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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.266_slideshow.ppt
May 01, 2012 - Spotlight Case July 2008
Spotlight Case
The Perils of Cross Coverage
*
*
Source and Credits
This presentation is based on the May 2012
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available
Commentary by: Jeanne M. Farnan, MD, MHPE, and Vineet M. Arora, MD, MAPP, …
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psnet.ahrq.gov/node/33779/psn-pdf
March 01, 2015 - Handoffs and Transitions
January 22, 2014
Sehgal NL. Handoffs and Transitions. PSNet [internet]. 2014.
https://psnet.ahrq.gov/perspective/handoffs-and-transitions
Annual Perspective 2014
Despite recent efforts to promote clinical integration, the United States health care system remains highly
fragmented. From it…
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www.ahrq.gov/patient-safety/settings/hospital/resource/guide/web3.html
December 01, 2017 - Webinar 3: Review & Update Readmission Reduction Efforts: Slide Presentation
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 & …
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psnet.ahrq.gov/node/49473/psn-pdf
March 01, 2005 - On O.R. Off?
March 1, 2005
Leonard M. On O.R. Off? PSNet [internet]. 2005.
https://psnet.ahrq.gov/web-mm/or
The Case
An elderly man was admitted to the vascular surgery service with rest pain in his leg. Angiography
demonstrated peripheral artery disease with anatomy suitable for revascularization. A consulting
…
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www.ahrq.gov/sops/bibliography/index.html?page=2
January 01, 2025 - SOPS Bibliography
Browse or search for publications about the development and use of SOPS surveys and other topics related to assessing patient safety culture.
Results
101-150 of 505 Bibliography Items displayed
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www.ahrq.gov/sops/bibliography/index.html?page=1
January 01, 2025 - SOPS Bibliography
Browse or search for publications about the development and use of SOPS surveys and other topics related to assessing patient safety culture.
Results
51-100 of 505 Bibliography Items displayed
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psnet.ahrq.gov/node/49745/psn-pdf
October 01, 2015 - Amphotericin Toxicity
October 1, 2015
Nagel J, Nguyen E. Amphotericin Toxicity. PSNet [internet]. 2015.
https://psnet.ahrq.gov/web-mm/amphotericin-toxicity
The Case
A 42-year-old woman status-post left pneumonectomy for aspergilloma was being treated with oral
posaconazole for residual fungal disease. She present…
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www.ahrq.gov/es/sops/bibliography/index.html?page=2
January 01, 2025 - SOPS Bibliography
Browse or search for publications about the development and use of SOPS surveys and other topics related to assessing patient safety culture.
Results
101-150 of 505 Bibliography Items displayed
Pagination
« first
« First
‹ previous
‹‹
1
2
3
…
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www.ahrq.gov/es/sops/bibliography/index.html?page=1
January 01, 2025 - SOPS Bibliography
Browse or search for publications about the development and use of SOPS surveys and other topics related to assessing patient safety culture.
Results
51-100 of 505 Bibliography Items displayed
Pagination
« first
« First
‹ previous
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psnet.ahrq.gov/node/60547/psn-pdf
May 28, 2020 - The Role of the FDA in Ensuring Device Safety
May 28, 2020
Fitall E, Hall KK, Gale B. The Role of the FDA in Ensuring Device Safety . PSNet [internet]. 2020.
https://psnet.ahrq.gov/perspective/role-fda-ensuring-device-safety
Introduction
The Food and Drug Administration (FDA) plays a critical role in ensuring the …
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psnet.ahrq.gov/node/49814/psn-pdf
December 01, 2017 - Miscommunication in the OR Leads to Anticoagulation
Mishap
December 1, 2017
Solsky I, Haynes AB. Miscommunication in the OR Leads to Anticoagulation Mishap. PSNet [internet].
