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psnet.ahrq.gov/node/49604/psn-pdf
June 01, 2010 - Tacit Handover, Overt Mishap
June 1, 2010
Cooper JB, Kamdar BB. Tacit Handover, Overt Mishap. PSNet [internet]. 2010.
https://psnet.ahrq.gov/web-mm/tacit-handover-overt-mishap
The Case
A 61-year-old man was admitted for management of an infected aortic stent, which had been placed 3
years earlier to treat an abdo…
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pso.ahrq.gov/sites/default/files/wysiwyg/OnDemand%20Webinar%20Slides%20-%20June%2010%202015.pdf
January 01, 2010 - Benefits of AHRQ Patient Safety Organizations (PSOs): Success Stories From Hospital PSO Members
Benefits of AHRQ Patient Safety
Organizations (PSOs):
Success Stories from Hospital PSO Members
Webcast
June 10, 2015
2:00 – 3:00 pm ET
Need Help?
• No sound from computer speakers?
► Join us by phone: (855)…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/podcasts/Tackling_Low_Health_Literacy_Among_PCP_2012_05_01_Transcript.pdf
January 01, 2012 - Tackling Low Health Literacy Among Primary Care Patients: A Model from Missouri
Tackling Low Health Literacy Among Primary Care Patients: A Model from Missouri
May 2012 Podcast
Speaker
Stan Hudson, Associate Director, Center for Health Policy, University of Missouri; Chairman, Health Literacy
Education …
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www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/training-tools/pf-engagement-slides.html
May 01, 2017 - Patient and Family Engagement in the Surgical Environment Module
Slide 1: Patient and Family Engagement in the Surgical Environment Module
Slide 2: Learning Objectives
Image: Learning objectives are presented in a series of steps:
Define patient and family engagement.
Explain the importance of engagin…
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psnet.ahrq.gov/node/49688/psn-pdf
August 21, 2013 - Discharge Instructions in the PACU: Who Remembers?
August 21, 2013
Engel KG. Discharge Instructions in the PACU: Who Remembers? PSNet [internet]. 2013.
https://psnet.ahrq.gov/web-mm/discharge-instructions-pacu-who-remembers
The Case
A 42-year-old woman was diagnosed with a torn anterior cruciate ligament (ACL) in …
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psnet.ahrq.gov/node/50768/psn-pdf
December 27, 2019 - In Conversation With... Cindy Brach
December 27, 2019
In Conversation With.. Cindy Brach. PSNet [internet]. 2019.
https://psnet.ahrq.gov/perspective/conversation-cindy-brach
Editor’s note: Cindy Brach, MPP is a Senior Healthcare Researcher at the Agency for Healthcare
Research and Quality and is the Co-Chair of th…
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psnet.ahrq.gov/node/49703/psn-pdf
March 01, 2014 - After-Visit Confusion
March 1, 2014
Ventres W. After-Visit Confusion. PSNet [internet]. 2014.
https://psnet.ahrq.gov/web-mm/after-visit-confusion
The Case
An otherwise healthy 18-year-old woman presented to an urgent care clinic with new bumps and white
spots near her tongue. The patient's mother accompanied her …
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psnet.ahrq.gov/node/72616/psn-pdf
December 22, 2020 - Teaching dental students about patient
communication following an adverse event: a pilot educational
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/management/overview/overview-facnotes.docx
May 01, 2017 - improvement methods like the Model for Improvement, which the Institute for Healthcare Improvement has been teaching
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www.ahrq.gov/sites/default/files/publications/files/sustainability-guideapa.pdf
January 01, 2009 - Barriers or Opportunities for Improvement
(What Has Not Been Working)
My facility has adequate teaching
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www.ahrq.gov/ncepcr/communities/pbrn/registry/index.html?page=3
Category: Established State: Pennsylvania Status: Active
The Studying, Acting, Learning, and Teaching
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www.ahrq.gov/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/access/strategy6m-group-visits.html
March 01, 2020 - Evaluation of a structured treatment and teaching programme on non-insulin-dependent diabetes.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/guides/sustainability-guideapa.pdf
January 01, 2009 - Barriers or Opportunities for Improvement
(What Has Not Been Working)
My facility has adequate teaching
-
www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/data-analysis-webcast-examples-3.pdf
March 03, 2021 - The Own the Moment (OTM)
Veterans Customer Experience
workshop: Teaching customer
experience standards
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/zheng-k-et-al-2005
January 01, 2005 - Setting: An ambulatory primary care clinic of an urban teaching hospital offering comprehensive healthcare
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www.ahrq.gov/hai/cusp/toolkit/content-calls/best-practices.html
April 01, 2013 - Pronovost story with the young child that had a line infection and ended up dying in the world-renowned teaching … It was just teaching and showing how to do best practices. Now it’s all paid off. … After the initial 1- to 2-hour education session was done with all the PowerPoint slides and the teaching
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psnet.ahrq.gov/perspective/operationalizing-patient-safety-academic-medical-centers
August 01, 2010 - Effectiveness of teaching quality improvement to clinicians: a systematic review. … Effect of work-hours regulations on intensive care unit mortality in United States teaching
-
www.ahrq.gov/sites/default/files/2025-03/chaudhry-report.pdf
January 01, 2025 - units included the MICU and those that represent general medicine services at an
urban, northeastern teaching … Study
units included the YNHH general medicine service, including hospitalist units and teaching services … Methods: Study units were drawn from the general medicine services at an urban, northeastern teaching … The study
units were composed of the YNHH general medicine services, including hospitalist units and teaching … facilities, including the
introduction of structured interdisciplinary bedside rounds on selected teaching
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psnet.ahrq.gov/node/49819/psn-pdf
February 01, 2018 - in which
a refined handoff bundle was implemented in nine pediatric residency programs in leading teaching
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/be-prepared_webinar_slides.pdf
January 01, 2015 - Be Prepared to Be Engaged
1
Be Prepared to Be
Engaged
AHRQ
Guide to Improving Patient Safety in Primary
Care Settings by Engaging Patients and
Families
Speaker
Kelly Smith, PhD
Scientific Director, Quality & Safety
Co-PI, AHRQ Guide to Improve Patient Safety
in Primary Care Settings by Engaging …