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psnet.ahrq.gov/node/851555/psn-pdf
July 31, 2023 - Bandemia as a Harbinger of Stercoral Colitis and
Impending Perforation
July 31, 2023
Flynn S, Barnes DK. Bandemia as a Harbinger of Stercoral Colitis and Impending Perforation. PSNet
[internet]. 2023.
https://psnet.ahrq.gov/web-mm/bandemia-harbinger-stercoral-colitis-and-impending-perforation
The Case
A 56-year-…
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www.ahrq.gov/sites/default/files/2024-09/etchegaray3-report.pdf
January 01, 2024 - Linking Characteristics of High-Performing Hospitals With Patient Safety
Linking characteristics of high-performing hospitals with patient safety
Principal Investigator: Jason M. Etchegaray, PhD
Mentor: Eric J. Thomas, MD, MPH
The University of Texas Medical School at Houston and The University of Texas H…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/147-cusp-roles-responsibilities-tool.docx
June 02, 2025 - AHRQ Safety Program for MRSA Prevention
Core CUSP Team Member
Roles & Responsibilities
How To Use This Tool
This tool identifies core Comprehensive Unit-based Safety Program (CUSP) team members and describes individual roles and responsibilities.
For best results, each team member should:
· Review expectations associa…
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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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www.ahrq.gov/hai/cauti-tools/archived-webinars/no-more-cauti-preventing-cauti-transcript.html
November 01, 2015 - No More CAUTI: Preventing Catheter-Associated Urinary Tract Infections
Webinar Transcript
On the CUSP: Stop CAUTI in the ED
ED Mini-Presentation to Accompany May 5, 2015 ED Coaching Call
Jeannine: Hello everyone, and thank you for listening today. My name is Jeannine [Risinger 00:04], and I'm a program man…
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www.ahrq.gov/hai/cauti-tools/archived-webinars/no-more-cauti-transcript.html
December 01, 2017 - No More CAUTI: Preventing Catheter-Associated Urinary Tract Infections
Webinar Transcript
On the CUSP: Stop CAUTI in the ED
ED Mini-Presentation to Accompany May 5, 2015 ED Coaching Call
Jeannine: Hello everyone, and thank you for listening today. My name is Jeannine [Risinger 00:04], and I'm a program m…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/No_More_CAUTI_Preventing_CAUTI_transcript.docx
May 05, 2015 - On the CUSP: Stop CAUTI in the ED
ED Mini-Presentation to Accompany May 5, 2015 ED Coaching Call
Jeannine: Hello everyone, and thank you for listening today. My name is Jeannine [Risinger 00:04], and I'm a program manager with the health research and educational trust. Welcome to the third mini presentation and the CA…
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www.ahrq.gov/hai/tools/mvp/modules/cusp/assess-psc-hsop-fac-guide.html
February 01, 2017 - Assess Patient Safety Culture Using the Hospital Survey on Patient Safety: Facilitator Guide
AHRQ Safety Program for Mechanically Ventilated Patients
Slide 1: Assess Patient Safety Culture Using the Hospital Survey on Patient Safety
Say:
In this module, we will introduce the Hospital Survey on Patient S…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/understand/understand-facilitator-guide.pdf
May 01, 2017 - Understand the Science of Safety for Perinatal Safety
AHRQ Safety Program for Perinatal Care
Understand the Science of Safety for Perinatal Safety
AHRQ Publication No. 17-0003-4-EF
May 2017
SAY:
The Understand the Science of Safety module
of the AHRQ Safety Program for Perinatal
Care discusses the importan…
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/safe-electronic-tool.html
July 01, 2023 - Monitoring for Perinatal Safety: Electronic Fetal Monitoring
AHRQ Safety Program for Perinatal Care
Purpose of the tool: This tool describes the key perinatal safety elements that support the use of electronic fetal monitoring (EFM). The key safety elements are presented within the framework of t…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/situ/simulation_ut-tachysystole.docx
May 01, 2017 - AHRQ Safety Program for Perinatal Care: Sample Scenario or Uterine Tachysystole In Site Simulation
AHRQ Safety Program for Perinatal Care
Sample Scenario for Uterine Tachysystole In Situ Simulation
Sample Scenario for Uterine Tachysystole In Situ Simulation
