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psnet.ahrq.gov/sites/default/files/2024-06/spotlight_case_hemorrhagic_shock_slides_final.pptx
January 01, 2024 - useful framework for what to do when encountering unexpected intraoperative bleeding.5
The first basic technique
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psnet.ahrq.gov/web-mm/pca-overdose
April 01, 2017 - PCA Overdose
Citation Text:
Doyle JD. PCA Overdose. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2005.
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Format:
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Dow…
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effectivehealthcare.ahrq.gov/sites/default/files/mccormack-presentation.pdf
May 29, 2025 - McCormack-notes-151008 copy - Teresa
My talk today is about engaging patients with
low health
literacy.
1
Health literacy is a key factor in securing access to healthcare services. So in my talk
today, I’ll talk a little bit about health literacy and what it is, how we measure health
literacy and the sta…
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psnet.ahrq.gov/node/49424/psn-pdf
November 01, 2003 - Waiting Too Long
November 1, 2003
Rosen MA. Waiting Too Long. PSNet [internet]. 2003.
https://psnet.ahrq.gov/web-mm/waiting-too-long
The Case
A 31-year-old gravida 1, para 1 woman presented at 40 weeks in the early stages of labor having received
limited prenatal care at an outside clinic. Physical exam performed…
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/improving-communication-guide.docx
September 01, 2022 - Improving Communication Between Members of the Practice Around Antibiotic Decisions – Facilitator Guide
AHRQ Safety Program for Improving Antibiotic Use
1
Improving Communication Between Members of the Practice Around Antibiotic Decisions
Ambulatory Care
Slide Title and Commentary
Slide Number and Slide
Im…
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/heart-health/primary-prevention-cvd-with-statins.pdf
June 02, 2025 - Articulate Word Output
Primary Prevention of Cardiovascular Disease (CVD) Events with
Statins
1 Primary Prevention of Cardiovascular Disease (CVD) Events with Statins
2 Welcome by Michael Pignone, MD, MPH
Hi, my name is Dr. Michael Pignone. I’m a General Internist and faculty member at The
Univer…
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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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digital.ahrq.gov/ahrq-funded-projects/past-initiatives/ambulatory-safety-and-quality-program
January 01, 2023 - Ambulatory Safety and Quality Program (2007-2013)
Overview
The purpose of the Agency for Healthcare Research and Quality's (AHRQ's) Ambulatory Safety and Quality (ASQ) program is to improve the safety and quality of ambulatory health care in the United States. The program includes four h…
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/resources/diagnostic-toolkit/14-diagnostic-safety-toolkit-references.pdf
November 24, 2020 - References
Toolkit for Engaging Patients
To Improve Diagnostic Safety
References
Implementation Roadmap
1. Practice Facilitation Handbook. Content last reviewed May 2018. Agency for Healthcare
Research and Quality, Rockville, MD. https://www.ahrq.gov/ncepcr/tools/pf-handbook/
index.html.
Toolkit Infographic
1. …
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hospitalresourcelist.pdf
January 01, 2019 - (requires free account setup and login)
The SBAR (Situation-Background-Assessment-Recommendation) technique … Guidelines for Communicating With Physicians Using the SBAR Process” explains how
to carry out the SBAR technique … conjunction with other SBAR training materials to assess frontline staff competency
in using the SBAR technique
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/ed-catheter-insertions-transcript.doc
September 10, 2013 - for both the nurses and the physicians, and also, I will talk about the improving compliance proper technique … trauma were often placed by the most junior trainee who has the least infection prevention training and technique … catheter use and designate an appropriate staff member to place catheters, someone who has excellent technique
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/labor-delivery-unit/tool-safe-csection.html
July 01, 2023 - Labor and Delivery Unit Safety: Safe Cesarean Section
AHRQ Safety Program for Perinatal Care
Purpose of the tool: This tool describes the key perinatal safety elements related to safe cesarean section. The key elements are presented within the framework of the Comprehensive Unit-based Safety Prog…
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cdsic.ahrq.gov/sites/default/files/2023-06/InnovationCenterQ12023ProgressReportDraft.pdf
January 01, 2023 - CDSiC Innovation Center: Quarterly Report
INNOVATION CENTER PROGRESS REPORT
A P R I L 2 0 2 3
CDSiC Innovation Center:
Quarterly Report
Agency for Healthcare Research and Quality
5600 Fishers Lane
Rockville, MD 20857
www.ahrq.gov
Contract No: 75Q80120D00018
Prepared by:
NORC at the Univers…
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/cer-252-infantile-epilepsies-disposition-comments.pdf
October 25, 2022 - Methods The stringent inclusion/exclusion criteria may also explain
why some reports on recent surgical technique
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www.ahrq.gov/hai/cauti-tools/archived-webinars/cauti-sustainability-slides.html
December 01, 2017 - UA or C&S
Science of Safety video for all licensed staff
Back to Basics education on insertion technique
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs028511-held-final-report-2024.pdf
January 01, 2024 - This technique synthesizes voluminous textual data, such as electronic health
record (EHR) clinical
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www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-9-appreciative-inquiry.pdf
September 01, 2015 - A useful
technique for doing this is to hold a “gallery walk.”
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psnet.ahrq.gov/node/41683/psn-pdf
September 19, 2012 - Techniques to improve patient safety in hospitals: what
nurse administrators need to know.
September 19, 2012
Fagan MJ. Techniques to improve patient safety in hospitals: what nurse administrators need to know. J
Nurs Adm. 2012;42(9):426-430. doi:10.1097/NNA.0b013e3182664df5.
https://psnet.ahrq.gov/issue/technique…
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psnet.ahrq.gov/node/38698/psn-pdf
June 10, 2009 - Towards a framework to select techniques for error
prediction: supporting novice users in the healthcare
sector.
June 10, 2009
Lyons M. Towards a framework to select techniques for error prediction: supporting novice users in the
healthcare sector. Appl Ergon. 2009;40(3):379-95. doi:10.1016/j.apergo.2008.11.004.
…
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psnet.ahrq.gov/node/46304/psn-pdf
November 01, 2017 - Comparative performance of pediatric weight estimation
techniques: a human factor errors analysis.
November 1, 2017
Abdel-Rahman SM, Jacobsen R, Watts JL, et al. Comparative performance of pediatric weight estimation
techniques: a human factor errors analysis. Pediatr Emerg Care. 2015;33(8):548-552.
doi:10.1097/pe…