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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.320_slideshow.ppt
January 01, 2020 - PowerPoint Presentation
Spotlight
A ʺReflexiveʺ Diagnosis in Primary Care
1
This presentation is based on the April 2014
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available
Commentary by: John Betjemann, MD, and S. Andrew Josephson, MD, University of California, San…
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psnet.ahrq.gov/node/49791/psn-pdf
April 01, 2017 - Wrong-side Bedside Paravertebral Block: Preventing the
Preventable
April 1, 2017
Barrington MJ, Uda Y. Wrong-side Bedside Paravertebral Block: Preventing the Preventable. PSNet
[internet]. 2017.
https://psnet.ahrq.gov/web-mm/wrong-side-bedside-paravertebral-block-preventing-preventable
The Case
An 84-year-old wo…
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psnet.ahrq.gov/node/33808/psn-pdf
May 01, 2016 - Reducing the Safety Hazards of Monitor Alert and Alarm
Fatigue
May 1, 2016
Jacques S, Williams E. Reducing the Safety Hazards of Monitor Alert and Alarm Fatigue. PSNet [internet].
2016.
https://psnet.ahrq.gov/perspective/reducing-safety-hazards-monitor-alert-and-alarm-fatigue
Perspective
Alarm fatigue occurs whe…
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psnet.ahrq.gov/node/60547/psn-pdf
May 28, 2020 - The Role of the FDA in Ensuring Device Safety
May 28, 2020
Fitall E, Hall KK, Gale B. The Role of the FDA in Ensuring Device Safety . PSNet [internet]. 2020.
https://psnet.ahrq.gov/perspective/role-fda-ensuring-device-safety
Introduction
The Food and Drug Administration (FDA) plays a critical role in ensuring the …
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psnet.ahrq.gov/node/49832/psn-pdf
June 01, 2018 - Febrile Neutropenia and an Almost Fatal Medication Error
June 1, 2018
Faig J, Zerillo JA. Febrile Neutropenia and an Almost Fatal Medication Error. PSNet [internet]. 2018.
https://psnet.ahrq.gov/web-mm/febrile-neutropenia-and-almost-fatal-medication-error
The Case
A 33-year-old woman with recently diagnosed acute …
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psnet.ahrq.gov/node/49532/psn-pdf
March 15, 2007 - Back to Basics
March 1, 2007
Hellman R. Back to Basics. PSNet [internet]. 2007.
https://psnet.ahrq.gov/web-mm/back-basics
The Case
A 48-year-old woman with insulin-dependent diabetes mellitus presents to the emergency department with
right upper quadrant pain, fever, and leukocytosis, prompting admission for pres…
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psnet.ahrq.gov/node/49507/psn-pdf
April 01, 2006 - Is the "Surgical Personality" a Threat to Patient Safety?
April 1, 2006
Bosk CL. Is the "Surgical Personality" a Threat to Patient Safety? PSNet [internet]. 2006.
https://psnet.ahrq.gov/web-mm/surgical-personality-threat-patient-safety
Case Objectives
Describe the myth of the "surgical personality"
Identify featu…
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psnet.ahrq.gov/node/49456/psn-pdf
July 12, 2004 - Glucose Roller Coaster
July 1, 2004
Sharpe B. Glucose Roller Coaster. PSNet [internet]. 2004.
https://psnet.ahrq.gov/web-mm/glucose-roller-coaster
The Case
A 71-year-old woman with congestive heart failure was admitted to the hospital. Her medical history was
significant for dialysis-dependent, end-stage kidney d…
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psnet.ahrq.gov/node/612828/psn-pdf
February 23, 2022 - Delayed Diagnosis of Kidney Transplant Complications
February 23, 2022
Kapa N, Morfín JA. Delayed Diagnosis of Kidney Transplant Complications. PSNet [internet]. 2022.
https://psnet.ahrq.gov/web-mm/delayed-diagnosis-kidney-transplant-complications
Objectives
Recognition, early evaluation, and management of kidney …
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psnet.ahrq.gov/node/49626/psn-pdf
May 01, 2011 - Outbreak
May 1, 2011
Rothman R, Stapleton S. Outbreak. PSNet [internet]. 2011.
