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psnet.ahrq.gov/node/73335/psn-pdf
May 26, 2021 - Hyponatremia Secondary to Home Parenteral Nutrition
Error
May 26, 2021
Haas K, Lee A. Hyponatremia Secondary to Home Parenteral Nutrition Error. PSNet [internet]. 2021.
https://psnet.ahrq.gov/web-mm/hyponatremia-secondary-home-parenteral-nutrition-error
The Case
A 4-year-old (former 33-week premature) boy with a …
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psnet.ahrq.gov/node/49739/psn-pdf
August 21, 2015 - Breathe Easy: Safe Tracheostomy Management
August 21, 2015
Russell MS, Russell MD. Breathe Easy: Safe Tracheostomy Management. PSNet [internet]. 2015.
https://psnet.ahrq.gov/web-mm/breathe-easy-safe-tracheostomy-management
The Case
A 75-year-old man was admitted to the hospital with sepsis due to multilobar pneumo…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/item-sets/HP/supplemental-health-literacy-hpcahps-adult-2157-3a.docx
June 02, 2025 - CAHPS® Health Plan Survey 5.0 Supplemental Items: Health Literacy
Population Version: Adult
Supplemental Items for the CAHPS® Health Plan Survey 5.0
Topic: Health Literacy
Population Version: Adult
Language: English
Users of the CAHPS® Health Plan Survey are free to incorporate supplemental items in order to mee…
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/common-cold-guide.docx
September 01, 2022 - The “Never Antibiotics” Diagnoses: Viral Acute Upper Respiratory Infection: the Common Cold – Facilitator Guide
AHRQ Safety Program for Improving
Antibiotic Use
The “Never Antibiotics” Diagnosis: Acute Viral Upper
Respiratory Infection: the Common Cold
Slide Title and Commentary
Slide Number and Slide
The “N…
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/pf-engagement-fac-guide.html
July 01, 2023 - Patient and Family Engagement for Perinatal Safety: Facilitator Guide
AHRQ Safety Program for Perinatal Care
Slide 1: Patient and Family Engagement for Perinatal Safety
Say:
The Patient and Family Engagement module focuses on an important topic: making sure patients and their family members understand w…
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www.ahrq.gov/hai/cusp/clabsi-final-companion/clabsicomp4c.html
January 01, 2013 - Eliminating CLABSI, A National Patient Safety Imperative: Final Report Companion Guide
Infections Avoided, Excess Costs Averted, and Changes in Mortality Rate
Previous Page Next Page
Table of Contents
Eliminating CLABSI, A National Patient Safety Imperative: Final Report Companion Guide
Preface
…
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www.ahrq.gov/sites/default/files/wysiwyg/CHIPRA_15-P002-EF-revised.pdf
March 01, 2015 - Measures: Family Experiences With Care Coordination Measure Set (FECC)
Measures: Family Experiences with Care
Coordination Measure Set (FECC)
Measure Developer: Center of Excellence on Quality of Care Measures for Children with
Complex Needs (COE4CCN)
Numerator Denominator Exclusions Data Source(s)
The FECC Surv…
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www.ahrq.gov/sites/default/files/2024-01/lipsitz-report.pdf
January 01, 2024 - Final Progress Report: Improving Safety of Transitions to Skilled Nursing Care Using Video Conferencing
1. Title Page
Title: Improving Safety of Transitions to Skilled Nursing Care Using Video Conferencing
PI: Lewis Lipsitz, MD
Team Members:
Amber Moore, MD, MPHa,b; Julie C. Lima, MPH, PhDc; Sweta Patel, BD…
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/statesummaries/chipra-750-north-carolina-state-snapshot.pdf
January 01, 2018 - Spotlight on North Carolina -- The National Evaluation of the CHIPRA Quality Demonstration Grant Program
January 2018
This brief highlights the major strategies, lessons learned,
and outcomes from North Carolina’s experience during the
quality demonstration funded by the Centers for Medicare
& Medicaid Services (…
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www.ahrq.gov/ncepcr/research-transform-primary-care/transform/cost/app-b.html
October 01, 2015 - Estimating the Costs of Primary Care Transformation: A Practical Guide and Synthesis Report
Appendix B. Example Data Collection Tools
Previous Page Next Page
Table of Contents
Estimating the Costs of Primary Care Transformation: A Practical Guide and Synthesis Report
