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psnet.ahrq.gov/node/42385/psn-pdf
June 26, 2013 - Identifying and addressing preventable process errors in
trauma care.
June 26, 2013
Pucher PH, Aggarwal R, Twaij A, et al. Identifying and addressing preventable process errors in trauma
care. World J Surg. 2013;37(4):752-8. doi:10.1007/s00268-013-1917-9.
https://psnet.ahrq.gov/issue/identifying-and-addressing-pre…
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/four-moments-poster.pdf
June 01, 2021 - Four Moments of Antibiotic Decision Making Poster
Does the resident have symptoms that suggest an infection?
What type of infection is it? Have we collected appropriate cultures
before starting antibiotics? What empiric therapy should be initiated?
1
What duration of antibiotic therapy is needed for the resident’…
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psnet.ahrq.gov/node/35124/psn-pdf
June 29, 2005 - JCAHO proposal for patient-centered care brings concept
to mainstream healthcare settings.
June 29, 2005
ECRI. Risk Management Reporter. June 2005.
https://psnet.ahrq.gov/issue/jcaho-proposal-patient-centered-care-brings-concept-mainstream-healthcare-
settings
This commentary provides a definition of patient-cent…
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psnet.ahrq.gov/node/36312/psn-pdf
October 26, 2010 - The intensive care unit, patient safety, and the Agency for
Healthcare Research and Quality.
October 26, 2010
Clancy CM. The intensive care unit, patient safety, and the Agency for Healthcare Research and Quality.
Am J Med Qual. 2006;21(5):348-51.
https://psnet.ahrq.gov/issue/intensive-care-unit-patient-safety-and…
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/cesarean-birth_research.pdf
January 01, 2020 - FRN 22: Future Research Needs for Strategies To Reduce Cesarean Birth in Low-Risk Women
Future Research Needs Paper
Number 22
Future Research Needs
for Strategies To Reduce
Cesarean Birth in Low-
Risk Women
Future Research Needs Paper
Number 22
Future Research Needs for Strategies To Reduce
Cesarean Birth …
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psnet.ahrq.gov/node/851869/psn-pdf
July 31, 2023 - Building Capacity for Patient Safety
July 31, 2023
Hoffman R, Mossburg S, Van CM. Building Capacity for Patient Safety. PSNet [internet]. 2023.
https://psnet.ahrq.gov/perspective/building-capacity-patient-safety
In its 2019 report, Safer Together: A National Action Plan to Advance Patient Safety, the National Steer…
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psnet.ahrq.gov/node/33871/psn-pdf
December 22, 2018 - Maternal Safety
December 22, 2018
Lyndon A. Maternal Safety. PSNet [internet]. 2018.
https://psnet.ahrq.gov/perspective/maternal-safety
Annual Perspective 2018
The Context of Maternal Safety
Childbirth-related maternal health outcomes have been worsening for some time in the United States. After
a dramatic reduc…
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digital.ahrq.gov/sites/default/files/docs/survey/integrated-care-coordination-information-system-interview-guide.pdf
June 16, 2021 - Integrated Care Coordination Information System Interview Guide
Integrated Care Coordination Information System Interview Guide
Oregon Health and Science University, Portland OR
This is an interview guide designed to be conducted with nurses in an ambulatory setting. The
tool includes questions to assess user’s…
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psnet.ahrq.gov/node/49499/psn-pdf
December 02, 2020 - An Outpatient 'Zebra'
January 1, 2006
Berkowitz L. An Outpatient 'Zebra'. PSNet [internet]. 2006.
https://psnet.ahrq.gov/web-mm/outpatient-zebra
The Case
A 64-year-old man presented to the outpatient clinic with a chief complaint of left foot pain and numbness.
