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psnet.ahrq.gov/node/846127/psn-pdf
March 15, 2023 - Sepsis Resulting from Delays in Treatment and
Miscommunication among Specialists
March 15, 2023
Shi L, Noren E. Sepsis Resulting from Delays in Treatment and Miscommunication among Specialists.
PSNet [internet]. 2023.
https://psnet.ahrq.gov/web-mm/sepsis-resulting-delays-treatment-and-miscommunication-among-
spec…
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psnet.ahrq.gov/web-mm/potent-medication-administered-not-so-viable-route
July 20, 2016 - A Potent Medication Administered in a Not So Viable Route
Citation Text:
Loubani O. A Potent Medication Administered in a Not So Viable Route. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017.
Copy Citation
Format:
G…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/sustaining-change-041415.pptx
April 16, 2013 - On the CUSP: STOP CAUTI Teamwork Theory in Action April 16, 2013
Sustaining Change
1
Eugene S. Chu, MD, FHM
Director of Hospital Medicine
Boulder Community Health
Associate Clinical Professor of Medicine
University of Colorado School of Medicine
Learning Objectives
2
Differentiate between implementation and…
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www.ahrq.gov/hai/tools/surgery/modules/on-boarding/science-of-safety-fac-notes.html
December 01, 2017 - The Science of Improving Patient Safety and Identifying Defects: Facilitator Notes
AHRQ Safety Program for Surgery
Slide 1: The Science of Improving Patient Safety and Identifying Defects
Say:
The topic of this module is the science of patient safety. The discussion will include the importance of unders…
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psnet.ahrq.gov/node/49809/psn-pdf
October 01, 2017 - Hyperbilirubinemia Refractory to Phototherapy
October 1, 2017
Bhutani VK, Wong RJ. Hyperbilirubinemia Refractory to Phototherapy. PSNet [internet]. 2017.
https://psnet.ahrq.gov/web-mm/hyperbilirubinemia-refractory-phototherapy
The Case
A 1-day-old full-term infant was noted to have elevated total serum bilirubin (…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/module2-transcript.pdf
June 01, 2017 - Transcript: Senior Leadership Podcast – What Does It Mean To Be Engaged?
AHRQ Safety Program for ICUs:
Preventing CLABSI and CAUTI
Transcript
Senior Leadership Podcast—What Does It Mean to Be Engaged?
Hosts
TJ Lewis
Louella Hung
Interviewees
Susan DeCamp-Freeze, R.N., B.S.N., M.B.A.
Senior D…
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effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/healthcare-algorithms-agenda-for-March-23.pdf
May 29, 2025 - Agenda: Impact of Healthcare Algorithms on Racial and Ethnic Disparities
1
IMPACT OF HEALTHCARE ALGORITHMS ON RACIAL AND ETHNIC DISPARITIES
IN HEALTH AND HEALTHCARE
AGENDA
March 2–3, 2023
National Institutes of Health (NIH) Natcher Conference Center
45 Center Drive, Building 45, Bethesda, MD 20892 …
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-pediatric-safety-3.html
August 01, 2023 - Pediatric Diagnostic Safety: State of the Science and Future Directions
Pediatric Diagnostic Safety Research and Initiatives Across the Care Continuum
Previous Page Next Page
Table of Contents
Pediatric Diagnostic Safety: State of the Science and Future Directions
Introduction
Challenges in Appr…
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psnet.ahrq.gov/node/49696/psn-pdf
December 01, 2013 - New Oral Anticoagulants
December 1, 2013
Fang MC. New Oral Anticoagulants. PSNet [internet]. 2013.
https://psnet.ahrq.gov/web-mm/new-oral-anticoagulants
Case Objectives
Review properties of newer target-specific oral anticoagulants (TSOACs) such as dabigatran,
rivaroxaban, and apixaban.
