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psnet.ahrq.gov/node/867497/psn-pdf
February 26, 2025 - Retained Surgical Items: Causation and Prevention
February 26, 2025
Gibbs V, Romano P. Retained Surgical Items: Causation and Prevention. PSNet [internet]. 2025.
https://psnet.ahrq.gov/primer/retained-surgical-items-causation-and-prevention
Background
A retained surgical item (RSI) is a surgical patient safety pro…
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www.uspreventiveservicestaskforce.org/uspstf/recommendation/obesity-in-adults-screening-and-management-2012
June 15, 2012 - Share to Facebook
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archived
Final Recommendation Statement
Obesity in Adults: Screening and Management
June 15, 2012
Recommendations made by the USPSTF are independent of the U.S. gove…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/cahps-database/health-plan-5.1-adult-composite-measures.pdf
January 24, 2024 - CAHPS Health Plan Survey 5.1H, Adult Version (Medicaid): Survey on the Experiences with Care of Adults Age 18 and Older, as Submitted to the 2023 AHRQ CAHPS Health Plan Survey Database (n = 42 states)
1
Table CPA-AD. Consumer Assessment of Healthcare Providers and Systems (CAHPS®) Health Plan Survey
5.1H, …
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psnet.ahrq.gov/perspective/conversation-lucian-leape-md
June 12, 2019 - In Conversation With… Lucian Leape, MD
April 1, 2015
Citation Text:
In Conversation With… Lucian Leape, MD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2015.
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psnet.ahrq.gov/perspective/conversation-gordon-schiff-md
February 26, 2025 - In Conversation With… Gordon Schiff, MD
July 1, 2018
Citation Text:
In Conversation With… Gordon Schiff, MD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2018.
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www.ahrq.gov/evidencenow/projects/state/how-to-guide/guide3.html
August 01, 2024 - Developing and Sustaining State-Based Infrastructure To Support Primary Care Quality Improvement
3. Building and Maintaining a Network of Primary Care Practices
Previous Page Next Page
Table of Contents
Developing and Sustaining State-Based Infrastructure To Support Primary Care Quality Improvement …
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psnet.ahrq.gov/node/849661/psn-pdf
June 28, 2023 - Hurried Team Huddle and Poor Communication: Unsafe
Practice During Anesthesia for Emergency Cesarean
Delivery
June 28, 2023
Curtin A, Schloemerkemper N. Hurried Team Huddle and Poor Communication: Unsafe Practice During
Anesthesia for Emergency Cesarean Delivery. PSNet [internet]. 2023.
https://psnet.ahrq.gov/web…
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psnet.ahrq.gov/perspective/conversation-richard-platt-md-msc
October 01, 2016 - In Conversation With… Richard Platt, MD, MSc
October 1, 2016
Also Read an Essay
Citation Text:
In Conversation With… Richard Platt, MD, MSc. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. …
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www.ahrq.gov/hai/cusp/modules/understand/science-safety-notes.html
July 01, 2018 - Understand the Science of Safety
Facilitator Notes
The Understand the Science of Safety module of the CUSP Toolkit discusses the importance of understanding system design, safe design principles, and valuing diverse input from team members. By analyzing patient safety as a science, frontline providers will pr…
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/resources/diagnostic-toolkit/08-diagnostic-cap-provider-training-slides.pptx
August 01, 2021 - Co-producing a Diagnosis
Provider Training Slides
Toolkit for Engaging Patients and Families To Improve Diagnosis
AHRQ Publication No. 21-0047-7-EF
August 2021
1
"Just listen to your patient, he is telling you the diagnosis."1
- Sir William Osler
This quote from Sir William Osler, who is also commonly referred …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/prevention-chronic-care/improve/coordination/webinar01/sl_fuzzyset.ppt
May 14, 2013 - AHRQ Slide Template 2004
Advanced Methods in Delivery System Research –
Planning, Executing, Analyzing, and
Reporting Research on
Delivery System Improvement
Webinar #1: Fuzzy Set Analysis
Presenter: Marcus Thygeson, MD
Discussant: Jodi Holtrop, PhD,
Moderator: Michael I. Harrison, PhD
Sponsored by AHRQ’s Deliv…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/implement/teamworknotes.docx
June 02, 2025 - SAY:
The “Implement Teamwork and Communication” module of the Comprehensive Unit-based Safety Program (or CUSP) Toolkit will help you understand the importance of effective communication and transparency, identify barriers to communication, and apply the effective teamwork and communication tools from CUSP and TeamSTEP…
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psnet.ahrq.gov/web-mm/too-many-cooks-kitchen
March 07, 2018 - SPOTLIGHT CASE
Too Many Cooks in the Kitchen
Citation Text:
Dutton RP. Too Many Cooks in the Kitchen. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2020.
