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3801. 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…

3802. AHRQ Activities Using Community-Based Participatory Research to Address Health Care Disparities | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/factsheets/minority/cbprbrief/index.html
      April 01, 2020 - AHRQ Activities Using Community-Based Participatory Research to Address Health Care Disparities Community-based participatory research (CBPR) is an approach to health and environmental research meant to increase the value of studies for both researchers and the communities participating in a study. …

3803. Pressure Ulcer Prevention Toolkit (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module4/putoolkit_module4_tools.docx
      January 01, 1995 - Pressure Ulcer Prevention Toolkit Pressure Ulcer Prevention Toolkit Module 4 Tools 2G: Pieper Pressure Ulcer Knowledge Test 4A: Assigning Responsibilities for Using Best Practice Bundle with the left column completed (by the Implementation Team Leader/co-leaders and best practices decided upon earlier by the team 4B:…

3804. AHRQ Activities Using Community-Based Participatory Research to Address Health Care Disparities (pdf file)
      www.ahrq.gov/sites/default/files/publications/files/cbprbrief.pdf
      January 01, 2014 - AHRQ Activities Using Community-Based Participatory Research to Address Health Care Disparities Introduction Community-based participatory research (CBPR) is an approach to health and environmental research meant to increase the value of studies for both researchers and the communities participating in a study. In 2…

3805. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60652/psn-pdf
      June 29, 2020 - In Conversation With... Anna Legreid Dopp, Pharm. D June 29, 2020 In Conversation With.. Anna Legreid Dopp, Pharm. D. PSNet [internet]. 2020. https://psnet.ahrq.gov/perspective/conversation-anna-legreid-dopp-pharm-d Editor’s note: Anna Legreid Dopp, Pharm. D is the Senior Director of Clinical Guidelines and Quality…

3806. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49809/psn-pdf
      October 01, 2017 - Hyperbilirubinemia Refractory to Phototherapy October 1, 2017 Bhutani VK, Wong RJ. Hyperbilirubinemia Refractory to Phototherapy. PSNet [internet]. 2017. https://psnet.ahrq.gov/web-mm/hyperbilirubinemia-refractory-phototherapy The Case A 1-day-old full-term infant was noted to have elevated total serum bilirubin (…

3807. Monitoring-Programs-Rapid-Research-Appendix-C (xls file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/monitoring-programs-rapid-research-appendix-c.xlsx
      May 31, 2025 - Table C-1. CQ Details Table C-1. Detailed Information for Contextual Questions 1, 2, and 3 Studies Author, Year Publication Description Country Setting(s) Purpose Targeted Supply/Disruption Type of Monitoring System Description of Monitoring Program Rationale Implementation Facilitators Implementation Barriers Resour…

3808. A Costly Colonoscopy Leads to a Delay in Diagnosis | PSNet
      psnet.ahrq.gov/web-mm/costly-colonoscopy-leads-delay-diagnosis
      September 01, 2014 - A Costly Colonoscopy Leads to a Delay in Diagnosis Citation Text: Moriates C. A Costly Colonoscopy Leads to a Delay in Diagnosis. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2018. Copy Citation Format: Google Scholar…

3809. Pediatric Diagnostic Safety Research and Initiatives Across the Care Continuum | Agency for Healthcare Research and Quality
      www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-pediatric-safety-3.html
      August 01, 2023 - Pediatric Diagnostic Safety: State of the Science and Future Directions Pediatric Diagnostic Safety Research and Initiatives Across the Care Continuum Previous Page Next Page Table of Contents Pediatric Diagnostic Safety: State of the Science and Future Directions Introduction Challenges in Appr…

3810. Core Principles for the PCA Diagnostic Team | Agency for Healthcare Research and Quality
      www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-reimagining-healthcare-teams-6.html
      July 01, 2023 - Reimagining Healthcare Teams: Leveraging the Patient-Clinician-AI Triad To Improve Diagnostic Safety Core Principles for the PCA Diagnostic Team Previous Page Next Page Table of Contents Reimagining Healthcare Teams: Leveraging the Patient-Clinician-AI Triad To Improve Diagnostic Safety Introduc…

