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psnet.ahrq.gov/node/49540/psn-pdf
August 21, 2007 - Resuscitation Errors: A Shocking Problem
August 21, 2007
Edelson DP, Abella BS. Resuscitation Errors: A Shocking Problem. PSNet [internet]. 2007.
https://psnet.ahrq.gov/web-mm/resuscitation-errors-shocking-problem
Case Objectives
Appreciate that delays in defibrillation can have significant negative effects on sur…
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psnet.ahrq.gov/node/848109/psn-pdf
April 26, 2023 - The Danger of 10% Intravenous Calcium Chloride
Extravasation.
April 26, 2023
The Danger of 10% Intravenous Calcium Chloride Extravasation. PSNet [internet]. 2023.
https://psnet.ahrq.gov/web-mm/danger-10-intravenous-calcium-chloride-extravasation
The Case
A 52-year-old man with a history of lymphoplasmacytic lymph…
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www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/tools/ts-exercise-instructions.pdf
June 02, 2025 - TeamSTEPPS Building Block Exercise Instructions
TeamSTEPPS Exercise Instructions
Overview
TeamSTEPPS trainers use a number of exercises to introduce
TeamSTEPPS and begin their trainings. This exercise has been
created to support onsite trainings, entirely virtual trainings, or
trainings with a blend of…
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www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/curriculum/teamstepps-3-readiness-form.pdf
August 01, 2005 - Is Your Organization Ready for TeamSTEPPS™?
Is Your Organization Ready for TeamSTEPPS™?
Answering these questions can help your institution understand its level of readiness to initiate
the TeamSTEPPS program. You may find it helpful to have a colleague review your responses or
to answer the questions with a large…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/039-mrsa-surveillance-slides.pptx
October 01, 2024 - AHRQ Safety Program for MRSA Prevention
AHRQ Safety Program for MRSA Prevention
MRSA Surveillance
ICU & Non-ICU
AHRQ Pub. No. 25-0007
October 2024
AHRQ Safety Program for MRSA Prevention | ICU & Non-ICU
MRSA Surveillance
1
Educational Objectives
Describe both active and passive approaches to surveillance of methic…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/034-importance-mrsa-prevention-slides.pptx
October 01, 2024 - AHRQ Safety Program for MRSA Prevention
AHRQ Safety Program for MRSA Prevention
The Importance of MRSA Prevention
ICU & Non-ICU
AHRQ Pub. No. 25-0007
October 2024
AHRQ Safety Program for MRSA Prevention | ICU & Non-ICU
AHRQ Safety Program for MRSA Prevention | ICU & Non-ICU
The Importance of MRSA Prevention
1
Educ…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/098-cusp-why-choose-cusp-approach.pptx
October 01, 2024 - AHRQ Safety Program for MRSA Prevention
AHRQ Safety Program for MRSA Prevention
Why Choose a CUSP Approach?
ICU & Non-ICU
AHRQ Pub. No. 25-0007
October 2024
AHRQ Safety Program for MRSA Prevention | ICU & Non-ICU
AHRQ Safety Program for MRSA Prevention | ICU & Non-ICU
Why Choose a CUSP Approach?
1
Educational Obje…
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psnet.ahrq.gov/node/33668/psn-pdf
May 01, 2008 - In Conversation with…David W. Bates, MD, MSc
May 1, 2008
In Conversation with…David W. Bates, MD, MSc. PSNet [internet]. 2008.
