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psnet.ahrq.gov/node/33815/psn-pdf
September 01, 2016 - Telemedicine and Patient Safety
September 1, 2016
Agboola SO, Kvedar JC. Telemedicine and Patient Safety. PSNet [internet]. 2016.
https://psnet.ahrq.gov/perspective/telemedicine-and-patient-safety
Perspective
A paradigm shift is ongoing in the health care sector. The traditional model of episodic and hospital-base…
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psnet.ahrq.gov/node/49781/psn-pdf
January 01, 2017 - Hazards of Loading Doses
January 1, 2017
Mucksavage JJ, Tesoro EP. Hazards of Loading Doses. PSNet [internet]. 2017.
https://psnet.ahrq.gov/web-mm/hazards-loading-doses
The Case
A 40-year-old woman was recently discharged after a prolonged hospitalization for seizures and a cardiac
arrest. Two days after discharg…
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psnet.ahrq.gov/node/49435/psn-pdf
February 01, 2004 - X-ray Flip
February 1, 2004
Shapiro MJ. X-ray Flip. PSNet [internet]. 2004.
https://psnet.ahrq.gov/web-mm/x-ray-flip
The Case
A 19-year-old man presented to the emergency department with respiratory distress after blunt chest
trauma. A digital chest radiograph was labeled backwards; a "left" marker was mistakenly…
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psnet.ahrq.gov/node/50393/psn-pdf
September 01, 2019 - Patient Safety and the Evolution of WebM&M and PSNet
September 1, 2019
Ranji SR, Wachter R. Patient Safety and the Evolution of WebM&M and PSNet. PSNet [internet]. 2019.
https://psnet.ahrq.gov/perspective/patient-safety-and-evolution-webmm-and-psnet
Perspective
Progress in any field requires scholarship and dissem…
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psnet.ahrq.gov/node/49830/psn-pdf
May 01, 2018 - Suicide Risk in the Hospital
May 1, 2018
Mills PD. Suicide Risk in the Hospital. PSNet [internet]. 2018.
https://psnet.ahrq.gov/web-mm/suicide-risk-hospital
The Case
A 37-year-old woman with a past medical history of depression, anxiety, and posttraumatic stress disorder
presented to the emergency department (ED)…
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www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/affinity-details-improving-support-women.pdf
May 01, 2021 - EVENT SUMMARY
LEARNING COMMUNITY AFFINITY GROUP | SUMMARY AT-AT-GLANCE | 1
AFFINITY GROUP DETAILS AT-A-GLANCE
Title Improving Support for Women that Need Cardiac Rehabilitation
March 25, 2021
Purpose • To provide practical suggestions for how CR programs can better support
women eligible for CR; both…
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/communicating-decisions-guide.docx
September 01, 2022 - Communicating With Patients and Families About Antibiotic Decisions – Facilitator Guide
AHRQ Safety Program for Improving Antibiotic Use
1
Communicating With Patients and Families About Antibiotic Decisions
Ambulatory Care
Slide Title and Commentary
Slide Number and Slide
Communicating With Patients and Famil…
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/sinusitis-guide.docx
September 01, 2022 - The Sometimes Antibiotics” Diagnoses: Sinusitis – Facilitator Guide
AHRQ Safety Program for Improving Antibiotic Use
1
The “Sometimes Antibiotics” Diagnoses:
Sinusitis
Ambulatory Care
Slide Title and Commentary
Slide Number and Slide
The “Sometimes Antibiotics” Diagnoses: Sinusitis
Ambulatory Care
SAY:
Wel…
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www.ahrq.gov/es/patient-safety/settings/hospital/resource/pressureulcer/tool/pu6.html
