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psnet.ahrq.gov/node/49735/psn-pdf
June 01, 2015 - Anchoring Bias With Critical Implications
June 1, 2015
Etchells E. Anchoring Bias With Critical Implications. PSNet [internet]. 2015.
https://psnet.ahrq.gov/web-mm/anchoring-bias-critical-implications
Case Objectives
Appreciate that diagnostic errors are common in primary and ambulatory care.
Define premature clo…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/029-ss-review-ssi-prevention-fg.docx
April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI
Review of SSI Program Tools
Surgical Services
For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries
Slide Title and Commentary
Slide Number and Slide
Review of SSI Program Tools
SAY:
This presentation provides an overview of all the program…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/cusp-icu-notes.docx
April 01, 2022 - Engage the Team and Applying CUSP in the ICU Setting Slides
CUSP Module: Engaging the Team and Applying CUSP in the ICU Setting
Facilitator Guide
Slide Number and Image
This module, titled “Engaging the Team and Applying CUSP in the ICU Setting” is part of the Agency for Healthcare Research and Quality, or AHRQ…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/central-catheter-insertion-notes.docx
April 01, 2022 - Central Venous Catheter Insertion Bundle Facilitator Notes
CLABSI Module:
Central Venous Catheter Insertion
Facilitator Guide
Slide Number and Image
This module, titled Central Venous Catheter Insertion, is part of the Agency for Healthcare Research and Quality’s Safety Program for Intensive Care Units (ICUs) t…
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/safety/changes-facilitator-guide.pdf
November 01, 2019 - Making Effective Changes in Antibiotic Decision Making
AHRQ Safety Program for Improving
Antibiotic Use
1
AHRQ Pub. No. 17(20)-0028-EF
November 2019
Making Effective Changes in Antibiotic Decision
Making
Acute Care
Slide Title and Commentary Slide Number and Slide
Making Effect…
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www.ahrq.gov/sites/default/files/2024-04/baernholdt-report.pdf
January 01, 2024 - Final Progress Report: Care Interventions and Quality of Care in Rural and Urban Nursing Units
Title of Project: Care Interventions and Quality of Care in Rural and Urban Nursing
Units
Principal Investigator and Team Members:
PI: Marianne Baernholdt, PhD, MPH, RN, Virginia Commonwealth University, School of
N…
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cdsic.ahrq.gov/sites/default/files/2024-02/OY1%20Operations%20Center%20Operational%20Framework.pdf
January 01, 2024 - Final Revised Operations Center Operational Framework
Operations Center:
Operational Framework –
Option Year 1
Agency for Healthcare Research and Quality
5600 Fishers Lane
Rockville, MD 20857
www.ahrq.gov
Contract No: 75Q80120D00018
Prepared by:
NORC at the University of Chicag…
-
www.ahrq.gov/sites/default/files/2024-09/kutney-lee-report.pdf
January 01, 2024 - Final Progress Report: Changes in Hospital Care Organization and Outcomes
1. TITLE PAGE
Title: Changes in Hospital Care Organization and Outcomes
Principal Investigator: Ann Kutney-Lee
Team Members: Linda H. Aiken (primary mentor); Jeffrey H. Silber, Mary Naylor, Ivo
Abraham (co-mentors)
Organization: University…
-
www.ahrq.gov/sites/default/files/2024-01/hall2-report.pdf
January 01, 2024 - Final Progress Report: Safety Advancement in the Emergency Department
FINAL PROGRESS REPORT
PROJECT TITLE: SAFETY ADVANCEMENT IN THE EMERGENCY DEPARTMENT*
PRINCIPAL INVESTIGATOR: KENDALL K. HALL, MD, MS (AHRQ, formerly of UNIV of MARYLAND)
KEY PERSONNEL: YAN XIAO, PhD (BAYLOR, formerly of UNIV of MARYLAND)
ANTHO…
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www.ahrq.gov/sites/default/files/2024-01/arora-report.pdf
January 01, 2024 - Final Progress Report: Development and Validation of a Tool to Evaluate Handoff Quality
Final Progress Report
1. Title Page
Title: Development and Validation of a Tool to Evaluate Handoff Quality
Principal Investigator and Team Members:
