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psnet.ahrq.gov/web-mm/forgotten-turn
August 01, 2018 - SPOTLIGHT CASE
The Forgotten Turn
Citation Text:
Barbour S. The Forgotten Turn. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2010.
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Format:
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www.ahrq.gov/sites/default/files/2024-09/khare-report.pdf
January 01, 2024 - Final Progress Report: Improving ED Quality and Safety by Enhancing Operations and Quality Management
FINAL PROGRESS REPORT
Improving ED Quality and Safety by Enhancing Operations and Quality Management
Principal Investigator:
Rahul K. Khare, MD, formerly Assistant Professor of Emergency Medicine, Feinberg School o…
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/xA88A347Uk9kr-mAXtjKWZ
January 01, 2010 - Screening for Gonorrhea: Recommendation Statement
Screening for Gonorrhea:
Recommendation Statement
U.S. Preventive Services Task Force
Summary of Recommendations
The U.S. Preventive Services Task Force (USPSTF) recommends that clinicians
screen all sexually active women, including those who are pr…
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hcup-us.ahrq.gov/tech_assist/trends/508/508course_2019.jsp
January 01, 2019 - HCUP Using Multiple Years of Data Tutorial- Accessible Version
An official website of the Department of Health & Human Services
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psnet.ahrq.gov/curated-library/maternal-safety
January 31, 2024 - Breadcrumb
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The PSNet Collection
Curated Libraries
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Maternal Safety
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Created By: Lorri Zipperer, Cybrarian, AHRQ PSNet Team
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/020-ss-periop-infection-prevention.pptx
April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI
AHRQ Safety Program for MRSA Prevention: Targeting SSI
Perioperative Infection Prevention Strategies
Hair Removal
Skin Prep for Incision
Normothermia
Glycemic Control
Supplemental Oxygen
Surgical Services
For: Most Surgery Types
AHRQ Pub. No. 25-0029
April 2025
…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-surgery/020-perioperative-infection-prevention-strategies-slides.pptx
April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI
AHRQ Safety Program for MRSA Prevention: Targeting SSI
Perioperative Infection Prevention Strategies
Hair Removal
Skin Prep for Incision
Normothermia
Glycemic Control
Supplemental Oxygen
Surgical Services
For: Most Surgery Types
AHRQ Pub. No. 25-0029
April 2025
…
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www.uspreventiveservicestaskforce.org/uspstf/recommendation/depression-in-children-and-adolescents-screening-2009
March 15, 2009 - Share to Facebook
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archived
Final Recommendation Statement
Depression in Children and Adolescents: Screening
March 15, 2009
Recommendations made by the USPSTF are independent of the U.S…
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www.uspreventiveservicestaskforce.org/uspstf/draft-recommendation/perinatal-depression-interventions-to-prevent
April 22, 2025 - Share to Facebook
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in progress
Draft Recommendation Statement
Perinatal Depression: Preventive Interventions
April 22, 2025
Recommendations made by the USPSTF are independent of the U.S…
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psnet.ahrq.gov/web-mm/copy-and-paste-notes-and-autopopulated-text-electronic-health-record
May 26, 2021 - “Copy and Paste” Notes and Autopopulated Text in the Electronic Health Records
Citation Text:
MacDonald S. “Copy and Paste” Notes and Autopopulated Text in the Electronic Health Records. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services.…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/access/cahps-strategy-6-p.pdf
November 02, 2017 - Strategies for Improving Patient Experience with Ambulatory Care: Service Recovery Programs
The CAHPS Ambulatory Care
Improvement Guide
Practical Strategies for Improving Patient Experience
Section 6: Strategies for Improving Patient Experience with
Ambulatory Care
6.P. Service Recovery Programs
Visit the A…
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www.ahrq.gov/hai/tools/mvp/modules/cusp/learn-from-defects-fac-guide.html
February 01, 2017 - Learn From Defects in Care of Mechanically Ventilated Patients: Facilitator Guide
AHRQ Safety Program for Mechanically Ventilated Patients
Slide 1: Learn From Defects in Care of Mechanically Ventilated Patients
Say:
In this module, we will discuss the Learning From Defects tool. It is a very useful proc…
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psnet.ahrq.gov/web-mm/ca-mrsa-skin-infections-ounce-prevention-worth-pound-cure
March 01, 2005 - SPOTLIGHT CASE
CA-MRSA Skin Infections: An Ounce of Prevention is Worth a Pound of Cure
Citation Text:
Liu C. CA-MRSA Skin Infections: An Ounce of Prevention is Worth a Pound of Cure. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human S…
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www.ahrq.gov/sites/default/files/2024-11/williams-galimbertti-report.pdf
January 01, 2024 - Final Progress Report: Challenges and Innovations in Evaluation of Quality of Care
AHRQ Grant Final Progress Report
Title of Project: Challenges and Innovations in Evaluation of Quality of Care
Measures Based on Small Counts
“National Conference on Small Numbers”
Principal Investigators and Team Members:
…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module3/mod03-gap-analysis-guide.pdf
April 01, 2016 - Purpose: To evaluate the extent to which current processes align with the Communication and Optimal Resolution
(CANDOR) process and includes;
■ Identifying the existing process
■ Identifying the existing outcome(s)
■ Identifying the desired outcome(s)
■ Identifying and documenting the gap(s)
Who should use t…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module2/module2_managingchange.docx
June 02, 2025 - Module 2: How To Manage Change
Module 2: How To Manage Change
Module Aim
The aim of this module is to support change in your organization to maximize the possibility of successful implementation of the Pressure Injury Prevention Program.
Module Goals
The goals of Module 2 are to identify necessary actions to improve …
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www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/highlight05.html
November 01, 2013 - How are CHIPRA Quality Demonstration States encouraging health care providers to put quality measures to work?
Evaluation Highlight No. 5
Author: Leslie Foster
Contents
Key Messages
Background
Findings
Conclusions
Implications
Learn More
Endnotes
The CHIPRA Quality Demonstration …
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psnet.ahrq.gov/sites/default/files/2023-06/hurried_huddle_0.pdf
January 01, 2023 - Microsoft PowerPoint - Spotlight Case_Anesthesia Error During Cesarean_06.22.2023 - Final.pptx
Spotlight
Hurried Team Huddle and Poor Communication: Unsafe
Practice During Anesthesia for Emergency Cesarean
Delivery
Source and Credits
• This presentation is based on the June 2023 AHRQ WebM&M
Spotlight Case
o See…
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psnet.ahrq.gov/node/838900/psn-pdf
October 27, 2022 - Fecal Contamination of the Peritoneum from
Laparoscopic Trocar Injury: A Routine Operation Goes
Wrong.
October 27, 2022
Ahmed SM, Ali M. Fecal Contamination of the Peritoneum from Laparoscopic Trocar Injury: A Routine
Operation Goes Wrong. PSNet [internet]. 2022.
https://psnet.ahrq.gov/web-mm/fecal-contamination-…
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/resources/diagnostic-toolkit/09-diagnostic-safety-practice-orientation.pptx
November 24, 2020 - Co-producing a Diagnosis
Engaging Patients To Improve Diagnostic Safety
Practice Orientation
AHRQ Publication No. 21-0047-8-EF
August 2021
1
Diagnostic Errors Are a
Big Challenge
Nearly every person will experience a diagnostic error in their lifetime.
Diagnostic error is the leading patient safety challenge…