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digital.ahrq.gov/sites/default/files/docs/hit-aging-adults-slides-071717.pdf
July 17, 2017 - A National Web Conference on the Use of Health IT to Improve Care Planning and Communication With Aging Adults - Slides
1
A National Web Conference on
the Use of Health IT to Improve
Care Planning and Communication
With Aging Adults
Presented by:
David H. Gustafson, Ph.D.
Charles Safran, M.D., M.S., FACMI
Kevi…
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psnet.ahrq.gov/web-mm/failure-latch
November 27, 2012 - Failure to Latch
Citation Text:
Rodriguez M, Mannel R, Frye DR. Failure to Latch. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2008.
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www.uspreventiveservicestaskforce.org/uspstf/recommendation/sexually-transmitted-infections-behavioral-counseling-2008
October 15, 2008 - Share to Facebook
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archived
Final Recommendation Statement
Sexually Transmitted Infections: Behavioral Counseling
October 15, 2008
Recommendations made by the USPSTF are independent of th…
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psnet.ahrq.gov/node/860050/psn-pdf
January 04, 2024 - Radiology Missed an Intracranial Bleed in a Lethargic
Infant.
January 4, 2024
Yuk J, Magana J. Radiology Missed an Intracranial Bleed in a Lethargic Infant. PSNet [internet]. 2024.
https://psnet.ahrq.gov/web-mm/radiology-missed-intracranial-bleed-lethargic-infant
The Case
A 2-month-old full-term male infant was b…
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/quality-gap-palliative-hospice_research-protocol.pdf
June 27, 2011 - – Physician education (workshops and professional conferences, educational outreach
visits, and … distribution of educational materials)
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/pACFPdCoN8fVoddBs-_CLE
November 12, 2019 - A randomized trial of breast
cancer risk counseling: interacting effects of
counseling, educational level
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/clabsi-event-reporting_revised.docx
April 01, 2022 - CAUTI Event Reporting Tool
CLABSI Event Report Tool: Data for Event Analysis
This event report template is designed to be used as a guide through the initial investigation for a defects analysis where the primary goal is to learn what happened and factors that may have contributed to the central line-associated blo…
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psnet.ahrq.gov/print/pdf/node/866100
August 30, 2023 - PSNet
Curated Library
AHRQ: Agency for Healthcare Research and Quality
Nurse Wellbeing and Patient Safety
Curated Library
Foundations
Keeping Patients Safe: Transforming the Work Environment of Nurses.
Page A; Committee on the Work Environment for Nurses and Patient Safety, Board on Health Care
Services. Wash…
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psnet.ahrq.gov/web-mm/triple-handoff
March 01, 2004 - SPOTLIGHT CASE
Triple Handoff
Citation Text:
Vidyarthi A. Triple Handoff. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2006.
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Format:
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www.ahrq.gov/sites/default/files/wysiwyg/data/infographics/teachback-infographic.pdf
June 02, 2025 - Data Infographic: More adults report always being asked to teach back providers' instructions (
More adults report always being asked
to teach back providers’ instructions
To start teach-back, providers ask patients to explain in their own words what they
need to know or do. This approach helps determine whether p…
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psnet.ahrq.gov/node/47423/psn-pdf
January 27, 2019 - A health system–wide initiative to decrease opioid-related
morbidity and mortality.
January 27, 2019
Weiner SG, Price CN, Atalay AJ, et al. A Health System-Wide Initiative to Decrease Opioid-Related
Morbidity and Mortality. Jt Comm J Qual Patient Saf. 2019;45(1):3-13. doi:10.1016/j.jcjq.2018.07.003.
https://psnet.…
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psnet.ahrq.gov/node/47638/psn-pdf
February 06, 2019 - Decreasing surgical site infections by developing a high
reliability culture.
February 6, 2019
Pettis AM. Decreasing Surgical Site Infections by Developing a High Reliability Culture. AORN J.
2018;108(6):644-650. doi:10.1002/aorn.12416.
https://psnet.ahrq.gov/issue/decreasing-surgical-site-infections-developing-hi…
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www.ahrq.gov/ncepcr/communities/pbrn/registry/practice-based-research-oral-health-network.html
August 14, 2013 - Practice-based Research in Oral Health Network
Status:
Inactive
Registered Date:
August 14, 2013
PBRN Acronym:
PROH
PBRN Type:
Dental Network (at least 75% are dentists)
Network Category:
Affiliate
City:
Portland
State:
Oregon
Zip:
97239
Main P…
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www.ahrq.gov/sdoh/whats-new.html
December 01, 2020 - What’s New
AHRQ Releases a New Family of SDOH Data Files to Facilitate Research
One of AHRQ’s goals is to facilitate health services research, especially research that focuses on priority populations , by recognizing the impact from social determinants of health. Through funding from the Patient-Centered Out…
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psnet.ahrq.gov/node/50801/psn-pdf
January 15, 2020 - Demonstrating the value of postgraduate fellowships for
physicians in quality improvement and patient safety.
January 15, 2020
Myers JS, Lane-Fall MB, Perfetti AR, et al. Demonstrating the value of postgraduate fellowships for
physicians in quality improvement and patient safety. BMJ Qual Saf. 2020;29(8):645-654.
…
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psnet.ahrq.gov/node/60769/psn-pdf
August 05, 2020 - FDA recommends health care professionals discuss
naloxone with all patients when prescribing opioid pain
relievers or medicines to treat opioid use disorder.
August 5, 2020
MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration. July 23, 2020.
https://psnet.ahrq.gov/issue/fda-recommends-health-c…
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psnet.ahrq.gov/node/46637/psn-pdf
December 06, 2017 - Instituting vincristine minibag administration: an
innovative strategy using simulation to enhance
chemotherapy safety.
December 6, 2017
Corbitt N, Malick L, Nishioka J, et al. Instituting Vincristine Minibag Administration: An Innovative Strategy
Using Simulation to Enhance Chemotherapy Safety. J Infus Nurs. 2017…
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psnet.ahrq.gov/node/42982/psn-pdf
March 13, 2014 - Nursing student medication errors: a snapshot view from
a school of nursing's quality and safety officer.
March 13, 2014
Cooper E. Nursing student medication errors: a snapshot view from a school of nursing's quality and safety
officer. J Nurs Educ. 2014;53(3):S51-4. doi:10.3928/01484834-20140211-03.
https://psnet…
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psnet.ahrq.gov/node/44373/psn-pdf
August 12, 2015 - Healthcare Utilizing Deliberate Discussion Linking Events
(HUDDLE): a systematic review.
August 12, 2015
Glymph DC, Olenick M, Barbera S, et al. Healthcare Utilizing Deliberate Discussion Linking Events
(HUDDLE): A Systematic Review. AANA J. 2015;83(3):183-188.
https://psnet.ahrq.gov/issue/healthcare-utilizing-del…
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psnet.ahrq.gov/node/60359/psn-pdf
May 20, 2020 - Incorrect use of smart infusion pump in the operating
room (OR) leads to milrinone overdose.
May 20, 2020
ISMP Medication Safety Alert! Acute care edition. May 7, 2020;25(9).
https://psnet.ahrq.gov/issue/incorrect-use-smart-infusion-pump-operating-room-or-leads-milrinone-
overdose
Lack of familiarity with sm…