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Microsoft PowerPoint - Spotlight Case_Anesthesia Error During Cesarean_06.22.2023 - Final.pptx (pdf file)
psnet.ahrq.gov/sites/default/files/2023-06/hurried_huddle_0.pdfJanuary 01, 2023 - Microsoft PowerPoint - Spotlight Case_Anesthesia Error During Cesarean_06.22.2023 - Final.pptx Spotlight Hurried Team Huddle and Poor Communication: Unsafe Practice During Anesthesia for Emergency Cesarean Delivery Source and Credits • This presentation is based on the June 2023 AHRQ WebM&M Spotlight Case o See… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/49753/psn-pdfFebruary 01, 2016 - Robotic Surgery: Risks vs. Rewards February 1, 2016 Kirkpatrick T, LaGrange C. Robotic Surgery: Risks vs. Rewards. PSNet [internet]. 2016. https://psnet.ahrq.gov/web-mm/robotic-surgery-risks-vs-rewards Case Objectives Discuss the background and current trends in robotic surgery. Identify the benefits of robotic s… -
psnet.ahrq.gov/web-mm/nothing-called-small-surgeryFebruary 01, 2023 - Nothing Called Small Surgery Citation Text: Manske C. Nothing Called Small Surgery. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2020. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote t…
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Quantitative Synthesis: Chapter 4. Quantifying, Testing, and Exploring Statistical Heterogeneity (pdf file)
effectivehealthcare.ahrq.gov/sites/default/files/pdf/ehc-presentation-quantitative-synthesis-chapter-4.pdfJuly 01, 2019 - Quantitative Synthesis: Chapter 4. Quantifying, Testing, and Exploring Statistical Heterogeneity Quantitative Synthesis Chapter 4. Quantifying, Testing, and Exploring Statistical Heterogeneity Prepared for: The Agency for Healthcare Research and Quality (AHRQ) Training Modules for Systematic Reviews Methods Guid… -
Disposition of Comments_Technical Brief No. 40: Interventions To Decrease Hospital Length of Stay (pdf file)
effectivehealthcare.ahrq.gov/sites/default/files/related_files/hospital-length-of-stay-disposition-comments_0.pdfSeptember 20, 2021 - Disposition of Comments_Technical Brief No. 40: Interventions To Decrease Hospital Length of Stay Technical Brief Disposition of Comments Report Title: Interventions To Decrease Hospital Length of Stay Draft report available for public comment from September 23, 2020, to November 10, 2020. C… -
Module IV- Skills for Successful Engagement (pdf file)
effectivehealthcare.ahrq.gov/sites/default/files/module-iv-skills-for-successful-engagement.pdfOctober 08, 2025 - Module IV- Skills for Successful Engagement … -
Slide 1 (ppt file)
effectivehealthcare.ahrq.gov/sites/default/files/module_iv1.pptOctober 08, 2025 - Slide 1 Engaging Stakeholders in the Effective Health Care Program Information and tools for researchers and investigatorsNumeric psnet.ahrq.gov/web-mm/duplicate-therapies-retail-pharmacyAugust 05, 2022 - Duplicate Therapies in Retail Pharmacy Citation Text: Punatar N, Molla M, Lee S. Duplicate Therapies in Retail Pharmacy. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2023. Copy Citation Format: Google Scholar BibTeX E…psnet.ahrq.gov/web-mm/risks-absent-interoperability-medication-induced-hemolysis-patient-known-allergyApril 08, 2019 - SPOTLIGHT CASE The Risks of Absent Interoperability: Medication-Induced Hemolysis in a Patient With a Known Allergy Citation Text: Reider J. The Risks of Absent Interoperability: Medication-Induced Hemolysis in a Patient With a Known Allergy. PSNet [internet]. Rockville (MD): Agency for Healthcar…psnet.ahrq.gov/web-mm/which-line-ordering-provider-or-proceduralistSeptember 16, 2015 - SPOTLIGHT CASE Which Line: Ordering Provider or Proceduralist? Citation Text: Blackmore CC. Which Line: Ordering Provider or Proceduralist?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. Copy Citation Format: …psnet.ahrq.gov/web-mm/delayed-breast-cancer-diagnosis-false-sense-securityMay 01, 2005 - Delayed Breast Cancer Diagnosis: A False Sense of Security. Citation Text: Weingart SN, James TA, Schiff G. Delayed Breast Cancer Diagnosis: A False Sense of Security.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2020. Copy Cita…psnet.ahrq.gov/perspective/technology-tool-improving-patient-safetyApril 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 …psnet.ahrq.gov/web-mm/unintended-consequences-cpoeSeptember 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…www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Carayon.pdfJanuary 01, 2004 - or the software occurred that appeared out of the ordinary interaction, we asked the nurse what had happenedwww.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Murff.pdfJanuary 01, 2004 - adverse event, several investigators, many of whom were not affiliated with this particular protocol, happenedCognitive Engineering for Complex Decision Making & Problem Solving in Acute Care - Final Report (pdf file)
digital.ahrq.gov/sites/default/files/docs/citation/r01hs022542-hettinger-final-report-2020.pdfJanuary 01, 2020 - develop a tool that helped create a timeline-based platform to review the events of patient care as they happenedpsnet.ahrq.gov/perspective/innovations-promoting-hand-hygiene-complianceMay 01, 2014 - author actually introduced the alcohol-based hand rub to the bedside and did nothing else, nothing happenedpsnet.ahrq.gov/perspective/conversation-didier-pittet-md-msMay 01, 2014 - author actually introduced the alcohol-based hand rub to the bedside and did nothing else, nothing happenedwww.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/sppcii-hypertension-scenarios.pptxJuly 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…integrationacademy.ahrq.gov/sites/default/files/2025-08/Charting%20the%20Future%20of%20Integrated%20Behavioral%20Health_Transcript.docxJanuary 01, 2025 - What happened is that implementation and adoption on the Medicaid fee schedules by the States was all … And I said, I'm gonna use what just happened as an example of what not to do.SHARE:
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