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psnet.ahrq.gov/node/49554/psn-pdf
January 01, 2008 - Chemotherapy Extravasation
January 1, 2008
Schulmeister L. Chemotherapy Extravasation. PSNet [internet]. 2008.
https://psnet.ahrq.gov/web-mm/chemotherapy-extravasation
The Case
A 73-year-old woman with no past medical history was diagnosed with stage IIIA breast cancer. She and
her oncologist decided to begin sys…
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psnet.ahrq.gov/node/49706/psn-pdf
January 01, 2015 - Clostridium Difficile Relapse Secondary to Medication
Access Issue
April 1, 2014
Walker PC, Nagel J. Clostridium Difficile Relapse Secondary to Medication Access Issue. PSNet [internet].
2014.
https://psnet.ahrq.gov/web-mm/clostridium-difficile-relapse-secondary-medication-access-issue
The Case
A 24-year-old wom…
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psnet.ahrq.gov/node/61079/psn-pdf
October 28, 2020 - When Looks Aren’t All They Appear to Be: A Medication
Error in an Uncommon Indication
October 28, 2020
Ton K. When Looks Aren’t All They Appear to Be: A Medication Error in an Uncommon Indication . PSNet
[internet]. 2020.
https://psnet.ahrq.gov/web-mm/when-looks-arent-all-they-appear-be-medication-error-uncommon-
…
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psnet.ahrq.gov/node/60543/psn-pdf
May 27, 2020 - Wrong Catheter in the Right Patient
May 27, 2020
Chia C, Molla M. Wrong Catheter in the Right Patient. PSNet [internet]. 2020.
https://psnet.ahrq.gov/web-mm/wrong-catheter-right-patient
The Case
A 55-year-old man with history of emphysema was admitted to the hospital for pneumonia. The patient had
two?peripheral…
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psnet.ahrq.gov/node/49535/psn-pdf
May 01, 2007 - Production Pressures
May 1, 2007
Carayon P. Production Pressures. PSNet [internet]. 2007.
https://psnet.ahrq.gov/web-mm/production-pressures
The Case
A 65-year-old man with bipolar disorder was scheduled for maintenance electroconvulsive therapy (ECT), a
procedure he had received dozens of times before. These pro…
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psnet.ahrq.gov/node/33642/psn-pdf
November 01, 2006 - In Conversation With...Donald A. Norman, PhD
November 1, 2006
In Conversation With..Donald A. Norman, PhD. PSNet [internet]. 2006.
https://psnet.ahrq.gov/perspective/conversation-withdonald-norman-phd
Dr. Robert Wachter, Editor, AHRQ WebM&M: Tell us a little bit about your background. How did you
become interested…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/teach-back_quickstart_brochure.pdf
September 15, 2016 - Implementation Quick Start Guide: Teach-back (Half-page)
Implementation
Quick Start Guide
Teach-back
The Guide to Improving Patient Safety
in Primary Care Settings by Engaging Patients
and Families
Table of Contents
What Is Teach-Back? ...........................................................1
Why Use T…
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www.ahrq.gov/hai/tools/mvp/modules/technical/daily-early-mobility-fac-guide.html
February 01, 2017 - Measure Descriptions for Daily Early Mobility: Facilitator Guide
AHRQ Safety Program for Mechanically Ventilated Patients
Slide 1: Measure Descriptions for Daily Early Mobility
Say:
In this module, you will learn about the data measures you will use to evaluate early mobility process and outcome measure…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/labor-delivery-unit/tool_cord-prolapse.docx
May 01, 2017 - AHRQ Safety Program for Perinatal Care: Labor and Delivery Unit Safety Umbilical Cord Prolapse
AHRQ Safety Program for Perinatal Care
Labor and Delivery Unit Safety
Umbilical Cord Prolapse
Labor and Delivery Unit Safety—Umbilical Cord Prolapse
Purpose of the tool: This tool describes the key perinatal safety elements …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/rapid-response/rapidresponse_facguide.docx
May 01, 2017 - AHRQ Safety Program for Perinatal Care
Rapid Response for Perinatal Safety
Rapid Response for Perinatal Safety
SAY:
The Rapid Response for Perinatal Safety bundle provides information establishing a unitwide approach, also referred to as a rapid response system, for responding to urgent maternity care issues.