https://psnet.ahrq.gov/perspective/conversation-withdavid-w-bates-md-msc
Editor's note: Dr. David Bates is a Professor at Harvard Medical School, Medical Director of Clinical and
Quality …
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www.ahrq.gov/sites/default/files/2025-04/graber-report.pdf
January 01, 2025 - Final Progress Report: Diagnostic Error in Medicine Conference
Final Progress Report
Grant Number 1R13HS018321-01
Project Period 8/1/2009 - 1/31/2010
Conference: Diagnostic Error In Medicine
PI: Mark L. Graber, MD
SUMMARY: This grant was used in support of “Diagnostic Error in Medicine – 2009,” a 2-day confer…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/teachback-module-accessible.pdf
January 01, 2013 - Static Teach-back Interactive Module
Teach-back
1. Title
Teach-Back
Improving Patient Safety by Engaging Patients and Families in Effective Clinician-
Patient Communication
1 Teach-back Interactive Module
2. AHRQ
Sponsored by the Agency for Healthcare
Research and Quality (AHRQ), this tea…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/medical-office-survey-english.pdf
March 01, 2023 - SOPS Medical Office Survey, Version: 1.0 Language: English
SOPS® Medical Office Survey
Version: 1.0
Language: English
• 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 an…
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psnet.ahrq.gov/node/843151/psn-pdf
February 01, 2023 - Patient Safety Concerns and the LGBTQ+ Population
February 1, 2023
Wesley C, Van CM, Mossburg S. Patient Safety Concerns and the LGBTQ+ Population. PSNet [internet].
2023.
https://psnet.ahrq.gov/perspective/patient-safety-concerns-and-lgbtq-population
Challenges to Obtaining Needed Patient-Centered and Safe Health…
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www.ahrq.gov/hai/tools/surgery/modules/implementation/learn-from-defects-slides.html
December 01, 2017 - Learning From Defects Through Sensemaking: Slide Presentation
AHRQ Safety Program for Surgery
Slide 1: AHRQ Safety Program for Surgery—Implementation
Learning From Defects through Sensemaking
Slide 2: Learning Objectives
Describe difference between first-order and second-order problem-solving.
L…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/rapid-response/rapidresponse_facguide.pdf
May 01, 2017 - AHRQ Safety Program for Perinatal Care: Rapid Response for Perinatal Safety
AHRQ Safety Program for Perinatal Care
Rapid Response for Perinatal Safety
AHRQ Publication No. 17-0003-20-EF
May 2017
SAY:
The Rapid Response for Perinatal Safety
bundle provides information establishing a
unitwide approach, also …
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/rapid-response/tool-rapid-response-systems.html
July 01, 2023 - Rapid Response for Perinatal Safety: Rapid Response Systems
AHRQ Safety Program for Perinatal Care
Purpose of the tool: This tool describes the key perinatal safety elements that support rapid response systems. The key safety elements are presented within the framework of the Comprehensive Unit-b…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/situ/simulation_preeclampsia.docx
May 01, 2017 - AHRQ Safety Program for Perinatal Care: Sample Scenario for Preeclampsia/Seizure In Situ Simulation
AHRQ Safety Program for Perinatal Care
Sample Scenario for Preeclampsia/Seizure In Situ Simulation
Sample Scenario for Preeclampsia/Seizure In Situ Simulation
Purpose of the tool: The Preeclampsia/Seizure In Situ Simu…
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/situ/simulation-preeclampsia.html
July 01, 2023 - Sample Scenario for Preeclampsia and Seizure In Situ Simulation
AHRQ Safety Program for Perinatal Care
Purpose of the tool: The Preeclampsia/Seizure In Situ Simulation tool provides a sample scenario for labor and delivery (L&D) staff to practice teamwork, communication, and technical skills in t…
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www.ahrq.gov/research/findings/final-reports/ptfamilyscan/ptfamily4.html
July 01, 2018 - Guide to Patient and Family Engagement
Summary and Discussion
Previous Page Next Page
Table of Contents
Guide to Patient and Family Engagement
Executive Summary
Introduction
Methods
Findings
Implications for the Guide
Summary and Discussion
Next Steps
References
Appendix A: Draft K…
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www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/implementation-guides/implementation-guide1/impguide1step3.html
March 01, 2019 - Step 3: Build the Stakeholder Group Structure
Implementation Guide Number 1
This Implementation Guide includes suggested steps and tips for implementing initiatives for improving child health care quality from the CMS-funded national evaluation of the Children’s Health Insurance Program Reauthorization Act of…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/long-term-modules/module3/facilitator-notes.docx
March 01, 2017 - Facilitator Notes
SAY:
The Staff Empowerment module will discuss the importance of staff empowerment and strategies for implementing staff empowerment in your facility.
SLIDE 1
SAY:
The objectives are to—
· Cite staff empowerment concepts
· Discuss how staff empowerment contributes to a culture of resident safe…