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psnet.ahrq.gov/node/836978/psn-pdf
May 16, 2022 - Check Twice, Transport Once
May 16, 2022
DePew A, Rice J, Chou J. Check Twice, Transport Once. PSNet [internet]. 2022.
https://psnet.ahrq.gov/web-mm/check-twice-transport-once
The Case
Case #1: A 26-year-old woman (Patient A) presented to the Emergency Department (ED) with abdominal
pain and was diagnosed with “s…
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psnet.ahrq.gov/web-mm/delayed-diagnosis-kidney-transplant-complications
January 29, 2020 - Delayed Diagnosis of Kidney Transplant Complications
Citation Text:
Kapa N, Morfín JA. Delayed Diagnosis of Kidney Transplant Complications. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2022.
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Goo…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.329_slideshow.ppt
August 01, 2014 - PowerPoint Presentation
Spotlight
Pitfalls in Diagnosing Necrotizing Fasciitis
This presentation is based on the July/August 2014
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available
Commentary by: Terence Goh, MBBS, Department of Plastic Surgery, Singapore General Hos…
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psnet.ahrq.gov/node/49706/psn-pdf
January 01, 2015 - Clostridium Difficile Relapse Secondary to Medication
Access Issue
April 1, 2014
Walker PC, Nagel J. Clostridium Difficile Relapse Secondary to Medication Access Issue. PSNet [internet].
2014.
https://psnet.ahrq.gov/web-mm/clostridium-difficile-relapse-secondary-medication-access-issue
The Case
A 24-year-old wom…
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psnet.ahrq.gov/node/33721/psn-pdf
November 01, 2011 - Lesson from the VA's Team Training Program
November 1, 2011
Neily J, Mills PD, Paull DE, et al. Lesson from the VA's Team Training Program . PSNet [internet]. 2011.
https://psnet.ahrq.gov/perspective/lesson-vas-team-training-program
Perspective
Introduction
The Veterans Health Administration (VHA) National Center…
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psnet.ahrq.gov/node/49462/psn-pdf
October 01, 2004 - Thin Air
October 1, 2004
Gaba DM. Thin Air. PSNet [internet]. 2004.
https://psnet.ahrq.gov/web-mm/thin-air
Case Objectives
Identify the gas-specific non-interchangeable connectors used for bulk gas supply outlets in
hospitals.
Define forcing function, both in engineered safety devices and in human procedures.
R…
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psnet.ahrq.gov/node/49763/psn-pdf
June 01, 2016 - July Syndrome
June 1, 2016
Young JQ. July Syndrome. PSNet [internet]. 2016.
https://psnet.ahrq.gov/web-mm/july-syndrome
The Case
A 64-year-old man was seen in the thoracic surgery clinic in June after being diagnosed with a right lower
lobe lung cancer. The attending surgeon saw the patient along with his fellow,…
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psnet.ahrq.gov/node/49749/psn-pdf
December 01, 2015 - Hyperglycemia and Switching to Subcutaneous Insulin
December 1, 2015
Wetterneck TB. Hyperglycemia and Switching to Subcutaneous Insulin. PSNet [internet]. 2015.
https://psnet.ahrq.gov/web-mm/hyperglycemia-and-switching-subcutaneous-insulin
The Case
A 47-year-old man with type 2 diabetes was admitted to the hospita…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/teach-back_quickstart_brochure.pdf
September 15, 2016 - Implementation Quick Start Guide: Teach-back (Half-page)
Implementation
Quick Start Guide
Teach-back
The Guide to Improving Patient Safety
in Primary Care Settings by Engaging Patients
and Families
Table of Contents
What Is Teach-Back? ...........................................................1
Why Use T…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/111-cusp-program-sustainability.docx
October 01, 2024 - AHRQ Safety Program for MRSA Prevention
CUSP Program: Sustainability
ICU & Non-ICU
Slide Title and Commentary
Slide Number and Slide
Program Sustainability
SAY:
Welcome to this presentation on optimizing CUSP Program sustainability as part of the overall approach to preventing MRSA in ICU and non-ICU settings.
Sl…
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cdsic.ahrq.gov/sites/default/files/2022-04/Final%20Innovation%20Center%20Charter_508.pdf
January 01, 2022 - Final Innovation Center Charter
FINAL INNOVATION CENTER CHARTER
A p r i l 6 , 2 0 2 2
Agency for Healthcare
Research and Quality:
Clinical Decision Support
Innovation Collaborative
(CDSiC)
Presented by:
NORC at the University of Chicago
4350 East-West Highway Suite 800
Bethesda, MD 20814
…
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psnet.ahrq.gov/web-mm/40-k
January 12, 2011 - 40 of K
Citation Text:
Lesar TS. 40 of K. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2003.
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Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS
Download Cita…
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psnet.ahrq.gov/innovation/remote-response-team-and-customized-alert-settings-help-improve-management-sepsis
February 26, 2025 - Remote Response Team and Customized Alert Settings Help Improve Management of Sepsis
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May 31, 2023
Innovation
Contact
…
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digital.ahrq.gov/sites/default/files/Final%20Innovation%20Center%20Charter_508.pdf
April 06, 2022 - Final Innovation Center Charter
FINAL INNOVATION CENTER CHARTER
A p r i l 6 , 2 0 2 2
Agency for Healthcare
Research and Quality:
Clinical Decision Support
Innovation Collaborative
(CDSiC)
Presented by:
NORC at the University of Chicago
4350 East-West Highway Suite 800
Bethesda, MD 20814
…
-
integrationacademy.ahrq.gov/products/playbooks/behavioral-health-and-primary-care/implementing-plan/develop-shared-care-plan
September 01, 2025 - An official website of the Department of Health & Human Services
Search All AHRQ Sites
Careers
Contact Us
Español
FAQs
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The Academy
Integrating Behavioral Health & Primary Care
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digital.ahrq.gov/health-information-exchange-2
January 01, 2023 - This information is for reference purposes only. It was current when produced and may now be outdated. Archive material is no longer maintained, and some links may not work. Persons with disabilities having difficulty accessing this information should contact us at: https://digital.ahrq.gov/contact-us . Let us know th…
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psnet.ahrq.gov/node/73229/psn-pdf
May 26, 2021 - Norepinephrine Dosing Error Associated with Multiple
Health System Vulnerabilities
May 26, 2021
Duby JJ, Schomer K, Oyewole V, et al. Norepinephrine Dosing Error Associated with Multiple Health
System Vulnerabilities. PSNet [internet]. 2021.
https://psnet.ahrq.gov/web-mm/norepinephrine-dosing-error-associated-mult…
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meps.ahrq.gov/data_files/publications/st509/stat509.pdf
March 01, 2018 - STATISTICAL BRIEF #509: Characteristics of Practices Used as Usual Source of Care Providers during 2015, by Age—Results from the MEPS Medical Organizations Survey
STATISTICAL BRIEF #509
March 2018
…
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psnet.ahrq.gov/web-mm/adverse-event-during-intrahospital-transport
June 16, 2021 - Adverse Event During Intrahospital Transport
Citation Text:
Bergman L, Chaboyer W. Adverse Event During Intrahospital Transport. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/training/cbt-basin-bathing.pptx
March 01, 2022 - Computer-Based Training Modules: Basin Bed Bathing with CHG
Decolonization of
Non-ICU Patients With Devices
Section 11-6
Nursing Protocol Training
Basin Bed Bathing With 2% Chlorhexidine (CHG)
and Showering With 4% CHG Liquid Soap
AHRQ Pub. No. 20(22)-0036
March 2022
1
Targeted Decolonization Introduction
Our…