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psnet.ahrq.gov/web-mm/under-pressure-tracheostomy-cuff-over-inflation-leading-tissue-necrosis-and-cuff-rupture
March 15, 2023 - disclose relevant financial relationships with ineligible companies related to the subject matter of this educational
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/-KMSTWRT9xbm7spaqDq_GE
February 12, 2019 - Additionally, other
intervention approaches, such as physical activity or educational
approaches, reported
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www.ahrq.gov/patient-safety/quality-measures/21st-century/private-sector.html
June 01, 2018 - The Challenge and Potential for Assuring Quality Health Care for the 21st Century
Private Sector Efforts in Value-Based Purchasing and Quality Improvement
Previous Page
Table of Contents
The Challenge and Potential for Assuring Quality Health Care for the 21st Century
From Quality Measures to Qu…
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psnet.ahrq.gov/web-mm/multifactorial-medication-mishap
September 01, 2016 - SPOTLIGHT CASE
Multifactorial Medication Mishap
Citation Text:
Yang A. Multifactorial Medication Mishap. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2014.
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/nursing-home-resource-list-2.0.pdf
April 01, 2025 - advances in measuring hand hygiene adherence, frequently asked questions, and links to
promotional and educational … designed to assist nursing facilities in
improving their fall care processes and outcomes through educational
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www.ahrq.gov/nhguide/toolkits.html
September 01, 2017 - Toolkits
What Toolkits Does the Guide Include?
The toolkits cover a variety of interventions that nursing homes can use to improve antibiotic use.
Toolkits To Implement, Monitor, and Sustain an Antimicrobial Stewardship Program
Most nursing homes will need a team of people to organize stewardship activi…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/5-red-light-green-light.docx
June 01, 2023 - AHRQ Safety Program for Improving
Surgical Care and Recovery
Red Light, Green Light: An Overview of Common Implementation Barriers and Facilitators
Purpose of this tool: To help team leaders identify barriers to and facilitators of implementing Improving Surgical Care and Recovery (ISCR), an enhanced recovery program…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20141022_cg/3_julie_susi.pdf
April 01, 2014 - Achieving Excellence Across All CG-CAHPS Core Measures: Lessons from Top-Performing Medical Practices
Mercy Hospital
Fore River Campus
Portland, Maine
23
Breast Care Specialists of Maine
A two-surgeon practice, we take pride in offering
timely, accurate consultation and treatment for
benign and malignant …
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psnet.ahrq.gov/issue/filling-gap-simulation-based-crisis-resource-management-training-emergency-medicine-residents
March 19, 2018 - Commentary
Filling the gap: simulation-based crisis resource management training for emergency medicine residents.
Citation Text:
Parsons JR, Crichlow A, Ponnuru S, et al. Filling the gap: simulation-based crisis resource management training for emergency medicine residents. West J Emerg…
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psnet.ahrq.gov/issue/junior-doctors-and-patient-safety-evaluating-knowledge-attitudes-and-perception-safety
February 18, 2019 - Study
Junior doctors and patient safety: evaluating knowledge, attitudes and perception of safety climate.
Citation Text:
Durani P, Dias J, Singh HP, et al. Junior doctors and patient safety: evaluating knowledge, attitudes and perception of safety climate. BMJ Qual Saf. 2013;22(1):65-…
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digital.ahrq.gov/ahrq-funded-projects/patient-intestinal-failure-echo-project-pif-echo
September 29, 2025 - Patient Intestinal Failure-ECHO Project (PIF-ECHO)
Project Description
A live, virtual learning and support system connecting patients and family caregivers with a team of experts and peers will enhance patient knowledge of best practices and confidence in self-care for chronic…
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psnet.ahrq.gov/issue/patient-and-clinician-experiences-uncertainty-diagnostic-process-current-understanding-and
March 11, 2020 - Commentary
Patient and clinician experiences of uncertainty in the diagnostic process: current understanding and future directions.
Citation Text:
Meyer AND, Giardina TD, Khawaja L, et al. Patient and clinician experiences of uncertainty in the diagnostic process: current understanding a…
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psnet.ahrq.gov/issue/blink-or-think-can-further-reflection-improve-initial-diagnostic-impressions
November 28, 2012 - Study
Blink or think: can further reflection improve initial diagnostic impressions?
Citation Text:
Hess BJ, Lipner RS, Thompson V, et al. Blink or think: can further reflection improve initial diagnostic impressions? Acad Med. 2015;90(1):112-118. doi:10.1097/ACM.0000000000000550.
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psnet.ahrq.gov/issue/improving-safety-medication-administration-using-interactive-cd-rom-program
February 15, 2011 - Commentary
Improving the safety of medication administration using an interactive CD-ROM program.
Citation Text:
Schneider PJ, Pedersen CA, Montanya KR, et al. Improving the safety of medication administration using an interactive CD-ROM program. Am J Health Syst Pharm. 2006;63(1):59-6…
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psnet.ahrq.gov/issue/developing-high-performance-team-training-framework-internal-medicine-residents-abcs-teamwork
June 01, 2011 - Study
Developing a high-performance team training framework for internal medicine residents: the ABC'S of teamwork.
Citation Text:
Carbo AR, Tess A, Roy CL, et al. Developing a high-performance team training framework for internal medicine residents: the ABC'S of teamwork. J Patient Sa…
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psnet.ahrq.gov/issue/complementary-approach-promoting-professionalism-identifying-measuring-and-addressing
June 27, 2018 - Study
Classic
A complementary approach to promoting professionalism: identifying, measuring, and addressing unprofessional behaviors.
Citation Text:
Hickson GB, Pichert JW, Webb LE, et al. A complementary approach to promoting professionalism: identifying, mea…
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psnet.ahrq.gov/issue/intravenous-smart-pumps-usability-issues-intravenous-medication-administration-error-and
July 31, 2019 - Review
Intravenous smart pumps: usability issues, intravenous medication administration error, and patient safety.
Citation Text:
Giuliano KK. Intravenous Smart Pumps: Usability Issues, Intravenous Medication Administration Error, and Patient Safety. Crit Care Nurs Clin North Am. 2018;30…
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psnet.ahrq.gov/issue/80-hour-work-guidelines-and-resident-survey-perceptions-quality
June 18, 2008 - Study
The 80-hour work guidelines and resident survey perceptions of quality.
Citation Text:
Biller K, Antonacci AC, Pelletier S, et al. The 80-hour work guidelines and resident survey perceptions of quality. J Surg Res. 2006;135(2):275-81.
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psnet.ahrq.gov/issue/patterns-disrespectful-physician-behavior-academic-medical-center-implications-training
June 14, 2023 - Study
Patterns of disrespectful physician behavior at an academic medical center: implications for training, prevention, and remediation.
Citation Text:
Hopkins J, Hedlin H, Weinacker A, et al. Patterns of Disrespectful Physician Behavior at an Academic Medical Center: Implications for T…
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psnet.ahrq.gov/issue/residents-report-adverse-events-and-their-causes
February 15, 2011 - Study
Residents report on adverse events and their causes.
Citation Text:
Jagsi R, Kitch BT, Weinstein DF, et al. Residents report on adverse events and their causes. Arch Intern Med. 2005;165(22):2607-13.
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