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psnet.ahrq.gov/node/49492/psn-pdf
November 01, 2005 - Reconciling Doses
November 1, 2005
Federico F. Reconciling Doses. PSNet [internet]. 2005.
https://psnet.ahrq.gov/web-mm/reconciling-doses
Case Objectives
List the steps involved in medication reconciliation.
Describe the role of each of the stakeholders in medication reconciliation.
Discuss how medication reconc…
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psnet.ahrq.gov/node/49731/psn-pdf
April 01, 2015 - Fire in the Hole!—An OR Fire
April 1, 2015
Mehta SP, Domino KM. Fire in the Hole!—An OR Fire. PSNet [internet]. 2015.
https://psnet.ahrq.gov/web-mm/fire-hole-or-fire
The Case
A patient was taken to the operating room (OR) to undergo a planned laparoscopic subtotal colon resection
for a biopsy-proven adenocarcinom…
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psnet.ahrq.gov/node/33772/psn-pdf
September 01, 2014 - In Conversation With… Rosemary Gibson, MSc
September 1, 2014
In Conversation With… Rosemary Gibson, MSc. PSNet [internet]. 2014.
https://psnet.ahrq.gov/perspective/conversation-rosemary-gibson-msc
Editor's note: Rosemary Gibson, MSc, is Senior Advisor to The Hastings Center and an editor for JAMA
Internal Medicin…
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psnet.ahrq.gov/node/49637/psn-pdf
October 01, 2011 - The Dropped "No"
October 1, 2011
Johnson AJ. The Dropped "No". PSNet [internet]. 2011.
https://psnet.ahrq.gov/web-mm/dropped-no
The Case
A 62-year-old man with a history of cirrhosis was admitted with increasing abdominal girth and swelling in
his legs. Because the leg swelling was somewhat more pronounced in his…
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psnet.ahrq.gov/print/pdf/node/74277
January 01, 2021 - PSNet
Curated Library
AHRQ: Agency for Healthcare Research and Quality
Medication/Drug Errors
Curated Library
Primers
Medication Administration Errors
Paul MacDowell, PharmD, BCPS, Ann Cabri, PharmD, and Michaela Davis, MSN, RN, CNS | March,
12 2021
Medication administration errors are a persistent patient saf…
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psnet.ahrq.gov/web-mm/hospital-admission-due-high-dose-methotrexate-drug-interaction
October 01, 2003 - Hospital Admission Due to High-Dose Methotrexate Drug Interaction
Citation Text:
Siegel LC, Gandhi TK. Hospital Admission Due to High-Dose Methotrexate Drug Interaction. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2009.
Copy Cit…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/apply/facapplycusp.docx
June 02, 2025 - SAY:
The “Apply CUSP” module of the Comprehensive Unit-based Safety Program (or CUSP) Toolkit introduces Just Culture principles, which emphasize shared accountability and attitudes toward risk. This module also summarizes the concepts and activities of the other six modules in the CUSP Toolkit.