State key perioperative c…
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effectivehealthcare.ahrq.gov/sites/default/files/lessons-presentation.pdf
January 01, 2013 - Community-Based Participatory Research Slides Text Version
Community-Based Participat…
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www.ahrq.gov/sites/default/files/publications/files/pfcases.pdf
August 01, 2014 - Case Studies of Exemplary Primary Care Practice Facilitation Training Programs
c
Case Studies
of EXEMPLARY PRIMARY CARE
PRACTICE FACILITATION
TRAINING PROGRAMS
Agency for Healthcare Research and Quality
Advancing Excellence in Health Care www.ahrq.gov
The PCM Portf…
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/-UMtbPLHkQKcQCbeQ3gTuJ
September 01, 2013 - Screening for Lung Cancer With Low-Dose Computed Tomography:
A Systematic Review to Update the U.S. Preventive Services Task
Force Recommendation
Linda L. Humphrey, MD, MPH; Mark Deffebach, MD; Miranda Pappas, MA; Christina Baumann, MD, MPH; Kathryn Artis, MD, MPH;
Jennifer Priest Mitchell, BA; Bernadette Zakher, MBBS;…
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/mass-casualty-events-scarce-resources_executive.pdf
June 01, 2012 - Evidence-Based
Practice
Evidence-based Practice
Program
The Agency for Healthcare Research and
Quality (AHRQ), through its Evidence-
based Practice Centers (EPCs), sponsors
the development of evidence reports and
technology assessments to assist public-
and private-sector organizations in their
efforts to imp…
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www.ahrq.gov/sites/default/files/publications2/files/distributed-cognition-er-nurses_0.pdf
August 01, 2022 - Distributed Cognition and the Role of Nurses in Diagnostic Safety in the Emergency Department
Issue Brief 8
Distributed Cognition and the Role
of Nurses in Diagnostic Safety in the
Emergency Department
PATIENT
SAFETY
e
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e
Issue Brief 8
Distributed Cognition and the Rol…
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www.ahrq.gov/sites/default/files/2025-04/rising-report.pdf
January 01, 2025 - Final Progress Report: Promoting Safe Care Transitions: Simulation-Based Mastery Learning to Improve Communication in Times of Diagnostic Uncertainty
Title Page
TITLE: Promoting safe care transitions: Simulation-based mastery learning to improve communication in
times of diagnostic uncertainty
PRINCIPAL INVESTIG…
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psnet.ahrq.gov/perspective/conversation-joel-willis-do-pa-ma-mphil-and-neal-sikka-md
May 14, 2020 - In Conversation With... Joel Willis, DO, PA, MA, MPhiL and Neal Sikka, MD
May 14, 2020
Also Read the Essay
Citation Text:
In Conversation With.. Joel Willis, DO, PA, MA, MPhiL and Neal Sikka, MD. PSNet [internet]. 2020.In Conversation With... Joel Willis, DO, PA,…
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/distributed-cognition-er-nurses.pdf
August 01, 2022 - Distributed Cognition and the Role of Nurses in Diagnostic Safety in the Emergency Department
Issue Brief 8
Distributed Cognition and the Role
of Nurses in Diagnostic Safety in the
Emergency Department
PATIENT
SAFETY
e
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e
Issue Brief 8
Distributed Cognition and the Rol…
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psnet.ahrq.gov/perspective/telehealth-and-patient-safety-during-covid-19-response
May 14, 2020 - Telehealth and Patient Safety During the COVID-19 Response
May 14, 2020
Also Read the Conversation
View more articles from the same authors.
Citation Text:
Sikka N, Willis JS, Fitall E, et al. Telehealth and Patient Safety During the COVID-19 Response. PSNet [i…
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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-Woods_78.pdf
July 23, 2008 - Improving Clinical Communication and Patient Safety: Clinician-Recommended Solutions
Improving Clinical Communication and Patient
Safety: Clinician-Recommended Solutions
Donna M. Woods, EdM, PhD; Jane L. Holl, MD, MPH; Denise Angst, PhD, RN;
Susan C. Echiverri, MD; Daniel Johnson, MD; David F. Soglin, MD; Gop…
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/UCajZVxQEKLCgs59HV7ddE
November 01, 2008 - Screening for Colorectal Cancer: A Targeted, Updated Systematic Review
Screening for Colorectal Cancer: A Targeted, Updated Systematic
Review for the U.S. Preventive Services Task Force
Evelyn P. Whitlock, MD, MPH; Jennifer S. Lin, MD, MCR; Elizabeth Liles, MD; Tracy L. Beil, MS; and Rongwei Fu, PhD
Background: In 2…