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psnet.ahrq.gov/node/33713/psn-pdf
June 01, 2011 - The Safety of Medical Devices
June 1, 2011
Nemeth CP. The Safety of Medical Devices. PSNet [internet]. 2011.
https://psnet.ahrq.gov/perspective/safety-medical-devices
Perspective
Edward Tenner is right. Technology does have reverberations, including unintended consequences, or
"revenge effects."(1) While such dra…
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psnet.ahrq.gov/node/49412/psn-pdf
September 01, 2003 - Shake Well
September 1, 2003
Flynn EA. Shake Well. PSNet [internet]. 2003.
https://psnet.ahrq.gov/web-mm/shake-well
The Case
A 35-year-old patient on the neurology service was receiving carbamazepine for a seizure disorder. Daily
serum drug levels consistently fell below the therapeutic range, which led the physi…
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psnet.ahrq.gov/node/33617/psn-pdf
August 01, 2005 - In Conversation with…Barbara A. Blakeney, MS, RN
August 1, 2005
In Conversation with…Barbara A. Blakeney, MS, RN. PSNet [internet]. 2005.
https://psnet.ahrq.gov/perspective/conversation-withbarbara-blakeney-ms-rn
Editor's Note: Barbara A. Blakeney, MS, RN, is President of the 150,000-member American Nurses
Associa…
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psnet.ahrq.gov/node/49647/psn-pdf
February 01, 2012 - Amended Lab Results: Communication Slip
February 1, 2012
Mohta V. Amended Lab Results: Communication Slip. PSNet [internet]. 2012.
https://psnet.ahrq.gov/web-mm/amended-lab-results-communication-slip
The Case
A 25-year-old woman in her first pregnancy was seen at 33 weeks' gestation with new onset hypertension
an…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.251_slideshow.ppt
October 01, 2011 - Spotlight Case [MONTH] 2003
Spotlight Case
Mobility Lost in the ICU
*
*
Source and Credits
This presentation is based on the October 2011
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available
Commentary by: Jim Smith, PT, DPT, MA; Associate Professor of Physical …
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.64_slideshow.ppt
June 01, 2004 - Spotlight Case [MONTH] 2003
Spotlight Case June 2004
The Wrong Shot:
Error Disclosure
Source and Credits
This presentation is based on the June 2004
AHRQ WebM&M Spotlight Case in Pediatrics
CME credit is available through the Web site
See the full article at http://webmm.ahrq.gov
Commentary by: Thomas H. …
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psnet.ahrq.gov/node/33655/psn-pdf
August 01, 2007 - The PeaceHealth Governance Journey in Support of
Quality and Safety
August 1, 2007
Haughom JL. The PeaceHealth Governance Journey in Support of Quality and Safety. PSNet [internet].
2007.
https://psnet.ahrq.gov/perspective/peacehealth-governance-journey-support-quality-and-safety
Perspective
In recent years, the…
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psnet.ahrq.gov/node/33780/psn-pdf
July 01, 2015 - Safety and Medical Education
January 1, 2014
Ranji SR. Safety and Medical Education. PSNet [internet]. 2014.
https://psnet.ahrq.gov/perspective/safety-and-medical-education
Annual Perspective 2014
As the patient safety field has grown, so too has the appreciation for the need to improve safety in medical
educatio…
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psnet.ahrq.gov/node/33755/psn-pdf
September 01, 2013 - What We've Learned About Leveraging Leadership and
Culture to Affect Change and Improve Patient Safety
September 1, 2013
Singer SJ. What We've Learned About Leveraging Leadership and Culture to Affect Change and Improve
Patient Safety. PSNet [internet]. 2013.
