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psnet.ahrq.gov/node/33573/psn-pdf
March 15, 2025 - Disruptive and Unprofessional Behavior
March 15, 2025
Disruptive and Unprofessional Behavior. PSNet [internet]. 2019.
https://psnet.ahrq.gov/primer/disruptive-and-unprofessional-behavior
PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that
they reflect current resear…
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/phenylketonuria_research-protocol.pdf
March 29, 2011 - Screening for phenylketonuria (PKU): A
literature update for the US Preventive Services Task Force. … Screening for phenylketonuria (PKU): A literature update for the US Preventive Services Task Force.
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www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/education-bundles/urine-culturing/when-to-order/cultures-slides.html
April 01, 2017 - The Culture of Culturing—The Importance of Knowing When To Order Urine Cultures
AHRQ Safety Program for Long-Term Care: HAIs/CAUTI
Slide 1: The Culture of Culturing—The Importance of Knowing When To Order Urine Cultures
Welcome to today's educational session on The Culture of Culturing: The Importance of …
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hcup-us.ahrq.gov/datainnovations/raceethnicitytoolkit/or31.pdf
October 08, 2012 - Motor Vehicle Crash Mortality among Northwest AI/AN
Northwest Portland Area
Indian Health Board
Indian Leadership for Indian Health
Motor Vehicle Crash Mortality among
Northwest American Indians &
Alaska Natives
Improving Data & Enhancing Access (IDEA-NW) Project,
NW Tribal EpiCenter
Megan …
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digital.ahrq.gov/ahrq-funded-projects/health-information-technology-and-improving-medication-use/annual-summary/2011
January 01, 2011 - Health Information Technology and Improving Medication Use - 2011
Project Name
Health Information Technology and Improving Medication Use
Principal Investigator
Bates, David
Organization
Brigham and Women's Hospital
Funding Mechanism
RFA: HS07-004: Centers for Educa…
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/hnhc-evidence-summary.pdf
October 01, 2021 - Evidence Summary_Comparative Effectiveness Review No. 246_Management of High-Need High-Cost Patients: A "Best Fit" Framework Synthesis, Realist Review, and Systematic Review
Comparative Effectiveness Review
Number 246
Management of High-Need, High-Cost
Patients: A “Best Fit” Framework Synthesis,
Realist Revie…
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psnet.ahrq.gov/node/49697/psn-pdf
December 01, 2013 - Check the Anesthesia Machine
December 1, 2013
Saddawi-Konefka D, Cooper JB. Check the Anesthesia Machine. PSNet [internet]. 2013.
https://psnet.ahrq.gov/web-mm/check-anesthesia-machine
The Case
A 62-year-old man with weight of 134 kg (body mass index [BMI] of 40) and history of hypertension,
diabetes, sleep apnea…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/standalone_psi_casestudy.pdf
June 02, 2025 - Hospital Expands Use of AHRQ’s QI Toolkit To Improve Patient Safety Measures Prioritized by Medicare
Hospital Expands Use of AHRQ’s QI Toolkit To Improve Patient Safety
Measures Prioritized by Medicare
Abstract
Hospital
Harborview Medical Center (HMC),
a large, level I trauma center in
Seattle, Washington
L…
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digital.ahrq.gov/ahrq-funded-projects/artificial-intelligence-based-health-it-tools-optimize-critical-care
January 01, 2025 - Artificial Intelligence-Based Health Information Technology Tools to Optimize Critical Care Pharmacist Resources Through Adverse Drug Event Prediction
Project Description
Publications
Research Story
Developing artificial intelligence-based health information technol…
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psnet.ahrq.gov/perspective/computerized-provider-order-entry-and-patient-safety
January 01, 2014 - Annual Perspective
Computerized Provider Order Entry and Patient Safety
Urmimala Sarkar, MD, and Kaveh Shojania, MD | January 1, 2015
View more articles from the same authors.
