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psnet.ahrq.gov/node/49577/psn-pdf
January 01, 2009 - Are Two Insulin Pumps Better Than One?
January 1, 2009
Cook CB. Are Two Insulin Pumps Better Than One? PSNet [internet]. 2009.
https://psnet.ahrq.gov/web-mm/are-two-insulin-pumps-better-one
The Case
A 62-year-old man with type 1 diabetes mellitus was admitted to the hospital for coronary artery bypass
graft surge…
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psnet.ahrq.gov/node/60548/psn-pdf
May 28, 2020 - In Conversation With... Jeffrey Shuren, MD, JD
May 28, 2020
In Conversation With.. Jeffrey Shuren, MD, JD. PSNet [internet]. 2020.
https://psnet.ahrq.gov/perspective/conversation-jeffrey-shuren-md-jd
Editor’s note: Jeffrey Shuren, MD, JD is the Director of the Center for Devices and Radiological Health at
the Food…
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/interview-protocol-baseline-sw.pdf
April 04, 2016 - ENSW Baseline Semi-Structured Interview Guide
…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.314_slideshow.ppt
February 01, 2014 - PowerPoint Presentation
Spotlight Case
Multifactorial Medication Mishap
1
This presentation is based on the February 2014
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available
Commentary by: Annie Yang, PharmD, BCPS
NYU Langone Medical Center
Editor, AHRQ WebM&M: Robe…
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/staff-survey-post-intervention-va.pdf
February 23, 2018 - Practice Member Survey
Dear Survey Respondent,
You are receiving this survey because your practice is participating in the Heart of Virginia Healthcare (HVH)
project. Now in its third and final year, the HVH project is asking staff and clinicians in each practice to
complete …
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psnet.ahrq.gov/node/49390/psn-pdf
February 01, 2003 - Flying Object Hits MRI
February 1, 2003
Gosbee JW, Gosbee LL. Flying Object Hits MRI. PSNet [internet]. 2003.
https://psnet.ahrq.gov/web-mm/flying-object-hits-mri
The Case
A child was brought to the Magnetic Resonance Imaging (MRI) room for a brain scan. Accompanied by an
anesthesiologist, the child was receiving…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy3/Strat3_Tool_3_Pres_video_508.pdf
June 02, 2025 - Strategy 3: Bedside Shift Report (Tool 3)
Guide to Patient & Family Engagement
Insert hospital logo here
Nurse Bedside
Shift Report Training
[Hospital Name | Presenter name and title | Date of presentation]
Strategy 3: Nurse Bedside Shift Report (Tool 3)
Today’s session
• What is patient and famil…
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www.ahrq.gov/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/health-promotion-education/strategy6r-reminder-systems.html
March 01, 2020 - Strategy 6R: Reminder Systems for Immunizations and Preventive Services
Contents
6.R.1. The Problem
6.R.2. The Intervention
6.R.2.a. Reminder Systems for Patients
6.R.2.b. Reminder Systems for Physicians
References
Download Strategy 6R:
Reminder Systems for Immunizations and Preventiv…
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digital.ahrq.gov/ahrq-funded-projects/electronic-exchange-poisoning-information
January 01, 2023 - Electronic Exchange of Poisoning Information
Project Final Report ( PDF , 688.55 KB) Disclaimer
Disclaimer
The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessarily represent the views of AHRQ. No stateme…
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www.ahrq.gov/ncepcr/research-transform-primary-care/transform/impactgrants/impact-profile-ok.html
April 01, 2015 - Primary Care Extension in Oklahoma: An Evidence-Based Approach to Dissemination and Implementation of Innovations
AHRQ Estimating the Costs of Supporting Primary Care Transformation Grants
Principal Investigator: James W. Mold, MD, MPH
Institution: University of Oklahoma Health Sciences Center, …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/tpc/impact-profile-ok.pdf
April 01, 2015 - Primary Care Extension in Oklahoma: An Evidence-Based Approach to Dissemination and Implementation of Innovations
Primary Care Extension in Oklahoma: An Evidence-Based Approach to
Dissemination and Implementation of Innovations
Principal Investigator: James W. Mold, MD, MPH
Institution: University of …
-
www.ahrq.gov/cpi/about/impact/index.html
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.
Thi…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/03-ASC-webcast-2023-0509-hare.pdf
January 01, 2023 - SOPS Ambulatory Surgery Center Webcast - HARE
SOPS ASC Survey, Database and Resources
Ryan Hare, MPP
Lead Research Associate
User Network for the AHRQ Surveys on Patient Safety Culture (SOPS)
Westat
13
SOPS ASC Survey
• Designed specifically for ASC staff and asks for their opinions
about the culture of patie…
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www.ahrq.gov/sites/default/files/wysiwyg/nursing-home/materials/implement-staff-vaccination-program.pdf
March 01, 2022 - Implementing a Staff Vaccination Program in Your Nursing Home
Implementing a Staff Vaccination Program
in Your Nursing Home
COVID-19 vaccines help protect nursing home residents who are vulnerable to illness and death if they
become infected with the virus that causes COVID-19. Healthcare staff who are vaccinated…
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www.ahrq.gov/research/findings/final-reports/environmental-scan-programs/envscan-program1.html
April 01, 2018 - Environmental Scan of Patient Safety Education and Training Programs
Chapter 1. Environmental Scan
Previous Page Next Page
Table of Contents
Environmental Scan of Patient Safety Education and Training Programs
Introduction
Chapter 1. Environmental Scan
Chapter 2. Electronic Searchable Catalog …
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www.ahrq.gov/cahps/surveys-guidance/item-sets/elicitation/index.html
August 01, 2024 - CAHPS Patient Narrative Item Sets
The CAHPS Patient Narrative Item Sets—also referred to as Narrative Elicitation Protocols—are sets of open-ended questions that prompt survey respondents to tell a clear and detailed story about their healthcare experiences. Patients’ narratives provide a valuable complement to…
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psnet.ahrq.gov/primer/strategies-and-approaches-investigating-patient-safety-events
March 15, 2025 - Strategies and Approaches for Investigating Patient Safety Events
Citation Text:
Shaikh U. Strategies and Approaches for Investigating Patient Safety Events. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2022.
Copy Citation
Fo…
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psnet.ahrq.gov/node/33602/psn-pdf
March 15, 2025 - Individual Clinician Performance Issues
March 15, 2025
Individual Clinician Performance Issues. PSNet [internet]. 2019.
https://psnet.ahrq.gov/primer/individual-clinician-performance-issues
PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that
they reflect current res…
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/breast-biopsy-update_clinician.pdf
May 01, 2016 - Core-Needle Biopsy for Breast Abnormalities
Core-Needle Biopsy for Breast Abnormalities
Clinical Issue
About one in eight women in the United States will develop
invasive breast cancer during her lifetime. Approximately
290,000 new cases of breast cancer are diagnosed each year
in the United States, and more than…
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psnet.ahrq.gov/node/866265/psn-pdf
July 31, 2024 - Misplaced Vial: Medication Kit Variability Contributes to
Medication Error During Patient Transport
July 31, 2024
MacDowell P, McGee E. Misplaced Vial: Medication Kit Variability Contributes to Medication Error During
Patient Transport. PSNet [internet]. 2024.
https://psnet.ahrq.gov/web-mm/misplaced-vial-medicatio…