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effectivehealthcare.ahrq.gov/health-topics/lewy-body-disease
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effectivehealthcare.ahrq.gov/health-topics/puberty
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effectivehealthcare.ahrq.gov/health-topics/fainting
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Carpenter.pdf
January 01, 2004 - Background -- AHRQ and other funders interest in promoting faster movement from research to practice/science to service/TRIP/T
Development of a Planning Tool
to Guide Research Dissemination
Deborah Carpenter, Veronica Nieva,
Tarek Albaghal, Joann Sorra
Abstract
Investigation in patient safety improvement is …
-
psnet.ahrq.gov/node/849679/psn-pdf
June 28, 2023 - Under Pressure: Tracheostomy Cuff Over Inflation
Leading to Tissue Necrosis and Cuff Rupture
June 28, 2023
Gould E, Carlsen K, Trask J, et al. Under Pressure: Tracheostomy Cuff Over Inflation Leading to Tissue
Necrosis and Cuff Rupture. PSNet [internet]. 2023.
https://psnet.ahrq.gov/web-mm/under-pressure-tracheost…
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psnet.ahrq.gov/node/865413/psn-pdf
March 27, 2024 - In Conversation with...Barbara Pelletreau and John Riggi
about Cybersecurity
March 27, 2024
Pelletreau B, Riggi J. In Conversation with..Barbara Pelletreau and John Riggi about Cybersecurity. PSNet
[internet]. 2024.
https://psnet.ahrq.gov/perspective/conversation-withbarbara-pelletreau-and-john-riggi-about-cyberse…
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psnet.ahrq.gov/node/50698/psn-pdf
November 27, 2019 - Missed Opportunities for Suicide Risk Assessment
November 27, 2019
Xiong G, Kahn D. Missed Opportunities for Suicide Risk Assessment. PSNet [internet]. 2019.
https://psnet.ahrq.gov/web-mm/missed-opportunities-suicide-risk-assessment
Disclosure of Relevant Financial Relationships: As a provider accredited by the Acc…
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/manage-resident-UTI-facilitator-guide.docx
June 01, 2021 - AHRQ Safety Program for Improving Antibiotic Use
1
Management of the Resident With a Suspected Urinary Tract Infection
Long-Term Care
Slide Title and Commentary
Slide Number and Slide
Management of the Resident With a Suspected Urinary Tract Infection
Long-Term Care
SAY:
Welcome to the presentation titled “Man…
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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…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/educational-bundles/infection-prevention/hand-hygiene/hand-hygiene.pptx
March 01, 2017 - Hand Hygiene
The How-To’s of Hand Hygiene
Training Module 1
AHRQ Pub. No. 16(17)-0003-8-EF
March 2017
AHRQ Safety Program for Long-term Care: HAIs/CAUTI
AHRQ Safety Program for Long-Term Care: HAIs/CAUTI
AHRQ SAFETY PROGRAM FOR LONG-TERM CARE: HAIs/CAUTI
Welcome to the first training module for the Agency for H…
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www.ahrq.gov/sites/default/files/wysiwyg/data/SyH-DR-Introduction-2023Dec.pdf
December 01, 2023 - Introduction to Synthetic Healthcare Database for Research
Synthetic Healthcare Database for Research
(SyH-DR)
A Synthetic Nationally Representative All-Payer Claims Database
INTRODUCTION TO
SYNTHETIC HEALTHCARE DATABASE FOR RESEARCH
AHRQ Publication No. 24-0019-1-EF
December 2023
SyH-DR i Introduction …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Carpenter.doc
January 01, 2004 - Background -- AHRQ and other funders interest in promoting faster movement from research to practice/science to service/TRIP/T
Advances in Patient Safety: Vol. 4
Development of a Research Dissemination Tool
Development of a Planning Tool
to Guide Research Dissemination
Deborah Carpenter, Veronica Nieva,
Tarek Al…
-
www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/resources/diagnostic-toolkit/09-diagnostic-safety-practice-orientation.pptx
November 24, 2020 - Co-producing a Diagnosis
Engaging Patients To Improve Diagnostic Safety
Practice Orientation
AHRQ Publication No. 21-0047-8-EF
August 2021
1
Diagnostic Errors Are a
Big Challenge
Nearly every person will experience a diagnostic error in their lifetime.
Diagnostic error is the leading patient safety challenge…
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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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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…
-
psnet.ahrq.gov/node/33862/psn-pdf
July 01, 2018 - In Conversation With… Shantanu Nundy, MD
July 1, 2018
In Conversation With… Shantanu Nundy, MD. PSNet [internet]. 2018.
https://psnet.ahrq.gov/perspective/conversation-shantanu-nundy-md
Editor's note: Dr. Nundy is the Director of the nonprofit organization called the Human Diagnosis Project, a
unique effort to cro…
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psnet.ahrq.gov/node/72589/psn-pdf
December 23, 2020 - Delayed Breast Cancer Diagnosis: A False Sense of
Security.
December 23, 2020
Weingart SN, James TA, Schiff G. Delayed Breast Cancer Diagnosis: A False Sense of Security. PSNet
[internet]. 2020.
https://psnet.ahrq.gov/web-mm/delayed-breast-cancer-diagnosis-false-sense-security
The Case
A 60-year-old woman was se…
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digital.ahrq.gov/sites/default/files/docs/cds-medication-management-slides-012814.pdf
January 28, 2014 - A National Web Conference on the Use of Clinical Decision Support to Improve Medication Management
A National Web Conference on the Use of
Clinical Decision Support to Improve
Medication Management
January 28, 2014
12:30pm – 2:00pm ET
Moderator and Presenters
Disclosures
Moderator:
Erin Grace, M.H.…
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psnet.ahrq.gov/node/863649/psn-pdf
February 28, 2024 - In Conversation With...Stephen Hines, PhD and Monika
Haugstetter, MHA, MSN, RN, CPHQ about TeamSTEPPS
3.0
February 28, 2024
In Conversation With..Stephen Hines, PhD and Monika Haugstetter, MHA, MSN, RN, CPHQ about
TeamSTEPPS 3.0. PSNet [internet]. 2024.
https://psnet.ahrq.gov/perspective/conversation-withstephen-…
-
psnet.ahrq.gov/node/49801/psn-pdf
August 01, 2017 - Despite Clues, Failed to Rescue
August 1, 2017
Ghaferi AA. Despite Clues, Failed to Rescue. PSNet [internet]. 2017.
https://psnet.ahrq.gov/web-mm/despite-clues-failed-rescue
Case Objectives
Define failure to rescue.
Identify the main contributors to failure-to-rescue events.
Appreciate the ongoing areas of scien…