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psnet.ahrq.gov/web-mm/one-toxic-drug-not-another
October 02, 2019 - SPOTLIGHT CASE
One Toxic Drug Is Not Like Another
Citation Text:
Holmboe ES. One Toxic Drug Is Not Like Another. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2011.
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www.ahrq.gov/patient-safety/settings/hospital/red/toolkit/redtool2.html
March 01, 2013 - Re-Engineered Discharge (RED) Toolkit
Tool 2: How To Begin the Re-engineered Discharge Implementation at Your Hospital
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Table of Contents
Re-Engineered Discharge (RED) Toolkit
Tool 1: Overview
Tool 2: How To Begin the Re-engineered Discharge Implementation at Your Hospital…
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psnet.ahrq.gov/innovation/suicide-prevention-emergency-department-population-ed-safe
July 23, 2024 - Suicide Prevention in an Emergency Department Population: ED-SAFE
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April 24, 2024
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Innovation
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psnet.ahrq.gov/primer/debriefing-clinical-learning
September 15, 2024 - Debriefing for Clinical Learning
Citation Text:
Edwards JJ, Wexner S, Nichols A. Debriefing for Clinical Learning. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2021.
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psnet.ahrq.gov/web-mm/nurse-staffing-ratios-crucible-money-policy-research-and-patient-care
June 01, 2003 - SPOTLIGHT CASE
Nurse Staffing Ratios: The Crucible of Money, Policy, Research, and Patient Care
Citation Text:
Rich V. Nurse Staffing Ratios: The Crucible of Money, Policy, Research, and Patient Care. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of H…
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psnet.ahrq.gov/web-mm/sudden-collapse-during-upper-gastrointestinal-endoscopy-expect-unexpected
September 25, 2024 - Sudden Collapse During Upper Gastrointestinal Endoscopy: Expect the Unexpected
Citation Text:
Wieck M. Sudden Collapse During Upper Gastrointestinal Endoscopy: Expect the Unexpected. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 202…
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psnet.ahrq.gov/web-mm/risks-absent-interoperability-medication-induced-hemolysis-patient-known-allergy
April 08, 2019 - SPOTLIGHT CASE
The Risks of Absent Interoperability: Medication-Induced Hemolysis in a Patient With a Known Allergy
Citation Text:
Reider J. The Risks of Absent Interoperability: Medication-Induced Hemolysis in a Patient With a Known Allergy. PSNet [internet]. Rockville (MD): Agency for Healthcar…
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psnet.ahrq.gov/node/49392/psn-pdf
April 01, 2003 - Another Fall
April 1, 2003
Bogardus SG. Another Fall. PSNet [internet]. 2003.
https://psnet.ahrq.gov/web-mm/another-fall
Case Objectives
List risk factors for falls in hospitalized patients
Understand appropriate use of restraints
Identify system issues contributing to falls in hospitalized patients
Case & Comm…
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digital.ahrq.gov/sites/default/files/docs/publication/uc1hs015135-arora-final-report-2008.pdf
January 01, 2008 - The above
estimates are conservative and do not include any costs for doctor visits and monitoring patients
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2023-qdr-appendixb-measure-category-3.pdf
January 01, 2023 - Adults age 18 and over who needed to see a doctor but could not because of cost in the past 12 months
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_build_ssibundle.pptx
December 01, 2017 - Educational Plan To Engage Frontline Providers
In-service training sessions
Video education
Change doctor
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Rudman.pdf
January 01, 2004 - number of intercepted error threats, categorized by
documented health care provider (e.g., nurse or doctor
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digital.ahrq.gov/sites/default/files/docs/citation/IntegratingCDSIntoWorkflow.pdf
September 01, 2011 - For example, one provider noted, “If we have an existing recommendation by a GI
doctor, it should tell
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www.ahrq.gov/sites/default/files/2024-07/domino-report.pdf
January 01, 2024 - Specifically, we asked patients if the doctor explained their
condition (nature), discussed different
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www.ahrq.gov/hai/cauti-tools/archived-webinars/building-teamwork-transcript.html
December 01, 2017 - Building a Team and Process to Reduce CAUTI Risk (April 8, 2015)
Webinar Transcript
American Hospital Association - Chicago
April 8, 2014
Onboarding Webinar 1 Call
1:00 PM CT
Operator: The following is a recording for the Onboarding Webinar I call under Conference Leader, Paul Tedrick, with the Ameri…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/building-team-transcript.doc
April 08, 2014 - Paul Tedrick
American Hospital Association - Chicago
April 8, 2014
Onboarding Webinar 1 Call
1:00PM CT
Operator:
The following is a recording for the Onboarding Webinar I call under Conference Leader, Paul Tedrick, with the American Hospital Association - Chicago, on Tuesday, April 8, 2014 at 1:00PM Central Time.…
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www.ahrq.gov/sites/default/files/2024-07/kukafka-report.pdf
January 01, 2024 - in
recent studies of graphics.21, 23, 34 In this scenario, a character named “Michelle” goes to a doctor
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/sppcii-hypertension-scenarios.pptx
July 01, 2023 - Brand_Color
Female doctor
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meps.ahrq.gov/data_files/publications/rf41/rf41.shtml
May 01, 2019 - The surveys ask about whether a doctor, nurse, or other health care provider has assessed for 15 preventive
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digital.ahrq.gov/sites/default/files/docs/citation/u18hs027099-malone-final-report-2022.pdf
January 01, 2022 - did not know the number of bleeds per 100 patients, that has never been discussed with me during
my doctor