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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.
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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…
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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.
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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. …
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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…
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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…
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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…
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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…
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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…
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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 …
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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…
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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…
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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…
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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…
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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…
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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…
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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.
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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 …
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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…
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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…