Vineet Arora, MD, MAPP (Principal Investigator); Jeanne Farnan, MD, MHPE (Co…
-
www.ahrq.gov/sites/default/files/2024-07/walker-report.pdf
January 01, 2024 - Final Progress Report: Regional Approach for THQIT in Rural Settings - Planning
FINAL PROGRESS REPORT
Regional Approach for THQIT in Rural Settings
AHRQ Grant: 1 P20 HS015457-01
Project Title: “Regional Approach for THQIT in Rural Settings – Planning”
Principal Investigator: James M. Walker, MD
Team Members:
M…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/patfamilyengagement/CUSP_Patient_Family_Engagement_Facilitator_Notes.docx
June 02, 2025 - SAY:
The Patient and Family Engagement module of the Comprehensive Unit-based Safety Program (or CUSP) Toolkit focuses on an important topic: Making sure patients and their family members understand what is happening during the patient’s hospital stay, are active participants in the patient’s care, and are prepared for…
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www.ahrq.gov/hai/tools/surgery/modules/implementation/opt-briefings-slides.html
December 01, 2017 - Optimize Briefings and Debriefings: Slide Presentation
AHRQ Safety Program for Surgery
Slide 1: AHRQ Safety Program for Surgery—Implementation
Optimize Briefings and Debriefings
Slide 2: Learning Objectives
Describe characteristics of effective briefings and debriefings.
Present the evidence bas…
-
www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/training-tools/improving-slides.html
October 01, 2020 - Improving Communication and Teamwork in the Surgical Environment Module
Slide 1: Improving Communication and Teamwork in the Surgical Environment Module
Slide 2:
Image: The objectives are listed as a series of ascending steps:
Describe teamwork and communication issues in the surgical environment,
Ap…
-
psnet.ahrq.gov/node/49774/psn-pdf
November 01, 2016 - Don't Dismiss the Dangerous: Obstetric Hemorrhage
November 1, 2016
Main EK. Don't Dismiss the Dangerous: Obstetric Hemorrhage. PSNet [internet]. 2016.
https://psnet.ahrq.gov/web-mm/dont-dismiss-dangerous-obstetric-hemorrhage
Case Objectives
List the common causes of obstetric hemorrhage and the need for a unit-sta…
-
psnet.ahrq.gov/web-mm/signout-fallout
November 16, 2022 - SPOTLIGHT CASE
Signout Fallout
Citation Text:
Starmer AJ, Landrigan CP. Signout Fallout. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2018.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNote…
-
psnet.ahrq.gov/node/49648/psn-pdf
March 01, 2012 - Postdischarge Follow-Up Phone Call
March 1, 2012
Mourad M, Rennke S. Postdischarge Follow-Up Phone Call. PSNet [internet]. 2012.
https://psnet.ahrq.gov/web-mm/postdischarge-follow-phone-call
Case Objectives
Understand why preventing readmissions through postdischarge phone calls is important.
Describe evidence su…
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/pharma-nonpharma-ptsd-2022-update-app-g1.xlsx
January 01, 2022 - G-1. RoB 2 Assessment
Table G-1. Risk of Bias 2 assessment of new included studies
RoB Domain Bias Due to Randomization (Cochrane) or Selection Bias (AHRQ); Randomization Bias Due to Randomization (Cochrane) or Selection Bias (AHRQ); Allocation Bias Due to Randomization (Cochrane) or Selection Bias (AHRQ); Similarit…
-
www.uspreventiveservicestaskforce.org/home/getfilebytoken/8KtbKJonvmWq8q6q-bGskR
January 01, 2010 - Primary Care Interventions to Promote Breastfeeding: Recommendation Statement
Primary Care Interventions to Promote Breastfeeding: U.S. Preventive
Services Task Force Recommendation Statement
U.S. Preventive Services Task Force*
Description: Update of a 2003 U.S. Preventive Services Task Force
(USPSTF) recommendatio…
-
digital.ahrq.gov/sites/default/files/OY1%20Operations%20Center%20Operational%20Framework.pdf
September 01, 2024 - Final Revised Operations Center Operational Framework
Operations Center:
Operational Framework –
Option Year 1
Agency for Healthcare Research and Quality
5600 Fishers Lane
Rockville, MD 20857
www.ahrq.gov
Contract No: 75Q80120D00018
Prepared by:
NORC at the University of Chicag…