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psnet.ahrq.gov/web-mm/diagnosing-hiv-it-doesnt-take-brain-surgeon
January 01, 2018 - SPOTLIGHT CASE
Diagnosing HIV-It Doesn't Take a Brain Surgeon
Citation Text:
Chou R. Diagnosing HIV-It Doesn't Take a Brain Surgeon. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2008.
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psnet.ahrq.gov/web-mm/missed-connection-case-inadequate-ecg-oversight-cardiac-surgery
March 25, 2020 - SPOTLIGHT CASE
Missed Connection: A Case of Inadequate ECG Oversight in Cardiac Surgery
Citation Text:
Bohringer C, Fierro M, Venugopal S. Missed Connection: A Case of Inadequate ECG Oversight in Cardiac Surgery. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Dep…
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psnet.ahrq.gov/perspective/conversation-lawrence-smith-md
February 01, 2012 - In Conversation With… Lawrence Smith, MD
February 1, 2012
Also Read an Essay
Citation Text:
In Conversation With… Lawrence Smith, MD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2012.
…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module1/module1_pu-whychange.docx
July 12, 2017 - Module 1: Preventing Pressure Injuries in Hospitals
Module 1: Preventing Pressure Injuries in Hospitals —
Understanding Why Change Is Needed
Module Aim
The aim of Module 1 is to introduce the Preventing Pressure Ulcers in Hospitals Toolkit training.
Module Goals
The goals of this introductory module are to identify …
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www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/highlight03.html
August 01, 2013 - How are CHIPRA Quality Demonstration States working to improve adolescent health care?
Evaluation Highlight No. 3
Authors: Rachel Burton, Ian Hill, and Kelly Devers
Contents
Key Messages
Background
Findings
Conclusions
Implications
Learn More
Endnotes
The CHIPRA Quality Demonstra…
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psnet.ahrq.gov/sites/default/files/2024-05/spotlight_case_hindsight_is_2020_slides_final_revised_05.03.2024.pdf
January 01, 2024 - Spotlight
Hindsight is 20/20: Thrombolytics for Alcohol
Intoxication
Source and Credits
• This presentation is based on the April 2024 AHRQ WebM&M
Spotlight Case
o See the full article at https://psnet.ahrq.gov/webmm
o CME credit is available
o Commentary by: Eric Signoff, MD, Noelle Boctor, MD, and David K.
B…
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psnet.ahrq.gov/perspective/conversation-edward-tenner-phd
June 01, 2011 - In Conversation with… Edward Tenner, PhD
June 1, 2011
Also Read an Essay
Citation Text:
In Conversation with… Edward Tenner, PhD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2011.
Cop…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/learn/faclearncusp.docx
January 01, 2009 - SAY:
The “Learn About CUSP” module of the Comprehensive Unit-based Safety Program (or CUSP) Toolkit introduces CUSP and provides an overview of resources to use when applying the CUSP model.
Slide 1
SAY:
This module offers an outline and brief history of the CUSP model, summarizes the CUSP Toolkit modules, and expl…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/sustainability/sustainability_learn_from_defects_facnotes.docx
December 01, 2017 - Accessible Facilitator Guide: Learn From Defects for Sustainability
Slide Title and Commentary
Slide Number and Slide
Sustainability: Learning From Defects
SAY:
This module will review some concepts from Learning From Defects Through Sensemaking. It will also cover the Learning From Defects process from the per…
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www.ahrq.gov/hai/tools/surgery/modules/sustainability/learn-from-defects-fac-notes.html
December 01, 2017 - Sustainability: Learning From Defects: Facilitator Notes
AHRQ Safety Program for Surgery
Slide 1: Sustainability: Learning From Defects
Say:
This module will review some concepts from Learning From Defects Through Sensemaking. It will also cover the Learning From Defects process from the perspective of …
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_1-introduction-speaker-notes.pdf
July 01, 2023 - Introduction to the SPPC‐II Teamwork Toolkit for Severe Hypertension
Hospital AIM
Team
Leads
SPPC‐II
Introduction
to the SPPC‐II Teamwork Toolkit
for Severe Hypertension
Module 1 of 8
SPPC‐II
Toolkit
SCRIPT
Thank you for participating in the Safety Program for Perinatal Care II (also known as SPPC‐
II) …
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psnet.ahrq.gov/perspective/conversation-david-blumenthal-md-mpp-0
March 27, 2024 - In Conversation With… David Blumenthal, MD, MPP
July 1, 2012
Citation Text:
In Conversation With… David Blumenthal, MD, MPP. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2012.
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/perinatal/chipra-mc4-addtl-refs.pdf
August 14, 2012 - Additional References for PMCoE Perinatal CHIPRA Project
Additional References for PMCoE Perinatal CHIPRA Project
1. National Committee for Quality Assurance. HEDIS 2009 Technical Specifications for
Physician Measurement. Washington, D.C.: National Committee for Quality Assurance,
2009.
2. National Committee …
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psnet.ahrq.gov/node/33796/psn-pdf
January 01, 2016 - In Conversation With… Mark L. Graber, MD
January 1, 2016
In Conversation With… Mark L. Graber, MD. PSNet [internet]. 2016.
https://psnet.ahrq.gov/perspective/conversation-mark-l-graber-md
Editor's note: Dr. Graber is a Senior Fellow at RTI International and Professor Emeritus of Medicine at
the State University o…
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/oTCYGYUNJSeY-CtZxh2U33
March 01, 2004 - Screening for Family and Intimate Partner Violence - Recommendation Statement
Summary of
Recommendation
The USPSTF found insufficient evidence
to recommend for or against routine screening
of parents or guardians for the physical abuse
or neglect of children, of women for intimate
partner violence, or of older adult…
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www.uspreventiveservicestaskforce.org/uspstf/about-uspstf/methods-and-processes/procedure-manual/procedure-manual-section-4-evidence-review-development
June 22, 2025 - Procedure Manual Section 4. Evidence Review Development
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The evidence review development begins with finalization of topic scope, review approach, and research plan, as descri…
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hcup-us.ahrq.gov/reports/statbriefs/sb55.pdf
July 01, 2008 - Hospital Stays Resulting from Excessive Heat and Cold Exposure Due to Weather Conditions in U.S. Community Hospitals, 2005
HEALTHCARE COST AND
UTILIZATION PROJECT Agen
Res
Highl
In 2005, there
12,700 hospi
were related
heat or cold d
conditions. A
hospitalizatio
related stays
estimated 6…
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hcup-us.ahrq.gov/reports/statbriefs/sb69.pdf
March 01, 2009 - Statistical Brief #69: Hospitalization for Colorectal Cancer, 2006
HEALTHCARE COST AND
UTILIZATION PROJECT
Agency for Healthcare
Research and Quality
STATISTICAL BRIEF #69
March 2009
Hospitalizations for Colorectal Cancer,
2006
C. Allison Russo, M.P.H and Carol Stocks, R.N., M.H.S.A.
…
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/0084additional.pdf
August 14, 2012 - American College of Obstetricians and Gynecologists (ACOG)
Additional References for PMCoE Perinatal CHIPRA Project
1. National Committee for Quality Assurance. HEDIS 2009 Technical Specifications for
Physician Measurement. Washington, D.C.: National Committee for Quality Assurance,
2009.
2. National Committe…
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psnet.ahrq.gov/web-mm/multiple-levels-involved-prescribing-wrong-medication
December 23, 2020 - Multiple Levels Involved in Prescribing the Wrong Medication
Citation Text:
Chin K, Chau V, Spero H, et al. Multiple Levels Involved in Prescribing the Wrong Medication. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2020.
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