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psnet.ahrq.gov/node/49415/psn-pdf
September 01, 2003 - Intubation Mishap
September 1, 2003
Weinger MB, Blike G. Intubation Mishap. PSNet [internet]. 2003.
https://psnet.ahrq.gov/web-mm/intubation-mishap
Case Objectives
To understand and apply a structured method of human factors case analysis
To describe the key components of effective teamwork
To understand the imp…
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psnet.ahrq.gov/node/60268/psn-pdf
April 29, 2020 - Complications of ECMO During Transport
April 29, 2020
Broman M. Complications of ECMO During Transport. PSNet [internet]. 2020.
https://psnet.ahrq.gov/web-mm/complications-ecmo-during-transport
The Case
A 54-year-old woman with end-stage chronic obstructive pulmonary disease (COPD) was admitted with
acute on chro…
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psnet.ahrq.gov/node/73906/psn-pdf
October 06, 2021 - In Conversation With….Alison Stuebe, MD, MSc and
Kristin Tully, PhD
October 6, 2021
In Conversation With….Alison Stuebe, MD, MSc and Kristin Tully, PhD. PSNet [internet]. 2021.
https://psnet.ahrq.gov/perspective/conversation-withalison-stuebe-md-msc-and-kristin-tully-phd
Editor’s Note: Alison Stuebe, MD, MSc, is a…
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psnet.ahrq.gov/web-mm/too-many-cooks-kitchen
March 07, 2018 - SPOTLIGHT CASE
Too Many Cooks in the Kitchen
Citation Text:
Dutton RP. Too Many Cooks in the Kitchen. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2020.
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psnet.ahrq.gov/node/836794/psn-pdf
March 31, 2022 - A Case of Mistaken Capacity: Why A Thorough
Psychosocial History Can Improve Care.
March 31, 2022
Pasao K, Kashkouli P. A Case of Mistaken Capacity: Why A Thorough Psychosocial History Can Improve
Care. PSNet [internet]. 2022.
https://psnet.ahrq.gov/web-mm/case-mistaken-capacity-why-thorough-psychosocial-history-c…
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www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/workshop/guide5.html
October 01, 2017 - Module 5: How To Measure Pressure Injury Rates and Prevention Practices
Training Guide
Module Aim
The aim of this module is to support your efforts to measure and monitor pressure injury rates and pressure injury prevention practices.
Module Goals
The goals of Module 5 are to have the Implementation T…
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www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/care-coordination-slides.pptx
January 01, 2018 - Developing an Effective Care Coordination System Implementation Guide
Enhancing Care Coordination for Cardiac Rehabilitation
1
The PowerPoint presentation (PPT) is designed to serve as a roadmap, along with the Implementation Guide (IG), for enhancing care coordination processes for facilitating enrollment a…
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/implementing-stewardship-guide.docx
September 01, 2022 - Implementing Antibiotic Stewardship in Your Practice – Facilitator Guide
AHRQ Safety Program for Improving Antibiotic Use
1
Implementing Antibiotic
Stewardship in Your Practice
Ambulatory Care
Slide Title and Commentary
Slide Number and Slide
Implementing Antibiotic Stewardship in Your Practice
Ambulatory Ca…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/009-antibiotic-stewardship-guide.docx
October 01, 2024 - AHRQ Safety Program for MRSA Prevention
Antibiotic Stewardship and MRSA Reduction
ICU & Non-ICU
Slide Title and Commentary
Slide Number and Slide
Antibiotic Stewardship and MRSA Reduction
SAY:
Welcome to this presentation on antibiotic stewardship as part of an overall approach to preventing MRSA in ICU and non-IC…
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www.ahrq.gov/patient-safety/reports/engage/results.html
March 01, 2017 - Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families
Results
Previous Page Next Page
Table of Contents
Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families
Executive Summary
Introduction
Limitations of the Enviro…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/report/apiiia.html
June 01, 2010 - Environmental Scan of Measures for Medicaid Title XIX Home and Community-Based Services
Appendix III (continued)
Previous Page Next Page
Table of Contents
Environmental Scan of Measures for Medicaid Title XIX Home and Community-Based Services
Executive Summary
Introduction and Scan Methodology
…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/019-ss-periop-infection-prevention-fg.docx
April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI
Perioperative Infection Prevention Strategies
Surgical Services
For: Most Surgery Types
Slide Title and Commentary
Slide Number and Slide
Perioperative Infection Prevention Strategies
SAY:
This presentation is titled Perioperative Infection Prevention Strategie…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-surgery/019-perioperative-infection-prevention-strategies-notes.docx
April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI
Perioperative Infection Prevention Strategies
Surgical Services
For: Most Surgery Types
Slide Title and Commentary
Slide Number and Slide
Perioperative Infection Prevention Strategies
SAY:
This presentation is titled Perioperative Infection Prevention Strategie…
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www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/highlight02.html
May 01, 2013 - How are States and evaluators measuring medical homeness in the CHIPRA Quality Demonstration Grant Program?
Evaluation Highlight No. 2
Authors: Stacey McMorrow, Anna Christensen, Brenda Natzke, Kelly Devers, and Rebecca Peters
Contents
Key Messages
Background
Findings
Conclusions
Implications
…
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/bacteremia-facilitator-guide.pdf
November 01, 2019 - Best Practices in the Diagnosis and Treatment of Bacteremia
AHRQ Safety Program for Improving
Antibiotic Use
1
AHRQ Pub. No. 17(20)-0028-EF
November 2019
Best Practices in the Diagnosis and Treatment of
Bacteremia
Acute Care
Slide Title and Commentary Slide Number and Slide
Best Pr…
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www.ahrq.gov/news/events/nac/2021-07-nac/nacmtg071421-minutes.html
December 01, 2021 - Meeting Minutes, July 2021
Virtual Meeting
Minutes from the July 14, 2021, virtual meeting of the Agency for Healthcare Research and Quality's National Advisory Council.
Contents
Summary
Call to Order and Approval of March 18, 2021, Meeting Summary
Recent AHRQ Accomplishments
AHRQ Budget Opportuniti…
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psnet.ahrq.gov/node/33859/psn-pdf
June 01, 2018 - In Conversation With… Richard Hoppmann, MD
June 1, 2018
In Conversation With… Richard Hoppmann, MD. PSNet [internet]. 2018.
https://psnet.ahrq.gov/perspective/conversation-richard-hoppmann-md
Editor's note: Dr. Hoppmann is the Dorothea H. Krebs Endowed Chair of Ultrasound Education, Professor
of Medicine, and Dire…
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psnet.ahrq.gov/innovation/university-michigan-emergency-critical-care-center-ec3-provides-timely-intensive-care
October 30, 2024 - The University of Michigan Emergency Critical Care Center (EC3) Provides Timely Intensive Care to Critically Ill Patients in the Emergency Department
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psnet.ahrq.gov/perspective/removing-insult-injury-disclosing-adverse-events
February 01, 2006 - Removing Insult from Injury—Disclosing Adverse Events
Albert W. Wu, MD, MPH | February 1, 2006
Also Read a Conversation
View more articles from the same authors.
Citation Text:
Wu AW. Removing Insult from Injury—Disclosing Adverse Events. PSNet [internet]. Rock…
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psnet.ahrq.gov/web-mm/difficult-encounters-cmo-and-cno-respond
March 01, 2018 - SPOTLIGHT CASE
Difficult Encounters: A CMO and CNO Respond
Citation Text:
Ring EJ, Hirsch JE. Difficult Encounters: A CMO and CNO Respond. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2009.
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