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psnet.ahrq.gov/node/49487/psn-pdf
August 21, 2005 - Surprise Wire
August 21, 2005
Pearl JM, Donaldson NE. Surprise Wire. PSNet [internet]. 2005.
https://psnet.ahrq.gov/web-mm/surprise-wire
The Case
A 39-year-old man with a history of liver disease presented to the emergency department (ED) with
gastrointestinal bleeding and altered mental status. Due to his clinic…
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www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/module-6-slides.pdf
October 28, 2021 - Laying the Groundwork for
Effective Care Coordination
Module 6
Rachel Jarvis, MA, ACSM-RCEP, CEP
Tammy Garwick, MA, MBA
ACSM RCEP, ACSM CEP, FAACVPR
PURPOSE
TAKEheart Training and Technical Assistance Components
Training sessions guided by the Million
Hear…
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www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/module-8-slides.pdf
November 18, 2021 - Implementing Effective Care
Coordination
Module 8
Diann Gaalema, PhD
Hicham Skali, MD, MSc
TAKEheart Training and Technical Assistance Components
2
PURPOSE
Training sessions guided by the Million
Hearts®/AACVPR Cardiac Rehabilitation
Change Package (CRCP), located in the
Resource Center TAKEheart Website
M…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/empower-staff-transcript.pdf
April 01, 2022 - Transcript: How To Empower Staff To Speak Up To Stop a Central Line Insertion if They See a Breach in Aseptic Technique, Including How To Obtain Buy-In From Physicians
AHRQ Safety Program for Intensive Care Units:
Preventing CLABSI and CAUTI
Transcript
How To Empower Staff To Speak Up To Stop a Central Lin…
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www.ahrq.gov/sites/default/files/wysiwyg/cpi/about/impact/ahrq-works.pdf
April 01, 2017 - AHRQ Works: Building Bridges Between Research and Practice
Accelerating learning and innovation in health care
delivery is what AHRQ does—every day. AHRQ tools take
the “what” and translate it into the “how” by providing
research-backed, practical tools that doctors and nurses
can use to improve care.
This doc…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/management/overview/component-kit.docx
May 01, 2017 - Module 1- Component Kit
AHRQ Safety Program for Ambulatory Surgery
Management Practices for Sustainability
Module 1: Overview
A Frontline Management System To Sustain Improvement in Safety Practices
Contents
1. Why a Frontline Management System? 2
2. Components of the Frontline Management System 3
3. Interactions of …
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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-family-engagement/pfeprimarycare/envscan-exec-summary.pdf
March 01, 2017 - Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families--Executive Summary
Environmental Scan Report
Guide to Improving Patient Safety in Primary Care
Settings by Engaging Patients and Fam…
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/antibiotic-patient-safety-slides.pptx
June 01, 2021 - PowerPoint Presentation
Improving Antibiotic Use Is a Patient Safety Issue
Long-Term Care
AHRQ Safety Program for Improving Antibiotic Use
AHRQ Pub. No. 17(21)-0029
June 2021
Patient Safety
1
Objectives
Discuss the potential harms associated with antibiotic use
Recognize that patient harm is largely preventable
R…
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psnet.ahrq.gov/node/33659/psn-pdf
October 01, 2007 - Making Just Culture a Reality: One Organization's
Approach
October 1, 2007
Page AH. Making Just Culture a Reality: One Organization's Approach. PSNet [internet]. 2007.
https://psnet.ahrq.gov/perspective/making-just-culture-reality-one-organizations-approach
Perspective
We've all been there...something goes wrong,…
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psnet.ahrq.gov/innovation/critical-radiology-alert-process
November 16, 2022 - Critical Radiology Alert Process
Save
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October 30, 2024
View more articles from the same authors.
Innovation
Contact
…
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www.ahrq.gov/faqs/index.html
July 10, 2025 - Frequently Asked Questions
Check to find the answers to your questions about the Agency for Healthcare Research and Quality (AHRQ)
programs and activities. You can search by category or key words. You can also send us your questions or website
feedback here. We will respond to your requests based on the bes…
-
psnet.ahrq.gov/perspective/organizational-change-face-highly-public-errors-i-dana-farber-cancer-institute
December 23, 2020 - Organizational Change in the Face of Highly Public Errors—I. The Dana-Farber Cancer Institute Experience
James B. Conway; Saul N. Weingart, MD, PhD | May 1, 2005
View more articles from the same authors.
Citation Text:
Conway JB, Weingart SN. Organizational Change…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/a2_pdi_boardpresentation.pdf
October 01, 2015 - Board and Senior Leadership PowerPoint Presentations on the Pediatric Quality Indicators
AHRQPediatric Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
Tool A.2 Slide 1
Board and Senior Leadership PowerPoint Presentations on the Pediatric
Quality Indicators
What is t…
-
www.ahrq.gov/faqs/index.html?page=0
Frequently Asked Questions
Check to find the answers to your questions about the Agency for Healthcare Research and Quality (AHRQ)
programs and activities. You can search by category or key words. You can also send us your questions or website
feedback here. We will respond to your requests based on the bes…
-
www.ahrq.gov/prevention/resources/chronic-care/ccrm-atlas-suppl/ccrm-atlas2.html
October 01, 2020 - Potential Measures for Clinical-Community Relationships
Potential Measure Development Methodology
Previous Page Next Page
Table of Contents
Potential Measures for Clinical-Community Relationships
Acknowledgements
Executive Summary
Introduction
Potential Measure Development Methodology
Pote…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.116_slideshow.ppt
February 01, 2006 - Spotlight Case [MONTH] 2003
Spotlight Case February 2006
Lost in Transition
Source and Credits
This presentation is based on the February 2006 AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available through the Web site
Commentary by: Christopher Beach, MD; Northwe…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.275_slideshow.ppt
August 01, 2012 - Spotlight Case
Spotlight Case
No News May Not Be Good News
1
2
Source and Credits
This presentation is based on the August 2012
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available
Commentary by: Carlton R. Moore, MD, MS; University of North Carolina, School of Medicin…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/hospital/resources/hospscanform.pdf
June 02, 2025 - Hospital Survey on Patient Safety
SOPS
TM
Hospital Survey
Version: 1.0
Language: English
Note
• For more information on getting started, selecting a sample, determining data collection methods,
establishing data collection procedures, conducting a Web-based survey, and preparing and
analyz…
-
www.uspreventiveservicestaskforce.org/uspstf/document/evidence-summary/syphilis-infection-in-pregnancy-screening
May 13, 2025 - Share to Facebook
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Evidence Summary
Syphilis Infection During Pregnancy: Screening
May 13, 2025
Recommendations made by the USPSTF are independent of the U.S. government. They should not be…