Slide 1
SAY:
In th…
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effectivehealthcare.ahrq.gov/sites/default/files/peptic-ulcer-horizon-scan-high-impact-1506.pdf
June 01, 2015 - PEPTIC ULCER #11
AHRQ Healthcare Horizon Scanning System – Potential
High-Impact Interventions Report
Priority Area 11: Peptic Ulcer Disease and Dyspepsia
Prepared for:
Agency for Healthcare Research and Quality
U.S. Department of Health and Human Services
540 Gaither Road
Rockville, MD 20850
ww…
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www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/resources/guides/infection-prevent.html
March 01, 2017 - A Unit Guide To Infection Prevention for Long-Term Care Staff
Acknowledgments
Content leads for the preparation of this document were as follows:
Deb Patterson Burdsall, M.S.N., R.N.-B.C., CIC
Infection Preventionist
Lutheran Home/Lutheran Life Communities
Arlington Heights, IL
Steven J. Sc…
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/nhqr02/asthqwork.doc
April 01, 2006 - Percent of pediatric asthma hospital admissions to be reduced to achieve best-in-class (Table 1.2 in
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digital.ahrq.gov/sites/default/files/docs/page/EightSuccessStories_092810.pdf
September 01, 2010 - child
care centers to primary care
physicians for telehealth
consultation is expanded,
resulting in reduced … On-Time reduced the percentage of
residents with pressure ulcers and led to closer bedside monitoring … EHR use at Mercy Medical reduced UTIs after elective surgery from 40 to 60 percent (Figure 4.1). … illustrated by the quote in the
introduction, users found that the technology increased efficiency and reduced
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www.uspreventiveservicestaskforce.org/uspstf/document/final-evidence-summary/drug-use-illicit-screening
June 09, 2020 - risk [RR], 1.60 [95% CI, 1.24 to 2.13]; absolute risk difference [ARD], 9% [95% CI, 5% to 15%]) and reduced
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digital.ahrq.gov/ahrq-funded-projects/using-information-technology-patient-centered-communication-and-decisionmaking
January 01, 2023 - Using Information Technology for Patient-Centered Communication and Decisionmaking about Medications
Project Final Report ( PDF , 1.02 MB) Disclaimer
Disclaimer
The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do…
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www.ahrq.gov/research/findings/final-reports/index.html?page=5
January 01, 2024 - Grantee Final Reports: Patient Safety
Final reports from research grants administered since 2000 on a variety of patient safety topics, such as measure development, medication safety, and diagnostic safety.
The Agency for Healthcare Research and Quality Center for Quality Improvement and Patient Safety subdivis…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/engaging-champions.pdf
April 01, 2022 - Making It Work Tip Sheet: Engaging Physician Champions in Preventing CLABSI and CAUTI
AHRQ Safety Program for Intensive Care Units:
Preventing CLABSI and CAUTI
Making It Work Tip Sheet
Engaging Physician Champions in Preventing CLABSI and
CAUTI
This “Making It Work” tip sheet provides additional informa…
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www.ahrq.gov/es/patient-safety/settings/hospital/resource/nicu/packet/apa4.html
December 01, 2013 - Transitioning Newborns from NICU to Home
Appendix A: Family Information Packet (continued)
Previous Page Next Page
Table of Contents
Transitioning Newborns from NICU to Home
A Resource Toolkit
Basic Components of the Health Coach Program
Family Information Packet Cover Sheet
Coaching in the …
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www.ahrq.gov/hai/cauti-tools/phys-championsgd/section7.html
May 01, 2023 - Resident Physicians as Champions in Preventing Device-Associated Infections
Preventing CAUTI: Focus on Culturing Stewardship
Previous Page Next Page
Table of Contents
Resident Physicians as Champions in Preventing Device-Associated Infections
Preamble and Summary
Epidemiology of Invasive Devices…
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www.ahrq.gov/pcor/at-a-glance/index.html
October 01, 2024 - PCOR Trust Fund Investments At-A-Glance
Patient-centered outcomes research (PCOR) provides decision-makers with objective, scientific evidence on the comparative effectiveness of treatments, services, and other interventions used in healthcare. The Patient-Centered Outcomes Research Trust Fund (PCORTF) is funde…
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www.ahrq.gov/patient-safety/settings/hospital/resource/nicu/packet/apa4.html
December 01, 2013 - Transitioning Newborns from NICU to Home
Appendix A: Family Information Packet (continued)
Previous Page Next Page
Table of Contents
Transitioning Newborns from NICU to Home
A Resource Toolkit
Basic Components of the Health Coach Program
Family Information Packet Cover Sheet
Coaching in the …
-
www.uspreventiveservicestaskforce.org/uspstf/document/convergence-and-divergence-around-breast-cancer-screening/breast-cancer-screening-january-2016
January 11, 2016 - Share to Facebook
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Editorial: Convergence and Divergence Around Breast Cancer Screening
Breast Cancer: Screening
January 11, 2016
Recommendations made by the USPSTF are independent o…