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psnet.ahrq.gov/node/49831/psn-pdf
June 01, 2018 - Chest Pain in a Rural Hospital
June 1, 2018
MacKinney CA, Mohr NM. Chest Pain in a Rural Hospital. PSNet [internet]. 2018.
https://psnet.ahrq.gov/web-mm/chest-pain-rural-hospital
Case Objectives
Recognize that a significant proportion of the Unites States population receives care in rural safety
net emergency dep…
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digital.ahrq.gov/sites/default/files/docs/publication/r18hs018158-stockwell-final-report-2013.pdf
January 01, 2013 - Flu Alert: Influenza Vaccine Alerts for Providers in the Electronic Health - Final Report
Grant Final Report
Grant ID: 5R18HS018158
Flu Alert: Influenza Vaccine Alerts for Providers in the
Electronic Health
Inclusive Project Dates: 09/30/09 - 07/31/13
Principal Investigator:
Melissa S. S…
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psnet.ahrq.gov/node/851099/psn-pdf
June 28, 2023 - Misconnection Leading to Arterial Thrombosis
June 28, 2023
Bohringer C, Lee G. Misconnection Leading to Arterial Thrombosis. PSNet [internet]. 2023.
https://psnet.ahrq.gov/web-mm/misconnection-leading-arterial-thrombosis
The Case
A 55-year-old man with chronic obstructive pulmonary disease (COPD) was brought by am…
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digital.ahrq.gov/sites/default/files/docs/publication/Parisetal_HFES2008.pdf
January 01, 2008 - Safety of the Antibiotic Medication Use Process in the Intensive Care Unit
Bonnie Paris�, Pascale Carayon�, Tosha Wetterneck�
Department of Industrial & Systems Engineering, University of Wisconsin-Madison�; University of
Wisconsin School of Medicine and Public Health�; Center for Quality & Productivity Improvem…
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/renal-cancer_clinician.pdf
July 01, 2017 - Management of Renal Masses and Localized Renal Cell Carcinoma: Current State of the Evidence
Management of Renal Masses and Localized Renal Cell
Carcinoma: Current State of the Evidence
Focus of This Summary
This is a summary of a systematic review that evaluated the recent evidence regarding the benefits and adve…
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/mhs-IV-sepsis.pdf
July 01, 2023 - EHC Protocol: Addressing Social Isolation To Improve Health of Older Adults: A Rapid Evidence Review
1
Evidence-based Practice Center Rapid Review Protocol
Project Title: Making Healthcare Safer IV: Sepsis Prediction,
Recognition, and Intervention
Review Questions
1. What is the frequency and s…
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psnet.ahrq.gov/node/50841/psn-pdf
January 29, 2020 - “This is the wrong patient's blood!”: Evaluating a Near-
Miss Wrong Transfusion Event
January 29, 2020
Barnhard S. “This is the wrong patient's blood!”: Evaluating a Near-Miss Wrong Transfusion Event. PSNet
[internet]. 2020.
https://psnet.ahrq.gov/web-mm/wrong-patients-blood-evaluating-near-miss-wrong-transfusion-…
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psnet.ahrq.gov/web-mm/not-so-therapeutic-tap
December 01, 2014 - SPOTLIGHT CASE
Not-So-Therapeutic Tap
Citation Text:
Barsuk JH. Not-So-Therapeutic Tap. 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 EndNote …
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www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/module4-presenters-notes.pdf
January 05, 2022 - TeamSTEPPS® Diagnosis Improvement: Module 4 Leadership - Facilitator’s Notes
Slide 1
TeamSTEPPS® for Diagnosis
Improvement
…
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psnet.ahrq.gov/node/33862/psn-pdf
July 01, 2018 - In Conversation With… Shantanu Nundy, MD
July 1, 2018
In Conversation With… Shantanu Nundy, MD. PSNet [internet]. 2018.
https://psnet.ahrq.gov/perspective/conversation-shantanu-nundy-md
Editor's note: Dr. Nundy is the Director of the nonprofit organization called the Human Diagnosis Project, a
unique effort to cro…
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psnet.ahrq.gov/node/49657/psn-pdf
July 01, 2012 - Not-So-Therapeutic Tap
July 1, 2012
Barsuk JH. Not-So-Therapeutic Tap. PSNet [internet]. 2012.
https://psnet.ahrq.gov/web-mm/not-so-therapeutic-tap
Case Objectives
Describe current issues with training clinicians to perform procedures.
