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effectivehealthcare.ahrq.gov/sites/default/files/related_files/mhs-IV-surgical-report-cards.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 Response Protocol
Project Title: Making Healthcare Safer IV: Use of Report
Cards and Outcome Measurements to Improve the Safety of
Surgical Care
Review Questio…
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www.ahrq.gov/sites/default/files/2024-01/manojlovich-report.pdf
January 01, 2024 - Final Progress Report: Videotaping communication between physicians and nurses: A methods study
TITLE PAGE
Title of Project: Videotaping communication between physicians and nurses: A methods study
Principal Investigator and Team Members: Milisa Manojlovich (PI), Molly Harrod, Timothy Hofer, Sarah
Krein (co-inves…
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psnet.ahrq.gov/web-mm/time-death
January 03, 2017 - Time of Death?
Citation Text:
Taekman JM, Wright MC. Time of Death?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2005.
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Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId …
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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.
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Google Scholar BibTeX EndNote X3 XML EndNote …
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psnet.ahrq.gov/node/861738/psn-pdf
January 31, 2024 - A Laceration that Needed a Proper Exam, Not an X-Ray
January 31, 2024
Wander J, Barnes DK. A Laceration that Needed a Proper Exam, Not an X-Ray. PSNet [internet]. 2024.
https://psnet.ahrq.gov/web-mm/laceration-needed-proper-exam-not-x-ray
Disclosure of Relevant Financial Relationships: As a provider accredited by t…
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psnet.ahrq.gov/sites/default/files/2024-01/spotlight_case_laceration_needed_exam_not_x-ray_final.pdf
January 01, 2024 - Spotlight
Spotlight
Laceration that Needed a Proper Exam, Not an X-Ray
Source and Credits
• This presentation is based on the January 2024 AHRQ WebM&M
Spotlight Case
o See the full article at https://psnet.ahrq.gov/webmm
o CME credit is available
o Commentary by: Jazmin A. Wander, MD and David K. Barnes, MD,
F…
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www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/highlight05.html
November 01, 2013 - How are CHIPRA Quality Demonstration States encouraging health care providers to put quality measures to work?
Evaluation Highlight No. 5
Author: Leslie Foster
Contents
Key Messages
Background
Findings
Conclusions
Implications
Learn More
Endnotes
The CHIPRA Quality Demonstration …
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www.ahrq.gov/hai/tools/mvp/modules/cusp/learn-from-defects-fac-guide.html
February 01, 2017 - Learn From Defects in Care of Mechanically Ventilated Patients: Facilitator Guide
AHRQ Safety Program for Mechanically Ventilated Patients
Slide 1: Learn From Defects in Care of Mechanically Ventilated Patients
Say:
In this module, we will discuss the Learning From Defects tool. It is a very useful proc…
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www.ahrq.gov/hai/cauti-tools/archived-webinars/preventing-cauti-engaging-leadership-slides.html
December 01, 2017 - Preventing CAUTI: Engaging Clinicians and Senior Leadership to Implement Change
Slide presentation
Slide 1
Preventing CAUTI: Engaging Clinicians and Senior Leadership to Implement Change
Sanjay Saint, MD, MPH
M. Todd Greene, MPH, PhD
University of Michigan Medical School
Ann Arbor VA Medical Center …
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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…
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psnet.ahrq.gov/node/49491/psn-pdf
September 01, 2005 - Time of Death?
September 1, 2005
Taekman JM, Wright MC. Time of Death? PSNet [internet]. 2005.
https://psnet.ahrq.gov/web-mm/time-death
The Case
An 80-year-old woman with multiple illnesses, including chronic obstructive pulmonary disease (COPD),
was found pulseless and cyanotic in her hospital bed. A code was ca…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/engage/engageexecnotes.docx
June 02, 2025 - SAY:
The “Engage the Senior Executive” module of the Comprehensive Unit-based Safety Program (or CUSP) Toolkit focuses on the role and responsibilities of the senior executive within the CUSP team. Engaging a senior executive to partner with a unit will bridge the gap between senior management and frontline providers …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/implement/implement-facilitator-guide.docx
May 01, 2017 - AHRQ Safety Program for Perinatal Care
Implement Teamwork and Communication for Perinatal Safety
Implement Teamwork and Communication for Perinatal Safety
SAY:
The Implement Teamwork and Communication module of the AHRQ Safety Program for Perinatal Care will help you understand the importance of effective communicatio…
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/implement-fac-guide.html
July 01, 2023 - Implement Teamwork and Communication for Perinatal Safety: Facilitator Guide
AHRQ Safety Program for Perinatal Care
Slide 1: Implement Teamwork and Communication for Perinatal Safety
Say:
The Implement Teamwork and Communication module of the AHRQ Safety Program for Perinatal Care will help you understa…
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www.ahrq.gov/hai/tools/surgery/modules/on-boarding/overview-slides.html
December 01, 2017 - Program Overview: Slide Presentation
AHRQ Safety Program for Surgery
Slide 1: AHRQ Safety Program for Surgery—Onboarding
Program Overview
Slide 2: Mead Quotation
"Never doubt that a small group of thoughtful, committed citizens can change the world; indeed, it is the only thing that ever has."
—Ma…
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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/node/33706/psn-pdf
February 01, 2011 - In Conversation with...Brent C. James, MD, MStat
February 1, 2011
In Conversation with..Brent C. James, MD, MStat. PSNet [internet]. 2011.
https://psnet.ahrq.gov/perspective/conversation-withbrent-c-james-md-mstat
Editor's note: Brent C. James, MD, MStat, is Chief Quality Officer and Executive Director of the Insti…
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psnet.ahrq.gov/innovation/e-autopsye-biopsy-systematic-chart-review-increase-safety-and-diagnostic-accuracy
April 01, 2005 - The e-Autopsy/e-Biopsy: A Systematic Chart Review to Increase Safety and Diagnostic Accuracy Innovation
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August 30, 2023
View more articles from the…
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www.ahrq.gov/es/patient-safety/settings/hospital/red/toolkit/redtool2.html
March 01, 2013 - Re-Engineered Discharge (RED) Toolkit
Tool 2: How To Begin the Re-engineered Discharge Implementation at Your Hospital
Previous Page Next Page
Table of Contents
Re-Engineered Discharge (RED) Toolkit
Tool 1: Overview
Tool 2: How To Begin the Re-engineered Discharge Implementation at Your Hospital…
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psnet.ahrq.gov/web-mm/do-not-disturb
February 03, 2011 - SPOTLIGHT CASE
Do Not Disturb!
Citation Text:
Duffy DF, Cassel C. Do Not Disturb!. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2007.
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Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML…