/psn-pdf
September 01, 2004 - Caution, Interrupted
September 1, 2004
Wears RL. Caution, Interrupted. PSNet [internet]. 2004.
https://psnet.ahrq.gov/web-mm/caution-interrupted
The Case
A 55-year-old man with acute myelogenous leukemia and several recent hospitalizations for fever and
neutropenia presented to the emergency department (ED) with …
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psnet.ahrq.gov/node/49691/psn-pdf
September 01, 2013 - DRESSed for Failure
September 1, 2013
Abramson EL, Kaushal R. DRESSed for Failure. PSNet [internet]. 2013.
https://psnet.ahrq.gov/web-mm/dressed-failure
The Case
A 60-year-old woman who uses a wheelchair presented to the emergency department (ED) with right hand
cellulitis and an uncomplicated urinary tract infec…
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psnet.ahrq.gov/node/49739/psn-pdf
August 21, 2015 - Breathe Easy: Safe Tracheostomy Management
August 21, 2015
Russell MS, Russell MD. Breathe Easy: Safe Tracheostomy Management. PSNet [internet]. 2015.
https://psnet.ahrq.gov/web-mm/breathe-easy-safe-tracheostomy-management
The Case
A 75-year-old man was admitted to the hospital with sepsis due to multilobar pneumo…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/best-practices-survey-administration-webcast-sorra.pdf
January 01, 2024 - Best Practices for Administering SOPS® Surveys Users (Webcast): Sorra Presentation
Best Practices for Administering SOPS Surveys
Joann Sorra, Ph.D.
Project Director
User Network for the AHRQ Surveys on Patient Safety Culture (SOPS)
Westat
12
Selecting a SOPS Survey or Item Set
SOPS Surveys
SOPS Supplemental I…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/qi-action-slides.pptx
April 01, 2022 - Quality Improvement in Action Slides
Quality Improvement in Action
AHRQ Safety Program for Intensive Care Units:
Preventing CLABSI and CAUTI
AHRQ Pub. No. 17(22)-0019
April 2022
Objectives
Describe methods to identify your intensive care unit’s (ICU) focus area of improvement using quality improvement strategies
R…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/difficult-conversations-transcript.pdf
April 01, 2022 - Transcript: How To Have Difficult Conversations With Colleagues Around Infection Prevention Practices
AHRQ Safety Program for Intensive Care
Units: Preventing CLABSI and CAUTI
Transcript
How To Have Difficult Conversations With Colleagues Around Infection
Prevention Practices
Host:
Kate Schmidgall …
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/central-catheter-removal.pptx
April 01, 2022 - Central Venous Catheter Removal
Central Venous Catheter
Removal
Prompting Removal of Unnecessary Catheters
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
1
Case 1: Central Venou…
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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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effectivehealthcare.ahrq.gov/sites/default/files/pdf/methods-balancing-harms-benefits_research.pdf
February 01, 2014 - This is considerably lower than the
480 that would be expected without considering death as a competing … The Gail/NCI approach first estimates the number of expected events while considering
mortality (or … Relative weights for outcomes came from a small sample of
participants considering aspirin for primary … For example, considering use of information from NNT and NNH analyses in
decisionmaking contexts, weighting … For the Gail/NCI approach, we used relative weights obtained from a sample of participants
considering
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digital.ahrq.gov/ahrq-funded-projects/improving-health-information-technology-implementation-rural-health-system/annual-summary/2008
January 01, 2008 - What to Consider When You are Considering ePrescribing.
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www.uspreventiveservicestaskforce.org/uspstf/about-uspstf/methods-and-processes/procedure-manual/procedure-manual-appendix-xii-summary-evidence-table-evidence-reviews
July 01, 2017 - subbody of evidence for that key question, particularly when the stratified data may be the basis for considering
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digital.ahrq.gov/sites/default/files/docs/page/sustainability-partnerships-and-teamwork-in-health-it-implementation.pdf
December 01, 2012 - ...........A-1
Appendix B: Getting Ready: A Planning Checklist for rural and Community
Hospitals Considering … Checking a source for a product rating and carefully considering technical support when selecting
a … )
● Getting Ready: A Planning Checklist for Rural and Community Hospitals Considering
Implementing … Appendix B provides a Planning Checklist for Rural and Community Hospitals
Considering Implementing … This guidance document is designed to assist
rural and/or community-based hospitals considering the
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digital.ahrq.gov/sites/default/files/docs/page/forging-pathway-for-electronic-prescribing-of-controlled-substances.pdf
March 01, 2014 - However, considering the extensive
level of cooperation needed among the many parties
involved in EPCS
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/methods-guidance-topics_methods.pdf
January 01, 2010 - utilization and
expenditures, the Medical Expenditure Panel Survey (MEPS) prioritized data collected by
considering … present is inherently a subjective process based
on ideals (e.g., fairness) and decisions are made by considering … Recent work by the Institute of Medicine
(IOM) calls on us to focus these aims further
by particularly considering … Fourth, estimate the potential value by
considering the probable impact on health of
commissioning … systematic review by AHRQ or others)
Feasibility
Effectively utilizes existing research and knowledge by considering
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psnet.ahrq.gov/web-mm/diagnosing-diagnostic-mistakes
April 30, 2014 - Understand the biases that may contribute to overcalling medical errors Describe the impact of considering … deemed to be diagnostic errors in journal articles (including AHRQ WebM&M) and elsewhere, it is worth considering
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psnet.ahrq.gov/node/49779/psn-pdf
January 01, 2017 - For example, Namshirin and
colleagues suggest that by involving various stakeholders and considering … lines) when programming the pump, changing
solution, and transferring patients.(15,16)
In summary, by considering
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/gastric-cancers-supplementary-app-i.xlsx
January 01, 2019 - Subgroup effect dismissed by investigators considering adjustment for multiplicity.
41436 MAGIC Mismatch … Subgroup effect dismissed by investigators considering adjustment for multiplicity.
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cds.ahrq.gov/sites/default/files/cds/artifact/76/CMSs%20Million%20Hearts%20Model%20Longitudinal%20ASCVD%20Risk%20Assessment%20Tool%20for%20Shared%20Decision%20Making.pdf
April 01, 2021 - This Implementation Guide provides information and guidance to individuals considering their
potential … ability to calculate and display the base
10-Year ASCVD risk score for an individual to help when considering … Prospective estimations of ASCVD risk in support of shared decision making while
considering the benefits … Prospective estimations of ASCVD risk in support of shared decision making while considering the benefits