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psnet.ahrq.gov/node/43505/psn-pdf
April 25, 2016 - Hospitals often ignore policies on using qualified medical
interpreters.
April 25, 2016
Rice S. Language liabilities. To avoid errors, hospitals urged to use qualified interpreters for patients with
limited English. Modern healthcare. 2014;44(35):16-8, 20.
https://psnet.ahrq.gov/issue/hospitals-often-ignore-polici…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/data-tools-webcast-2022-fisher.pdf
January 01, 2022 - Useful Online Tools for CAHPS Survey Users - FISHER
WELCOME FROM AHRQ
Sylvia Fisher, PhD
Senior Social Science Analyst
Center for Quality Improvement & Patient Safety, AHRQ
Agency for Healthcare Research and Quality
• AHRQ is:
► A research and science-based agency of the US Department of Health and
Human Ser…
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psnet.ahrq.gov/node/60815/psn-pdf
August 19, 2020 - Clinical reasoning in the wild: premature closure during
the COVID-19 pandemic.
August 19, 2020
Boyle JG, Walters MR, Jamieson S, et al. Clinical reasoning in the wild: premature closure during the
COVID-19 pandemic. Diagnosis (Berl). 2020;7(3):177-179. doi:10.1515/dx-2020-0061.
https://psnet.ahrq.gov/issue/clinic…
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psnet.ahrq.gov/node/852806/psn-pdf
February 24, 2025 - Covering Health: Patient Safety.
February 24, 2025
Jaklevic MC. HealthJournalism.org. Columbia, MO: Association of Health Care Journalists;
2010-2025.
https://psnet.ahrq.gov/issue/covering-health-patient-safety
The role media plays in raising awareness of patient safety issues in a timely and appropriate…
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psnet.ahrq.gov/node/838317/psn-pdf
October 12, 2022 - Prevalence and sources of duplicate information in the
electronic medical record.
October 12, 2022
Steinkamp J, Kantrowitz JJ, Airan-Javia S. Prevalence and sources of duplicate information in the
electronic medical record. JAMA Netw Open. 2022;5(9):e2233348.
doi:10.1001/jamanetworkopen.2022.33348.
https://psnet.…
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psnet.ahrq.gov/node/36926/psn-pdf
September 09, 2011 - Distracting communications in the operating theatre.
September 9, 2011
Sevdalis N, Healey AN, Vincent CA. Distracting communications in the operating theatre. J Eval Clin Pract.
2007;13(3). doi:10.1111/j.1365-2753.2006.00712.x.
https://psnet.ahrq.gov/issue/distracting-communications-operating-theatre
Prior researc…
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www.ahrq.gov/priority-populations/publications/richardson-et-al-2020.html
January 01, 2021 - Health and Economic Outcomes of Newborn Screening for Infantile-onset Pompe Disease
Pompe disease is a rare condition that is identified in about 1 in 40,000 births. It occurs from a defect in the GAA gene leading to the accumulation of lysosomal glycogen and, depending on the form and severity, can result in c…
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www.ahrq.gov/patient-safety/about/national-steering-committee.html
June 01, 2021 - National Steering Committee for Patient Safety
YouTube embedded video: https://www.youtube-nocookie.com/embed/QUxyRDRTyLA
AHRQ is co-leading the National Steering Committee for Patient Safety, which includes members from two dozen organizations that are joining together to create a national action plan to ac…
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www.ahrq.gov/evidencenow/tools/burnout-in-primary-care.html
March 01, 2023 - Burnout in Primary Care: Assessing and Addressing It in Your Practice
Resource: Burnout in Primary Care (PDF, 1.5 MB, 16 pages)
Burnout is a serious and growing problem in primary care practices. Burnout can increase worker turnover and reduce quality of care, leading to lower patient satisfaction and pati…
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psnet.ahrq.gov/web-mm/coming-short-maintaining-safety-face-drug-shortages
November 01, 2012 - Coming Up Short: Maintaining Safety in the Face of Drug Shortages
Citation Text:
Plogsted S. Coming Up Short: Maintaining Safety in the Face of Drug Shortages. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2018.
