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  1. psnet.ahrq.gov/perspective/conversation-kathleen-sutcliffe-mn-phd
    April 26, 2023 - In Conversation With… Kathleen Sutcliffe, MN, PhD April 1, 2017  Citation Text: In Conversation With… Kathleen Sutcliffe, MN, PhD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017. Copy C…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49638/psn-pdf
    January 01, 2012 - Communication Failure—Who's in Charge? October 1, 2011 Fackler J, Schwartz JM. Communication Failure—Who's in Charge? PSNet [internet]. 2011. https://psnet.ahrq.gov/web-mm/communication-failure-whos-charge The Case A 20-month-old boy was admitted to the intensive care unit (ICU) following a Fontan surgical procedu…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33711/psn-pdf
    May 01, 2011 - The Second Victim Phenomenon: A Harsh Reality of Health Care Professions May 1, 2011 Scott SD. The Second Victim Phenomenon: A Harsh Reality of Health Care Professions. PSNet [internet]. 2011. https://psnet.ahrq.gov/perspective/second-victim-phenomenon-harsh-reality-health-care-professions Perspective The Instit…
  4. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/aseptic-catheter-insertion-practices-inthe_ED_transcript.docx
    June 02, 2015 - On the CUSP: Stop CAUTI in the ED ED Mini-Presentation to Accompany June 2, 2015 ED Coaching Call Sarah: Hello everyone. Thank you for listening today. My name is Sarah Dalton. I am a Program Specialist with the Health Research and Educational Trust. Welcome to the fourth mini-presentation in the CAUTI Cohort 9 Educat…
  5. www.ahrq.gov/hai/cauti-tools/archived-webinars/aseptic-catheter-practices-ed-transcript.html
    December 01, 2017 - Aseptic Catheter Insertion Practices in the Emergency Department Webinar Transcript On the CUSP: Stop CAUTI in the ED ED Mini-Presentation to Accompany June 2, 2015 ED Coaching Call Sarah: Hello everyone. Thank you for listening today. My name is Sarah Dalton. I am a Program Specialist with the Health Re…
  6. www.ahrq.gov/hai/cauti-tools/archived-webinars/aseptic-catheter-insertion-practices-ed-transcript.html
    December 01, 2017 - Aseptic Catheter Insertion Practices in the Emergency Department Webinar Transcript On the CUSP: Stop CAUTI in the ED ED Mini-Presentation to Accompany June 2, 2015 ED Coaching Call Sarah: Hello everyone. Thank you for listening today. My name is Sarah Dalton. I am a Program Specialist with the Health Rese…
  7. www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/nursing-home-survey-spanish.docx
    September 01, 2024 - SOPS® Nursing Home Survey on Patient Safety - Spanish SOPS® Nursing Home Survey Version: 1.0 Language: Spanish · For more information on getting started, selecting a sample, determining data collection methods, establishing data collection procedures, conducting a web-based survey, and preparing and analyzing data, …
  8. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/educational-bundles/urine-culturing/antibiotic-stewardship/abx-stewardship-part2.pptx
    March 01, 2017 - Antibiotic Stewardship Slides, Part 2 Antibiotic Stewardship AHRQ Pub. No. 16(17)-0003-22-EF March 2017 AHRQ Safety Program for Long-Term Care: HAIs/CAUTI Welcome to today’s educational session on antibiotic stewardship. This module is part of the Agency for Healthcare Research and Quality (or AHRQ) Safety Progra…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33886/psn-pdf
    August 01, 2019 - Medical Scribes and Patient Safety August 1, 2019 Woodcock D, Bergstrom R. Medical Scribes and Patient Safety. PSNet [internet]. 2019. https://psnet.ahrq.gov/perspective/medical-scribes-and-patient-safety Perspective Scribes have supported physicians for thousands of years.(1) However, little is known about how to…
  10. psnet.ahrq.gov/web-mm/raise-bar
    May 29, 2024 - Raise the Bar Citation Text: Stotts J, Lyndon A. Raise the Bar. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2014. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49749/psn-pdf
    December 01, 2015 - Hyperglycemia and Switching to Subcutaneous Insulin December 1, 2015 Wetterneck TB. Hyperglycemia and Switching to Subcutaneous Insulin. PSNet [internet]. 2015. https://psnet.ahrq.gov/web-mm/hyperglycemia-and-switching-subcutaneous-insulin The Case A 47-year-old man with type 2 diabetes was admitted to the hospita…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49653/psn-pdf
    May 01, 2012 - The Forgotten Line May 1, 2012 Render ML. The Forgotten Line. PSNet [internet]. 2012. https://psnet.ahrq.gov/web-mm/forgotten-line The Case An 81-year-old man with a history of coronary artery disease, hypertension, cerebrovascular accidents, and chronic kidney disease was transferred to a referral hospital for p…
  13. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/012-ss-decolonization-strategies.pptx
    April 01, 2025 - Decolonization Strategies Decolonization Strategies 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 Prevention | Surgical Services Decolonization Implemen…
  14. psnet.ahrq.gov/web-mm/do-me-favor
    September 12, 2016 - Do Me a Favor Citation Text: Williamson A. Do Me a Favor. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2004. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …
  15. psnet.ahrq.gov/web-mm/adverse-event-during-intrahospital-transport
    June 16, 2021 - Adverse Event During Intrahospital Transport Citation Text: Bergman L, Chaboyer W. Adverse Event During Intrahospital Transport. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. Copy Citation Format: Google Scholar …
  16. psnet.ahrq.gov/web-mm/glucose-roller-coaster
    February 02, 2022 - Glucose Roller Coaster Citation Text: Sharpe B. Glucose Roller Coaster. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2004. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMed…
  17. www.ahrq.gov/research/findings/studies/index.html
    January 01, 2025 - Keywords: Primary Care, Cultural Competence, Clinician-Patient Communication, Communication
  18. 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 - Emphasis on leadership to hold people accountable, communicate the vision and strategy, and eliminate cultural
  19. effectivehealthcare.ahrq.gov/sites/default/files/related_files/cer-269-respectful-maternity-care-disposition-comments.pdf
    January 02, 2024 - I would argue that maternity care is disrespectful in part because our cultural discourse frames birth
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49801/psn-pdf
    August 01, 2017 - Despite Clues, Failed to Rescue August 1, 2017 Ghaferi AA. Despite Clues, Failed to Rescue. PSNet [internet]. 2017. https://psnet.ahrq.gov/web-mm/despite-clues-failed-rescue Case Objectives Define failure to rescue. Identify the main contributors to failure-to-rescue events. Appreciate the ongoing areas of scien…