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effectivehealthcare.ahrq.gov/sites/default/files/module_iii2.ppt
May 29, 2025 - Some tips for locating potential key informants include:
Look for patients and other consumers through
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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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psnet.ahrq.gov/web-mm/wet-read
October 01, 2017 - SPOTLIGHT CASE
The Wet Read
Citation Text:
Arenson RL. The Wet Read. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2006.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagge…
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psnet.ahrq.gov/sites/default/files/2022-10/trocar_injury_final.pdf
January 01, 2022 - Spotlight
Spotlight
Fecal Contamination of the Peritoneum from
Laparoscopic Trocar Injury: A Routine
Operation Goes Wrong
Source and Credits
• This presentation is based on the October 2022 AHRQ WebM&M
Spotlight Case
o See the full article at https://psnet.ahrq.gov/webmm
o CME credit is available
o Commentary…
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psnet.ahrq.gov/node/838900/psn-pdf
October 27, 2022 - Fecal Contamination of the Peritoneum from
Laparoscopic Trocar Injury: A Routine Operation Goes
Wrong.
October 27, 2022
Ahmed SM, Ali M. Fecal Contamination of the Peritoneum from Laparoscopic Trocar Injury: A Routine
Operation Goes Wrong. PSNet [internet]. 2022.
https://psnet.ahrq.gov/web-mm/fecal-contamination-…
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www.ahrq.gov/hai/tools/surgery/modules/on-boarding/sr-exec-slides.html
December 01, 2017 - Engaging Senior Executives: Facilitator Notes
AHRQ Safety Program for Surgery
Slide 1: Engaging Senior Executives
Say:
In this module we will discuss the importance of senior engagement on your safety program team.
Slide 2: Why Do We Need an Executive?
Say:
Sometimes getting executives involved …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_sr-execs_facnotes.docx
December 01, 2017 - Facilitator Guide: Engage Senior Executives in Surgical Site Infection Prevention Work
Engaging Senior Executives – Facilitator Notes
Slide Title and Commentary
Slide Number and Slide
Title Slide
Engaging Senior Executives
SAY:
In this module we will discuss the importance of senior engagement on your safety pr…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/urinary-catheter-insertion-notes.docx
April 01, 2022 - Indwelling Urinary Catheter Insertion Facilitator Notes
CAUTI Module:
Indwelling Urinary Catheter Insertion
Facilitator Guide
Slide Number and Image
This module, titled “Indwelling Urinary Catheter Insertion Bundle,” is part of the Agency for Healthcare Research and Quality’s Safety Program for Intensive Care Un…
-
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/web-mm/airway-obstruction-during-anterior-cervical-spine-surgery
January 29, 2021 - Airway Obstruction during Anterior Cervical Spine Surgery
Citation Text:
Bohringer C, Vo L. Airway Obstruction during Anterior Cervical Spine Surgery. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2024.
Copy Citation
Format:
…
-
psnet.ahrq.gov/web-mm/hypoxemia-after-emergency-intubation
March 24, 2019 - Hypoxemia after Emergency Intubation
Citation Text:
Bohringer C, Liu H. Hypoxemia after Emergency Intubation. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2024.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 X…
-
effectivehealthcare.ahrq.gov/sites/default/files/pdf/ehc-presentation-quantitative-synthesis-chapter-4.pdf
July 01, 2019 - Quantitative Synthesis: Chapter 4. Quantifying, Testing, and Exploring Statistical Heterogeneity
Quantitative Synthesis
Chapter 4. Quantifying, Testing, and Exploring
Statistical Heterogeneity
Prepared for:
The Agency for Healthcare Research and Quality (AHRQ)
Training Modules for Systematic Reviews Methods Guid…
-
psnet.ahrq.gov/node/867357/psn-pdf
December 18, 2024 - Hypoxemia after Emergency Intubation
December 18, 2024
Bohringer C, Liu H. Hypoxemia after Emergency Intubation. PSNet [internet]. 2024.
https://psnet.ahrq.gov/web-mm/hypoxemia-after-emergency-intubation
The Case
A 19-month-old child was brought to the emergency department (ED) via ambulance after drowning in a
p…
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www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/dxsafety-facilitators-guide.pdf
February 04, 2022 - www.ahrq.gov/ncepcr/tools/pf-handbook/index.html
TeamSTEPPS® for Diagnosis Improvement 6
General Tips … TeamSTEPPS® for Diagnosis Improvement
Implementation Tip Sheet
TeamSTEPPS® for Diagnosis Improvement 7
Tips … by
sharing a story to start the conversation.
2
TeamSTEPPS® for Diagnosis Improvement 8
General Tips … resources/diagnostic-toolkit/10-diagnostic-safety-tool-
patient-note-sheet-spanish.pdf
In addition, tips
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_3-communication-speaker-notes.pdf
July 01, 2023 - Communication: Severe Hypertension
Hospital AIM
Team
Leads
SPPC‐II
Communication
Severe Hypertension
Module 3 of 8
SPPC‐II
Toolkit
SCRIPT
Welcome to Module 3 of the SPPC‐II Teamwork Toolkit. In this module we will talk about
communication and the various tools in the SPPC‐II Toolkit for improving commun…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/pfepc-fullguide-final508.pdf
April 01, 2018 - The Agency for Healthcare Research and Quality
provides tips for facilitating the quality improvement … Three Tips for Facilitating the Quality Improvement Process
1. … Overcoming Barriers to Medicine Adherence
This job aid provides some quick tips on how to overcome some … In addition, a Teach-Back Tips job aid can be used
as a training handout.
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www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/highlight03.html
August 01, 2013 - members suggest ways to improve the interaction, and actors then re-act the scenario using the audience’s tips
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digital.ahrq.gov/sites/default/files/docs/publication/r18hs017248-adams-final-report-2011.pdf
January 01, 2011 - ACQ)
a validated self-administered assessment tool for assessing asthma control; and 5) the AHRQ 20
Tips … PHP development team used
questions developed by our research team and expert guidelines (AHRQ 20 Tips … AHRQ, A., Patient Fact Sheet: 20 Tips to Help
Prevent Medical Errors In Children. 2002, Agency for
-
www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-hit-hie.pdf
June 01, 2023 - ■ An AHRQ Patient Safety Learning Labiv (PSLL) developed an electronic Fall TIPS Tool to help
patients … Key Findings/Impact: Investigators found that
implementing the Fall TIPS toolkit reduced patient fall … kYnT0DsXhE2-YQlbhGpyMg/project-details/9348608
https://www.ahrq.gov/patient-safety/settings/hospital/fall-tips
-
www.ahrq.gov/sites/default/files/publications/files/match.pdf
August 01, 2012 - Interview
Tips for Conducting a Patient Medication Interview1
I. … ■ Check Your Medicines—Tips for Taking Medicines Safely (http://www.ahrq.gov/consumer/
checkmeds.htm … ■ Quick Tips—When Getting a Prescription (http://www.ahrq.gov/consumer/quicktips/
tipprescrip.htm) … ASHP’s consumer Web site (http://www.safemedication.com/) provides safety tips on medications,
forms … The coalition offers multiple resources including tips for using medications wisely and suggestions