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www.ahrq.gov/hai/cauti-tools/facil-guide/preventing-cauti-icu-setting-module4-speaker-notes.html
February 01, 2023 - Preventing CAUTI in the ICU Setting
Module 4: Summary and Next Steps Facilitator Notes
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Slide 2
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You’ve now seen three modules on how to stop catheter-associated urinary tract infections, or CAUTI, in your intensive care unit, or ICU. In Module 1, you learned th…
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psnet.ahrq.gov/issue/misdiagnosis-dangerous-help-your-doctor-get-it-right
August 03, 2022 - Newspaper/Magazine Article
Misdiagnosis is dangerous. Help your doctor get it right.
Citation Text:
Terry K. Misdiagnosis is dangerous. Help your doctor get it right. WebMD. November 11, 2024;
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-cognitive-load1.html
May 01, 2024 - Cognitive Load Theory and Its Impact on Diagnostic Accuracy
Introduction to Diagnostic Errors
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Table of Contents
Cognitive Load Theory and Its Impact on Diagnostic Accuracy
Introduction to Diagnostic Errors
Fundamental Concepts for Understanding Cognitive Load
Interplay …
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psnet.ahrq.gov/issue/national-prescription-drug-take-back-day
May 20, 2020 - Press Release/Announcement
National Prescription Drug Take Back Day.
Citation Text:
National Prescription Drug Take Back Day. Drug Enforcement Administration. April 22, 2023.
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psnet.ahrq.gov/issue/error-blame-and-law-health-care-antipodean-perspective
August 02, 2015 - Commentary
Error, blame, and the law in health care—an antipodean perspective.
Citation Text:
Runciman WB, Merry A, Tito F. Error, blame, and the law in health care--an antipodean perspective. Ann Intern Med. 2003;138(12):974-9.
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psnet.ahrq.gov/issue/night-and-day-shedding-light-hours-care
September 28, 2010 - Commentary
Like night and day — shedding light on off-hours care.
Citation Text:
Shulkin DJ. Like night and day--shedding light on off-hours care. N Engl J Med. 2008;358(20):2091-3. doi:10.1056/NEJMp0707144.
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psnet.ahrq.gov/issue/are-you-using-checklists-check
September 13, 2010 - Commentary
Are you using checklists? Check!
Citation Text:
McNellis B, AAPA QCC of the. Are you using checklists? Check!. JAAPA. 2010;23(7):24-6, 31.
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www.ahrq.gov/research/findings/evidence-based-reports/gapkaleidtp.html
April 01, 2018 - Through the Quality Kaleidoscope
Reflections on the Science and Practice of Improving Health Care Quality
In 2004, AHRQ launched a collection of evidence reports, Closing the Quality Gap: A Critical Analysis of Quality Improvement Strategies , to bring data to bear on quality improvement opportunities. These …
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psnet.ahrq.gov/issue/disclose-or-not-disclose-radiologic-errors-should-patient-first-supersede-radiologist-self
October 23, 2018 - Commentary
To disclose or not to disclose radiologic errors: should "patient-first" supersede radiologist self-interest?
Citation Text:
Berlin L. To disclose or not to disclose radiologic errors: should "patient-first" supersede radiologist self-interest? Radiology. 2013;268(1):4-7. doi…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapb6.html
February 01, 2023 - The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities
Appendix B11: Fall Interventions Plan
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Table of Contents
The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities
Chapter 1. Introduction and Program Overview
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psnet.ahrq.gov/issue/mock-trial-2009-rsna-annual-meeting-jury-exonerates-radiologist-failure-communicate-abnormal
October 23, 2018 - Commentary
Mock trial at 2009 RSNA annual meeting: jury exonerates radiologist for failure to communicate abnormal finding—but...
Citation Text:
Berlin L. Mock trial at 2009 RSNA annual meeting: Jury exonerates radiologist for failure to communicate abnormal finding--but.. Radiology. 20…
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psnet.ahrq.gov/issue/best-practices-patient-safety-2nd-global-ministerial-summit-patient-safety
June 27, 2018 - Book/Report
Best Practices in Patient Safety: 2nd Global Ministerial Summit on Patient Safety.
Citation Text:
Best Practices in Patient Safety: 2nd Global Ministerial Summit on Patient Safety. Federal Ministry of Health and World Health Organization: Bonn, Germany; March 2017.
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psnet.ahrq.gov/issue/mcneil-consumer-specialty-pharmaceuticals-announces-nationwide-recall-childrens-tylenol
August 19, 2020 - Press Release/Announcement
McNeil Consumer & Specialty Pharmaceuticals announces nationwide recall of Children's Tylenol Meltaways - 80 Mg, Children's Tylenol Softchews - 80 Mg and Jr. Tylenol Meltaways - 160 Mg [press release].
Citation Text:
McNeil Consumer & Specialty Pharmaceuticals…
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psnet.ahrq.gov/issue/economics-patient-safety-strengthening-value-based-approach-reducing-patient-harm-national
May 02, 2018 - Book/Report
The Economics of Patient Safety: Strengthening a Value-based Approach to Reducing Patient Harm at National Level.
Citation Text:
The Economics of Patient Safety: Strengthening a Value-based Approach to Reducing Patient Harm at National Level. Slawomirski L, Auraaen A, Klazing…
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psnet.ahrq.gov/issue/special-k-no-license-kill-accidental-ketamine-overdose-induction-general-anesthesia
March 17, 2021 - Commentary
Special K with no license to kill: accidental ketamine overdose on induction of general anesthesia.
Citation Text:
Warner LL, Smischney N. Accidental Ketamine Overdose on Induction of General Anesthesia. Am J Case Rep. 2018;19:10-12.
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cdsic.ahrq.gov/cdsic/year3-period-performance-report
September 30, 2024 - :
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CDS Innovation Collaborative
An official website of the Department of Health & Human Services
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psnet.ahrq.gov/issue/sleep-science-and-policy-change
September 21, 2022 - Commentary
Sleep, science, and policy change.
Citation Text:
Wylie D. Sleep, science, and policy change. N Engl J Med. 2005;352(2):196-7.
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www.ahrq.gov/teamstepps-program/curriculum/communication/teach/half-day.html
May 01, 2023 - Half-Day Training Content
In a half-day training, Module 1 activities should take about 40 minutes (as noted below). Components to include in the Communication Module for a half-day training include:
Introduction and Objectives: 2 minutes
Communication Exercise: 7 minutes
Communication's Importance and …
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psnet.ahrq.gov/issue/drug-shortage-affecting-patient-care-your-critical-care-unit
November 22, 2017 - Commentary
Is the drug shortage affecting patient care in your critical care unit?
Citation Text:
Alspach JAG. Is the drug shortage affecting patient care in your critical care unit? Crit Care Nurse. 2012;32(1):8-13. doi:10.4037/ccn2012810.
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digital.ahrq.gov/2020-year-review/research-summary/it-is-not-just-sci-fi-using-artificial-intelligence-identify-kidney-disease
January 01, 2020 - It’s Not Just for Sci-Fi: Using Artificial Intelligence to Identify Kidney Disease
Successful development and implementation of an artificial intelligence-driven clinical decision support system for detection and treatment of acute kidney injury in the emergency department may improve the quality of kidney care an…