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psnet.ahrq.gov/node/40915/psn-pdf
January 04, 2012 - Simulation in obstetric anesthesia.
January 4, 2012
Pratt SD. Focused review: simulation in obstetric anesthesia. Anesth Analg. 2012;114(1):186-90.
doi:10.1213/ANE.0b013e3182377bbc.
https://psnet.ahrq.gov/issue/simulation-obstetric-anesthesia
This review examines how simulation training can improve performance, id…
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psnet.ahrq.gov/node/36296/psn-pdf
October 22, 2010 - Crew resource management: applications in healthcare
organizations.
October 22, 2010
Oriol MD. Crew resource management: applications in healthcare organizations. J Nurs Adm.
2006;36(9):402-406.
https://psnet.ahrq.gov/issue/crew-resource-management-applications-healthcare-organizations
The author describes the pr…
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psnet.ahrq.gov/node/36423/psn-pdf
December 22, 2010 - Care transitions: a threat and an opportunity for patient
safety.
December 22, 2010
Clancy CM. Care Transitions: A Threat and an Opportunity for Patient Safety. American Journal of Medical
Quality. 2006;21(6). doi:10.1177/1062860606293537.
https://psnet.ahrq.gov/issue/care-transitions-threat-and-opportunity-patien…
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psnet.ahrq.gov/node/41111/psn-pdf
May 21, 2014 - Are they safe in there? Patient safety and trainees in the
practice.
May 21, 2014
Byrnes PD, Crawford M, Wong B. Are they safe in there? - patient safety and trainees in the practice. Aust
Fam Physician. 2012;41(1-2):26-9.
https://psnet.ahrq.gov/issue/are-they-safe-there-patient-safety-and-trainees-practice
This …
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www.ahrq.gov/sites/default/files/wysiwyg/sops/databases/medical-office/2016-report-part-1.pdf
January 01, 2016 - on-the-job training,
trains staff on new processes, and does not assign staff
tasks they have not been trained … Staff in this office are asked to do tasks they haven't
been trained to do. (C10R)
70%
6. … Staff in this office are asked to do tasks they haven’t
been trained to do. … 56%
Item C10R - negatively
worded
“Staff in this office are
asked to do tasks they
haven’t been trained
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/field-triage-glascow_executive.pdf
January 01, 2017 - Glasgow Coma Scale for Field Triage of Trauma: A Systematic Review
1
ww
Comparative Effectiveness Review
Number 182
Glasgow Coma Scale for Field Triage of
Trauma: A Systematic Review
Executive Summary
Background
Unintentional injuries are the leading
cause of death among people in the United
States ages 1 to…
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www.ahrq.gov/sites/default/files/2024-01/crystal-report.pdf
January 01, 2024 - Final Progress Report: Improving Medication Safety in Nursing Home Dementia Care
Title of Project: Improving Medication Safety in Nursing Home Dementia Care
Principal Investigator: Stephen Crystal, Ph.D.
Team Members: Stephen Crystal, Richard Hermida, Olga Jarrin, Marsha Rosenthal, Beth Angell,
Sharon Cook, Shere…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_1-introduction.pptx
July 01, 2023 - Introduction _x000b_to the SPPC-II Teamwork Toolkit _x000b_for Obstetric Hemorrhage - PowerPoint Presentation
SPPC-II
Toolkit
Introduction
to the SPPC-II Teamwork Toolkit
for Obstetric Hemorrhage
Module 1 of 8
AHRQ Pub. No. 23-0046
July 2023
Hospital AIM Team
Leads
SPPC-II
SCRIPT
Thank you for participating in …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy1/Strat1_Tool_5_InfoSession_508.pptx
June 02, 2025 - Strategy 1: Working with Patients & Families as Advisors (Tool 5)
Insert hospital logo here
Become a Patient
and Family Advisor:
Information Session
[Hospital Name | Presenter name and title | Date of presentation]
Strategy 1: Patient & Family Advisor Information Session (Tool 5)
Guide to Patient & Family Engag…
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www.ahrq.gov/news/events/nac/2017-07-nac/nacmtg0717-minutes.html
November 01, 2017 - Meeting Minutes, July 2017
National Advisory Council
Minutes from the July 26, 2017, meeting of the Agency for Healthcare Research and Quality's National Advisory Council.
