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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_2-team-structure-speaker-notes.pdf
July 01, 2023 - Team Structure and Assembly
Hospital AIM
Team
Leads
SPPC‐II
Team Structure and Assembly
Module 2 of 8
SPPC‐II
Toolkit
SCRIPT
Thank you for participating in the Safety Program for Perinatal Care II (also known as SPPC‐
II) Teamwork Toolkit presented by the Johns Hopkins University, Agency for Healthcare
Re…
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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/node/843150/psn-pdf
December 05, 2022 - In Conversation with... Connor Wesley, RN, BSN on
Patient Safety Concerns and the LGBTQ+ Population
February 1, 2023
In Conversation with.. Connor Wesley, RN, BSN on Patient Safety Concerns and the LGBTQ+ Population.
PSNet [internet]. 2023.
https://psnet.ahrq.gov/perspective/conversation-connor-wesley-rn-bsn-patie…
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psnet.ahrq.gov/node/846126/psn-pdf
March 09, 2023 - Medication Handling and Compounding Errors in the
Operating Room.
March 15, 2023
Chaudhry J, Manning C, Dakwa D, et al. Medication Handling and Compounding Errors in the Operating
Room. PSNet [internet]. 2023.
https://psnet.ahrq.gov/web-mm/medication-handling-and-compounding-errors-operating-room
The Case
A 62-y…
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psnet.ahrq.gov/web-mm/pitfalls-diagnosing-necrotizing-fasciitis
March 24, 2021 - SPOTLIGHT CASE
Pitfalls in Diagnosing Necrotizing Fasciitis
Citation Text:
Goh T, Goh LG. Pitfalls in Diagnosing Necrotizing Fasciitis. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2014.
Copy Citation
Format:
…
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effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pdf/epc-maternal-health-grand-rounds-slides.pptx
January 01, 2023 - AHRQ Slide Template-Widescreen
AHRQ Evidence-based Practice Center (EPC) Program
Welcome and thank you for joining the EPC Grand Rounds
Logistics
This meeting will be recorded and shared externally. Please use the chat and hand-raising functionality.
Facilitators
Lucy Savitz, Ph.D., M.B.A.
Professor – Universi…
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hcup-us.ahrq.gov/reports/statbriefs/sb138.pdf
March 01, 2012 - Statistical Brief #138: Obesity in Children: Hospitalizations from 2000 to 2009
July 2012
Obesit
2000 to
Lauren M.
Introduct
Child obe
caloric die
causes of
risk of dev
ailments,
Health ca
dollars an
classified
Childhood
2000, and
and 2008
Statistical
obesity ep
United Sta
This Statis
Util…
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psnet.ahrq.gov/node/867497/psn-pdf
February 26, 2025 - Retained Surgical Items: Causation and Prevention
February 26, 2025
Gibbs V, Romano P. Retained Surgical Items: Causation and Prevention. PSNet [internet]. 2025.
https://psnet.ahrq.gov/primer/retained-surgical-items-causation-and-prevention
Background
A retained surgical item (RSI) is a surgical patient safety pro…
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hcup-us.ahrq.gov/reports/natstats/93dcchp.htm
March 10, 2016 - Statistics From the HCUP-3 Nationwide Inpatient Sample for 1993: Principal Diagnoses
Statistics From the HCUP-3 Nationwide Inpatient Sample for 1993: Principal
Diagnoses
Overview
The Healthcare Cost and Utilization Project (HCUP-3) is a
Federal-State-industry partnership to assemble health care data…
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hcup-us.ahrq.gov/reports/natstats/94dcchpr.htm
November 01, 1998 - HCUP-3 Nationwide Inpatient Sample for 1994: Principal Diagnoses
Statistics From the HCUP-3 Nationwide Inpatient Sample for 1994: Principal
Diagnoses
Overview
The Healthcare Cost and Utilization Project (HCUP-3) is a
Federal-State-industry partnership to assemble health care data for use in
health servic…
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www.ahrq.gov/patient-safety/patients-families/consumer-exp/reporting/summary.html
August 01, 2022 - Designing Consumer Reporting Systems for Patient Safety Events
Executive Summary
Previous Page Next Page
Table of Contents
Designing Consumer Reporting Systems for Patient Safety Events
Executive Summary
Chapter 1. Background
Chapter 2. Conceptual Framework and Design
Chapter 3. Description …
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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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psnet.ahrq.gov/perspective/conversation-j-bryan-sexton-phd-ma
February 26, 2025 - In Conversation With… J. Bryan Sexton, PhD, MA
August 1, 2013
Citation Text:
In Conversation With… J. Bryan Sexton, PhD, MA. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2013.
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psnet.ahrq.gov/web-mm/misconnection-leading-arterial-thrombosis
January 29, 2021 - Misconnection Leading to Arterial Thrombosis
Citation Text:
Bohringer C, Lee G. Misconnection Leading to Arterial Thrombosis. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2023.
Copy Citation
Format:
Google Scholar Bib…
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psnet.ahrq.gov/web-mm/wrong-patients-blood-evaluating-near-miss-wrong-transfusion-event
July 01, 2017 - SPOTLIGHT CASE
“This is the wrong patient's blood!”: Evaluating a Near-Miss Wrong Transfusion Event
Citation Text:
Barnhard S. “This is the wrong patient's blood!”: Evaluating a Near-Miss Wrong Transfusion Event. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Dep…
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/model/evidence-now-sustainable-funding-resource.pdf
February 01, 2023 - Finding Sustainable Funding for Primary Care Extension Programs
NATIONAL CENTER
FOR EXCELLENCE IN
PRIMARY CARE RESEARCH
1
FINDING SUSTAINABLE FUNDING FOR
PRIMARY CARE EXTENSION PROGRAMS
Finding sustainable funding for primary care extension programs is a challenge.
This resource shares information about pote…
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psnet.ahrq.gov/web-mm/getting-root-matter
September 01, 2005 - SPOTLIGHT CASE
Getting to the Root of the Matter
Citation Text:
Saint S, Flanders S. Getting to the Root of the Matter. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2005.
Copy Citation
Format:
Google Schola…
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/telediagnosis.pdf
August 03, 2020 - Issue Brief - Telediagnosis for Acute Care: Implications for the Quality and Safety of Diagnosis
PATIENT
SAFETY
e
Issue Brief
Telediagnosis for Acute Care:
Implications for the Quality
and Safety of Diagnosis
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e
Issue Brief
Telediagnosis for Acute Care:
Implications …
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psnet.ahrq.gov/print/pdf/node/848754
January 01, 2025 - PSNet
Curated Library
AHRQ: Agency for Healthcare Research and Quality
Implementation of Patient Safety Projects
Curated Library
Foundations
Leading change: why transformation efforts fail.
Kotter JP. Harvard Bus Rev 1995;73(2);59-67.
Kotter, a professor at Harvard Business School, outlines the eight stages …
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www.ahrq.gov/research/findings/factsheets/children/new-starts/2011.html
October 01, 2014 - Fiscal Year 2011 Research on Child and Adolescent Health
New Starts
This fact sheet summarizes new grants and contracts focused on child and adolescent health and health care—including research, conference, and training projects, as well as other initiatives—funded in FY 2011 by the Agency for Hea…