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psnet.ahrq.gov/web-mm/miscommunication-or-leads-anticoagulation-mishap
May 08, 2019 - Miscommunication in the OR Leads to Anticoagulation Mishap
Citation Text:
Solsky I, Haynes AB. Miscommunication in the OR Leads to Anticoagulation Mishap. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017.
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Forma…
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psnet.ahrq.gov/web-mm/easily-forgotten-tube
June 01, 2016 - An Easily Forgotten Tube
Citation Text:
Ousey K. An Easily Forgotten Tube. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2014.
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Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged Pub…
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psnet.ahrq.gov/node/49476/psn-pdf
March 02, 2005 - Around the Block
March 1, 2005
Minichiello T. Around the Block. PSNet [internet]. 2005.
https://psnet.ahrq.gov/web-mm/around-block
The Case
A 77-year-old woman with multiple medical problems was admitted to the hospital for an elective knee
replacement. The orthopedic surgeon, recognizing the risk of deep vein th…
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www.ahrq.gov/practiceimprovement/systemredesignsafetynet/systemredesign-slides.html
December 01, 2017 - System Redesign for Value in Safety-Net Hospitals and Systems: Challenges and Implications
Slide Presentation
Text version of slide presentation.
Slide 1
System Redesign for Value in Safety-Net Hospitals and Systems: Challenges and Implications
Boston University School of Public Health
prepared for
…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/prevention-chronic-care/improve/coordination/webinar05/mixed_methods.pptx
December 03, 2013 - Advanced Methods in Delivery System Research – Planning, Executing, Analyzing, and Reporting Research on Delivery System Improvement Webinar #1: Fuzzy Set Analysis
Advanced Methods Webinars:
Integrating Mixed Methods in Health Services and Delivery System Research
Presenters:
Benjamin Crabtree, PhD
Michael K. Magi…
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www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/workforce-turnover-crisis.pdf
April 01, 2025 - Slide Presentation - Workforce Safety and Well-Being Webinar Series (Session 3): Resolving Workforce Turnover Crisis
Workforce Safety and Well-being Webinar Series (Session 3)
Resolving The Workforce Turnover Crisis
NATIONAL WEBINAR SERIES
December 10, 2024
Housekeeping Instructions
• This webinar will be recor…
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psnet.ahrq.gov/node/33650/psn-pdf
May 01, 2007 - Patient Safety in the United Kingdom: Evolution and
Progress
May 1, 2007
Burnett S, Vincent CA. Patient Safety in the United Kingdom: Evolution and Progress. PSNet [internet].
2007.
https://psnet.ahrq.gov/perspective/patient-safety-united-kingdom-evolution-and-progress
Perspective
The dangers of health care in B…
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www.ahrq.gov/teamstepps-program/curriculum/intro/teach/two-day.html
January 01, 2024 - Two-Day Training Content
If you teach this introductory material as part of a two-day training, you should be able to perform all the activities noted below in 60–70 minutes. Components to include in this section for a two-day training include:
Introductions of trainers and participants : 10 minutes
Teamw…
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psnet.ahrq.gov/perspective/building-safety-program-using-principles-resilience-engineering
October 23, 2013 - Building a Safety Program Using Principles of Resilience Engineering
Sudeep Hegde, PhD; Ann M. Bisantz, PhD; and Rollin J. Fairbanks, MD, MS | June 1, 2019
View more articles from the same authors.
Citation Text:
Hegde S, Fairbanks RJ, Bisantz A. Building a Safety…
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psnet.ahrq.gov/node/33699/psn-pdf
August 01, 2010 - Operationalizing Patient Safety at Academic Medical
Centers
August 1, 2010
Chakraborti C, Kahn MJ, Krane K. Operationalizing Patient Safety at Academic Medical Centers. PSNet
[internet]. 2010.
https://psnet.ahrq.gov/perspective/operationalizing-patient-safety-academic-medical-centers
Perspective
Academic medical…
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digital.ahrq.gov/sites/default/files/docs/page/0_Overview_0.pdf
July 13, 2007 - 0_Overview
July 13, 2007
Privacy and Security Solutions for
Interoperable Health Information
Exchange
Privacy and Security Assessment of Variation
Toolkit
Prepared for
Jonathan White, MD, Director of Health IT
Agency for Healthcare Research and Quality
540 Gaither Road
Rockville,…
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www.uspreventiveservicestaskforce.org/uspstf/document/final-evidence-review52/ocular-prophylaxis-for-gonococcal-ophthalmia-neonatorum-preventive-medication-2011
July 15, 2011 - Share to Facebook
Share to X
Share to WhatsApp
Share to Email
Print
archived
Final Evidence Review
Ocular Prophylaxis for Gonococcal Ophthalmia Neonatorum: Preventive Medication
July 15, 2011
Recommendations made by the USPSTF are indepe…
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cdsic.ahrq.gov/sites/default/files/2024-02/OY1%20Operations%20Center%20Charter.pdf
January 01, 2024 - Final Revised Operations Center Charter
Operations Center:
Charter – Option Year 1
Agency for Healthcare Research and Quality
5600 Fishers Lane
Rockville, MD 20857
www.ahrq.gov
Contract No: 75Q80120D00018
Prepared by:
NORC at the University of Chicago
November 2023
http://www.ahrq.gov/
1
…
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/ambulatory/6bb-toolkit-monitor.pdf
April 20, 2021 - Six Building Blocks How-To-Implement Toolkit: Monitor and Sustain Guide
Table of Contents
Introduction ......................................................................................................................................1
What Is the Monitor and Sustain Guide?....................................…
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psnet.ahrq.gov/web-mm/inadvertent-castration
October 27, 2010 - Inadvertent Castration
Citation Text:
Calland FJ. Inadvertent Castration. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2004.
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Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubM…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.308_slideshow.ppt
October 01, 2013 - PowerPoint Presentation
Spotlight Case
It's Sarah, not Stephen!
1
This presentation is based on the October 2013 AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available
Commentary by: Urmimala Sarkar, MD, MPH, University of California at San Francisco
Editor, AHRQ WebM&…
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digital.ahrq.gov/sites/default/files/docs/citation/k08hs021271-melnick-final-report-2018.pdf
January 01, 2018 - avoiding CT use in low‐
risk minor head injury based on validated clinical decision rules as the top priority … This priority is in the setting of continued growth in CT use in minor head
injury following implementation
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/pilot-projects-supplementing-white-paper.pdf
December 01, 2024 - improve
quality of care and optimize patient outcomes, and many systematic reviews address issues of
priority … Minnesota)
Original systematic review was not
applicable to hip fracture patients;
historic clinical priority
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/uterine-fibroids_research-protocol.pdf
March 01, 2016 - other symptom
resolution, need for subsequent treatment, and quality of life, as those of greatest priority … input from Key
Informants when developing questions for systematic review or when identifying high
priority
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs023826-malone-final-report-2017.pdf
January 01, 2017 - The first priority was to determine which drug-drug interactions were most frequently
overridden. … Priority Populations
Subjects of all demographic backgrounds were eligible for inclusion in this study