His past medical history included lumbar disc diseas…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.25_slideshow.ppt
July 01, 2003 - PowerPoint Presentation
Spotlight Case July 2003
Code Status Confusion
webmm.ahrq.gov
Source and Credits
This presentation is based on the July 2003
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available through the Web site
Commentary by: Bernard Lo, MD, Univers…
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www.ahrq.gov/sites/default/files/2024-04/eskandari-raval-report.pdf
January 01, 2024 - Final Progress Report: Illinois Surgical Quality Improvement Collaboration Conference: Venous Thromboembolism
FINAL PROGRESS REPORT
Title of Project:
Illinois Surgical Quality Improvement Collaboration Conference: Venous
Thromboembolism
Principal Investigator and Team Members:
Mark Eskandari, MD
Mehul Raval, M…
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/mui/epic-tipsheets-ui-screening.pdf
June 02, 2025 - Urinary Incontinence EHR Screening Tools Tip Sheets
```
Urinary Incontinence
EHR Screening Tools
Tip Sheets
IT2 Team – Northwestern Medicine
This project was funded under grant number U18HS028744
from the Ag…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.248_slideshow.ppt
September 01, 2011 - Spotlight Case July 2008
Spotlight Case
The Safety and Quality of Long Term Care
*
*
Source and Credits
This presentation is based on the September 2011
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available
Commentary by: Amy A. Vogelsmeier, PhD, RN, GCNS-BC, Uni…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/resources/tools/prevent/legbags-faqs.docx
March 01, 2017 - BLADDER SCAN – POLICY #2202 12/11/06
AHRQ Safety Program for Long-Term Care: HAIs/CAUTI
AHRQ Safety Program for Reducing CAUTI in Hospitals
Frequently Asked Questions About the Use of
and Care for Leg Bags in the Long-Term Care Setting
Disclaimer: Answers to the following frequently asked questions (FAQs) are based…
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www.ahrq.gov/ncepcr/care/coordination/atlas/chapter4tab4.html
June 01, 2014 - Care Coordination Measures Atlas Update
Table 4. Meaningful Use Measures that Assess Care Coordination*
Previous Page Next Page
Table of Contents
Care Coordination Measures Atlas Update
Chapter 1: Background
Chapter 2. What is Care Coordination?
Chapter 3. Care Coordination Measurement Framewo…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/management/observation/observation-component-kit.docx
May 01, 2017 - Module 4: Component Kit
Standard Work Observation Component Kit
Contents
1. Why Standard Work Observation? 2
Connections to Other Components 3
2. Tips 3
3. Plan-Do-Study-Act “Ramp”: Observe Checklist Use Regularly 5
4. Example 6
Using the Observations 6
1. Why Standard Work Observation?
As you’ve adapted a surgi…
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/safety/improvement-slides.pptx
November 01, 2019 - Identifying Targets for Improving Antibiotic Use
Identifying Targets for Improvement in Antibiotic Decision Making
Acute Care
AHRQ Safety Program for Improving Antibiotic Use
AHRQ Pub. No. 17(20)-0028-EF
November 2019
Identifying Targets
AHRQ Safety Program for Improving Antibiotic Use – Acute Care
1
Objectives
R…
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www.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes1.html
August 01, 2022 - Module 1: An Overview of the CANDOR Process
AHRQ Communication and Optimal Resolution Toolkit
Facilitator Notes
Say:
The CANDOR Toolkit is composed of eight distinct modules that can be used to teach users about the CANDOR process. Module 1 provides an overview of the steps to implement the CANDOR…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/d4g_pdi09-postoprespfailure-bestpractices.pdf
May 17, 2016 - Selected Best Practices and Suggestions for Improvement
Pediatric Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
1 Tool D.4g
Selected Best Practices and Suggestions for Improvement
PDI 09: Postoperative Respiratory Failure
Why focus on postoperative respiratory fail…
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www.uspreventiveservicestaskforce.org/uspstf/document/final-research-plan/osteoporosis-screening-june-2018
November 05, 2015 - Share to Facebook
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archived
Final Research Plan
Osteoporosis to Prevent Fractures: Screening
November 05, 2015
Recommendations made by the USPSTF are independent of the U.S. government. They s…