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psnet.ahrq.gov/sites/default/files/2022-02/final_cme_reviewed_spotlight_loss_of_trust_and_a_missed_diagnosis_02.14.20221_-_clean_-_revised.pdf
January 01, 2022 - Patrick Romano, MD
o Managing Editor: Meghan Weyrich, MPH
2
Objectives
At the conclusion of this educational
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psnet.ahrq.gov/web-mm/missing-large-vessel-occlusion-stroke-patient-history-seizures
August 31, 2022 - disclose relevant financial relationships with commercial interests related to the subject matter of this educational
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psnet.ahrq.gov/web-mm/dont-dismiss-dangerous-obstetric-hemorrhage
August 21, 2024 - response team, protocols with the blood bank for emergency release and massive transfusions, and of course educational
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psnet.ahrq.gov/innovation/reducing-preventable-patient-harm-due-retained-surgical-items-rsi-bundle
July 23, 2024 - Ascension’s patient safety team went to their local sites to disseminate the educational materials and
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/Jz4WcZ2Wy3-nV6jNUrwUzX
June 20, 2017 - Screening for Obesity and Intervention for Weight Management in Children and Adolescents: Evidence Report and Systematic Review
(Reprinted)
Clinical Review & Education
JAMA | US Preventive Services Task Force | EVIDENCE REPORT
Screening for Obesity and Intervention
for Weight Management in Children and Adolesce…
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psnet.ahrq.gov/issue/ismp-long-term-care-advise-err
June 07, 2017 - Newsletter/Journal
ISMP Long-Term Care Advise-ERR.
Citation Text:
ISMP Long-Term Care Advise-ERR. Horsham, PA; Institute for Safe Medication Practices.
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psnet.ahrq.gov/issue/noise-distraction-interruption-and-safety-hazard
February 01, 2014 - Commentary
Noise: a distraction, interruption, and safety hazard.
Citation Text:
Beyea SC. Noise: a distraction, interruption, and safety hazard. AORN J. 2007;86(2):281-5.
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psnet.ahrq.gov/issue/distractions-interruptions-and-patient-safety
February 01, 2014 - Commentary
Distractions, interruptions, and patient safety.
Citation Text:
Beyea SC. Distractions, interruptions, and patient safety. AORN J. 2007;86(1):109-12.
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psnet.ahrq.gov/issue/supporting-nurses-essential-partners-diagnosis
August 05, 2020 - Newspaper/Magazine Article
Supporting nurses as essential partners in diagnosis.
Citation Text:
Supporting nurses as essential partners in diagnosis. Carr S. ImproveDx. March 2021:8(2)
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psnet.ahrq.gov/issue/administering-just-diluent-or-one-two-vaccine-components-leaves-patients-unprotected
May 07, 2018 - Newspaper/Magazine Article
Administering just the diluent or one of two vaccine components leaves patients unprotected.
Citation Text:
Administering just the diluent or one of two vaccine components leaves patients unprotected. ISMP Medication Safety Alert! Acute care edition. May 22, 20…
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/CFNn2TBR6jtaNA87ER_Bop
May 01, 2022 - Screening for Chronic Obstructive Pulmonary Disease
1
www.uspreventiveservicestaskforce.org
Clinician Summary of USPSTF Recommendation
Screening for Chronic Obstructive Pulmonary Disease
May 2022
The USPSTF recognizes that clinical decisions involve more considerations than evidence alone.
Clinicians s…
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integrationacademy.ahrq.gov/news-and-events/calendar/event/23213
January 01, 2013 - An official website of the Department of Health & Human Services
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Integrating Behavioral Health & Primary Care
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integrationacademy.ahrq.gov/news-and-events/calendar/event/23295
January 01, 2013 - An official website of the Department of Health & Human Services
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The Academy
Integrating Behavioral Health & Primary Care
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integrationacademy.ahrq.gov/news-and-events/calendar/event/23668
August 11, 2025 - An official website of the Department of Health & Human Services
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Integrating Behavioral Health & Primary Care
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integrationacademy.ahrq.gov/news-and-events/calendar/event/23428
August 06, 2025 - An official website of the Department of Health & Human Services
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK2_P1T1-Nursing_Home_Readiness_and_Resource_Assessment_Phase_1.pdf
May 01, 2014 - Nursing Home Readiness and Resource Assessment
Advancing Excellence in Health Care www.ahrq.gov
Agency for Healthcare Research and Quality
HAIs
Healthcare-
Associated
Infections
PREVENT
Comprehensive Antibiogram Toolkit: Phase 1
Nursing Home Readiness and Resource Assessment
This worksheet is designed to be …
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www.ahrq.gov/teamstepps-program/curriculum/implement/pre-measure.html
May 01, 2023 - Teaching Pre-Implementation Measurement
Present Slide 12, “Measurement.” Use this slide to introduce the topic of measurement and note that it is key to all organizational improvement initiatives.
In discussing Slide 13, “Define a Measurable Goal or Problem You Plan To Address,” it’s important to stress t…
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www.ahrq.gov/pqmp/implementation-qi/toolkit/asthma/key-drivers.html
July 01, 2021 - Pediatric Asthma Emergency Department Use Toolkit
Key Driver Diagram
Previous Page Next Page
Table of Contents
Pediatric Asthma Emergency Department Use Toolkit
Introduction
Overview
About the Measure
Key Driver Diagram
Quality Improvement Strategies
Successful quality impr…
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/communicating-decisions-one-pager.pdf
September 01, 2022 - Communicating With Patients and Families About Antibiotic Decisions
Communicating With Patients and Families
About Antibiotic Decisions
Patients want to feel
HEARD1-3
• Say: “What I am hearing you say is [repeat the main
concerns].”
• Sit at eye level with the patient.
• Nod your head to…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/long-term-modules/overview.docx
March 01, 2017 - AHRQ Safety Program for Long-Term Care: HAIs/CAUTI
Long-Term Care Safety Toolkit Modules
Overview of the Long-Term Care Safety Toolkit Modules and Nursing Home Survey on Patient Safety Culture
The Long-Term Care (LTC) Safety Toolkit is designed to support learning and implementation efforts to improve safety cult…