Understand how simulation can be used to ensure trainees are competent in proc…
-
psnet.ahrq.gov/node/49750/psn-pdf
January 01, 2016 - A Room Without Orders
January 1, 2016
Vogelsmeier A, Despins L. A Room Without Orders. PSNet [internet]. 2016.
https://psnet.ahrq.gov/web-mm/room-without-orders
Case Objectives
Review a common process for planned direct hospital admissions.
Describe challenges of prioritizing day-to-day patient care activities wi…
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/CHIPRA204-Materials_II.pdf
June 02, 2025 - eMeasure Title Follow-up Referral after Positive Developmental Screen
eMeasure
Identifier
(Measure
Authoring Tool)
376 eMeasure Version
number
0.0.005
NQF Number None GUID d47f5664-bd76-4a65-88aa-f73f6fb6a2c8
Measurement
Period
January 1, 20xx through December 31, 20xx
Measure Steward Agency for Healthcare Resea…
-
www.ahrq.gov/es/patient-safety/settings/hospital/vtguide/appc.html
May 01, 2016 - Preventing Hospital-Associated Venous Thromboembolism
Appendix C: VTE Measurement and Tracking
Previous Page
Table of Contents
Preventing Hospital-Associated Venous Thromboembolism
Preface
Executive Summary
Chapter 1. The Framework for Improvement
Chapter 2. Analyze Care Delivery
Chapter…
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/clabsi-event-reporting_revised.docx
April 01, 2022 - CAUTI Event Reporting Tool
CLABSI Event Report Tool: Data for Event Analysis
This event report template is designed to be used as a guide through the initial investigation for a defects analysis where the primary goal is to learn what happened and factors that may have contributed to the central line-associated blo…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/long-term-modules/module5/video-transcript-spanish.docx
June 02, 2025 - (
PREVENIR
HAIs
Infeccones
relacionadas con los cuidados de salud
)Programa de seguridad de la AHRQ para cuidados a largo plazo: HAI/CAUTI
Kit de herramientas de seguridad para cuidados a largo plazo
(
PREVENIR
HAIs
Infeccones
relacionadas con los cuidados de salud
)Módulo 5: Participación de los residentes y famil…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/long-term-modules/module4/video-transcript-spanish.docx
June 02, 2025 - Programa de seguridad de la AHRQ para cuidados a largo plazo: HAI/CAUTIPREVENIR
HAIs
Infeccones relacionadas con los cuidados de salud
Kit de herramientas de seguridad para cuidados a largo plazo
Módulo 4: Trabajo en equipo y comunicaciónPREVENIR
HAIs
Infeccones relacionadas con los cuidados de salud
Transcripc…
-
www.ahrq.gov/hai/tools/mvp/modules/technical/intro-daily-care-slides.html
February 01, 2017 - Introduction to Daily Care Processes: Evidence Behind Spontaneous Awakening Trials, Spontaneous Breathing Trials, and Head of Bed Elevation: Slide Presentation
AHRQ Safety Program for Mechanically Ventilated Patients
Slide 1: AHRQ Safety Program for Mechanically Ventilated Patients
Introduction to Daily C…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/long-term-modules/module4/facilitator-notes.docx
March 01, 2017 - Facilitator Notes
SAY:
The Teamwork and Communication module will discuss how safety teams in nursing homes can understand and practice successful teamwork and effective communication to improve the resident safety culture in their facility.
SLIDE 1
SAY:
In this module we will—
· Describe effective communicati…
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psnet.ahrq.gov/web-mm/chest-pain-rural-hospital
June 02, 2021 - SPOTLIGHT CASE
Chest Pain in a Rural Hospital
Citation Text:
MacKinney CA, Mohr NM. Chest Pain in a Rural Hospital. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2018.
Copy Citation
Format:
Google Scholar Bi…