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7521. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46624/psn-pdf
      November 29, 2017 - Empowerment failure: how shortcomings in physician communication unwittingly undermine patient autonomy. November 29, 2017 Ubel PA, Scherr KA, Fagerlin A. Empowerment Failure: How Shortcomings in Physician Communication Unwittingly Undermine Patient Autonomy. Am J Bioeth. 2017;17(11):31-39. doi:10.1080/15265161.20…

7522. Conclusion | Agency for Healthcare Research and Quality
      www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-sustainability-centers-of-excellence7.html
      April 01, 2025 - Four Pillars for Sustainable Centers of Excellence Conclusion Previous Page Next Page Table of Contents Four Pillars for Sustainable Centers of Excellence Introduction Center of Excellence Operations Alignment Integration Leadership Support Windows of Opportunity Conclusion Acknowled…

7523. Subcommittee Member: Charlene Wong | Agency for Healthcare Research and Quality
      www.ahrq.gov/cpi/about/nac/pcortf-snac/wong.html
      November 01, 2022 - Subcommittee Member: Charlene Wong Charlene Wong, M.D. Assistant Secretary for Children and Families North Carolina Department of Health and Human Services Associate Professor, Pediatrics and Public Policy Duke University Charlene Wong, M.D., serves as the assistant secretary for children and families…

7524. 5-Minute Learning Modules for Frontline Staff | Agency for Healthcare Research and Quality
      www.ahrq.gov/nursing-home/learning-modules/index.html
      March 01, 2023 - 5-Minute Learning Modules for Frontline Staff These brief videos offer self-paced learning for those on the front lines of nursing home care. This includes nursing assistants, housekeeping, dietary, and maintenance staff, and others. Emotional and Organizational Support for Staff series This series of three…

7525. AHRQ PCOR CDS Project Kickoff (pdf file)
      cds.ahrq.gov/sites/default/files/cds/artifact/476/Pilot%20Site%20Training%20for%20Pain%20Management%20Summary%20CDS_for%20Repository_0.pdf
      July 23, 2024 - AHRQ PCOR CDS Project Kickoff Internal Distribution Only—Not for Public Release AHRQ CDS Connect – Pilot Site Training for the Clinical Decision Support (CDS) Pain Management Summary Presented by the CAMH Federally Funded Research and Development Center, operated by MITRE Internal Distribution Only—Not for …

7526. Evidence-based Practice Center Systematic Review Protocol (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pdf/patient-safety-practices_research-protocol.pdf
      November 09, 2011 - Evidence-based Practice Center Systematic Review Protocol Source: www.effectivehealthcare.ahrq.gov Published Online: November 9, 2011 Evidence-based Practice Center Systematic Review Protocol Project Title: Critical Analysis of the Evidence for Patient Safety Practices I. Background and Objectives fo…

7527. Discharged Blindly | PSNet
      psnet.ahrq.gov/web-mm/discharged-blindly
      October 26, 2022 - Discharged Blindly Citation Text: Iezzoni LI. Discharged Blindly. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2005. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS…

7528. Identify Defects Module Alternate Text | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cusp/modules/identify/alt-text.html
      March 01, 2013 - Identify Defects Module Alternate Text Slide Number and Title Slide Content Content for Alternative Text (Illustration) Slide 1 Cover Slide (CUSP Toolkit logo) The "Identify Defects Through Sensemaking" module of the Comprehensive Unit-Based Safety Program (CUSP) Toolkit. The CUSP Toolk…

7529. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/846922/psn-pdf
      March 29, 2023 - Enhancing Support for Patients’ Social Needs to Reduce Hospital Readmissions and Improve Health Outcomes March 29, 2023 https://psnet.ahrq.gov/innovation/enhancing-support-patients-social-needs-reduce-hospital-readmissions- and-improve-health Summary With increasing recognition that health is linked to the condit…

7530. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/867655/psn-pdf
      February 26, 2025 - Learning Health Systems for Patient Safety February 26, 2025 Savitz LA, Sousane Z, Mossburg SE. Learning Health Systems for Patient Safety. PSNet [internet]. 2025. https://psnet.ahrq.gov/perspective/learning-health-systems-patient-safety Despite an observable decrease in adverse events in health care over time, rat…

7531. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49812/psn-pdf
      November 01, 2017 - Specimen Almost Lost November 1, 2017 Hehe YK. Specimen Almost Lost. PSNet [internet]. 2017. https://psnet.ahrq.gov/web-mm/specimen-almost-lost The Case A 29-year-old woman presented to the hospital with a rash that had spread across her legs and abdomen. She was admitted to the medicine service for further evalu…

7532. Final Report: Regional Patient Safety Officer Conference—Learning Together Today and Tomorrow (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/schade-willis-report.pdf
      January 01, 2024 - Final Report: Regional Patient Safety Officer Conference—Learning Together Today and Tomorrow Conference Final Report Regional Patient Safety Officer Conference – Learning Together Today and Tomorrow Prepared for: Agency for Healthcare Research and Quality Project Officer: William Freeman, MPH Health Scientist …

7533. Physician and Staff Engagement: Slide Presentation | Agency for Healthcare Research and Quality
      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…

7534. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49532/psn-pdf
      March 15, 2007 - Back to Basics March 1, 2007 Hellman R. Back to Basics. PSNet [internet]. 2007. https://psnet.ahrq.gov/web-mm/back-basics The Case A 48-year-old woman with insulin-dependent diabetes mellitus presents to the emergency department with right upper quadrant pain, fever, and leukocytosis, prompting admission for pres…

7535. SOPS® Nursing Home Survey on Patient Safety (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/nursing-home-survey-english.pdf
      September 01, 2024 - SOPS® Nursing Home Survey on Patient Safety SOPS® Nursing Home Survey Version: 1.0 Language: English • For more information on getting started, selecting a sample, determining data collection methods, establishing data collection procedures, conducting a web-based survey, and preparing and analyzing data, a…

7536. Appendix A. References and Equipment Sources | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapa.html
      December 01, 2017 - The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities Appendix A. References and Equipment Sources Previous Page Next Page Table of Contents The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities Chapter 1. Introduction and Program Ove…

7537. AHRQ Works: Building Bridges Between Research and Practice (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cpi/about/impact/ahrq-works.pdf
      April 01, 2017 - AHRQ Works: Building Bridges Between Research and Practice Accelerating learning and innovation in health care delivery is what AHRQ does—every day. AHRQ tools take the “what” and translate it into the “how” by providing research-backed, practical tools that doctors and nurses can use to improve care. This doc…

7538. Part Two: Removing the Obstacles to Practice Change | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cauti-tools/ena-slides/part2.html
      October 01, 2020 - The Emergency Nurses Association Presents CAUTI Slides and Transcript Part Two: Removing the Obstacles to Practice Change Previous Page Next Page Table of Contents The Emergency Nurses Association Presents CAUTI Slides and Transcript Opening Materials: Attribution, Objectives, Introduction, and Ma…

7539. Psn-Pdf (pdf file)
      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 …

7540. Info FAQs | Agency for Healthcare Research and Quality
      www.ahrq.gov/faqs/index.html
      July 10, 2025 - Frequently Asked Questions Check to find the answers to your questions about the Agency for Healthcare Research and Quality (AHRQ) programs and activities. You can search by category or key words. You can also send us your questions or website feedback here. We will respond to your requests based on the bes…