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psnet.ahrq.gov/node/49505/psn-pdf
March 01, 2006 - Collegiality vs. Competence
March 1, 2006
Sagin T. Collegiality vs. Competence. PSNet [internet]. 2006.
https://psnet.ahrq.gov/web-mm/collegiality-vs-competence
The Case
A 91-year-old man with coronary artery disease was taken to the operating room (OR) for semi-elective
repair of a 10-cm abdominal aortic aneurys…
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psnet.ahrq.gov/node/49510/psn-pdf
May 01, 2006 - Cups of Error
May 1, 2006
Blegen MA, Pepper GA. Cups of Error. PSNet [internet]. 2006.
https://psnet.ahrq.gov/web-mm/cups-error
The Case
An 87-year-old man was 5 days postoperative from a decompressive laminectomy. Although he suffered
from dementia, he remained alert and oriented with only mild short-term memory…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.314_slideshow.ppt
February 01, 2014 - PowerPoint Presentation
Spotlight Case
Multifactorial Medication Mishap
1
This presentation is based on the February 2014
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available
Commentary by: Annie Yang, PharmD, BCPS
NYU Langone Medical Center
Editor, AHRQ WebM&M: Robe…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.362_slideshow.ppt
December 01, 2015 - PowerPoint Presentation
Spotlight
Harm From Alarm Fatigue
This presentation is based on the December 2015
AHRQ WebM&M Spotlight Case
See the full article at https://psnet.ahrq.gov/webmm
CME credit is available
Commentary by: Michele M. Pelter, RN, PhD, and Barbara J. Drew, RN, PhD, University of California, San …
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digital.ahrq.gov/ahrq-funded-projects/parentlink-better-and-safer-emergency-care-children
January 01, 2023 - ParentLink: Better and Safer Emergency Care for Children
Project Final Report ( PDF , 84.92 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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digital.ahrq.gov/sites/default/files/docs/implementation/Porter.ppt
June 16, 2021 - Slide 1
Patient-centered HIT: a pediatric case study
Stephen C. Porter MD, MPH, MS
Assistant Professor, Harvard Medical School
Affiliate Faculty, Harvard-MIT Division of Health Sciences and Technology
Faculty, Division of Emergency Medicine,Children’s Hospital Boston
Email: stephen.porter@childrens.harva…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy3/Strat3_Tool_3_Pres_video_508.pdf
June 02, 2025 - Strategy 3: Bedside Shift Report (Tool 3)
Guide to Patient & Family Engagement
Insert hospital logo here
Nurse Bedside
Shift Report Training
[Hospital Name | Presenter name and title | Date of presentation]
Strategy 3: Nurse Bedside Shift Report (Tool 3)
Today’s session
• What is patient and famil…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/urinary-catheter-alternatives.pptx
April 01, 2022 - Central Venous Catheter Indications and Alternatives
Indwelling Urinary Catheter Alternatives
Avoiding Placement and Determining Appropriateness
AHRQ Safety Program for Intensive Care Units: Preventing CLABSI and CAUTI
AHRQ Pub. No. 17(22)-0019
April 2022
1
Avoid Unnecessary Urinary Catheter Placement1,2
Patel…
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www.ahrq.gov/es/patient-safety/settings/hospital/red/toolkit/redtool1.html
March 01, 2013 - Re-Engineered Discharge (RED) Toolkit
Tool 1: Overview
Previous Page Next Page
Table of Contents
Re-Engineered Discharge (RED) Toolkit
Tool 1: Overview
Tool 2: How To Begin the Re-engineered Discharge Implementation at Your Hospital
How CMS Measures the "30-Day All Cause Rehospitalization Rate…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/implement/implement.pptx
May 01, 2017 - AHRQ Safety Program for Perinatal Care: Implement Teamwork and Communication
AHRQ Safety Program for Perinatal Care
Implement Teamwork and Communication for Perinatal Safety
AHRQ Publication No. 17-0003-3-EF
May 2017
1
Learning Objectives
2
AHRQ Safety Program for Perinatal Care
Teamwork & Comm.
