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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/module5/facilitator-notes.docx
March 01, 2017 - Facilitator Notes
SAY:
The Resident and Family Engagement module focuses on the roles and responsibilities of the resident and family as a member of the facility safety team. Engaging the resident and family as partners will help assure they can be active participants in their care and in the decision-making process …
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psnet.ahrq.gov/node/49681/psn-pdf
April 01, 2013 - Total Parenteral Nutrition, Multifarious Errors
April 1, 2013
Boullata JI. Total Parenteral Nutrition, Multifarious Errors. PSNet [internet]. 2013.
https://psnet.ahrq.gov/web-mm/total-parenteral-nutrition-multifarious-errors
Case Objectives
Define parenteral nutrition (PN).
Describe the PN-use process.
Identify …
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psnet.ahrq.gov/perspective/technology-tool-improving-patient-safety
April 26, 2023 - Annual Perspective
Technology as a Tool for Improving Patient Safety
A Jay Holmgren, Susan McBride,Bryan Gale, Sarah Mossburg
| March 29, 2023
View more articles from the same authors.
Citation Text:
Holmgren AJ, McBride S, Gale B, et al. Technology as a …
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psnet.ahrq.gov/web-mm/unintended-consequences-cpoe
September 01, 2004 - SPOTLIGHT CASE
Unintended Consequences of CPOE
Citation Text:
Wears RL. Unintended Consequences of CPOE. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2016.
Copy Citation
Format:
Google Scholar BibTeX EndNot…
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www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/webinars/innovative-use-pcr-091423.pdf
September 14, 2023 - Innovative Use of Technology in Primary Care Delivery - Slide Presentation
National Center for Excellence in Primary Care Research
Presents
Innovative Use of Technology in Primary Care Delivery
September 14, 2023
Presented by:
Anjana Estelle Sharma, MD, MAS
Adrian Aguilera, PhD
Ryan J Coller, MD, MPH
Nicole…
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www.ahrq.gov/sites/default/files/wysiwyg/talkingquality/resources/podcasts_webinars/Using_Social_Media_2011_09_01_Transcript.pdf
January 01, 2011 - How Social Media Can Draw Visitors to a Quality Report
Transcript release date 9/1/11
How Social Media Can Draw Visitors
to a Quality Report
Moderator: Lise Rybowski, Consultant, TalkingQuality; President, The Severyn Group
Speakers:
Barbara Lambiaso, Project Manager, Massachusetts Health Quality Part…
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psnet.ahrq.gov/node/866826/psn-pdf
September 25, 2024 - Hypoxic Gas Supply from Cross-Connected Pipelines
September 25, 2024
Bohringer C, Guemidjian A, Utter G. Hypoxic Gas Supply from Cross-Connected Pipelines. PSNet
[internet]. 2024.
https://psnet.ahrq.gov/web-mm/hypoxic-gas-supply-cross-connected-pipelines
The Case
An 8-year-old boy with no significant past medical…
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psnet.ahrq.gov/web-mm/getting-good-report-card-unintended-consequences-public-reporting-hospital-quality
October 01, 2004 - SPOTLIGHT CASE
Getting a Good Report Card: Unintended Consequences of the Public Reporting of Hospital Quality
Citation Text:
Lindenauer PK. Getting a Good Report Card: Unintended Consequences of the Public Reporting of Hospital Quality. PSNet [internet]. Rockville (MD): Agency for Healthcare Res…
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psnet.ahrq.gov/web-mm/incomplete-anesthesia-history-leads-adverse-outcomes
January 29, 2021 - An Incomplete Anesthesia History Leads to Adverse Outcomes
Citation Text:
Bohringer C. An Incomplete Anesthesia History Leads to Adverse Outcomes. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2022.
Copy Citation
Format:
…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_4-situation-monitoring-speaker-notes.pdf
July 01, 2023 - or
changing information
• Create individual awareness of
what’s going on and what is
likely to happen … Unfortunately, the reality of patient care is such that sometimes surprises happen or a case
is complex
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www.ahrq.gov/sites/default/files/2025-07/catchpole-report.pdf
January 01, 2025 - FDs occur roughly once every 2.4 min and happen most frequently during the final patient transfer and … that this apparent sequence may in fact be an effect of hindsight bias, and that instead accidents
happen
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effectivehealthcare.ahrq.gov/health-topics/puberty
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effectivehealthcare.ahrq.gov/health-topics/lewy-body-disease
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effectivehealthcare.ahrq.gov/health-topics/chiari-malformation
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digital.ahrq.gov/sites/default/files/docs/publication/r36hs018809-valdez-final-report-2012.pdf
January 01, 2012 - Creating a Foundation for the Design of Culturally Informed Health IT - Final Report
Grant Final Report
Grant ID: R36HS18809-01
Creating a Foundation for the Design of Culturally
Informed Health IT
Inclusive project dates: 02/01/10 – 01/31/12
Principal Investigator:
Rupa Valdez, MSIE, PhD Candidate
Team …
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/pain-chronic_disposition-comments.pdf
September 01, 2011 - Evidence-based Practice Center Systematic Review Protocol
Source: www.effectivehealthcare.ahrq.gov
Comparative Effectiveness Research Review Disposition of Comments Report
Research Review Title: Multidisciplinary Pain Programs for Chronic Noncancer Pain
Draft review available for public com…
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs025232-holden-final-report-2019.pdf
January 01, 2019 - Power to the patient: Design and Test of Closed-Loop Interactive IT for Geriatric Heart Failure Self-Care - Final Report
FINAL PROGRESS REPORT
Power to the patient: Design and Test of Closed-Loop Interactive IT for Geriatric
Heart Failure Self-Care
Ric…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/sppcii-hypertension-scenarios.pptx
July 01, 2023 - Severe Hypertension Scenarios: PowerPoint Presentation
Severe Hypertension Scenarios
Safety Program for Perinatal Care II Teamwork Toolkit
SPPC-II
Toolkit
AHRQ Pub. No. 23-0046
July 2023
Frontline
SPPC-II
SCRIPT
In this handout we have compiled all of the case scenarios presented in the SPPC-II Teamwork Toolkit f…
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digital.ahrq.gov/sites/default/files/docs/page/guide-to-evaluating-hie-projects-section-4.pdf
June 16, 2021 - AHRQ's Guide to Evaluating Health Information Exchange Projects - Section 4
4-1
Section 4: Developing Your Evaluation Plan
This section describes ten steps for developing an evaluation plan:
1. Defining evaluation goals and objectives
2. Identifying potential evaluation measures
3. Designing the evaluation st…
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/ems-911-workforce-mental-health-disposition-comments.pdf
February 28, 2025 - the phone - Our telecommunicators are now seeing
video and pictures of emergency incidents as they happen