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psnet.ahrq.gov/web-mm/do-not-miss-sepsis-needles-viral-haystacks
March 27, 2024 - SPOTLIGHT CASE
Do Not Miss Sepsis Needles in Viral Haystacks!
Citation Text:
Hamline M, Shaikh U. Do Not Miss Sepsis Needles in Viral Haystacks!. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2024.
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For…
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psnet.ahrq.gov/web-mm/fatal-patient-controlled-analgesia-pca-opioid-induced-respiratory-depression
May 26, 2021 - SPOTLIGHT CASE
Fatal Patient-Controlled Analgesia (PCA) Opioid-Induced Respiratory Depression
Citation Text:
Fazio S, Firestone R. Fatal Patient-Controlled Analgesia (PCA) Opioid-Induced Respiratory Depression. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Depar…
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psnet.ahrq.gov/web-mm/misdiagnosis-small-bowel-obstruction-setting-previous-abdominal-operations
September 27, 2023 - SPOTLIGHT CASE
Misdiagnosis of Small Bowel Obstruction in the Setting of Previous Abdominal Operations
Citation Text:
Brown S, Utter GH, Barnes DK. Misdiagnosis of Small Bowel Obstruction in the Setting of Previous Abdominal Operations. PSNet [internet]. Rockville (MD): Agency for Healthcare Rese…
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digital.ahrq.gov/sites/default/files/docs/citation/k08hs24764-nanji-final-report-2022.pdf
January 01, 2022 - Preventing Perioperative Medication Errors and Adverse Drug Events Through the Use of Clinical Decision Support - Final Report
Preventing Perioperati…
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www.ahrq.gov/hai/cusp/modules/implement/teamwork-notes.html
December 01, 2012 - Implement Teamwork and Communication:
Facilitator Notes
The Implement Teamwork and Communication module of the CUSP Toolkit will help you to identify barriers to communication.
Contents
Slide 1. Cover Slide
Slide 2. Learning Objectives
Slide 3. Basic Components and Process of Communication 2
Slide 4…
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www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-6-pf-process.pdf
September 01, 2015 - Primary Care Practice Facilitation Curriculum Module 6: An Overview of the Facilitation Process
Primary Care
Practice Facilitation
Curriculum
Module 6: An Overview of the Facilitation Process
Agency for Healthcare Research and Quality
Advancing Excellence in Health Care www.ahrq.gov
…
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effectivehealthcare.ahrq.gov/sites/default/files/assessing-applicability.ppt
January 01, 2009 - Although the use of objective data in these two examples is good for internal validity, the applicability
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digital.ahrq.gov/sites/default/files/docs/publication/r18hs017160-kmetik-final-report-2009.pdf
January 01, 2009 - Cardio-HIT Phase II - Final Report
Grant Final Report
Grant ID: R18HS017160
Cardio-HIT Phase II
Inclusive Dates: 09/30/07 - 12/31/09
Principal Investigator:
Karen S. Kmetik, PhD†
Team Members:
Michael O’Toole, MD, co-PI
Heidi Bossley, MSN, MBA
‡
Rachel Connolly**
†
Bridget Gulotta, MSN, MBA
S…
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www.uspreventiveservicestaskforce.org/uspstf/recommendation/breastfeeding-primary-care-interventions
April 11, 2025 - Share to Facebook
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Print
Final Recommendation Statement
Breastfeeding: Primary Care Behavioral Counseling Interventions
April 11, 2025
Recommendations made by the USPSTF are independent of the …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_overview_impmodel_facnotes.docx
December 01, 2017 - Facilitator Guide: Overview of the Improvement Model
Program Overview – Facilitator Notes
Slide Title and Commentary
Slide Number and Slide
Title Slide
Project Overview
SAY:
You have embarked on a unique journey.
Slide 1
Mead Quotation
SAY:
Margaret Mead was a popular and sometimes controversial cultural an…
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www.ahrq.gov/hai/tools/surgery/modules/on-boarding/overview-fac-notes.html
December 01, 2017 - Program Overview: Facilitator Notes
AHRQ Safety Program for Surgery
Slide 1: Program Overview
Say:
You have embarked on a unique journey.
Slide 2: Mead Quotation
Say:
Margaret Mead was a popular and sometimes controversial cultural anthropologist in the ’60s and ’70s. This statement still resona…
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/disparities-quality-improvement_disposition-comments.pdf
August 27, 2012 - Objective: "This review evaluates the effectiveness of QI
strategies in reducing disparities in health … We have revised the objective statement to:
“This review evaluates the effectiveness of
quality improvement … Why don’t we just say, in the
objective, "This review evaluates the effectiveness of QI
strategies … We have revised the objective statement to:
“This review evaluates the effectiveness of
quality improvement … The key questions focus on “health outcomes”
yet the objective includes health care access, utilization
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/rapid-social-isolation-older-adults-final.pdf
February 01, 2019 - ............................................................................................... 1
Objective … Objective and Guiding Questions
Our objective was to rapidly evaluate and synthesize the most recent … Social
Isolation and Medicare Spending: Among Older
Adults, Objective Isolation Increases Expenditures … desired social contacts and actual social
contacts.4,5
Poscia et al, 20186 Social isolation: An objective … Background
Objective and Guiding Questions
Methods
Findings
Question 1.
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www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/training-tools/pf-engagement-fac-notes.html
May 01, 2017 - The documentation should include an objective description of the event, the patient’s response to the
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psnet.ahrq.gov/node/49491/psn-pdf
September 01, 2005 - involved in the mock codes as instructors or evaluators.(22)
While we are aware of no research that shows objective
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psnet.ahrq.gov/node/47565/psn-pdf
April 27, 2019 - Unintentionally retained foreign objects: a descriptive
study of 308 sentinel events and contributing factors.
April 27, 2019
Steelman VM, Shaw C, Shine L, et al. Unintentionally Retained Foreign Objects: A Descriptive Study of
308 Sentinel Events and Contributing Factors. Jt Comm J Qual Patient Saf. 2019;45(4):249…
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psnet.ahrq.gov/node/841761/psn-pdf
December 21, 2022 - Are the World Health Organization's patient safety
learning objectives still up-to-date: a group concept
mapping study.
December 21, 2022
Vogt L, Stoyanov S, Bergs J, et al. Are the World Health Organization's patient safety learning objectives
still up-to-date: a group concept mapping study. J Patient Saf. 2022;1…
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cds.ahrq.gov/sites/default/files/cds/artifact/106/HWI_2017.pptx
January 01, 2017 - Objective
Evaluate the impact of multiple interventions on appropriate obesity documentation and on adherence
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psnet.ahrq.gov/node/46849/psn-pdf
May 23, 2018 - 1,300 days and counting: a risk model approach to
preventing retained foreign objects (RFOs).
May 23, 2018
Duggan EG, Fernandez J, Saulan MM, et al. 1,300 Days and Counting: A Risk Model Approach to
Preventing Retained Foreign Objects (RFOs). Jt Comm J Qual Patient Saf. 2018;44(5):260-269.
doi:10.1016/j.jcjq.2017.…
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psnet.ahrq.gov/node/42693/psn-pdf
December 23, 2016 - Preventing unintended retained foreign objects.
December 23, 2016
Preventing unintended retained foreign objects. Sentinel event alert. 2013;(51):1-5.
https://psnet.ahrq.gov/issue/preventing-unintended-retained-foreign-objects
Sentinel event alerts are issued periodically by The Joint Commission to identify common …