2
Basic Com…
-
www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module4/mod4-slides.html
March 01, 2017 - Module 4: Teamwork and Communication
AHRQ Safety Program for Long-Term Care: HAIs/CAUTI
Slide 1: Module 4: Teamwork and Communication
Slide 2: Objectives
Describe effective communication and teamwork.
Describe why teamwork training and improved communication optimizes resident safety.
List barri…
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www.ahrq.gov/research/publications/pubcomguide/pcguide2.html
July 01, 2023 - Publishing and Communications Guidelines
Section 2: Web Products and Website Development and Redesign
Previous Page Next Page
Table of Contents
Publishing and Communications Guidelines
Section 1: Product Development
Audio and Video Products
Appendix 1-A. Release Forms
Appendix 1-B. Trademark…
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psnet.ahrq.gov/node/33579/psn-pdf
September 15, 2024 - Systems Approach
September 15, 2024
Systems Approach. PSNet [internet]. 2019.
https://psnet.ahrq.gov/primer/systems-approach
PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that
they reflect current research and practice in the patient safety field. Last reviewed in …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/d7_pdi_implementationmeasurement.pdf
January 01, 2016 - Implementation Measurement
Pediatric Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
i Tool D.7
Implementation Measurement
What is the purpose of this tool? The purpose of the implementation measurement tool is to
provide a format in which you can determine if best…
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www.uspreventiveservicestaskforce.org/uspstf/document/final-research-plan/obesity-in-children-and-adolescents-screening
June 30, 2022 - Share to Facebook
Share to X
Share to WhatsApp
Share to Email
Print
Final Research Plan
High Body Mass Index in Children and Adolescents: Interventions
June 30, 2022
Recommendations made by the USPSTF are independent of the U.S. government…
-
www.uspreventiveservicestaskforce.org/uspstf/document/final-research-plan141/obesity-in-children-and-adolescents-screening-june-2017
February 12, 2015 - Share to Facebook
Share to X
Share to WhatsApp
Share to Email
Print
archived
Final Research Plan
Obesity in Children and Adolescents: Screening
February 12, 2015
Recommendations made by the USPSTF are independent of the U.S. government. They…
-
digital.ahrq.gov/ahrq-funded-projects/artificial-intelligence-based-health-it-tools-optimize-critical-care
January 01, 2025 - Artificial Intelligence-Based Health Information Technology Tools to Optimize Critical Care Pharmacist Resources Through Adverse Drug Event Prediction
Project Description
Publications
Research Story
Developing artificial intelligence-based health information technol…
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psnet.ahrq.gov/node/49581/psn-pdf
March 21, 2009 - Double Dosing, by the Rules
March 21, 2009
Cohen H. Double Dosing, by the Rules. PSNet [internet]. 2009.
https://psnet.ahrq.gov/web-mm/double-dosing-rules
The Case
A 65-year-old woman with rheumatoid arthritis and chronic obstructive pulmonary disease (COPD) was
admitted to a medical unit during the night with wo…
-
psnet.ahrq.gov/node/73146/psn-pdf
April 28, 2021 - Patient Safety in Home Dialysis
April 28, 2021
Morfín JA, Fitall E, Hall KK, et al. Patient Safety in Home Dialysis. PSNet [internet]. 2021.
https://psnet.ahrq.gov/perspective/patient-safety-home-dialysis
Dialysis Care and Patient Safety Concerns
In patients with chronic kidney disease, kidney function declines ov…
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digital.ahrq.gov/sites/default/files/docs/page/percentage-of-alerts-quick-reference-guide.pdf
March 01, 2009 - Percentage of Alerts or Reminders That Resulted in Desired Action
Percentage of Alerts or
Reminders That Resulted
in Desired Action
Determining the frequency in which a given alert or
reminder is executed may help assess its effectiveness.
This measure might be implemented in the
following instances:
• For e…