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www.ahrq.gov/professionals/prevention-chronic-care/improve/coordination/webinar01/fuzzysets_slides.html
July 01, 2013 - Webinar #1: Fuzzy Set Analysis (Slide Presentation)
Advanced Methods in Delivery System Research - Planning, Executing, Analyzing, and Reporting Research on Delivery System Improvement
Presenter: Marcus Thygeson, MD Discussant: Jodi Holtrop, PhD Moderator: Michael I. Harrison, PhD Sponsored by AHRQ's Delivery…
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/CDI-slides.pptx
November 01, 2019 - PowerPoint Presentation
Best Practices in the Diagnosis and Treatment of Clostridioides difficile Infections
Acute Care
AHRQ Safety Program for Improving Antibiotic Use
AHRQ Pub. No. 17(20)-0028-EF
November 2019
Clostridioides difficile
AHRQ Safety Program for Improving Antibiotic Use – Acute Care
1
Objectives
…
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www.uspreventiveservicestaskforce.org/uspstf/recommendation/vitamin-d-and-calcium-to-prevent-fractures-preventive-medication-2013
February 15, 2013 - Share to Facebook
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archived
Final Recommendation Statement
Vitamin D and Calcium to Prevent Fractures: Preventive Medication
February 15, 2013
Recommendations made by the USPSTF are indepe…
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/primary-healthcare-spending-technical-brief-protocol.pdf
January 01, 2023 - Measures for Primary Healthcare Spending
Evidence-based Practice Center
Technical Brief Protocol
Project Title: Measures for Primary Healthcare Spending
I. Background and Objectives for the Technical Brief
The capacity to measure primary care spending is essential to federal, state, and health
syste…
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www.ahrq.gov/news/events/nac/2021-03-nac/nacmtg031821-minutes.html
July 01, 2021 - Meeting Minutes, March 2021
Virtual Meeting
Minutes from the March 18, 2021, virtual meeting of the Agency for Healthcare Research and Quality's National Advisory Council.
Contents
Summary
Call to Order and Approval of November 10, 2020, Meeting Summary
Recent AHRQ Accomplishments
Update on AHRQ Bud…
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www.ahrq.gov/news/events/nac/2021-07-nac/nacmtg071421-minutes.html
December 01, 2021 - Meeting Minutes, July 2021
Virtual Meeting
Minutes from the July 14, 2021, virtual meeting of the Agency for Healthcare Research and Quality's National Advisory Council.
Contents
Summary
Call to Order and Approval of March 18, 2021, Meeting Summary
Recent AHRQ Accomplishments
AHRQ Budget Opportuniti…
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www.ahrq.gov/news/events/nac/2016-04-nac/nacmtg0416-minutes.html
August 01, 2016 - Meeting Minutes, April 2016
National Advisory Council
Minutes from the April 20, 2016, meeting of the Agency for Healthcare Research and Quality's National Advisory Council.
Contents
Summary
Call to Order and Approval of November 3, 2015, Summary Report
Acting Director's Update
AHRQ’S Work in Primar…