Citation Text:
Sarkar U, Shojania KG. Computerized Provider Order Entry and Patien…
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www.ahrq.gov/nursing-home/resources/competency.html
May 01, 2021 - AHRQ Tool – Competency Check vs Observational Audit
Resource: AHRQ Tool – Competency Check vs Observational Audit (PDF, 476 KB)
This resource, designed by AHRQ, supports the use of observational audits which assist in identification of staff compliance with infection prevention practices.
Source: AHRQ
…
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www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/implementation-guide/app-n-fac-notes.html
May 01, 2017 - Appendix N. Part 1—Transport, Leak Testing, Cleaning: Transcript/Facilitator Notes - Implementation Guide
Slide 1: Appendix N. Part 1: A Clear View of Flexible Endoscope Processing: Transport, Leak Testing, Cleaning
Hi, and welcome to this presentation on a Clear View on Flexible Endoscope Processing . The…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/implementation-guide/appendix-n-part1-transcript.docx
June 02, 2025 - Strategy 2: Communicating to Improve Quality (Tool 3)
AHRQ Safety Program for Ambulatory Surgery
Implementation Guide
Appendix N. A Clear View on Flexible Endoscope Processing – Part 1, Transport, Leak Testing, and Cleaning
Transcript/Facilitator Notes
Sue Klacik:
(Slide 1) Hi, and welcome to this presentation on…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/130-ss-swiss-cheese-fg.docx
April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI
Learning From Defects: Applying the “Swiss cheese model” of System Failure
Surgical Services
For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries
Slide Title and Commentary
Slide Number and Slide
Learning From Defects: Applying the “Swiss C…
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psnet.ahrq.gov/node/49572/psn-pdf
October 01, 2008 - Mistaken Identity
October 1, 2008
Hall LW. Mistaken Identity. PSNet [internet]. 2008.
https://psnet.ahrq.gov/web-mm/mistaken-identity
The Case
An 85-year-old Cantonese-speaking woman was admitted to the medical service with altered mental status
and a reported fall. After finding tenderness in her left hip, the p…
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psnet.ahrq.gov/node/867652/psn-pdf
February 26, 2025 - The Evolution of Root Cause Analysis
February 26, 2025
Behrhorst J, Gale B, Van CM. The Evolution of Root Cause Analysis. PSNet [internet]. 2025.
https://psnet.ahrq.gov/perspective/evolution-root-cause-analysis
Introduction
Root Cause Analysis (RCA) is a structured approach designed to uncover the direct causes of…
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psnet.ahrq.gov/curated-library/medicationdrug-errors
March 12, 2021 - Breadcrumb
Home
The PSNet Collection
Curated Libraries
Subscribed
Medication/Drug Errors
Download
Share
Facebook
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Linkedin
Copy URL
Subscribe
Created By: Dr. Yan Xiao, AHRQ TEP Member
Date…
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psnet.ahrq.gov/node/33582/psn-pdf
September 15, 2024 - Detection of Safety Hazards
September 15, 2024
Detection of Safety Hazards. PSNet [internet]. 2019.
https://psnet.ahrq.gov/primer/detection-safety-hazards
PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that
they reflect current research and practice in the patient s…
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www.ahrq.gov/nursing-home/resources/ventilation-covid-19.html
May 01, 2022 - Ventilation (COVID-19)
Resource: Ventilation (COVID-19)
This page provides an updated version of the Centers for Disease Control and Prevention's recommended strategies for using ventilation to reduce exposures to COVID-19, and features ventilation improvement tools and FAQs.
Source: CDC
Topic(s): Inf…
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www.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes4.html
August 01, 2022 - Module 4: Event Reporting, Event Investigation and Analysis
AHRQ Communication and Optimal Resolution Toolkit
Facilitator Notes
Say:
Module 4 of the CANDOR Toolkit covers the Event Reporting, Event Investigation, and Analysis component of the CANDOR process.
Slide 1
Say:
Obje…