2017.
https://psnet.ahrq.gov/web-mm/miscommunication-or-leads-anticoagulation-mishap
The Case
A 63-year-old man with a history of coronary…
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psnet.ahrq.gov/node/33860/psn-pdf
June 01, 2018 - Safety Considerations in Building a Point-of-Care
Ultrasound Program
June 1, 2018
Moore C. Safety Considerations in Building a Point-of-Care Ultrasound Program. PSNet [internet]. 2018.
https://psnet.ahrq.gov/perspective/safety-considerations-building-point-care-ultrasound-program
Perspective
At the American Colle…
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psnet.ahrq.gov/node/49832/psn-pdf
June 01, 2018 - Febrile Neutropenia and an Almost Fatal Medication Error
June 1, 2018
Faig J, Zerillo JA. Febrile Neutropenia and an Almost Fatal Medication Error. PSNet [internet]. 2018.
https://psnet.ahrq.gov/web-mm/febrile-neutropenia-and-almost-fatal-medication-error
The Case
A 33-year-old woman with recently diagnosed acute …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/long-term-modules/module6/module-6-slides.pptx
March 01, 2017 - Slide 1
Module 6: Sustainability
AHRQ Safety Program for Long-Term Care: HAIs/CAUTI
Long-Term Care Safety Modules
AHRQ Pub. No. 16(17)-0003-03-EF
March 2017
Sustainability | ‹#›
1
Objectives
Define sustainability and understand the importance of maintaining positive change
Describe the link between sustainabilit…
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www.ahrq.gov/hai/cusp/modules/learn/sl-cusp.html
December 01, 2012 - Learn About CUSP
CUSP Toolkit
The Learn about CUSP module of the CUSP Toolkit offers an outline and brief history of the CUSP model, summarizes the CUSP Toolkit modules, and how to use them.
Contents
Slide 1. Cover Slide
Slide 2. Learning Objectives
Slide 3. CUSP Supports Kotter's Eight Steps of Cha…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/supporting/advisors.pptx
May 01, 2017 - AHRQ Safety Program for Perinatal Care: Monitoring for Perinatal Safety: Working with Patient and Family Advisors
AHRQ Safety Program for Perinatal Care
Insert hospital logo here
Working With Patient
and Family Advisors:
Part 1. Introduction and Overview
[Hospital Name | Presenter name and title | Date of prese…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/resources/tools/prevent/7-things.pdf
March 01, 2017 - 7 Things You Should Know About Urinary Leg Bags
AHRQ Safety Program for Long-Term Care:
HAIs/CAUTI
Infographic: 7 Things You Should Know About Urinary
Leg Bags
The infographic flier on page 5 of this PDF can be printed and posted in patient care areas,
meeting rooms, or nurse stations, to educate clinicians, …
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psnet.ahrq.gov/node/49487/psn-pdf
August 21, 2005 - Surprise Wire
August 21, 2005
Pearl JM, Donaldson NE. Surprise Wire. PSNet [internet]. 2005.
https://psnet.ahrq.gov/web-mm/surprise-wire
The Case
A 39-year-old man with a history of liver disease presented to the emergency department (ED) with
gastrointestinal bleeding and altered mental status. Due to his clinic…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/central-catheter-indications-notes.docx
April 01, 2022 - Central Venous Catheter Indications Facilitator Notes
CLABSI Module:
Central Venous Catheter Indications and Alternatives
Facilitator Guide
Slide Number and Image
This module, titled “Central Venous Catheter Indications and Alternatives,” is part of the Agency for Healthcare Research and Quality’s Safety Progra…
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www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/module-6-slides.pdf
October 28, 2021 - Laying the Groundwork for
Effective Care Coordination
Module 6
Rachel Jarvis, MA, ACSM-RCEP, CEP
Tammy Garwick, MA, MBA
ACSM RCEP, ACSM CEP, FAACVPR
PURPOSE
TAKEheart Training and Technical Assistance Components
Training sessions guided by the Million
Hear…