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psnet.ahrq.gov/node/33691/psn-pdf
December 01, 2009 - How to Identify and Manage Problem Behaviors
December 1, 2009
Rosenstein AH, O'Daniel M. How to Identify and Manage Problem Behaviors. PSNet [internet]. 2009.
https://psnet.ahrq.gov/perspective/how-identify-and-manage-problem-behaviors
Perspective
The 1999 Institute of Medicine report highlighted the need for heal…
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psnet.ahrq.gov/node/49512/psn-pdf
May 01, 2006 - Right? Left? Neither!
May 1, 2006
Chassin MR, Howell EA. Right? Left? Neither!. PSNet [internet]. 2006.
https://psnet.ahrq.gov/web-mm/right-left-neither
Case Objectives
Appreciate the role of Reason's Swiss Cheese Model in medical errors
Understand the process of analyzing a single error
Provide suggestions for …
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psnet.ahrq.gov/node/33697/psn-pdf
June 01, 2010 - What Do We Know About Emergency Department Safety?
June 1, 2010
Sklar DP, Crandall CS. What Do We Know About Emergency Department Safety? PSNet [internet]. 2010.
https://psnet.ahrq.gov/perspective/what-do-we-know-about-emergency-department-safety
Perspective
Emergency medicine has evolved from a location, with var…
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psnet.ahrq.gov/web-mm/potent-medication-administered-not-so-viable-route
July 20, 2016 - A Potent Medication Administered in a Not So Viable Route
Citation Text:
Loubani O. A Potent Medication Administered in a Not So Viable Route. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017.
Copy Citation
Format:
G…
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www.ahrq.gov/patient-safety/settings/hospital/resource/guide/web6.html
December 01, 2017 - Webinar 6: Enhance Services for High-Risk Patients
Designing & Delivering Whole-Person Transitional Care: The Hospital Guide to Reducing Medicaid Readmissions
Text version of Webinar slide presentation.
Slide 1: Designing & Delivering Whole-Person Transitional Care
Designing & Delivering Whole-Person Tr…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/implementation-guide.pdf
April 01, 2022 - Guide to Implementing and Sustaining a Program To Prevent CLABSI and CAUTI in the Intensive Care Unit Setting
AHRQ Safety Program for Intensive Care
Units: Preventing CLABSI and CAUTI
Guide to Implementing and Sustaining a Program
To Prevent CLABSI and CAUTI in the Intensive Care
Unit Setting
Overv…
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psnet.ahrq.gov/web-mm/abnormal-volunteer-results
July 18, 2016 - Abnormal Volunteer Results
Citation Text:
Fernandez C. Abnormal Volunteer Results. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2007.
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Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote ta…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/infectious-complications-090914.pptx
January 01, 2014 - Slide 1
Infectious Complications Related to the Catheter Other than CAUTI
1
Mohamad Fakih, MD, MPH
Medical Director, Infection Prevention and Control
St. John Hospital and Medical Center
Professor of Medicine
Wayne State University School of Medicine
Detroit, MI
Nasia Safdar, MD, PhD
Associate Professor, Infectious…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/ptfamcare-slides.pptx
January 01, 2017 - Presentation: Program Overview
Patient and Family Involvement in Care of Mechanically Ventilated Patients
AHRQ Safety Program for Mechanically Ventilated Patients
AHRQ Pub. No. 16(17)-0018-37-EF
January 2017
Patient/Family Involvement ‹#›
AHRQ Safety Program for Mechanically Ventilated Patients
1
Learning Obje…
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www.ahrq.gov/sites/default/files/2024-07/morrison-report.pdf
January 01, 2024 - Final Progress Report: Electronic Communications Across Provider Settings
AHRQ Grant Final Progress Report
Electronic Communications Across Provider Settings
Deane Morrison - Principal Investigator
Wendy Angelo, MD - Project Co-Director
Josie Bendiks - Project Co-Director
Dan Venecek - Project Manager
…
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psnet.ahrq.gov/node/49620/psn-pdf
February 01, 2011 - Silent Pain in the Neck
February 1, 2011
Bittner EA. Silent Pain in the Neck. PSNet [internet]. 2011.