https://psnet.ahrq.gov/perspective/what-weve-learned-ab…
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psnet.ahrq.gov/node/867004/psn-pdf
October 30, 2024 - Critical Radiology Alert Process
October 30, 2024
https://psnet.ahrq.gov/innovation/critical-radiology-alert-process
Summary
Vanderbilt University Medical Center developed an electronic trigger tool that alerts the care team of
unrelated abnormal findings and provides a companion follow-up process, with the goal o…
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www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/affinity-details-coping-staff-challenges.pdf
September 16, 2020 - EVENT SUMMARY
LEARNING COMMUNITY AFFINITY GROUP | SUMMARY AT-AT-GLANCE | 1
AFFINITY GROUP DETAILS AT-A-GLANCE
Title Coping with Staffing Challenges in Today’s Cardiac Rehabilitation Programs
September 16, 2020
Purpose • To provide an opportunity for peer-to-peer sharing related how CR
programs are r…
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/stewardship-slides.pptx
June 01, 2021 - PowerPoint Presentation
Sustaining Your Antibiotic Stewardship Program
Long-Term Care
AHRQ Safety Program for Improving Antibiotic Use
AHRQ Pub. No. 17(21)-0029
June 2021
Sustaining Stewardship
1
Objectives
Recognize that stewardship interventions must be sustained to have a continued effect
Discuss approaches for…
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www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/dxsafety-knowledge-assessment.pdf
February 01, 2022 - TeamSTEPPS for Diagnosis Improvement: Knowledge Assessment
TeamSTEPPS® for Diagnosis Improvement
Knowledge Assessment
This knowledge assessment tests the participants’ knowledge of the teamwork principles
demonstrated in the TeamSTEPPS for Diagnosis Improvement course.
1. TeamSTEPPS provides resources to optimize…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/4-sops101-webcast-2023-tyler.pdf
January 01, 2023 - An Overview of the SOPS® Surveys for New Users - Tyler
SOPS Databases
Rose Tyler, M.S.
SOPS Database Manager
User Network for the AHRQ Surveys on Patient Safety Culture
(SOPS)
Westat
SOPS Databases
Hospital 2.0
Year: 2022
Sites: 400
N: 206,410
Nursing Home
Year: 2023
Sites: 62
N: 3,224
Medical Office
Year: …
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www.ahrq.gov/evidencenow/projects/urinary/resources/search.html?page=0
June 01, 2024 - Provider Resource Library
This resource library contains tools and resources intended to support recruitment and retention of primary care practices and physicians for research studies and quality improvement initiatives.
MUI provider resource topics range from budgeting and patient recruitment to practice recruitm…
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www.ahrq.gov/hai/tools/mvp/modules/technical/subglottic-lit-review.html
January 01, 2017 - Benefits of Subglottic Secretion Drainage Endotracheal Tubes: Slide Presentation
AHRQ Safety Program for Mechanically Ventilated Patients
Slide 1: AHRQ Safety Program for Mechanically Ventilated Patients
Benefits of Subglottic Secretion Drainage Endotracheal Tubes
Slide 2: Learning Objectives
After …
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/communicating-decisions-slides.pptx
September 01, 2022 - Communicating with Patients and Families around Antibiotic Decisions - Slides
Communicating With Patients and Families About Antibiotic Decisions
Ambulatory Care
AHRQ Safety Program for Improving Antibiotic Use
AHRQ Pub. No. 17(22)-0030
September 2022
Communicating With Patients and Families
AHRQ Safety Program for …
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/2024-hsops-identifiable-conf-agreement.pdf
January 01, 2024 - Hospital Survey on Patient Safety Culture Database: Hospital-Identifiable Research Abstract Form
SOPS Hospital Survey Confidentiality Agreement – April 2024 Page 1 of 4
Agency for Healthcare Research and Quality (AHRQ)
Hospital Survey on Patient Safety Culture Database
CONFIDENTIALITY AGREEMENT FOR D…
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www.ahrq.gov/hai/pfp/interimhac2014-ap1.html
November 01, 2015 - Saving Lives and Saving Money: Hospital-Acquired Conditions Update
Appendix: Incidence of Hospital-Acquired Conditions in the Partnership for Patients: Estimates and Projected and Measured Impact
Previous Page
Table of Contents
Saving Lives and Saving Money: Hospital-Acquired Conditions Update
…
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www.ahrq.gov/hai/cauti-tools/phys-championsgd/section4.html
October 01, 2015 - Resident Physicians as Champions in Preventing Device-Associated Infections
Preventing Device-Associated Infections
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…