3811. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49490/psn-pdf
      September 01, 2005 - The Wrong Channel September 1, 2005 Gosbee JW. The Wrong Channel . PSNet [internet]. 2005. https://psnet.ahrq.gov/web-mm/wrong-channel The Case A 28-year-old woman in labor began receiving treatment with magnesium sulfate for preeclampsia. Initial dosing started at 50 mL/hour using a multi-channel medication pump…

3812. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60330/psn-pdf
      May 05, 2020 - Telehealth and Patient Safety During the COVID-19 Response May 14, 2020 Sikka N, Willis JS, Fitall E, et al. Telehealth and Patient Safety During the COVID-19 Response. PSNet [internet]. 2020. https://psnet.ahrq.gov/perspective/telehealth-and-patient-safety-during-covid-19-response Introduction   Telehealth typ…

3813. Management of Infantile Hemangioma (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pdf/infantile-hemangioma_clinician.pdf
      June 01, 2016 - Management of Infantile Hemangioma Management of Infantile Hemangioma Background Infantile hemangioma (IH) is the most common tumor of childhood and is estimated to affect about 4 to 5 percent of children, with higher prevalence in premature infants and in whites. IH tends to go through growth and involution ph…

3814. Trust and Patient-Centeredness Workgroup: Charter – Option Year 2 (pdf file)
      cdsic.ahrq.gov/sites/default/files/2024-12/OY2_Final%20TPC%20Workgroup%20Charter.pdf
      January 01, 2024 - Trust and Patient-Centeredness Workgroup: Charter – Option Year 2 Trust and Patient-Centeredness Workgroup: Charter – Option Year 2 Agency for Healthcare Research and Quality 5600 Fishers Lane Rockville, MD 20857 www.ahrq.gov Contract No: 75Q80120D00018 Prepared by: NORC at…

3815. Standards and Regulatory Frameworks Workgroup: Charter – Option Year 2 (pdf file)
      cdsic.ahrq.gov/sites/default/files/2024-12/OY2_Final%20SRF%20Workgroup%20Charter.pdf
      January 01, 2024 - Standards and Regulatory Frameworks Workgroup: Charter – Option Year 2 Standards and Regulatory Frameworks Workgroup: Charter – Option Year 2 Agency for Healthcare Research and Quality 5600 Fishers Lane Rockville, MD 20857 www.ahrq.gov Contract No: 75Q80120D00018 Prepar…

3816. Hospital SOPS Translation Information | Agency for Healthcare Research and Quality
      www.ahrq.gov/sops/international/hospital/translators.html
      October 01, 2014 - Hospital SOPS Translation Information Background and Information for Translators This document provides information about the Agency for Healthcare Research and Quality (AHRQ) Hospital Survey on Patient Safety Culture (SOPS ® ) to help translation team members develop a translation that conveys the same meani…

3817. Community-Based Participatory Research Slides Text Version (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/lessons-presentation.pdf
      January 01, 2013 - Community-Based Participatory Research Slides Text Version Community-Based Participat…

3818. Noninvasive Treatments for Low Back Pain: Current State of the Evidence (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pdf/back-pain-treatment_clinician.pdf
      November 01, 2016 - Noninvasive Treatments for Low Back Pain: Current State of the Evidence Noninvasive Treatments for Low Back Pain: Current State of the Evidence Focus of This Summary This review examines the evidence on the comparative benefits and harms of noninvasive treatments for acute, subacute, and chronic low back pain fro…

3819. Management of Suicidal Thoughts and Behaviors in Youth (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/suicidal-thoughts-young-people-amendement.pdf
      February 05, 2025 - without self- injurious behaviors (i.e., suicide attempt or self- injurious behavior, including self-directed

3820. Emerging MRI Technologies for Imaging Musculoskeletal Disorders under Loading Stress (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/musculoskeletal-disorders-imaging_disposition-comments.pdf
      November 01, 2011 - false negative results would be captured in our proposed framework as suboptimal outcomes of test directed