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  1. psnet.ahrq.gov/web-mm/dropped-lung
    February 06, 2012 - The Dropped Lung Citation Text: Heffner JR. The Dropped Lung. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2003. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …
  2. Slide 1 (ppt file)

    digital.ahrq.gov/sites/default/files/docs/page/ESTRIN_3_I.ppt
    March 08, 2006 - Slide 1 Creating an Environment of Consensus – The challenges of implementing a governance structure to run an HIE Funding: AHRQ Contract 290-04-0006; State of Tennessee; Vanderbilt University. This presentation has not been approved by the Agency for Healthcare Research and Quality Volunteer eHealth In…
  3. psnet.ahrq.gov/web-mm/forgotten-radiographic-read
    June 07, 2016 - The Forgotten Radiographic Read Citation Text: Coil CJ, Witt MD. The Forgotten Radiographic Read. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866848/psn-pdf
    September 25, 2024 - In Conversation with Eric Thomas about Zero Harm: Striving to Reduce Preventable Harms – Point, Counterpoint, and Areas of Agreement September 25, 2024 Thomas E, Mossburg S, Lee M. In Conversation with Eric Thomas about Zero Harm: Striving to Reduce Preventable Harms – Point, Counterpoint, and Areas of Agreement. …
  5. effectivehealthcare.ahrq.gov/sites/default/files/pdf/administrative-data-validity_research.pdf
    January 01, 2007 - PHS 398 (Rev. 9/04), Continuation Page Award: CERTs Comparative Effectiveness Supplement (U18HS010399-06S1) Project Title: Validation of Outcomes in Centers for Medicare & Medicaid Services (CMS) Data Principal Investigator: Brian L. Strom, MD, MPH Co-Principal Investigator: Sean Hennessy, PharmD…
  6. effectivehealthcare.ahrq.gov/sites/default/files/upenn-final-report-2005-certs-ce-supplement.pdf
    January 01, 2005 - PHS 398 (Rev. 9/04), Continuation Page Award: CERTs Comparative Effectiveness Supplement (U18HS010399-06S1) Project Title: Validation of Outcomes in Centers for Medicare & Medicaid Services (CMS) Data Principal Investigator: Brian L. Strom, MD, MPH Co-Principal Investigator: Sean Hennessy, PharmD…
  7. www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/chipra_15-p002-ef.pdf
    March 01, 2015 - Measures: Family Experiences with Care Coordination measure set (FECC) Measures: Family Experiences with Care Coordination measure set (FECC) Measure Developer: Center of Excellence on Quality of Care Measures for Children With Complex Needs (COE4CCN) Numerator Denominator Exclusions Data Source(s) The FECC Sur…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33711/psn-pdf
    May 01, 2011 - The Second Victim Phenomenon: A Harsh Reality of Health Care Professions May 1, 2011 Scott SD. The Second Victim Phenomenon: A Harsh Reality of Health Care Professions. PSNet [internet]. 2011. https://psnet.ahrq.gov/perspective/second-victim-phenomenon-harsh-reality-health-care-professions Perspective The Instit…
  9. www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/continuing-ed/moc_smsguide.pdf
    April 12, 2016 - Self-Management Support Module User Guide Self-Management Support Module User Guide Reducing Barriers to Quality Assurance in Primary Care via Maintenance of Certification Modules http://www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/continuing-ed/moc_sm…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33626/psn-pdf
    January 01, 2006 - In Conversation with…Jack Barker, PhD January 1, 2006 In Conversation with…Jack Barker, PhD. PSNet [internet]. 2006. https://psnet.ahrq.gov/perspective/conversation-withjack-barker-phd Editor's Note: Jack Barker, PhD, is Vice President of Research and Development for Mach One Leadership and a commercial pilot for …
  11. www.ahrq.gov/hai/tools/mvp/modules/cusp/assess-psc-hsop-fac-guide.html
    February 01, 2017 - Assess Patient Safety Culture Using the Hospital Survey on Patient Safety: Facilitator Guide AHRQ Safety Program for Mechanically Ventilated Patients Slide 1: Assess Patient Safety Culture Using the Hospital Survey on Patient Safety Say: In this module, we will introduce the Hospital Survey on Patient S…
  12. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_data_into_action_facnotes.docx
    December 01, 2017 - Facilitator Guide: Turn Data Into Action Turning Data Into Action – Facilitator Notes Slide Title and Commentary Slide Number and Slide Title Slide Turning Data Into Action: Using HSOPS and SSI Data as Part of a Meaningful Change SAY: In this module, you’ll learn about using data as part of your team’s improvemen…
  13. www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/medicaidmgmt/mm4a.html
    October 01, 2014 - Designing and Implementing Medicaid Disease and Care Management Programs Section 4: Selecting Care Management Interventions (continued) Previous Page Next Page Table of Contents Designing and Implementing Medicaid Disease and Care Management Programs Introduction Section 1: Planning a Care Manag…
  14. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/team-buy-in-transcript.pdf
    April 01, 2022 - Transcript: How To Create Team Buy-In and Motivation To Get to Zero Infections AHRQ Safety Program for Intensive Care Units: Preventing CLABSI and CAUTI AHRQ Safety Program for Intensive Care Units: Preventing CLABSI and CAUTI Transcript How To Create Team Buy-In and Motivation To Get to Zero Infections…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49489/psn-pdf
    September 01, 2005 - Double Trouble September 1, 2005 Gurwitz JH. Double Trouble. PSNet [internet]. 2005. https://psnet.ahrq.gov/web-mm/double-trouble Case Objectives Appreciate the incidence of adverse drug events in older persons List preventative measures that can be used to minimize medication errors in this population Encourage…
  16. effectivehealthcare.ahrq.gov/sites/default/files/related_files/monitoring-programs-rapid-research-appendix-c.xlsx
    May 31, 2025 - Table C-1. CQ Details Table C-1. Detailed Information for Contextual Questions 1, 2, and 3 Studies Author, Year Publication Description Country Setting(s) Purpose Targeted Supply/Disruption Type of Monitoring System Description of Monitoring Program Rationale Implementation Facilitators Implementation Barriers Resour…
  17. psnet.ahrq.gov/web-mm/costly-colonoscopy-leads-delay-diagnosis
    September 01, 2014 - A Costly Colonoscopy Leads to a Delay in Diagnosis Citation Text: Moriates C. A Costly Colonoscopy Leads to a Delay in Diagnosis. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2018. Copy Citation Format: Google Scholar…
  18. psnet.ahrq.gov/web-mm/next-step-use-pre-operative-checklist-prevent-missteps
    April 24, 2018 - The Next Step: Use of a Pre-Operative Checklist to Prevent Missteps Citation Text: Sauder C, Kleber KT. The Next Step: Use of a Pre-Operative Checklist to Prevent Missteps. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2022. Copy …
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49562/psn-pdf
    May 01, 2008 - The Inside of a Time Out May 1, 2008 Feldman DL. The Inside of a Time Out. PSNet [internet]. 2008. https://psnet.ahrq.gov/web-mm/inside-time-out The Case A 65-year-old man was scheduled for an elective endovascular repair of an abdominal aortic aneurysm. The patient had an allergy to "IV contrast dye" that was no…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838972/psn-pdf
    October 27, 2022 - The Unhappy Patient Leaves Against Medical Advice. October 27, 2022 Nichols A. The Unhappy Patient Leaves Against Medical Advice. PSNet [internet]. 2022. https://psnet.ahrq.gov/web-mm/unhappy-patient-leaves-against-medical-advice The Case A 61-year-old woman was placed on bedrest following major surgery. Her posto…