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  1. www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/improve/gap_analysis_tool.docx
    November 01, 2019 - Gap Analysis for Antibiotic Stewardship Programs AHRQ Safety Program for Improving Antibiotic Use Gap Analysis for Antibiotic Stewardship Programs Instructions: Complete this document to assess your antibiotic stewardship program (ASP) on an annual basis. The ASP areas addressed in this document are those that are d…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/852808/psn-pdf
    August 30, 2023 - Prolonged DKA in Pregnancy: A Case of Communication Breakdown. August 30, 2023 Marshall S, Boe NM. Prolonged DKA in Pregnancy: A Case of Communication Breakdown. PSNet [internet]. 2023. https://psnet.ahrq.gov/web-mm/prolonged-dka-pregnancy-case-communication-breakdown Disclosure of Relevant Financial Relationship…
  3. Spotlight (pdf file)

    psnet.ahrq.gov/sites/default/files/2023-08/spotlight_case_prolonged_dka_in_pregnancy_-_slides_-_revised.pdf
    January 01, 2023 - Spotlight Spotlight Prolonged DKA in Pregnancy: A Case of Communication Breakdown Source and Credits • This presentation is based on the August 2023 AHRQ WebM&M Spotlight Case o See the full article at https://psnet.ahrq.gov/webmm o CME credit is available o Commentary by: Sarah Marshall, MD and Nina M. …
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49573/psn-pdf
    January 01, 2009 - Dangerous Shift November 1, 2008 Patterson ES. Dangerous Shift. PSNet [internet]. 2008. https://psnet.ahrq.gov/web-mm/dangerous-shift Case Objectives Review the evidence base on erroneous actions related to shift changes. Understand the limits of standardizing handoffs in preventing errors at shift change. Expla…
  5. www.ahrq.gov/research/findings/final-reports/ssi/ssiapr.html
    April 01, 2018 - Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection Appendix R. Infection Prevention Support Tool Previous Page Next Page Table of Contents Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection Executive Summary Chapter …
  6. www.ahrq.gov/research/findings/final-reports/ssi/ssiapu.html
    September 01, 2018 - Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection Appendix U. Improving the Measurement of Surgical Site Infection (SSI) Risk Stratification and Outcome Detection Previous Page Next Page Table of Contents Improving the Measurement of Surgical Site Infection R…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49437/psn-pdf
    March 01, 2004 - Crossing the Line March 1, 2004 Feldman JP, Gould MK. Crossing the Line. PSNet [internet]. 2004. https://psnet.ahrq.gov/web-mm/crossing-line Case Objectives Review complications of central venous catheterization Discuss patient and operator factors that affect complication rates Describe methods for preventing c…
  8. www.ahrq.gov/patient-safety/reports/candor-demo-program/plan-grants/findings.html
    August 01, 2022 - Planning Grants Final Evaluation Report Findings Previous Page Next Page Table of Contents Planning Grants Final Evaluation Report Executive Summary Introduction Methodology Findings Appendix A. Grantee Profiles Appendix B. References Improving Communication Four planni…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60745/psn-pdf
    October 01, 2020 - Multiple High-Risk Events Involving Workflow for Wasting of Medications Used by Anesthesia July 29, 2020 Nguyen DD, Harper TA, Cello R. Multiple High-Risk Events Involving Workflow for Wasting of Medications Used by Anesthesia. PSNet [internet]. 2020. https://psnet.ahrq.gov/web-mm/multiple-high-risk-events-involvi…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49702/psn-pdf
    March 01, 2014 - Tough Call: Addressing Errors From Previous Providers March 1, 2014 Martinez W, Hickson GB. Tough Call: Addressing Errors From Previous Providers. PSNet [internet]. 2014. https://psnet.ahrq.gov/web-mm/tough-call-addressing-errors-previous-providers Case Objectives Define what it means to be a professional. Identi…
  11. www.ahrq.gov/patient-safety/reports/advances-new-directions/index.html
    July 01, 2022 - Advances in Patient Safety: New Directions and Alternative Approaches Advances in Patient Safety: New Directions and Alternative Approaches represents years of study by AHRQ-funded patient safety researchers and others. It includes articles on reporting systems, risk assessment, safety culture, m…
  12. www.uspreventiveservicestaskforce.org/home/getfilebytoken/pxMbTT69NULYZRaZ9xs7Du
    May 01, 2004 - Screening for Suicide Risk - Recommendation and Rationale Summary of Recommendation The U.S. Preventive Services Task Force (USPSTF) concludes that the evidence is insufficient to recommend for or against routine screening by primary care clinicians to detect suicide risk in the general population. I recommendation.…
  13. www.uspreventiveservicestaskforce.org/home/getfilebytoken/FExZhpEq2337V-hwkaPQ8y
    May 01, 2002 - Screening for Depression - Recommendations and Rationale 121 Summary of Recommendations • The U.S. Preventive Services Task Force (USPSTF) recommends screening adults for depression in clinical practices that have systems in place to assure accurate diagnosis, effective treatment, and follow-up. B recommendation. …
  14. psnet.ahrq.gov/web-mm/dangerous-dialysis
    June 12, 2024 - SPOTLIGHT CASE Dangerous Dialysis Citation Text: Holley JL. Dangerous Dialysis . PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2010. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML …
  15. effectivehealthcare.ahrq.gov/sites/default/files/pdf/prostate-cancer-therapies-update_consumer.pdf
    January 01, 2016 - Treating Localized Prostate Cancer A Review of the Research for Adults Is this information right for me? Yes, this information is right for you if: � Your doctor* said all tests show you have localized prostate cancer (the cancer has not spread outside the prostate gland). This information may not be helpful t…
  16. PATIENTSLIKEME (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/clifford.pdf
    May 29, 2025 - PATIENTSLIKEME INNOVATIONS CONFERENCE -- PATIENTSLIKEME SPEAKER: DAVE CLIFFORD, HEAD OF PUBLIC HEALTH AND GOVERNMENT AFFAIRS, PATIENTSLIKEME CLIFFORD: Hi. I'm Dave Clifford from PatientsLikeMe. I'm gonna talk about patient value in online communities a bit from our experie…
  17. psnet.ahrq.gov/web-mm/medication-mix-leads-patient-death
    July 08, 2022 - Medication Mix-Up Leads to Patient Death Citation Text: Sanchez L, Romano PS. Medication Mix-Up Leads to Patient Death. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2023. Copy Citation Format: Google Scholar BibTeX En…
  18. www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/diagnostic-error-reduction.pdf
    September 04, 2020 - Evidence in Use of Clinical Reasoning Checklists for Diagnostic Error Reduction PATIENT SAFETY e Issue Brief 3 Evidence on Use of Clinical Reasoning Checklists for Diagnostic Error Reduction e Issue Brief Evidence on Use of Clinical Reasoning Checklists for Diagnostic Error Reduction Prepared for: …
  19. psnet.ahrq.gov/primer/deprescribing-patient-safety-strategy
    December 15, 2024 - Deprescribing as a Patient Safety Strategy Citation Text: Takhar S, Nelson N. Deprescribing as a Patient Safety Strategy. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2021. Copy Citation Format: Google Scholar BibTeX …
  20. psnet.ahrq.gov/print/pdf/node/866984
    January 01, 2020 - PSNet Curated Library AHRQ: Agency for Healthcare Research and Quality Interdisciplinary teamwork Curated Library Foundations Medical teamwork and the evolution of safety science: a critical review. Neuhaus C, Lutnæs DE, Bergström J. Cogn Technol Work. 2020;22:13-27. In this narrative review, the authors contr…