https://psnet.ahrq.gov/web-mm/outbreak
The Case
A 36-year-old healthy man developed an acute febrile illness associated with a vesicular rash. He
presented to an urgent care clinic where he was diagnosed with varicella infection ("chic…
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psnet.ahrq.gov/node/33687/psn-pdf
August 01, 2009 - Workarounds and Resiliency on the Front Lines of Health
Care
August 1, 2009
Tucker AL. Workarounds and Resiliency on the Front Lines of Health Care. PSNet [internet]. 2009.
https://psnet.ahrq.gov/perspective/workarounds-and-resiliency-front-lines-health-care
Perspective
Frontline health care providers are challen…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/4-unc-webcast-fenton-wilhelm-amos.pdf
August 15, 2019 - Implementation of an Event Reporting and Learning System Leads to Improvements in Patient Safety Culture at UNC Medical Center-Fenton-Wilhelm-Amos
U
N
C H E A L T H C A R E S Y S T E M
U
N
C H E A L T H C A R E
Culture of Safety Improvement Project
UNC Medical Center
29
U
N
C H …
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-moving-forward-cleary-slides.pdf
March 01, 2010 - CAHPS® Moving Forward: Innovations in Tools and Research Webcast
The Value and Impact of CAHPS
Paul D. Cleary, Ph.D.
Yale School of Public Health
www.ahrq.gov/cahps
Reported Patient Experiences are Related to
other Important Processes and Outcomes
Among dozens of studies examined in a
recent systematic revie…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/management/visual/visual-mgmt-facnotes.docx
May 01, 2017 - Module 5: Script and Slides
AHRQ Safety Program for Ambulatory Surgery
Management Practices for Sustainability
Module 5: Visual Management
AHRQ Safety Program for Reducing CAUTI in Hospitals
Facilitator Notes
SLIDE 1
Title: Management Practices for Sustainability; Module 5: Visual Management
SAY:
As mentioned in…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/central-catheter-indications-notes.docx
April 01, 2022 - Central Venous Catheter Indications Facilitator Notes
CLABSI Module:
Central Venous Catheter Indications and Alternatives
Facilitator Guide
Slide Number and Image
This module, titled “Central Venous Catheter Indications and Alternatives,” is part of the Agency for Healthcare Research and Quality’s Safety Progra…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/empower-staff-transcript.pdf
April 01, 2022 - Transcript: How To Empower Staff To Speak Up To Stop a Central Line Insertion if They See a Breach in Aseptic Technique, Including How To Obtain Buy-In From Physicians
AHRQ Safety Program for Intensive Care Units:
Preventing CLABSI and CAUTI
Transcript
How To Empower Staff To Speak Up To Stop a Central Lin…
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www.ahrq.gov/es/sops/bibliography/index.html?page=8
January 01, 2025 - SOPS Bibliography
Browse or search for publications about the development and use of SOPS surveys and other topics related to assessing patient safety culture.
Results
401-450 of 505 Bibliography Items displayed
Pagination
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cdsic.ahrq.gov/sites/default/files/2024-02/Final%20TPC%20Workgroup%20Charter%20to%20AHRQ%2012.5.23.pdf
January 01, 2024 - Trust and Patient-centeredness: Workgroup Charter
Trust and Patient-Centeredness:
Final Workgroup Charter
Agency for Healthcare Research and Quality
5600 Fishers Lane
Rockville, MD 20857
www.ahrq.gov
Contract No: 75Q80120D00018
Prepared by:
NORC at the University of Chicago
Novem…
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digital.ahrq.gov/sites/default/files/Final%20TPC%20Workgroup%20Charter%20to%20AHRQ%2012.5.23.pdf
January 01, 2012 - Trust and Patient-centeredness: Workgroup Charter
Trust and Patient-Centeredness:
Final Workgroup Charter
Agency for Healthcare Research and Quality
5600 Fishers Lane
Rockville, MD 20857
www.ahrq.gov
Contract No: 75Q80120D00018
Prepared by:
NORC at the University of Chicago
Novem…
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www.ahrq.gov/prevention/resources/chronic-care/ccrm-atlas-suppl/ccrm-atlas2.html
October 01, 2020 - Potential Measures for Clinical-Community Relationships
Potential Measure Development Methodology
Previous Page Next Page
Table of Contents
Potential Measures for Clinical-Community Relationships
Acknowledgements
Executive Summary
Introduction
Potential Measure Development Methodology
Pote…