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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Spehar.pdf
April 18, 2004 - Survival analyses and
other statistical techniques were used. … from the patient’s
home setting and are often forced to rely on poor communication and
coordination techniques … Interviewers received training in qualitative interviewing techniques as well as
human subject protection
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/cancer-pancreas_disposition-comments.pdf
September 23, 2014 - Page 20
of 260 (line
46):
“Key Question 3: What are the rates of harms of imaging techniques…”
Most … Comments
Reveiwer agrees with our conclusions on Key Question 3: What are the
rates of harms of imaging techniques … Reviewer agrees with our conclusions on Key Question 4: What is the
screening accuracy of imaging techniques
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psnet.ahrq.gov/perspective/what-weve-learned-about-leveraging-leadership-and-culture-affect-change-and-improve
March 01, 2017 - What We've Learned About Leveraging Leadership and Culture to Affect Change and Improve Patient Safety
Sara J. Singer, MBA, PhD | September 1, 2013
View more articles from the same authors.
Citation Text:
Singer SJ. What We've Learned About Leveraging Leadership a…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/webinars/webinar7_pu_measuringrates.pdf
April 01, 2011 - Measuring Pressure Ulcer Rates and Prevention Practices
Measuring Pressure Ulcer
Rates and Prevention
Practices
Presented by
Karen Zulkowski, D.N.S., RN
Montana State University
2
Welcome!
Thank you for joining this webinar about how to
measure pressure ulcer rates and prevention
practices.
A Little…
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psnet.ahrq.gov/perspective/conversation-lorri-zipperer-ma
February 26, 2025 - In Conversation With… Lorri Zipperer, MA
November 1, 2015
Citation Text:
In Conversation With… Lorri Zipperer, MA. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2015.
Copy Citation
For…
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psnet.ahrq.gov/node/73554/psn-pdf
July 28, 2021 - EMS Patient Safety in the Field
July 28, 2021
Augustine JJ, Fitall E, Hall KK, et al. EMS Patient Safety in the Field. PSNet [internet]. 2021.
https://psnet.ahrq.gov/perspective/ems-patient-safety-field
Introduction
Emergency medical services (EMS) personnel serve a critical role within the care continuum. They ar…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.127_slideshow.ppt
May 01, 2006 - Spotlight Case
Spotlight Case May 2006
Right? Left? Neither!
Source and Credits
This presentation is based on the May 2006
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available through the Web site
Commentary by: Elizabeth A. Howell, MD, MPP; Mark R. Chassin, MD…
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www.ahrq.gov/sites/default/files/wysiwyg/topics/impact-opioid-final.pdf
November 01, 2018 - Opioids AHRQ Works: Building Bridges Between Research and Practice
Opioids
Deaths from drug overdoses have risen steadily over the
past 2 decades. The misuse of opioids, such as
prescription pain medications and heroin, has become
widespread across the United States. In response to
dramatic increa…
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www.ahrq.gov/teamstepps-program/curriculum/situation/tools/index.html
June 01, 2023 - Section 2: Explanation of Key Concepts and Tools
This section contains explanations and illustrations to help you better understand and appreciate the importance of situation monitoring and TeamSTEPPS situation monitoring tools. If you teach this content or want additional insights on how the material can be mo…
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psnet.ahrq.gov/node/49791/psn-pdf
April 01, 2017 - Wrong-side Bedside Paravertebral Block: Preventing the
Preventable
April 1, 2017
Barrington MJ, Uda Y. Wrong-side Bedside Paravertebral Block: Preventing the Preventable. PSNet
[internet]. 2017.
https://psnet.ahrq.gov/web-mm/wrong-side-bedside-paravertebral-block-preventing-preventable
The Case
An 84-year-old wo…
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psnet.ahrq.gov/node/33860/psn-pdf
June 01, 2018 - Safety Considerations in Building a Point-of-Care
Ultrasound Program
June 1, 2018
Moore C. Safety Considerations in Building a Point-of-Care Ultrasound Program. PSNet [internet]. 2018.