Purpose of the tool: The Uterine Tachysystole In Situ Simul…
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/situ/simulation-vbac-ab-pain.html
July 01, 2023 - Sample Scenario for Severe Abdominal Pain/VBAC In Situ Simulation
AHRQ Safety Program for Perinatal Care
Purpose of the tool: The Severe Abdominal Pain/VBAC (vaginal birth after cesarean) In Situ Simulation tool provides a sample scenario for labor and delivery (L&D) staff to practice teamwork, c…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/situ/simulation_vbac-abpain.docx
May 01, 2017 - Sample Scenario for Magnesium Toxicity In Situ Simulation
AHRQ Safety Program for Perinatal Care
Sample Scenario for Severe Abdominal Pain/VBAC In Situ Simulation
Sample Scenario for Severe Abdominal Pain/VBAC In Situ Simulation
Purpose of the tool: The Severe Abdominal Pain/VBAC (vaginal birth after cesarean) In Si…
-
www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/situ/simulation-ut-tachysystole.html
July 01, 2023 - Sample Scenario for Uterine Tachysystole In Situ Simulation
AHRQ Safety Program for Perinatal Care
Purpose of the tool: The Uterine Tachysystole In Situ Simulation tool provides a sample scenario for labor and delivery (L&D) staff to practice teamwork, communication, and technical skills in the …
-
psnet.ahrq.gov/node/33733/psn-pdf
July 01, 2012 - Patient Safety and Health Information Technology:
Learning from Our Mistakes
July 1, 2012
Koppel R. Patient Safety and Health Information Technology: Learning from Our Mistakes. PSNet
[internet]. 2012.
https://psnet.ahrq.gov/perspective/patient-safety-and-health-information-technology-learning-our-mistakes
Perspe…
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psnet.ahrq.gov/node/49863/psn-pdf
May 01, 2019 - Good Catch in the Operating Room
May 1, 2019
Day J, Paige JT. Good Catch in the Operating Room. PSNet [internet]. 2019.
https://psnet.ahrq.gov/web-mm/good-catch-operating-room
The Case
A 46-year-old woman with extensive history of back pain from lumbar stenosis was scheduled for an
elective laminectomy and spinal…
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psnet.ahrq.gov/node/49662/psn-pdf
August 01, 2012 - Wrong Turn through Colon: Misplaced PEG
August 1, 2012
Sorokin R, Conn M. Wrong Turn through Colon: Misplaced PEG. PSNet [internet]. 2012.
https://psnet.ahrq.gov/web-mm/wrong-turn-through-colon-misplaced-peg
The Case
An 87-year-old man was admitted for congestive heart failure (CHF) exacerbation. In addition, a pa…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.323_slideshow.ppt
May 01, 2014 - PowerPoint Presentation
Spotlight
Medication Reconciliation With a Twist (or Dare We Say, a Patch?)
This presentation is based on the May 2014
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available
Commentary by: Janice Kwan, MD, Department of Medicine, University of Tor…
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cds.ahrq.gov/sites/default/files/cds/artifact/76/Implementation%20Guide_Longitudinal%20ASCVD%20Risk%20Assessment%20Tool%20for%20Shared%20Decision%20Making_Final_0.docx
October 01, 2017 - Suggested Citation
Suggested citation: Ricciardelli P, Sebastian S, Teich, J. … Summary of the Clinical Statement 2
Primary Use Cases 3
Additional Use Cases 5
Recommendations and Suggested … and provide access to CDS artifacts, including text and computable versions of the decision logic; suggested … trigger events; text recommendations and suggested actions; and metadata, including original evidence … Recommendations and Suggested Actions
The recommendations, warnings, and interventions provided by this
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cds.ahrq.gov/sites/default/files/cds/artifact/81/Implementation%20Guide_Longitudinal%20ASCVD%20Risk%20Assessment%20Tool%20for%20Updated%20Risk_Final_0.docx
October 01, 2017 - Suggested Citation
Suggested citation: Ricciardelli P, Sebastian S, Teich, J. … Summary of the Clinical Statement 2
Primary Use Cases 3
Additional Use Cases 4
Recommendations and Suggested … and provide access to CDS artifacts, including text and computable versions of the decision logic; suggested … trigger events; text recommendations and suggested actions; and metadata, including original evidence … Recommendations and Suggested Actions
The recommendations, warnings, and interventions provided by this