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psnet.ahrq.gov/perspective/conversation-paul-g-shekelle-md-mph-phd
February 26, 2025 - environment, or has there been some high profile lay media sentinel event where something disastrous happened
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www.ahrq.gov/patient-safety/settings/hospital/red/toolkit/redtool5.html
March 01, 2025 - In certain cases, however, this may not have happened (e.g., patient leaves against medical advice or
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/podcasts/Coordination_of_Care_2012_05_01_Transcript.pdf
January 01, 2012 - did not always seem to know the important
information about their medical history or things that had happened
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psnet.ahrq.gov/perspective/safety-dentistry
August 01, 2016 - Safety In Dentistry
Rachel Badovinac Ramoni, DMD, ScD; Muhammad Walji, PhD; and Elsbeth Kalenderian, DDS, MPH, PhD | August 1, 2016
Also Read a Conversation
View more articles from the same authors.
Citation Text:
Ramoni R, Walji MF, Kalenderian E. Safety In De…
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psnet.ahrq.gov/perspective/conversation-karl-bilimoria-md-ms-0
December 01, 2017 - In Conversation With… Karl Bilimoria, MD, MS
August 1, 2017
Also Read an Essay
Citation Text:
In Conversation With… Karl Bilimoria, MD, MS. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/017-contact-precautions-webinar-slides-notes.docx
October 01, 2024 - Contact Precautions for MRSA Prevention - Webinar slide notes
AHRQ Safety Program for MRSA Prevention
Contact Precautions for MRSA Prevention
ICU & Non-ICU
Slide Title and Commentary
Slide Number and Slide
Contact Precautions for MRSA Prevention
SAY:
Welcome to this presentation on contact isolation precautions t…
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www.ahrq.gov/ncepcr/tools/case-studies/health-team-works.html
August 01, 2014 - Case Studies of Exemplary Primary Care Practice Facilitation Training Programs
Training Program Summary: HealthTeamWorks’ Coach University
Previous Page Next Page
Table of Contents
Case Studies of Exemplary Primary Care Practice Facilitation Training Programs
Overview
Training Program Summary: H…
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www.ahrq.gov/practiceimprovement/delivery-initiative/casalino/paper/idkeydsr2.html
February 01, 2014 - Identifying Key Areas for Delivery System Research
Identifying Key Areas for Delivery System Research
Previous Page Next Page
Table of Contents
Identifying Key Areas for Delivery System Research
Executive Summary
Identifying Key Areas for Delivery System Research
Conclusion
References
Appe…
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psnet.ahrq.gov/perspective/evolution-patient-safety-surgery
August 01, 2017 - The Evolution of Patient Safety in Surgery
Robert M. Wachter, MD | December 1, 2017
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View more articles from the same authors.
Citation Text:
Wachter R. The Evolution of Patient Safety in Surgery. PSNet [internet]. Rockville (MD): Agency…
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psnet.ahrq.gov/node/74021/psn-pdf
October 25, 2021 - The team also participates in quality
reviews, looking at where errors happened, and collecting data
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/hospital/hospwebinar/just-culture-webcast-transcript-508-compliant.pdf
June 01, 2017 - about the time period between that 2008 when we saw still very low, 39 percent
positive, and what happened … accountable for application of Just Culture principles, it includes consoling staff when something has happened
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psnet.ahrq.gov/web-mm/caution-interrupted
October 01, 2016 - Caution, Interrupted
Citation Text:
Wears RL. Caution, Interrupted. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2004.
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Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId R…
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psnet.ahrq.gov/web-mm/hard-swallow
April 26, 2023 - Hard to Swallow
Citation Text:
Driver J. Hard to Swallow. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2004.
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Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS
…
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psnet.ahrq.gov/node/49470/psn-pdf
December 01, 2004 - Discharge Fumbles
December 1, 2004
Forster AJ. Discharge Fumbles. PSNet [internet]. 2004.
https://psnet.ahrq.gov/web-mm/discharge-fumbles
Case Objectives
List the types of adverse events that occur at discharge
Identify the characteristics that identify patients at high risk for errors at discharge
Understand th…
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www.ahrq.gov/hai/cauti-tools/archived-webinars/ed-catheter-insertions-slides.html
December 01, 2017 - The Emergency Department & Catheter Insertions
Slide Presentation
Slide 1
The Emergency Department & Catheter Insertions
Mohamad Fakih, MD, MPH
St. John Hospital and Medical Center
Lisa Wolf, PhD, RN, CEN, FAEN
Emergency Nurses Association (ENA)
Jeremiah Schuur, MD, MHS, FACEP
Brigham and Women’s…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/safe-electronic/e-fetal-monitoring_facguide.pdf
May 01, 2017 - Monitoring for Perinatal Safety: Electronic Fetal Monitoring
AHRQ Safety Program for Perinatal Care
Monitoring for Perinatal Safety: Electronic Fetal Monitoring
AHRQ Publication No. 17-0003-18-EF
May 2017
SAY:
The Monitoring for Perinatal Safety bundle
provides information on the use of electronic
fetal mo…
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psnet.ahrq.gov/web-mm/wandering-floors-safety-and-security-risks-patient-wandering
August 21, 2007 - SPOTLIGHT CASE
Wandering Off the Floors: Safety and Security Risks of Patient Wandering
Citation Text:
Smith TA. Wandering Off the Floors: Safety and Security Risks of Patient Wandering. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Huma…
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digital.ahrq.gov/ahrq-funded-projects/providing-evidence-and-developing-toolkit-accelerate-adoption-patient
July 31, 2023 - Providing Evidence and Developing a Toolkit to Accelerate the Adoption of Patient Photographs in Electronic Health Records
Project Final Report ( PDF , 1.49 MB) Disclaimer
Disclaimer
The findings and conclusions in this document are those of the author(s), who are responsible for…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/104-what-are-4-es.pptx
April 01, 2025 - PowerPoint Presentation
What Are the 4 Es?
Surgical Services
For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries
AHRQ Pub. No. 25-0029
April 2025
AHRQ Safety Program for MRSA Prevention: Targeting SSI
AHRQ Safety Program for MRSA Prevention | Surgical Services
What Are the 4 Es?
1
Educational…
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digital.ahrq.gov/sites/default/files/docs/patient-centered-care-transcript-033011.pdf
June 16, 2021 - really little connection between what they did to cause a reading out of the glucometer and what
happened