Background
A Practical Guide…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/introduction/prelaunch-activities.pdf
March 01, 2022 - Toolkit Prelaunch Activities
Decolonization of
Non-ICU Patients With Devices
Section 8 – Toolkit Prelaunch Activities
We recommend that you follow the prelaunch checklist below (Table 8-1) for successful
implementation. As is the case with many infection prevention programs, it will take time to
achie…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/prevention-chronic-care/improve/coordination/webinar05/mixed_methods.pptx
December 03, 2013 - Advanced Methods in Delivery System Research – Planning, Executing, Analyzing, and Reporting Research on Delivery System Improvement Webinar #1: Fuzzy Set Analysis
Advanced Methods Webinars:
Integrating Mixed Methods in Health Services and Delivery System Research
Presenters:
Benjamin Crabtree, PhD
Michael K. Magi…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/spread/spreadnotes.docx
June 02, 2025 - SAY:
The Spread module of the Comprehensive Unit-based Safety Program (or CUSP) Toolkit helps all or part of an organization share, tailor, and use the components of a process that have worked well at the unit level. The other CUSP Toolkit modules focus on quality improvement projects at the unit level, where culture i…
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/HAP-slides.pptx
November 01, 2019 - PowerPoint Presentation: Best Practices in the Diagnosis and Treatment of Hospital-Acquired Pneumonia
Best Practices in the Diagnosis and Treatment of Hospital-Acquired Pneumonia
AHRQ Safety Program for Improving Antibiotic Use
Acute Care
AHRQ Pub. No. 17(20)-0028-EF
November 2019
HAP
AHRQ Safety Program for Improv…
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psnet.ahrq.gov/node/33847/psn-pdf
August 01, 2017 - In Conversation With… Karl Bilimoria, MD, MS
August 1, 2017
In Conversation With… Karl Bilimoria, MD, MS. PSNet [internet]. 2017.
https://psnet.ahrq.gov/perspective/conversation-karl-bilimoria-md-ms-0
Editor's note: Dr. Bilimoria is the Director of the Surgical Outcomes and Quality Improvement Center of
Northwest…
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psnet.ahrq.gov/node/49523/psn-pdf
November 01, 2006 - Urinary Retention Dilemma
November 1, 2006
Joseph AC. Urinary Retention Dilemma. PSNet [internet]. 2006.
https://psnet.ahrq.gov/web-mm/urinary-retention-dilemma
The Case
Following an elective thyroidectomy, a 56-year-old man with a history of benign prostatic hypertrophy
(BPH) and urinary hesitancy returned to th…
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psnet.ahrq.gov/node/50391/psn-pdf
September 25, 2019 - Think Like a Surgeon
September 25, 2019
Cooper Z. Think Like a Surgeon. PSNet [internet]. 2019.
https://psnet.ahrq.gov/web-mm/think-surgeon
The Case
A patient with a history of T6 paraplegia due to a motor vehicle accident was brought to the emergency
department due to delirium. He was found to be hypotensive and…
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psnet.ahrq.gov/node/33624/psn-pdf
December 01, 2005 - In Conversation with…Troyen A. Brennan, MD, JD, MPH
December 1, 2005
In Conversation with…Troyen A. Brennan, MD, JD, MPH. PSNet [internet]. 2005.
https://psnet.ahrq.gov/perspective/conversation-withtroyen-brennan-md-jd-mph
Dr. Robert Wachter, Editor, AHRQ WebM&M: What got you interested in the law and its interface…
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psnet.ahrq.gov/node/49711/psn-pdf
June 01, 2014 - Wandering Off the Floors: Safety and Security Risks of
Patient Wandering
June 1, 2014
Smith TA. Wandering Off the Floors: Safety and Security Risks of Patient Wandering. PSNet [internet].
2014.
https://psnet.ahrq.gov/web-mm/wandering-floors-safety-and-security-risks-patient-wandering
Case Objectives
Define patie…
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/eko8Cp28pZ3SHHfyvTXJW5
May 13, 2025 - JAMA
Letters
RESEARCH LETTER
EVIDENCE REPORT
Screening for Syphilis Infection During Pregnancy:
Updated Evidence Report and Systematic Review
for the US Preventive Services Task Force
Prior evidence has demonstrated that screening in preg-
nancy is effective at detecting syphilis and that treatment is
effective at…