https://psnet.ahrq.gov/web-mm/silent-pain-neck
The Case
A 60-year-old man with no significant past medical history underwent an elective anterior cervical
discectomy for persistent right arm weakness due to cervi…
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www.ahrq.gov/sites/default/files/2024-02/hendee-report.pdf
January 01, 2024 - Final Progress Report: Improved Patient Safety Through Web-Based Education
FINAL REPORT
Title of Project: Improved Patient Safety Through Web-Based Education
Principal Investigator: William R. Hendee, PhD
Principal Team Members: Asta Sorensen, MA
Deborah Cummins, PhD
Patti Sokol, RN, JD
Holly Burt, MLIS…
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psnet.ahrq.gov/node/60543/psn-pdf
May 27, 2020 - Wrong Catheter in the Right Patient
May 27, 2020
Chia C, Molla M. Wrong Catheter in the Right Patient. PSNet [internet]. 2020.
https://psnet.ahrq.gov/web-mm/wrong-catheter-right-patient
The Case
A 55-year-old man with history of emphysema was admitted to the hospital for pneumonia. The patient had
two?peripheral…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospital/sops-hsops-2-translation-guidelines.pdf
August 01, 2023 - Background and Information for Translators of the AHRQ Hospital Survey on Pateint Safety Culture Version 2.0
Agency for Healthcare Research and Quality (AHRQ)
Surveys on Patient Safety Culture™ (SOPS®)
Hospital Survey Version 2.0
Background and Information for Translators
August 2023
Purpose and Use of This…
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psnet.ahrq.gov/node/49398/psn-pdf
May 01, 2003 - Bloody BP Cuff
May 1, 2003
Madan AK. Bloody BP Cuff. PSNet [internet]. 2003.
https://psnet.ahrq.gov/web-mm/bloody-bp-cuff
The Case
Patient #1, a 28-year-old male, was a trauma patient following a motor vehicle collision into a cement pillar.
Patient #1 was in the trauma bay with massive injuries and profuse bleed…
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www.ahrq.gov/hai/clabsi-tools/appendix-3.html
March 01, 2018 - Appendix 3. Guidelines to Prevent Central Line-Associated Blood Stream Infections
Tools for Reducing Central Line-Associated Blood Stream Infections
These tools will help your unit implement evidence-based practices and eliminate central line-associated blood stream infections (CLABSI). When used with the CUS…
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/EvidenceNOW-Webinar-Practical-Solutions.pdf
May 01, 2018 - Practical Solutions for Supporting Primary Care Quality Improvement with Health Information Technology
Practical Solutions for Supporting Primary
Care Quality Improvement with
Health Information Technology
AHRQ EvidenceNOW Public Webinar
12PM-1PM EST June 22, 2016
Welcome and In…
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psnet.ahrq.gov/node/49433/psn-pdf
June 23, 2021 - Environmental Safety in the OR
February 1, 2004
Linkin DR, Lautenbach E. Environmental Safety in the OR . PSNet [internet]. 2004.
https://psnet.ahrq.gov/web-mm/environmental-safety-or
The Case
The infection control department of a hospital noticed a marked increase in the rates of post-operative
sternal wound inf…
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/practice-survey-ny.pdf
June 02, 2025 - Practice Survey
P a g e | 1
Practice Survey-demographics/E…
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psnet.ahrq.gov/node/50929/psn-pdf
February 26, 2020 - Discharged with IV antibiotics: When issues arise, who
manages the complications?
February 26, 2020
Donnelley M, Gintjee TJ, Go J. Discharged with IV antibiotics: When issues arise, who manages the
complications? PSNet [internet]. 2020.
https://psnet.ahrq.gov/web-mm/discharged-iv-antibiotics-when-issues-arise-who-…