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psnet.ahrq.gov/node/46461/psn-pdf
November 01, 2017 - Complications: acknowledging, managing, and coping
with human error.
November 1, 2017
Helo S, Moulton C-AE. Complications: acknowledging, managing, and coping with human error. Transl
Androl Urol. 2017;6(4):773-782. doi:10.21037/tau.2017.06.28.
https://psnet.ahrq.gov/issue/complications-acknowledging-managing-and-…
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digital.ahrq.gov/ahrq-funded-projects/patient-centered-online-care-model-follow-management-atopic-dermatitis/final-report
January 01, 2023 - Patient-Centered Online Care Model for Follow-Up Management of Atopic Dermatitis - Final Report
Citation
Armstrong A. Patient-Centered Online Care Model for Follow-Up Management of Atopic Dermatitis - Final Report. (Prepared by the University of California, Davis under Grant No. K08 HS018341). Rockvil…
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/labor-delivery-unit/tool-cord-prolapse.html
July 01, 2023 - Labor and Delivery Unit Safety: Umbilical Cord Prolapse
AHRQ Safety Program for Perinatal Care
Purpose of the tool: This tool describes the key perinatal safety elements that support safe umbilical cord prolapse management. The key safety elements are presented within the framework of the Compreh…
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www.ahrq.gov/sites/default/files/wysiwyg/opioids/compendium/opioids-compendium-self-assessment.pdf
December 01, 2023 - Practice Self-Assessment Tool for Opioid Use in Older Adults
www.ahrq.gov
Practice Self-Assessment Tool for Opioid Use in Older Adults
Instructions: This quality improvement self-assessment tool is best completed in a group discussion with all staff involved in this
work. It can also be completed by staff indi…
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psnet.ahrq.gov/node/49739/psn-pdf
August 21, 2015 - Breathe Easy: Safe Tracheostomy Management
August 21, 2015
Russell MS, Russell MD. Breathe Easy: Safe Tracheostomy Management. PSNet [internet]. 2015.
https://psnet.ahrq.gov/web-mm/breathe-easy-safe-tracheostomy-management
The Case
A 75-year-old man was admitted to the hospital with sepsis due to multilobar pneumo…
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psnet.ahrq.gov/issue/managing-risk-during-transition-new-iso-tubing-connector-standards
December 23, 2016 - Sentinel Event Alerts
Managing risk during transition to new ISO tubing connector standards.
Citation Text:
Managing risk during transition to new ISO tubing connector standards. Sentinel Event Alert. August 20, 2014;(53):1-6.
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/TND_0122_06-29-2009.pdf
January 01, 2009 - Effective Health Care
Topic Number: 0163
Document Completion Date: 6-7-10
1
Results of Topic Selection Process & Next Steps
Nitrous oxide for the management of labor pain will go forward for refinement as a systematic review.
The scope of this topic, including populations, interventions, co…
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www.ahrq.gov/pqmp/implementation-qi/toolkit/asthma/key-drivers.html
July 01, 2021 - Pediatric Asthma Emergency Department Use Toolkit
Key Driver Diagram
Previous Page Next Page
Table of Contents
Pediatric Asthma Emergency Department Use Toolkit
Introduction
Overview
About the Measure
Key Driver Diagram
Quality Improvement Strategies
Successful quality impr…
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psnet.ahrq.gov/issue/ehealth-safety-impact-ict-patient-safety-and-risk-management
June 18, 2013 - Book/Report
eHealth for Safety: Impact of ICT on Patient Safety and Risk Management.
Citation Text:
eHealth for Safety: Impact of ICT on Patient Safety and Risk Management. European Commission Information Society and Media. October 2007
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www.ahrq.gov/evidencenow/projects/alcohol/index.html
October 01, 2024 - EvidenceNOW: Managing Unhealthy Alcohol Use
Problem Unhealthy alcohol use is one of the Nation’s leading causes of preventable death, affecting almost a third of adults. It is associated with adverse effects on physical and mental health. In addition, unhealthy alcohol use has detrimental socioeconomic consequ…
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integrationacademy.ahrq.gov/news-and-events/news/findings-unhealthy-alcohol-use-initiative
August 30, 2024 - An official website of the Department of Health & Human Services
Search All AHRQ Sites
Careers
Contact Us
Español
FAQs
Email Updates
The Academy
Integrating Behavioral Health & Primary Care
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/obrien-c-et-al-2000
January 01, 2000 - O'Brien C et al. 2000 "Combating information overload: a six-month pilot evaluation of a knowledge management system in general practice."
Reference
O'Brien C, Cambouropoulos P. Combating information overload: a six-month pilot evaluation of a knowledge management system in general practice. Br J Gen …
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psnet.ahrq.gov/web-mm/forgotten-drip
April 01, 2014 - The Forgotten Drip
Citation Text:
Josephson AS. The Forgotten Drip. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2008.
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Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId R…
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www.ahrq.gov/hai/tools/mvp/modules/technical/pain-mgmt-fac-guide.html
January 01, 2017 - Evidence Behind Pain, Agitation, and Delirium: Assessments and Sedation Management: Facilitator Guide
AHRQ Safety Program for Mechanically Ventilated Patients
Slide 1: Evidence Behind Pain, Agitation, and Delirium: Assessments and Sedation Management
Say:
In this module, you will learn about the evidenc…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Seagull_98.pdf
April 07, 2008 - Informatics
The manager of a well run OR suite should maintain an awareness of the surgeons, anesthetists
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/system/delivery-system-initiative/bozicstudysnapshot/ihabundled_appendix.pdf
June 02, 2025 - IHA Bundled Payment Demonstration Appendix
Ridgely MS, de Vries D, Bozic KJ, Hussey PS. Bundled payment fails to gain a foothold
in California: the experience of the IHA bundled payment demonstration.
Health Aff (Millwood). 2014;33(8).
List of Appendix Exhibits
Appendix…
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psnet.ahrq.gov/issue/tackling-disrespectful-unprofessional-provider-behaviors
January 13, 2021 - Newspaper/Magazine Article
Tackling disrespectful, unprofessional provider behaviors.
Citation Text:
Tackling Disrespectful, Unprofessional Provider Behaviors. ED Manage. 2016;28(6):S1-S4.
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psnet.ahrq.gov/node/44643/psn-pdf
July 21, 2016 - Differing perceptions of safety culture across job roles in
the ambulatory setting: analysis of the AHRQ Medical
Office Survey on Patient Safety Culture.
July 21, 2016
Hickner J, Smith SA, Yount N, et al. Differing perceptions of safety culture across job roles in the
ambulatory setting: analysis of the AHRQ Medic…
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psnet.ahrq.gov/issue/jcahos-safety-goals-clock-ticking-will-your-ed-be-compliant
April 10, 2019 - Commentary
JCAHO's safety goals—the clock is ticking, will your ED be compliant?
Citation Text:
JCAHO's safety goals--the clock is ticking, will your ED be compliant? ED Manag. 2005;17(7):73-5.
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www.ahrq.gov/sites/default/files/publications/files/ihabundled_appendix.pdf
June 02, 2025 - IHA Bundled Payment Demonstration Appendix
Ridgely MS, de Vries D, Bozic KJ, Hussey PS. Bundled payment fails to gain a foothold
in California: the experience of the IHA bundled payment demonstration.
Health Aff (Millwood). 2014;33(8).
List of Appendix Exhibits
Appendix…