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digital.ahrq.gov/sites/default/files/TPC%20Topic%20Highlight%20Patient%20Preferences.pdf
June 01, 2025 - Incorporating Patient Preferences in Patient-Centered Clinical Decision Support
AHRQ Pub. No. 25-0055
June 2025
Incorporating Patient Preferences in
Patient-Centered Clinical Decision Support
Patient preferences can support a patient’s care experience and healthcare decision making. This
resource shows differe…
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psnet.ahrq.gov/web-mm/when-indications-drug-administration-blur
May 26, 2021 - SPOTLIGHT CASE
When the Indications for Drug Administration Blur
Citation Text:
Munsch J, Doroy A. When the Indications for Drug Administration Blur . PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2020.
Copy Citation
…
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psnet.ahrq.gov/web-mm/discharge-fumbles
September 09, 2009 - SPOTLIGHT CASE
Discharge Fumbles
Citation Text:
Forster AJ. Discharge Fumbles. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2004.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML End…
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/prostate-cancer-therapies-update_consumer.pdf
January 01, 2016 - Treating Localized
Prostate Cancer
A Review of the Research for Adults
Is this information right for me?
Yes, this information is right for you if:
� Your doctor* said all tests show you have localized prostate
cancer (the cancer has not spread outside the prostate gland).
This information may not be helpful t…
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effectivehealthcare.ahrq.gov/sites/default/files/hawley-presentation.pdf
October 08, 2025 - Hawley-notes-151016 copy - Teresa
This idea of focusing on patient-centered medical care has been one that’s come to
the forefront in the last decade and we’ve heard a lot about that.
1
…
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effectivehealthcare.ahrq.gov/sites/default/files/frazee-presentation.pdf
October 08, 2025 - Frazee-notes-151006 copy - Teresa
So thank you very much.
I'm taking a little bit
of a different
tactic on this, but
I want
to say
I'm in
agreement with
both
Dr. Hibbard
and
Dr. Fagerlin.
I think we just
take different
approaches to the same information, which is what makes t…
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psnet.ahrq.gov/node/72563/psn-pdf
December 07, 2020 - In Conversation With... Katie J. Suda, PharmD, MS
December 7, 2020
In Conversation With.. Katie J. Suda, PharmD, MS . PSNet [internet]. 2020.
https://psnet.ahrq.gov/perspective/conversation-katie-j-suda-pharmd-ms
Editor’s Note: Katie J. Suda, PharmD, MS is a professor at the University of Pittsburgh School of Medic…
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psnet.ahrq.gov/node/867357/psn-pdf
December 18, 2024 - Lack of gas supply, as happened in this case, is a major cause of ventilator malfunction.
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psnet.ahrq.gov/web-mm/sudden-collapse-during-upper-gastrointestinal-endoscopy-expect-unexpected
September 25, 2024 - root cause analysis, interviews, and human and environmental factor analysis are used to examine what happened
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www.ahrq.gov/sites/default/files/2025-02/mcneil-report.pdf
January 01, 2025 - Final Progress Report: The National Quality Forum Fall Policy Conference 2008
The National Quality Forum
Fall Policy Conference 2008
Principal Investigator: Dwight McNeil
Team Members: S. Callahan, L. Gorban,
D. McNeill, and B. Yelin
9/30/08-9/29/09
Federal Project Official: Karen Ho
Supported by: Agen…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_ssibundle_facnotes.docx
December 01, 2017 - Facilitator Guide: Implementing Your SSI Prevention Bundle
Slide Title and Commentary
Slide Number and Slide
Implementing Your SSI Prevention Bundle
SAY:
This module is about implementing your surgical site infection (SSI) prevention bundle.
Slide 1
Learning Objectives
SAY:
This module will help you develop …
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www.ahrq.gov/hai/tools/surgery/modules/implementation/ssi-bundle-fac-notes.html
October 01, 2020 - Implementing Your Surgical Site Infection Prevention Bundle: Facilitator Notes
AHRQ Safety Program for Surgery
Slide 1: Implementing Your SSI Prevention Bundle
Say:
This module is about implementing your surgical site infection (SSI) prevention bundle.
Slide 2: Learning Objectives
Say:
This modu…
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digital.ahrq.gov/sites/default/files/docs/phr-impact-chronic-disease-transcript-012512.pdf
August 01, 2012 - I want to talk about some of the barriers that happened when we first rolled out
this study. … Here, what we did was we controlled what happened at CPAP set up.
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psnet.ahrq.gov/perspective/quality-and-safety-challenges-critical-care-preventing-and-treating-delirium-intensive
December 01, 2012 - Quality and Safety Challenges in Critical Care: Preventing and Treating Delirium in the Intensive Care Unit
Eduard E. Vasilevskis, MD; E. Wesley Ely, MD, MPH; Robert S. Dittus, MD, MPH | December 1, 2012
Also Read a Conversation
View more articles from the same authors.
…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/asc/part-i-asc_database_report-rev091721.pdf
January 01, 2020 - Surveys on Patient Safety Culture (SOPS) Ambulatory Surgery Center Survey: 2020 User Database Report Part I
PATIENT
SAFETY
Surveys on Patient
Safety CultureTM
(SOPSTM)
Ambulatory
Surgery Center
Survey: 2020
User Database
Report
[This page is intentionally left blank]
Surveys on Patient Safety CultureTM…
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/program-dev-facilitator-guide.docx
June 01, 2021 - Slide 7
Reviewing the Events
SAY:
As you discuss what happened with your team, it seems there are
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/clabsi-event-reporting_revised.docx
April 01, 2022 - guide through the initial investigation for a defects analysis where the primary goal is to learn what happened
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psnet.ahrq.gov/web-mm/consequences-medical-overuse
May 05, 2021 - We don't know exactly what would have happened to this patient if she was admitted to the hospital and
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psnet.ahrq.gov/web-mm/hypoxemia-after-emergency-intubation
March 24, 2019 - Lack of gas supply, as happened in this case, is a major cause of ventilator malfunction.
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psnet.ahrq.gov/perspective/conversation-paul-aylin-mbchb
June 01, 2017 - But our most recent paper , on obstetric care, unfortunately happened to come out about a week before