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psnet.ahrq.gov/web-mm/deadly-duo
April 28, 2021 - The Deadly Duo
Citation Text:
Maldonado JR. The Deadly Duo. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2010.
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psnet.ahrq.gov/web-mm/fecal-contamination-peritoneum-laparoscopic-trocar-injury-routine-operation-goes-wrong
March 03, 2021 - SPOTLIGHT CASE
Fecal Contamination of the Peritoneum from Laparoscopic Trocar Injury: A Routine Operation Goes Wrong.
Citation Text:
Ahmed SM, Ali M. Fecal Contamination of the Peritoneum from Laparoscopic Trocar Injury: A Routine Operation Goes Wrong.. PSNet [internet]. Rockville (MD): Agency fo…
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psnet.ahrq.gov/web-mm/respiratory-distress-after-neck-surgery-two-cases-postoperative-cervical-hematoma
August 14, 2024 - SPOTLIGHT CASE
Respiratory Distress after Neck Surgery: Two Cases of Postoperative Cervical Hematoma.
Citation Text:
Graves CE, Kuhn MA. Respiratory Distress after Neck Surgery: Two Cases of Postoperative Cervical Hematoma.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Qua…
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/resources/diagnostic-toolkit/08-diagnostic-cap-provider-training-slides.pptx
August 01, 2021 - Co-producing a Diagnosis
Provider Training Slides
Toolkit for Engaging Patients and Families To Improve Diagnosis
AHRQ Publication No. 21-0047-7-EF
August 2021
1
"Just listen to your patient, he is telling you the diagnosis."1
- Sir William Osler
This quote from Sir William Osler, who is also commonly referred …
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www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/highlight01.html
March 01, 2019 - How are CHIPRA demonstration States approaching practice-level quality measurement and what are they learning?
Evaluation Highlight No. 1
The National Evaluation of the CHIPRA Quality Demonstration Grant Program
Authors: Grace A. Ferry, Henry T. Ireys, Leslie Foster, Kelly J. Devers, and Lauren Smith
This…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruhealing/facguide.html
December 01, 2017 - On-Time Pressure Ulcer Healing: Facilitator Training Instructor's Guide
AHRQ’s Safety Program for Nursing Homes: Implementation of the Healing Reports
Note: This part of the training primarily consists of exercises and does not have any associated slides.
Review of Self-Assessment Worksheet
Say:
Y…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/engaging-nurse-physician-patient.pptx
May 28, 2015 - Slide 1
Engaging The Nurse, Physician, Patient/Family; CUSP – Learn from Defects
Jenny Tuttle, RN, MSNEd, CNRN
Clinical Nurse Leader
Neuro/Medical/Surgical ICU
Tucson Medical Center
Tucson, Arizona
Christin Ko, MD, MBA, SFHM, FACP
Assistant Professor
Feinberg School of Medicine
Northwestern University
Chicago, IL
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psnet.ahrq.gov/web-mm/hidden-danger-insidious-postpartum-bleeding-after-emergency-cesarean-delivery
November 25, 2020 - Hidden Danger! Insidious Postpartum Bleeding After Emergency Cesarean Delivery.
Citation Text:
Leiserowitz GS, Hedriana H. Hidden Danger! Insidious Postpartum Bleeding After Emergency Cesarean Delivery.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health an…
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www.ahrq.gov/funding/training-grants/pcor/pcortf-di.html
January 01, 2016 - AHRQ Projects Funded by the Patient-Centered Outcomes Research Trust Fund
Dissemination and Implementation
The Agency for Healthcare Research and Quality's (AHRQ) Patient-Centered Outcomes Research Trust Fund projects for training and career development and dissemination and implementation
AHRQ uses some of…
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www.ahrq.gov/sites/default/files/wysiwyg/diagnostic/resources/issue-briefs/dxsafety-cognitive-load-theory.pdf
May 01, 2024 - The brief will conclude with recommendations for
future research and improvement efforts, with the goal
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integrationacademy.ahrq.gov/sites/default/files/2021-04/Table_of_Opioid_and_Pain_Management_Tools_and_Resources.pdf
January 01, 2021 - Recommendations to improve communication
based on interviews with 20 treatment staff,
focus groups
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hcup-us.ahrq.gov/db/nation/kid/kid_2019_introduction.jsp
January 01, 2012 - HCUP has developed recommendations for reporting trends that span the October 1, 2015 transition date … Inpatient Database (KID) to Estimate Trends , includes details regarding the KID trends weights and other recommendations
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hcup-us.ahrq.gov/db/nation/kid/kid_2016_introduction.jsp
January 01, 2016 - Inpatient Database (KID) to Estimate Trends , includes details regarding the KID trends weights and other recommendations … HCUP has developed recommendations for reporting statistics (e.g., counts, rates, averages) that span
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digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/risk
January 01, 2023 - Risk Assessment
Cause-and-Effect Diagram
Description
Cause-and-effect diagrams provide a visual means of conveying all suspected and possible causes and consequences of a specific problem.
Contingency Diagram
Description
The contingency diagram …
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/9H5mgkBCjNQVZZ4pnkNo6B
February 01, 2016 - The burden of universal
screening requires clear evidence of net benefit for
making screening recommendations
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hcup-us.ahrq.gov/reports/methods/2007_01.pdf
January 01, 2007 - and Slopes-As-Outcomes........................................................................56
Recommendations … HCUP (01/10/2007) 58 HLM Report
RECOMMENDATIONS
Hierarchical models should be one of many statistical
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www.uspreventiveservicestaskforce.org/uspstf/document/evidence-summary20/suicide-risk-in-adolescents-adults-and-older-adults-screening
April 15, 2013 - Evidence Summary
Suicide Risk in Adolescents, Adults and Older Adults: Screening
April 15, 2013
Recommendations
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/Jwn6dWRHvK3C9oJCV6hLKc
September 05, 2017 - Vision Screening in Children Aged 6Months to 5 Years: Evidence Report and Systematic Review
(Reprinted)
Clinical Review & Education
JAMA | US Preventive Services Task Force | EVIDENCE REPORT
Vision Screening in Children Aged 6 Months to 5 Years
Evidence Report and Systematic Review
for the US Preventive Servic…
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psnet.ahrq.gov/perspective/learning-health-systems-patient-safety
February 26, 2025 - The National Action Plan specifies 17 recommendations centered on four priority areas to build the foundation
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hcup-us.ahrq.gov/reports/race/50_state_r_e_rpt.jsp
July 01, 2016 - Addressing Disparities in Ohio's Priority Populations: Summary Report and Recommendations 2007 (2007)