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psnet.ahrq.gov/node/49800/psn-pdf
July 01, 2017 - The Hidden Harms of Hand Sanitizer
July 1, 2017
Stewart S. The Hidden Harms of Hand Sanitizer. PSNet [internet]. 2017.
https://psnet.ahrq.gov/web-mm/hidden-harms-hand-sanitizer
The Case
A 57-year-old woman with a history of alcohol abuse and severe depression was admitted to the hospital
for community-acquired pn…
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www.ahrq.gov/takeheart/training/learning-community-webinars/index.html
December 01, 2022 - TAKEheart Learning Community Webinars
TAKEheart Learning Community webinars, held between 2020–2022, featured discussions among cardiac rehabilitation (CR) experts and CR champions from diverse hospitals. Panelists shared knowledge and resources for addressing common challenges to increasing CR enrollment, part…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.191_slideshow.ppt
January 01, 2009 - Spotlight Case July 2008
Spotlight Case January 2009
To Transfer or Not to Transfer
Source and Credits
This presentation is based on the January 2009
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available
Commentary by: Jesse M. Pines, MD, MBA, MSCE
University o…
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psnet.ahrq.gov/node/49671/psn-pdf
November 01, 2012 - Electrocardiogram Results: ***READ ME***
November 1, 2012
Alpert JS. Electrocardiogram Results: ***READ ME***. PSNet [internet]. 2012.
https://psnet.ahrq.gov/web-mm/electrocardiogram-results-read-me
The Case
A 63-year-old woman with labile hypertension presented to the emergency department (ED) with new onset
che…
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digital.ahrq.gov/2019-year-review/research-summary/emerging-innovative-newly-funded-research
January 01, 2019 - AHRQ’s Emerging and Innovative Newly Funded Research Initiated in 2019
The Digital Healthcare Research Program at AHRQ continues to fund foundational research to identify and generate digital healthcare knowledge and tools that are shareable, standards-based, publicly available, and whol…
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www.ahrq.gov/news/events/ahrq-research-summit-learning-health-system-summary.html
October 01, 2020 - AHRQ Research Summit on Learning Health Systems: Executive Summary
September 15, 2017
5600 Fishers Lane, Rockville, Maryland
On September 15, 2017, the Agency for Research and Quality (AHRQ) convened, in Rockville, MD, a meeting of experts to identify and discuss aspects of a learning health system (LHS). A…
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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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digital.ahrq.gov/ahrq-funded-projects/using-smart-devices-implement-evidence-based-ehealth-system-older-adults
July 31, 2025 - Using Smart Devices to Implement an Evidence-based eHealth System for Older Adults
Project Description
Publications
Events
Research Story
Enhancing an evidence-based electronic health intervention, Elder Tree, with voice-controlled technology can broaden its u…
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psnet.ahrq.gov/primer/clinical-decision-support-systems
December 15, 2024 - Clinical Decision Support Systems
Citation Text:
Clinical Decision Support Systems. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote t…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/133-translating-research-into-practice-fg.docx
April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI
Translating Research into Practice (TRiP)
Surgical Services
For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries
Slide Title and Commentary
Slide Number and Slide
Translating Research into Practice (TRiP)
SAY:
This presentation is on Trans…
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psnet.ahrq.gov/node/42807/psn-pdf
February 17, 2015 - ASPEN parenteral nutrition safety consensus
recommendations.
February 17, 2015
Ayers P, Adams S, Boullata JI, et al. A.S.P.E.N. parenteral nutrition safety consensus recommendations.
JPEN J Parenter Enteral Nutr. 2014;38(3):296-333. doi:10.1177/0148607113511992.
https://psnet.ahrq.gov/issue/aspen-parenteral-nutrit…
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/poster-bacterial-cultures.pdf
June 01, 2021 - Collecting Bacterial Cultures
AHRQ Pub. No. 17(21)-0029
June 2021
• Only collect bacterial cultures
from residents with signs or
symptoms suggesting bacterial
infection.
• Bacteria growing in urine or
sputum i…
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psnet.ahrq.gov/node/44436/psn-pdf
October 30, 2017 - Overreaction.
October 30, 2017
Shell ER. Overreaction. Scientific American. 2015;313(5):28-9.
https://psnet.ahrq.gov/issue/overreaction
Reporting on how test inaccuracies can lead to misdiagnosis of food allergies in children and the potential
consequences, this magazine article describes a diagnostic tool to dete…
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www.ahrq.gov/news/noi-menopause-symptoms.html
December 01, 2024 - AHRQ Announces Interest in Funding Research on Diagnosis and Treatment of Menopause
A new Special Emphasis Notice from AHRQ signals the agency’s interest in receiving grant applications for health services research on improving the diagnosis, treatment, and management of perimenopause and menopausal symptoms.…
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psnet.ahrq.gov/node/74195/psn-pdf
December 15, 2021 - Technology, Education and Safety.
December 15, 2021
Ruskin KJ, ed. Curr Opin Anaesthesiol. 2021;34(6):720-765
https://psnet.ahrq.gov/issue/technology-education-and-safety-0
Anesthesia services are high risk despite progress made in the specialty to improve its safety. This special
section covers issues that affect…
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psnet.ahrq.gov/node/43624/psn-pdf
October 22, 2014 - Hand hygiene compliance for patient safety.
October 22, 2014
Aziz A.
https://psnet.ahrq.gov/issue/hand-hygiene-compliance-patient-safety
Health care–associated infections (HAIs) remain a major contributor to preventable morbidity and mortality
in hospitalized patients, despite some progress in combating certain in…
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psnet.ahrq.gov/node/42119/psn-pdf
January 24, 2019 - Patient safety strategies: a call for physician leadership.
January 24, 2019
Shine KI. Patient safety strategies: a call for physician leadership. Ann Intern Med. 2013;158(5 Pt 1):353-4.
doi:10.7326/0003-4819-158-5-201303050-00011.
https://psnet.ahrq.gov/issue/patient-safety-strategies-call-physician-leadership
Th…
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psnet.ahrq.gov/node/36311/psn-pdf
October 04, 2006 - Eighth Annual National Patient Safety Foundation
Congress: Conference Proceedings.
October 4, 2006
Stepnick L, Edgman-Levitan S, Kaplan GS et al. J Patient Saf. 2006;2(2):58-69.
https://psnet.ahrq.gov/issue/eighth-annual-national-patient-safety-foundation-congress-conference-
proceedings
The authors summarize the…
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psnet.ahrq.gov/node/37705/psn-pdf
June 09, 2011 - Causes of preventable drug-related hospital admissions:
a qualitative study.
June 9, 2011
Howard R, Avery A, Bissell P. Causes of preventable drug-related hospital admissions: a qualitative study.
Qual Saf Health Care. 2008;17(2):109-116. doi:10.1136/qshc.2007.022681.
https://psnet.ahrq.gov/issue/causes-preventabl…
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www.ahrq.gov/opioids/about.html
August 01, 2021 - About AHRQ's Work on Opioids and Substance Use Disorders
Deaths from drug overdoses have risen steadily over the past two decades and have become a leading cause of injury death in the United States. The rise in drug overdose deaths was initially driven by misuse of prescription opioids but is now also fueled …