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psnet.ahrq.gov/node/49564/psn-pdf
July 01, 2008 - Dependence vs. Pain
July 1, 2008
Gordon AJ. Dependence vs. Pain . PSNet [internet]. 2008.
https://psnet.ahrq.gov/web-mm/dependence-vs-pain
Case Objectives
Define opioid dependence and opioid withdrawal syndrome.
Describe the treatment of opioid withdrawal syndrome including the use of the Clinical Opioid
Withdra…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/sustainability/sustainability_deep_root_data.pptx
December 01, 2017 - PowerPoint Presentation; Deep-Root Your Data
Deep-Rooting Your Data
AHRQ Safety Program for Surgery
Sustainability
AHRQ Pub. No. 16(18)-0004-15-EF
December 2017
AHRQ Safety Program for Surgery – Sustainability
SAY:
This module focuses on the concept of deep-rooting and set up sustainable interaction with your qual…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/identify/sensemakingnotes.docx
June 02, 2025 - SAY:
The “Identify Defects Through Sensemaking” module of the Comprehensive Unit-based Safety Program (or CUSP) Toolkit will help you identify recurring defects in your system and apply CUSP and Sensemaking tools to help reduce the risk of future harm to your patients.
Slide 1
SAY:
Some of the tools that will help…
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/medication/tool-safe-mgso4.html
July 01, 2023 - Safe Medication Administration: Magnesium Sulfate
AHRQ Safety Program for Perinatal Care
Purpose of the tool: This tool describes the key perinatal safety elements with examples for the safe administration of magnesium sulfate during labor. The key elements are presented within the framework of t…
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psnet.ahrq.gov/node/49849/psn-pdf
January 01, 2019 - Spotlight: Mistaken Attribution, Diagnostic Misstep
January 1, 2019
Kreider TR, Young JQ. Spotlight: Mistaken Attribution, Diagnostic Misstep. PSNet [internet]. 2019.
https://psnet.ahrq.gov/web-mm/spotlight-mistaken-attribution-diagnostic-misstep
Case Objectives
List the patient safety events that are unique to in…
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psnet.ahrq.gov/sites/default/files/2023-01/spotlight_overdose_of_gabapentin_and_oxycodone_in_a_patient_with_end-stage_renal_disease.pdf
January 01, 2023 - Microsoft PowerPoint - Spotlight Case_Gabapentin Overdose_12.21.2022 FINAL.pptx
Spotlight
Overdose of Gabapentin and Oxycodone in a Patient
with End-Stage Renal Disease: A Case for Appropriate
Interruptive Drug-Disease Alerts
Source and Credits
• This presentation is based on the January 2023 AHRQ WebM&M
Spotl…
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www.ahrq.gov/teamstepps-program/curriculum/team/teach/two-day.html
February 01, 2024 - Two-Day Training Content
The Team Leadership Module provides an overview of what teams are as well as how to lead teams effectively. The overview of teams can be taught in about 40 minutes using the approach described
The Team Leadership Module provides an overview of what teams are as well as how to lead te…
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www.ahrq.gov/es/patient-safety/settings/hospital/resource/pressureulcer/tool/pu4.html