https://psnet.ahrq.gov/perspective/safety-considerations-building-point-care-ultrasound-program
Perspective
At the American Colle…
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www.ahrq.gov/hai/tools/mvp/modules/cusp/physician-staff-engagement-slides.html
March 01, 2017 - Physician and Staff Engagement: Slide Presentation
AHRQ Safety Program for Mechanically Ventilated Patients
Slide 1: AHRQ Safety Program for Mechanically Ventilated Patients
Physician and Staff Engagement
Slide 2: Learning Objectives
After this session, you will be able to—
Identify the importan…
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www.ahrq.gov/hai/tools/mvp/modules/cusp/learn-from-defects-slides.html
February 01, 2017 - Learn From Defects in Care of Mechanically Ventilated Patients: Slide Presentation
AHRQ Safety Program for Mechanically Ventilated Patients
Slide 1: AHRQ Safety Program for Mechanically Ventilated Patients
Learn From Defects in Care of Mechanically Ventilated Patients
Slide 2: Learning Objectives
Af…
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psnet.ahrq.gov/node/49803/psn-pdf
January 01, 2018 - Point-of-care Mixup: 1 Shot Turns Into 3
August 1, 2017
Berberich RF. Point-of-care Mixup: 1 Shot Turns Into 3. PSNet [internet]. 2017.
https://psnet.ahrq.gov/web-mm/point-care-mixup-1-shot-turns-3
The Case
A 2-month-old boy was brought in for a routine 2-month well-child visit. The exam was completed and the
app…
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www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/module-3-slides.pdf
February 09, 2022 - Understanding Your Workflow
Processes to Prepare for Systems
Change
S te v e n Ke tey i a n , P h D
M c Ke n z i e Pe c k m a n , M S , AC S M -
C E P
Module 3
Today’s Training Session
2
PURPOSE
Training sessions guided by the Million
Hearts®/AACVPR Cardiac Rehabilitation
Change Package (CRCP), locate…
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psnet.ahrq.gov/node/49827/psn-pdf
April 01, 2018 - Walking Patient, Missing Drain
April 1, 2018
Olkowski BF, Ravenel M, Stiefel MF. Walking Patient, Missing Drain. PSNet [internet]. 2018.
https://psnet.ahrq.gov/web-mm/walking-patient-missing-drain
The Case
A 43-year-old woman with a history of metastatic breast cancer was admitted to the hospital for an elective
…
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psnet.ahrq.gov/node/49623/psn-pdf
March 01, 2011 - Are We Pushing Graduate Nurses Too Fast?
March 1, 2011
Spector ND. Are We Pushing Graduate Nurses Too Fast? . PSNet [internet]. 2011.
https://psnet.ahrq.gov/web-mm/are-we-pushing-graduate-nurses-too-fast
The Case
A middle-aged man was admitted to the surgical intensive care unit (SICU) following a complex surgical…
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psnet.ahrq.gov/primer/strategies-and-approaches-tracking-improvements-patient-safety
June 15, 2024 - Strategies and Approaches for Tracking Improvements in Patient Safety
Citation Text:
Shaikh U. Strategies and Approaches for Tracking Improvements in Patient Safety . PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2021.
Copy Citat…
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-terminology5.html
April 01, 2025 - Exploration of Foundational Terminology and Paradigms for Improving Diagnosis
Conceptual Paradigms of Diagnostic Quality, Safety, and Excellence
Previous Page Next Page
Table of Contents
Exploration of Foundational Terminology and Paradigms for Improving Diagnosis
Introduction
Perspectives on Di…
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digital.ahrq.gov/sites/default/files/docs/data-visualization-qas-10192022.pdf
October 19, 2022 - AHRQ Webinar: Optimizing Data Visualization to Improve Care - Q&As
AHRQ Webinar on Optimizing Data Visualization to Improve Care
October 19, 2022
Richelle J. Koopman, M.D., M.S.
University of Missouri
QUESTION: How do you try to distinguish which blood pressure (BP) measurements are obtained using science-base…