Slide …
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www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospital/sops-hsops-2-translation-guidelines.pdf
August 01, 2023 - Background and Information for Translators of the AHRQ Hospital Survey on Pateint Safety Culture Version 2.0
Agency for Healthcare Research and Quality (AHRQ)
Surveys on Patient Safety Culture™ (SOPS®)
Hospital Survey Version 2.0
Background and Information for Translators
August 2023
Purpose and Use of This…
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digital.ahrq.gov/ahrq-funded-projects/optimizing-display-blood-pressure-data-support-clinical-decision-making
January 01, 2024 - Optimizing Display of Blood Pressure Data To Support Clinical Decision Making
Project Final Report ( PDF , 812.06 KB) Disclaimer
Disclaimer
The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessarily repres…
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digital.ahrq.gov/health-information-exchange-2
January 01, 2023 - This information is for reference purposes only. It was current when produced and may now be outdated. Archive material is no longer maintained, and some links may not work. Persons with disabilities having difficulty accessing this information should contact us at: https://digital.ahrq.gov/contact-us . Let us know th…
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psnet.ahrq.gov/web-mm/right-electrocardiogram-wrong-patient
April 24, 2024 - Right Electrocardiogram, Wrong Patient
Citation Text:
Chen C, Venugopal S. Right Electrocardiogram, Wrong Patient. 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…
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psnet.ahrq.gov/web-mm/critical-order-set-change-and-critical-limb-ischemia
July 02, 2019 - Critical Order Set Change and Critical Limb Ischemia
Citation Text:
Clay B. Critical Order Set Change and Critical Limb Ischemia. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
Copy Citation
Format:
Google Scholar…
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www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/module-7-slides.pdf
November 18, 2021 - Troubleshooting Your
Automatic Referral System
Module 7
S h e r r i e K h a d a n g a , M D
a n d L a u r a L u i , M S
PURPOSE
TAKEheart Training and Technical Assistance Co mponents
Training sessions guided by the Million
Hearts®/AACVPR Ca…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/030-review-ssi-prevention.pptx
April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI
AHRQ Safety Program for MRSA Prevention: Targeting SSI
Review of SSI Prevention Program Tools
Surgical Services
AHRQ Pub. No. 25-0029
April 2025
AHRQ Safety Program for MRSA Prevention: Targeting SSI | Surgical Services
Review of SSI Prevention Program Tools
1
…
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www.ahrq.gov/hai/tools/mvp/modules/cusp/engaging-sr-exec-fac-guide.html
February 01, 2017 - Engaging Senior Executives in Care of Mechanically Ventilated Patients: Facilitator's Guide
AHRQ Safety Program for Mechanically Ventilated Patients
Slide 1: Engaging Senior Executives in Care of Mechanically Ventilated Patients
Say:
In this module, we will discuss the importance of senior executive eng…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module4/putoolkit_module4_tools.docx
January 01, 1995 - Pressure Ulcer Prevention Toolkit
Pressure Ulcer Prevention Toolkit
Module 4 Tools
2G: Pieper Pressure Ulcer Knowledge Test
4A: Assigning Responsibilities for Using Best Practice Bundle with the left column completed (by the Implementation Team Leader/co-leaders and best practices decided upon earlier by the team
4B:…
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www.ahrq.gov/patient-safety/settings/hospital/resource/guide/web6.html
December 01, 2017 - Webinar 6: Enhance Services for High-Risk Patients
Designing & Delivering Whole-Person Transitional Care: The Hospital Guide to Reducing Medicaid Readmissions
Text version of Webinar slide presentation.
Slide 1: Designing & Delivering Whole-Person Transitional Care
Designing & Delivering Whole-Person Tr…