October 01, 2014 - Preventing Pressure Ulcers in Hospitals
6. How do we sustain the redesigned prevention practices?
Previous Page Next Page
Table of Contents
Preventing Pressure Ulcers in Hospitals
Overview
Key Subject Area Index
1. Are we ready for this change?
2. How will we manage change?
3. What are the…
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/improve/program-part2-slides.pptx
November 01, 2019 - Acute Care ASP Development
Antibiotic Stewardship Program Development: Part 2
Acute Care
AHRQ Safety Program for Improving
Antibiotic Use
AHRQ Pub. No. 17(20)-0028-EF
November 2019
ASP Development – Part 2
AHRQ Safety Program for Improving Antibiotic Use – Acute Care
1
Objectives
By the end of this module, parti…
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/improve/sustain-facilitator-guide.pdf
November 01, 2019 - Sustaining Stewardship Activities Acute Care
AHRQ Safety Program for Improving
Antibiotic Use
1
AHRQ Pub. No. 17(20)-0028-EF
November 2019
Sustaining Stewardship Activities
Acute Care
Slide Title and Commentary Slide Number and Slide
Sustaining Stewardship Activities
Acute Care
SAY: …
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www.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes2.html
August 01, 2022 - Module 2: Obtaining Organizational Buy-in and Support
AHRQ Communication and Optimal Resolution Toolkit
Facilitator Notes
Say:
Module 2 of the CANDOR Toolkit describes the importance of obtaining organizational support for CANDOR implementation. This module focuses on the role of organizational le…
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www.ahrq.gov/news/newsletters/e-newsletter/925.html
August 01, 2024 - New Data Files Provide Comprehensive View of U.S. Healthcare
Issue Number
925
AHRQ News Now is a weekly newsletter that highlights agency research and program activities.
August 13, 2024
AHRQ Stats: Sepsis-Related Mortality Before and During COVID-19 Between 2016 and 2019, the in-hospital mortality rate…
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www.ahrq.gov/policymakers/chipra/overview/background/appendix-a8.html
December 01, 2009 - Background Report for the Request for Public Comment on Initial, Recommended Core Set of Children's Healthcare Quality Measures for Voluntary Use by Medicaid and CHIP Programs
Background Report on request for public comment on initial, recommended core set of Children's Healthcare Quality Measures for voluntary…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/a3_pdi_selfassessment.docx
May 12, 2016 - Getting Ready for Change Self-Assessment
Pediatric Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
Getting Ready for Change Self-Assessment
What is the purpose of this tool? This tool can be used to assess your hospital’s organizational infrastructure and its readiness to suppo…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/a3_pdi_selfassessment.pdf
May 12, 2016 - Getting Ready for Change Self-Assessment
Pediatric Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
i Tool A.3
Getting Ready for Change Self-Assessment
What is the purpose of this tool? This tool can be used to assess your hospital’s organizational
infrastructure and it…
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psnet.ahrq.gov/node/33602/psn-pdf
March 15, 2025 - Individual Clinician Performance Issues
March 15, 2025
Individual Clinician Performance Issues. PSNet [internet]. 2019.
https://psnet.ahrq.gov/primer/individual-clinician-performance-issues
PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that
they reflect current res…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.284_slideshow.ppt
November 01, 2012 - Spotlight Case July 2008
Spotlight Case
Transfusion Overload
1
2
Source and Credits
This presentation is based on the November 2012
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available
Commentary by: Manish S. Patel, MD, and Jeffrey L. Carson, MD, of UMDNJ−Robert Wood …
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psnet.ahrq.gov/node/49773/psn-pdf
July 01, 2016 - Near Miss With Neonate
October 1, 2016
Malana J, Lyndon A. Near Miss With Neonate. PSNet [internet]. 2016.
https://psnet.ahrq.gov/web-mm/near-miss-neonate
The Case
A 37-year-old pregnant woman was admitted to the hospital for scheduled induction of labor for postterm
dates. Early the next morning, intravenous oxy…
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www.uspreventiveservicestaskforce.org/uspstf/document/evidence-summary/hepatitis-b-virus-infection-in-pregnant-women-screening
July 23, 2019 - Share to Facebook
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Evidence Summary
Hepatitis B Virus Infection in Pregnant Women: Screening
July 23, 2019
Recommendations made by the USPSTF are independent of the U.S. government. They sho…