Copy Citation
…
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psnet.ahrq.gov/node/72564/psn-pdf
November 14, 2018 - Antibiotic and Opioid Stewardship in Dentistry
December 7, 2020
Suda KJ, Fitall E, Hall KK, et al. Antibiotic and Opioid Stewardship in Dentistry. PSNet [internet]. 2020.
https://psnet.ahrq.gov/perspective/antibiotic-and-opioid-stewardship-dentistry
Introduction
Medication stewardship refers to efforts by frontlin…
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psnet.ahrq.gov/node/49632/psn-pdf
July 01, 2011 - A Seasonal Care Transition Failure
July 1, 2011
Young JQ. A Seasonal Care Transition Failure. PSNet [internet]. 2011.
https://psnet.ahrq.gov/web-mm/seasonal-care-transition-failure
The Case
A 70-year-old healthy man presented to his primary care doctor—a third-year internal medicine
resident—for routine follow-up…
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psnet.ahrq.gov/node/33823/psn-pdf
January 01, 2017 - Workplace Safety in Health Care
January 1, 2017
Simon RW, Canacari EG. Workplace Safety in Health Care. PSNet [internet]. 2017.
https://psnet.ahrq.gov/perspective/workplace-safety-health-care
Perspective
The patient safety movement has highlighted the risks that patients face when receiving health care. But,
impo…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.85_slideshow.ppt
March 01, 2005 - Spotlight Case [MONTH] 2003
Spotlight Case March 2005
The Hidden Mystery
Source and Credits
This presentation is based on the March 2005
AHRQ WebM&M Spotlight Case in Hospital Medicine
See the full article at http://webmm.ahrq.gov
CME credit is available through the Web site
Commentary by: Douglas D. Br…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.88_slideshow.ppt
March 01, 2005 - Spotlight Case [MONTH] 2003
Spotlight Case March 2005
The Hidden Mystery
Source and Credits
This presentation is based on the March 2005
AHRQ WebM&M Spotlight Case in Hospital Medicine
See the full article at http://webmm.ahrq.gov
CME credit is available through the Web site
Commentary by: Douglas D. Br…
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/ltc-implementation-guide.pdf
June 01, 2021 - Implementation Guide for the Toolkit To Improve Antibiotic Use in Long-Term Care
AHRQ Safety Program for Improving
Antibiotic Use
Implementation Guide for the Toolkit To Improve
Antibiotic Use in Long-Term Care
Introduction
Developing an antibiotic stewardship program (ASP) or improving an existing ASP can ta…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Miller_93.pdf
March 12, 2008 - Evaluation of Medications Removed from Automated Dispensing Machines Using the Override Function Leading to Multiple System Changes
Evaluation of Medications Removed from Automated
Dispensing Machines Using the Override Function
Leading to Multiple System Changes
Karla Miller, PharmD; Manisha Shah, MBA, RT; Lau…
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psnet.ahrq.gov/node/49766/psn-pdf
August 21, 2016 - Getting the (Right) Doctor, Right Away
August 21, 2016
Gupta K, Khanna R. Getting the (Right) Doctor, Right Away. PSNet [internet]. 2016.
https://psnet.ahrq.gov/web-mm/getting-right-doctor-right-away
The Case
A 57-year-old woman with a history of chronic obstructive pulmonary disease underwent hip surgery.
Postop…
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www.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/management/huddles-fac-notes.html
June 01, 2017 - Module 2: Daily Huddles - Facilitator Notes
Slide 1: Management Practices for Sustainability Module 2: Daily Huddles
Say:
This is the second module in the series on frontline management systems to promote sustained safety standard work in ambulatory surgery centers.
Slide 2: A Frontline Management Syste…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/management/huddles/daily-huddles-facnotes.docx
May 01, 2017 - Module 2: Script and Slides
AHRQ Safety Program for Ambulatory Surgery
Management Practices for Sustainability
Module 2: Daily Huddles
AHRQ Safety Program for Reducing CAUTI in Hospitals
Facilitator Notes
SLIDE 1
Title: Management Practices for Sustainability, Module 2: Daily Huddles
SAY: This is the second module …