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psnet.ahrq.gov/sites/default/files/2024-12/spotlight_case_csf_leak_after_elective_spine_surgery_slides_-_final.pptx
January 01, 2024 - Spotlight
Spotlight
Management of CSF Leaks After Elective Spine Surgery: Routine Laminectomy Leads to Fatal Discitis and Sepsis
1
Source and Credits
This presentation is based on the December 2024 AHRQ WebM&M Spotlight Case
See the full article at https://psnet.ahrq.gov/webmm
CME credit is available
Comment…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Karsh.pdf
April 08, 2004 - The University of Wisconsin-Madison Multidisciplinary Graduate Certificate in Patient Safety
269
The University of Wisconsin-Madison
Multidisciplinary Graduate
Certificate in Patient Safety
Ben-Tzion Karsh, Pascale Carayon, Maureen Smith, Kathleen Skibinski,
Bruce Thomadsen, Patricia Flatley Brennan, Mary Ell…
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/asthma-treatment_research-protocol.pdf
February 10, 2010 - Evidence-based Practice Center Systematic Review Protocol
Source: www.effectivehealthcare.ahrq.gov
Published Online: April 25, 2011
Page 1 of 18
Evidence-based Practice Center Systematic Review Protocol
Project Title: Comparative Effectiveness of Breathing Exercises and/or Retraining
Techniques in the T…
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cds.ahrq.gov/sites/default/files/cds/artifact/81/CMSs%20Million%20Hearts%20Model%20Longitudinal%20ASCVD%20Risk%20Assessment%20Tool%20for%20Updated%2010-Year%20ASCVD%20Risk.pdf
January 01, 2010 - Investigate the alternatives and decide on value set usage based on the context of the clinical
guideline
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cds.ahrq.gov/sites/default/files/cds/artifact/18/Implementation%20Guide_USPSTF%20Statin%20Use%20for%20the%20Primary%20Prevention%20of%20CVD%20in%20Adults_Final.docx
October 01, 2017 - Using the Artifact
Description and Purpose of the Artifact
This artifact helps providers and patients decide
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www.ahrq.gov/sites/default/files/2024-12/johnson-report.pdf
January 01, 2024 - • “It provides the consultant an opportunity to decide what fits best for this specific therapeutic
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Comden.pdf
January 01, 2003 - Managers and policymakers can decide if the size of the risk
requires action on their part and, if so
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/antidepressants-update_disposition-comments.pdf
December 01, 2011 - How do you decide what is a
meaningful difference?
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/breast-abnormalities-tests-update_research-protocol.pdf
July 01, 2010 - For clinicians to decide whether or not a test is clinically appropriate for any patient, the
diagnostic
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psnet.ahrq.gov/node/34749/psn-pdf
January 09, 2017 - Patient Safety and the "Just Culture": A Primer for Health
Care Executives.
January 9, 2017
Marx DA. Patient Safety And The "Just Culture": A Primer For Health Care Executives. New York, NY:
Trustees of Columbia University; 2001.
https://psnet.ahrq.gov/issue/patient-safety-and-just-culture-primer-health-care-execu…
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psnet.ahrq.gov/node/46398/psn-pdf
June 25, 2018 - Challenges in health care simulation: are we learning
anything new?
June 25, 2018
Henriksen K, Rodrick D, Grace EN, et al. Challenges in Health Care Simulation: Are We Learning Anything
New? Acad Med. 2018;93(5):705-708. doi:10.1097/ACM.0000000000001891.
https://psnet.ahrq.gov/issue/challenges-health-care-simulati…
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digital.ahrq.gov/sites/default/files/docs/citation/ahrq_cedar_outreach_report_final.pdf
September 01, 2023 - At that time, CEPI may decide to undertake new
engagement activities or establish new use cases and … nimbleness to assign staff
roles and responsibilities, choose how to track milestones or outcomes, and decide … Evaluation metrics should be
developed and reviewed regularly to decide whether expanded communications
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psnet.ahrq.gov/node/45154/psn-pdf
May 25, 2016 - The effect of a program to shorten the decision-to-
delivery interval for emergent cesarean section on
maternal and neonatal outcome.
May 25, 2016
Weiner E, Bar J, Fainstein N, et al. The effect of a program to shorten the decision-to-delivery interval for
emergent cesarean section on maternal and neonatal outcome…
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psnet.ahrq.gov/node/39922/psn-pdf
October 13, 2010 - What’s past is prologue: organizational learning from a
serious patient injury.
October 13, 2010
Tamuz M, Franchois KE, Thomas EJ. What’s past is prologue: Organizational learning from a serious
patient injury. Saf Sci. 2010;49(1). doi:10.1016/j.ssci.2010.06.005.
https://psnet.ahrq.gov/issue/whats-past-prologue-or…
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/pediatric-ehr_disposition-comments.pdf
May 01, 2015 - Many
practitioners will weigh this risk against the benefit and
decide to proceed with the idea of
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www.uspreventiveservicestaskforce.org/uspstf/recommendation/intimate-partner-violence-and-abuse-of-elderly-and-vulnerable-adults-screening
June 24, 2025 - review of existing peer-reviewed evidence and are intended to help primary care clinicians and patients decide
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digital.ahrq.gov/sites/default/files/docs/page/CFH_%20AHRQ-7-25-06_Final.ppt
August 01, 2006 - obtaining the clinical record is a separate transaction NOT involving the RLS
Participating entities decide … institution participating in the RLS be required to do to inform patients and give them the ability to decide … obtaining the clinical record is a separate transaction NOT involving the RLS
Participating entities decide … institution participating in the RLS be required to do to inform patients and give them the ability to decide … requiring an institution to disclose information related to the SNO and RLS and allowing individuals to decide
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/labor-nitrous-oxide_disposition-comments.pdf
August 23, 2012 - It is really a tool
to help patients and their careers decide if nitrous oxide may be an
appealing … The
authors appropriately decide not to do formal meta-analyses due to lack
of consistency in study
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cdsic.ahrq.gov/sites/default/files/2024-07/SRF_Taxonomy%20of%20PC%20CDS%20Override%20Recommendations_508_0.pdf
January 01, 2024 - A clinician may, for example, choose to order additional diagnostic tests
before they decide on the … The physician may decide not to
give the patient this dose because of concerns for the fetus. … For example, a patient that needs anticoagulation for atrial fibrillation may decide that
they cannot
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/hro-rapid-research.pdf
May 01, 2025 - (Prepared by the Duke University DEcIDE
Center, under Contract No. 290-05-0032, the
RTI International … DEcIDE Center, under
Contract No. 290-05-0036, and the
University of Illinois at Chicago
(UIC)/Chicago-Area … DEcIDE Center, under
Contract No. 290-05-0038).