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www.ahrq.gov/practiceimprovement/delivery-initiative/ihs/execsumm.html
December 01, 2017 - Surgeon General. Rockville, MD: U.S.
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www.ahrq.gov/patient-safety/settings/hospital/resource/qitool/webinar080116/index.html
December 01, 2017 - It flows down from the hospitalist co-chair and surgeon co-chair down to multidisciplinary subject matter
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psnet.ahrq.gov/node/853902/psn-pdf
September 27, 2023 - Physiology and Chronic Health Evaluation II), and the MPI (Mannheim Peritonitis Index).23 Ultimately, the
surgeon
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hcup-us.ahrq.gov/db/nation/nis/nisdde.jsp
February 01, 2025 - Stratum used to post-stratify hospital
1988-1997
Hospital
SURGID_S
Synthetic primary surgeon
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www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/engineering-safety-practice/safety-engineering-strategies.pdf
March 06, 2025 - Surgeon General’s Advisory on Building a
Thriving Health Workforce
• AHRQ National Patient Safety
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psnet.ahrq.gov/web-mm/missed-bowel-perforation-importance-diagnostic-reasoning
January 29, 2021 - Physiology and Chronic Health Evaluation II), and the MPI (Mannheim Peritonitis Index). 23 Ultimately, the surgeon
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digital.ahrq.gov/sites/default/files/docs/publication/uc1hs015316-blair-final-report-2008.pdf
January 01, 2008 - Title Page
Grant Final Report
Grant ID: 5UC1HS015316
Taconic Health Information Network & Community
(THINC)
Inclusive dates: 09/30/04 - 03/31/08
Principal Investigator:
A. John Blair, III, MD
Team members:
Rainu Kaushal, MD (Co-Principal Investigator)
Lisa M. Kern, MD (Investiga…
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psnet.ahrq.gov/web-mm/no-news-may-not-be-good-news
December 07, 2009 - SPOTLIGHT CASE
No News May Not Be Good News
Citation Text:
Moore CR. No News May Not Be Good News. 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 X…
-
psnet.ahrq.gov/web-mm/blind-spot
July 30, 2020 - Blind Spot
Citation Text:
Lee LA. Blind Spot. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2005.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS
Download …
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psnet.ahrq.gov/web-mm/aspergillus-mediastinitis-endocarditis-pediatric-patient-complicating-cardiac-surgery-and
November 16, 2022 - Aspergillus Mediastinitis & Endocarditis in a Pediatric Patient Complicating Cardiac Surgery and Bedside Chest Closure.
Citation Text:
Partridge E, Dodson D, Reilly M, et al. Aspergillus Mediastinitis & Endocarditis in a Pediatric Patient Complicating Cardiac Surgery and Bedside Chest Closure.. PSNet [inter…
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psnet.ahrq.gov/node/33583/psn-pdf
March 01, 2023 - Simulation Training
March 1, 2023
Edward JJ, Nichols A, Bakerjian D. Simulation Training. PSNet [internet]. 2023.
https://psnet.ahrq.gov/primer/simulation-training
Originally published in 2014 by researchers at the University of California, San Francisco. Updated in
March 2023, by Jennifer J. Edwards, MS, RN, CHSE…
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psnet.ahrq.gov/web-mm/order-interrupted-text-multitasking-mishap
August 21, 2015 - SPOTLIGHT CASE
Order Interrupted by Text: Multitasking Mishap
Citation Text:
Halamka J. Order Interrupted by Text: Multitasking Mishap. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2011.
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Format:
…
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psnet.ahrq.gov/web-mm/novel-drug-misuse
September 30, 2010 - SPOTLIGHT CASE
Novel Drug Misuse
Citation Text:
Angus DC, Milbrandt EB. Novel Drug Misuse. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2004.
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Format:
Google Scholar BibTeX EndNote X3 XML EndNo…
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psnet.ahrq.gov/node/49522/psn-pdf
November 01, 2006 - Getting a Good Report Card: Unintended Consequences
of the Public Reporting of Hospital Quality
November 1, 2006
Lindenauer PK. Getting a Good Report Card: Unintended Consequences of the Public Reporting of
Hospital Quality. PSNet [internet]. 2006.
https://psnet.ahrq.gov/web-mm/getting-good-report-card-unintended-…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module4/module4-event-reporting-investigation-analysis.pptx
September 10, 2015 - An Overview of the CANDOR Process
Communication and Optimal Resolution
(CANDOR)
Toolkit
Module 4: Event Reporting,
Event Investigation and Analysis
Module 4 of the CANDOR Toolkit covers the Event Reporting, Event Investigation, and Analysis component of the CANDOR process.
1
Objectives
Define the key elements …
-
psnet.ahrq.gov/node/49735/psn-pdf
June 01, 2015 - Anchoring Bias With Critical Implications
June 1, 2015
Etchells E. Anchoring Bias With Critical Implications. PSNet [internet]. 2015.
https://psnet.ahrq.gov/web-mm/anchoring-bias-critical-implications
Case Objectives
Appreciate that diagnostic errors are common in primary and ambulatory care.
Define premature clo…
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psnet.ahrq.gov/node/49758/psn-pdf
April 01, 2016 - Dropping to New Lows
April 1, 2016
Juang PC, Kulasa K. Dropping to New Lows. PSNet [internet]. 2016.
https://psnet.ahrq.gov/web-mm/dropping-new-lows
Case Objectives
State how to manage diabetes medications when patients are admitted to the hospital
Describe a guideline-recommended insulin regimen for a hospitaliz…
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www.ahrq.gov/sites/default/files/2024-07/huck-report.pdf
January 01, 2024 - Final Progress Report: Rural Healthcare Quality Network (RHQN) – AHRQ Grant Pre-Intervention Study Results
Rural Healthcare Quality Network (RHQN) – Agency for Healthcare Research and
Quality Grant
FINAL REPORT
BACKGROUND
Purpose of the Study
The purpose of the study was to examine clinician’s attitudes and p…
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www.ahrq.gov/hai/tools/surgery/modules/on-boarding/build-ssi-bundle-fac-notes.html
December 01, 2017 - Building Your SSI Prevention Bundle: Facilitator Notes
AHRQ Safety Program for Surgery
Slide 1: Building Your SSI Prevention Bundle
Say:
In this module, you’ll learn about using building a local bundle to reduce surgical site infections.
Slide 2: Learning Objectives
Say:
After reviewing this mod…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_build_ssibundle_facnotes.docx
December 01, 2017 - Facilitator Guide: Building Your SSI Prevention Bundle
Slide Title and Commentary
Slide Number and Slide
Title Slide
Building Your Surgical Site Infection Prevention Bundle
SAY:
In this module, you’ll learn about using building a local bundle to reduce surgical site infections.
Slide 1
Learning Objectives
SA…