Contents
Summary
Call to Order and Approval of November 2, 2016, Summary Report
Director's Update
Update on Learning Health Care…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Lapane.pdf
March 09, 2005 - Technology for Improving Medication Monitoring in Nursing Homes
401
Technology for Improving Medication
Monitoring in Nursing Homes
Kate L. Lapane, Kathleen Cameron, Janice Feinberg
Abstract
A 1997 report entitled Prescription Drug Use in Nursing Homes, by the
Department of Health and Human Services’ Office…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Meadows.pdf
December 01, 2003 - The Incident Decision Tree: Guidelines for Action Following Patient Safety Incidents
387
The Incident Decision Tree: Guidelines for
Action Following Patient Safety Incidents
Sandra Meadows, Karen Baker, Jeremy Butler
Abstract
The National Patient Safety Agency has developed the Incident Decision Tree to
hel…
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psnet.ahrq.gov/web-mm/dressed-failure
September 01, 2011 - DRESSed for Failure
Citation Text:
Abramson EL, Kaushal R. DRESSed for Failure. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2013.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagge…
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psnet.ahrq.gov/web-mm/recurrent-appendicitis
January 15, 2020 - "Recurrent" Appendicitis
Citation Text:
Greenberg CC. "Recurrent" Appendicitis. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2010.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagge…
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psnet.ahrq.gov/web-mm/departure-central-line-ritual
October 13, 2018 - Departure From Central Line Ritual
Citation Text:
Ballard DW, Vinson DR, Mark DG. Departure From Central Line Ritual. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2015.
Copy Citation
Format:
Google Scholar BibTeX EndN…
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psnet.ahrq.gov/web-mm/shortcuts-acetaminophen-induced-liver-failure
July 01, 2017 - Shortcuts to Acetaminophen-induced Liver Failure
Citation Text:
Bacak S, Thornburg L. Shortcuts to Acetaminophen-induced Liver Failure. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2018.
Copy Citation
Format:
Google S…
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integrationacademy.ahrq.gov/products/playbooks/moud-playbook/implementing-treatment/engaging-patients-in-treatment
January 01, 2023 - An official website of the Department of Health & Human Services
Search All AHRQ Sites
Careers
Contact Us
Español
FAQs
Email Updates
The Academy
Integrating Behavioral Health & Primary Care
Expand Navi…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/027-cusp-program-sustainability-fg.docx
April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI
CUSP Program Sustainability
Surgical Services
For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries
Slide Title and Commentary
Slide Number and Slide
Program Sustainability
SAY:
Welcome to this presentation on optimizing CUSP Program sustain…
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www.ahrq.gov/sites/default/files/wysiwyg/topics/IAWG-July-2024-meeting-notes.pdf
January 01, 2024 - Federal Interagency Workgroup: Improving Diagnostic Safety and Quality in Healthcare July Meeting Summary
Federal Interagency Workgroup:
Improving Diagnostic Safety and Quality in Healthcare
July Meeting Summary
Workgroup Goal: Established by Senate Report 115-150. The Senate Committee on
Appropriations requ…
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psnet.ahrq.gov/node/38093/psn-pdf
September 24, 2008 - Beth Israel cited for residents' long hours—facing review
for accreditation.
September 24, 2008
Kowalczyk L.
https://psnet.ahrq.gov/issue/beth-israel-cited-residents-long-hours-facing-review-accreditation
This article reports on violations of ACGME work hour restrictions in some Boston hospitals. Approximately
9%…