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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/takeheart/training/operational-adjustments-event-summary.pdf
July 02, 2020 - 1
Learning Community Affinity Group
Summary-at-a-Glance:
Operational Adjustments while Resuming In-Person Cardiac
Rehabilitation Programs
July 2, 2020
Event Purpose and Overview
• Purpose: To share and acquire strategies for how to adjust operations while resuming in-person
cardiac rehabilitation p…
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psnet.ahrq.gov/perspective/unintended-consequences-florida-medical-liability-legislation
February 01, 2003 - The Unintended Consequences of Florida Medical Liability Legislation
Paul Barach, MD, MPH | December 1, 2005
View more articles from the same authors.
Citation Text:
Barach P. The Unintended Consequences of Florida Medical Liability Legislation. PSNet [internet].…
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effectivehealthcare.ahrq.gov/sites/default/files/prostate-cancer-therapies-summary.pdf
September 01, 2020 - Therapies for Clinically Localized Prostate Cancer: Evidence Summary
Comparative Effectiveness Review
Number 230
Therapies for Clinically
Localized Prostate Cancer
Evidence Summary
Main Points
• In men with clinically localized prostate cancer (CLPC) detected clinically rather than
by prostate-speci…
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psnet.ahrq.gov/web-mm/situational-awareness-and-patient-safety
May 01, 2012 - Situational Awareness and Patient Safety
Citation Text:
Farnan JE. Situational Awareness and Patient Safety. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2016.
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Format:
Google Scholar BibTeX EndNote X3 XM…
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psnet.ahrq.gov/print/pdf/node/74277
January 01, 2021 - PSNet
Curated Library
AHRQ: Agency for Healthcare Research and Quality
Medication/Drug Errors
Curated Library
Primers
Medication Administration Errors
Paul MacDowell, PharmD, BCPS, Ann Cabri, PharmD, and Michaela Davis, MSN, RN, CNS | March,
12 2021
Medication administration errors are a persistent patient saf…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4b_combo_psi05-foreignbody-bestpractices.pdf
November 01, 2012 - Selected Best Practices and Suggestions for Improvement
Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
1 Tool D.4b
Selected Best Practices and Suggestions for Improvement
PSI 05: Retained Surgical Item or Unretrieved Device Fragment Count
Why Focus on Retained Fore…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4q_combo_pdi03-foreignbody-bestpractices.pdf
November 01, 2012 - Selected Best Practices and Suggestions for Improvement
Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
1 Tool D.4q
Selected Best Practices and Suggestions for Improvement
PDI 03: Retained Surgical Item or Unretrieved Device Fragment Count
Why focus on retained forei…
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psnet.ahrq.gov/web-mm/bowel-prep
March 01, 2017 - Bowel Prep
Citation Text:
Nelson D. Bowel Prep. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2004.
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Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS
Downloa…
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psnet.ahrq.gov/web-mm/transition-nowhere
March 21, 2009 - Transition to Nowhere
Citation Text:
Farrell TW. Transition to Nowhere. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2015.
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psnet.ahrq.gov/web-mm/dont-bite-your-tongue
September 18, 2024 - Don’t Bite Your Tongue.
Citation Text:
Singh NS. Don’t Bite Your Tongue.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2022.
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Format:
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psnet.ahrq.gov/web-mm/lethal-vertigo
September 20, 2011 - Lethal Vertigo
Citation Text:
Furman JM. Lethal Vertigo. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2004.
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Format:
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…
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psnet.ahrq.gov/web-mm/wrong-blade-lack-familiarity-pediatric-emergency-equipment
June 01, 2018 - The Wrong Blade: A Lack of Familiarity With Pediatric Emergency Equipment
Citation Text:
Katznelson J. The Wrong Blade: A Lack of Familiarity With Pediatric Emergency Equipment. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2018.
…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/022-ss-mrsa-surveillance.pptx
April 01, 2025 - PowerPoint Presentation
AHRQ Safety Program for MRSA Prevention: Targeting SSI
MRSA Surveillance
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 | Surgical Services
MRSA Surveillance
1
Educational …
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/gout_clinician.pdf
January 01, 2017 - Diagnosis and Management of Gout: Current State of the Evidence
Diagnosis and Management of Gout:
Current State of the Evidence
Focus of This Summary
This is a summary of two systematic reviews. One review evaluated the evidence regarding the accuracy and safety of tests
used to initially diagnose gout in the pr…
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digital.ahrq.gov/sites/default/files/docs/resource/Logan_QMforColonoscopy_Fields_v4.pdf
December 12, 2008 - Quality Measures for Colonoscopy
12/12/2008 Logan_QMforColonoscopy_Fields_v4.doc 1
Quality Measures for Colonoscopy, CORI v4
Report total # colonoscopies in the defined period, the average age of patients undergoing
those procedures, and the proportion of patients of each gender (including Unspecified).
In a…
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/c-7ARQE9RuXKjjpeLABkaH
March 01, 2007 - most common
type of cancer in both men and women and is the second
leading cause of cancer-related deaths
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psnet.ahrq.gov/web-mm/case-mistaken-capacity-why-thorough-psychosocial-history-can-improve-care
July 08, 2022 - especially important in the field of oncology, given the 1.9 million new cancer cases and 608,570 cancer deaths
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digital.ahrq.gov/sites/default/files/docs/publication/r18hs017075-sequist-final-report-2010.pdf
January 01, 2010 - There
were no deaths observed in the 7,083 enrolled patients.
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/structured-handoff-protocol.pdf
December 31, 2024 - hospitals were responsible at least in part for 30% of all
malpractice claims and more than 1700 deaths