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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/sustaining-change-041415.pptx
April 16, 2013 - On the CUSP: STOP CAUTI Teamwork Theory in Action April 16, 2013
Sustaining Change
1
Eugene S. Chu, MD, FHM
Director of Hospital Medicine
Boulder Community Health
Associate Clinical Professor of Medicine
University of Colorado School of Medicine
Learning Objectives
2
Differentiate between implementation and…
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www.ahrq.gov/sites/default/files/2024-05/berry2-report.pdf
January 01, 2024 - Particularly under stress, human memory is
imperfect, and responses to crises can be compromised by … performance due to inaccessible knowledge and
flawed communication is a well-demonstrated consequence of stress … It is intuitive to many surgical team members that, in crisis
situations, the increased levels of stress … Stress, cognition, and human performance: A literature review and conceptual framework
NaSA technical
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/telehealth-women-protocol.pdf
June 21, 2021 - delay in
treatment, increase in redundant testing or in low -value care, mental health outcomes,
stress … dislocations)
o Mental health morbidity caused by IPV, including acute mental morbidity (e.g.,
stress … , nightmares) and chronic mental health conditions (e.g., posttraumatic stress
disorder, anxiety, depression
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/cad-women-treatment_research-protocol.pdf
September 29, 2011 - It is
typically aggravated by exertion or emotional stress and relieved by nitroglycerin. … therapy) or in whom objective evidence of ischemia (dynamic
electrocardiographic changes, high-risk stress … triages
patients to undergo an invasive diagnostic evaluation without first getting a noninvasive stress
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/asthma-treatment_disposition-comments.pdf
September 10, 2012 - Paul Lehrer writes, "Asthma can be affected by stress, anxiety,
sadness, and suggestion, as well as … Defensiveness is associated with inaccurate perception of
airway resistance and stress-related bronchoconstriction … psychological interventions
as adjuncts to medical treatment include training in symptom
perception, stress
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effectivehealthcare.ahrq.gov/products/medicare-medication-use/research
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effectivehealthcare.ahrq.gov/health-topics/veterans-and-military-health
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www.ahrq.gov/sites/default/files/wysiwyg/lhs/lhs_case_studies_utah_health.pdf
April 01, 2019 - Key Takeaways
Leaders at University of Utah Health stress that healthcare systems are big, complicated
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psnet.ahrq.gov/node/867652/psn-pdf
February 26, 2025 - The Evolution of Root Cause Analysis
February 26, 2025
Behrhorst J, Gale B, Van CM. The Evolution of Root Cause Analysis. PSNet [internet]. 2025.
https://psnet.ahrq.gov/perspective/evolution-root-cause-analysis
Introduction
Root Cause Analysis (RCA) is a structured approach designed to uncover the direct causes of…
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digital.ahrq.gov/sites/default/files/docs/survey/engaging-diverse-patients-in-hit-use.pdf
January 01, 2004 - Engaging diverse patients in health information
technology use
University of California, San Francisco; San Francisco, California
This is a questionnaire designed to be completed by individuals with chronic care needs in
patient homes. The tool includes questions to assess the current state of patient portals,…
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psnet.ahrq.gov/node/33701/psn-pdf
October 01, 2010 - What Makes a Good Checklist
October 1, 2010
McLaughlin AC. What Makes a Good Checklist. PSNet [internet]. 2010.
https://psnet.ahrq.gov/perspective/what-makes-good-checklist
Perspective
The use of checklists is a primitive yet remarkably effective strategy for ensuring accuracy in complex
tasks. Checklists have lo…
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psnet.ahrq.gov/web-mm/looking-meds-all-wrong-places
June 16, 2021 - Looking for Meds in All the Wrong Places
Citation Text:
Manias E. Looking for Meds in All the Wrong Places. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2012.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML…
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psnet.ahrq.gov/node/33719/psn-pdf
October 01, 2011 - The Context Is the Intervention
October 1, 2011
Øvretveit J. The Context Is the Intervention. PSNet [internet]. 2011.
https://psnet.ahrq.gov/perspective/context-intervention
Perspective
Introduction
What we say, do, and feel are facts. We live and work in groups, in a society, and are influenced by this
context.…
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www.ahrq.gov/hai/cusp/toolkit/content-calls/org-embrace-slides/slides.html
June 01, 2013 - Organizational Embrace of CUSP to Improve Patient Safety (Slide Presentation)
On the CUSP: Stop BSI
This PowerPoint slide presentation was shown on March 20, 2012.
Contents
Slide 1. The Organizational Embrace of CUSP to Improve Patient Safety
Slide 2. Objectives
Slide 3. Speakers
Slide 4. Holy Cro…
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psnet.ahrq.gov/node/33619/psn-pdf
September 01, 2005 - In Conversation with…Carolyn Clancy, MD
September 1, 2005
In Conversation with…Carolyn Clancy, MD. PSNet [internet]. 2005.
https://psnet.ahrq.gov/perspective/conversation-withcarolyn-clancy-md
Editor's Note: Dr. Carolyn Clancy has been the Director of the Agency for Healthcare Research and
Quality (AHRQ) since 200…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/painmgmt-facguide.docx
January 01, 2017 - Facilitator Guide: Build Your SSI Prevention Bundle
Slide Title and Commentary
Slide Number and Slide
Title Slide
Evidence Behind Pain, Agitation, and Delirium: Assessments and Sedation Management
SAY:
In this module, you will learn about the evidence behind pain, agitation, and delirium. You will also learn abou…
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psnet.ahrq.gov/primers-0
March 15, 2025 - Primers
Guides for key topics in patient safety through context, epidemiology, and relevant AHRQ PSNet content. The Patient Safety 101 Primer provides an overview of the patient safety field and covers key definitions and concepts.
Latest Primers
Clinical Decision Support Systems
March…
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-patients-source-understanding-dx-error-vol1-3.html
June 01, 2023 - They shouldn’t have suggested that that kind of pain could be from stress.
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www.ahrq.gov/sites/default/files/wysiwyg/cpi/about/organization/nac/snac-hqm-report-exec-summary.pdf
November 17, 2021 - Executive Summary of SNAC Healthcare Quality Measurement Report
- 1 -
AHRQ NATIONAL ADVISORY COUNCIL (NAC)
DISCUSSION ON THE SUBCOMMITTEE OF THE NATIONAL ADVISORY
COUNCIL (SNAC) HEALTHCARE QUALITY MEASUREMENT REPORT
EXECUTIVE SUMMARY
- 2 -
EXECUTIVE SUMMARY
On Nov…
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digital.ahrq.gov/sites/default/files/docs/citation/k08hs023683-blecker-final-report-2018.pdf
January 01, 2018 - Appropriateness of cardiac stress test use among primary
care physicians and cardiologists in the United … Appropriate Use of
Cardiac Stress Testing with Imaging: A Systematic Review and Meta-Analysis.