October 01, 2014 - Preventing Pressure Ulcers in Hospitals
4. How do we implement best practices in our organization?
Previous Page Next Page
Table of Contents
Preventing Pressure Ulcers in Hospitals
Overview
Key Subject Area Index
1. Are we ready for this change?
2. How will we manage change?
3. What are th…
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www.ahrq.gov/sites/default/files/2024-05/fraser-report.pdf
January 01, 2024 - Final Progress Report: Building the Evidence Base for Vomit Clean-Up Procedures in Long-Term Care Facilities
PROJECT TITLE: Building the Evidence Base for Vomit Clean-Up Procedures in Long-term Care
Facilities
PRINCIPAL INVESTIGATOR AND TEAM MEMBERS:
Angela M. Fraser, Ph.D. (PI)1
Xiuping Jiang, Ph.D.1 (coPI)
Jan…
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/hEp2uYfD9KRhYTY5fGr8Tp
October 15, 2018 - Ocular Prophylaxis for Gonococcal Ophthalmia Neonatorum: US Preventive Services Task Force Reaffirmation Recommendation Statement
Ocular Prophylaxis for Gonococcal Ophthalmia Neonatorum
US Preventive Services Task Force Reaffirmation
Recommendation Statement
US Preventive Services Task Force
T he US Preventive Servi…
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/fiber-intake-final-executive-summary.pdf
July 01, 2025 - Executive summary_Systematic Review: Fiber Intake and Laxation in People With Normal Bowel Function
Systematic Review
Fiber Intake and Laxation in People
With Normal Bowel Function
Executive Summary
Main Points
• Association of increasing dietary fiber intake and laxation outcomes (all
…
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www.uspreventiveservicestaskforce.org/uspstf/recommendation/obesity-in-adults-screening-and-management-2012
June 15, 2012 - Share to Facebook
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Print
archived
Final Recommendation Statement
Obesity in Adults: Screening and Management
June 15, 2012
Recommendations made by the USPSTF are independent of the U.S. gove…
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www.uspreventiveservicestaskforce.org/uspstf/recommendation/vitamin-d-and-calcium-to-prevent-fractures-preventive-medication-2013
February 15, 2013 - Share to Facebook
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Print
archived
Final Recommendation Statement
Vitamin D and Calcium to Prevent Fractures: Preventive Medication
February 15, 2013
Recommendations made by the USPSTF are indepe…
-
psnet.ahrq.gov/node/49415/psn-pdf
September 01, 2003 - Intubation Mishap
September 1, 2003
Weinger MB, Blike G. Intubation Mishap. PSNet [internet]. 2003.
https://psnet.ahrq.gov/web-mm/intubation-mishap
Case Objectives
To understand and apply a structured method of human factors case analysis
To describe the key components of effective teamwork
To understand the imp…
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www.uspreventiveservicestaskforce.org/uspstf/recommendation/breastfeeding-primary-care-interventions-october-2016
October 25, 2016 - Share to Facebook
Share to X
Share to WhatsApp
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Print
archived
Final Recommendation Statement
Breastfeeding: Primary Care Interventions
October 25, 2016
Recommendations made by the USPSTF are independent of the U.S. govern…
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/124-cusp-science-safety-fg.docx
April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI
The Science of Safety:
Principles in Practice
Surgical Services
For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries
Slide Title and Commentary
Slide Number and Slide
The Science of Safety: Principles in Practice
SAY:
Welcome to this prese…
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cdsic.ahrq.gov/sites/default/files/2025-06/IAS%20Topic%20Highlight%20AI%20and%20PC%20CDS_508%20Compliant.pdf
January 01, 2025 - Artificial Intelligence-Supported Patient-Centered Clinical Decision Support: A Summary of Considerations
AHRQ Pub. No. 25-0057
June 2025
Artificial Intelligence-Supported Patient-
Centered Clinical Decision Support:
A Summary of Considerations
Artificial intelligence (AI) has the potential to…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/6-improvement-strategies.pdf
March 01, 2017 - Strategies for Improving Patient Experience with Ambulatory Care
The CAHPS Ambulatory Care
Improvement Guide
Practical Strategies for Improving Patient Experience
Section 6: Strategies for Improving Patient Experience with
Ambulatory Care
Visit the AHRQ Website for the full Guide.
March 2017
https://www.ah…
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psnet.ahrq.gov/node/72911/psn-pdf
March 15, 2021 - The Impact of Communication on Medication Errors
March 15, 2021
Branch J, Hiner D, Jackson V. The Impact of Communication on Medication Errors. PSNet [internet]. 2021.
https://psnet.ahrq.gov/web-mm/impact-communication-medication-errors
The Case
A 93-year-old man with a history of chronic systolic heart failure…
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-rural-healthcare-references.html
October 01, 2024 - Diagnostic Excellence in U.S. Rural Healthcare: A Call to Action
References
Previous Page
Table of Contents
Diagnostic Excellence in U.S. Rural Healthcare: A Call to Action
A Path to Rural Diagnostic Excellence
Improving Diagnosis in the Context of Rurality
Three Areas To Immediately Advance…