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psnet.ahrq.gov/node/49497/psn-pdf
December 01, 2005 - Slippery Slide Into Life
December 1, 2005
Halamek LP. Slippery Slide Into Life. PSNet [internet]. 2005.
https://psnet.ahrq.gov/web-mm/slippery-slide-life
The Case
A 25-year-old woman presented to the hospital in labor and at full gestation after receiving uncomplicated
prenatal care. A third-year obstetrics and g…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/health-promotion-education/cahps-strategy-6-r.pdf
April 14, 2017 - Strategies for Improving Patient Experience with Ambulatory Care: Reminder Systems for Immunizations and Preventive Services
The CAHPS Ambulatory Care
Improvement Guide
Practical Strategies for Improving Patient Experience
Section 6: Strategies for Improving Patient Experience with
Ambulatory Care
6.R. Remind…
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/situ/simulation-antepart-hemorrhage.html
July 01, 2023 - Sample Scenario for Antepartum Hemorrhage In Situ Simulation
AHRQ Safety Program for Perinatal Care
Purpose of the tool: The Antepartum Hemorrhage In Situ Simulation tool provides a sample scenario for labor and delivery (L&D) staff to practice teamwork, communication, and technical skills in the…
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/situ/simulation-slides.html
July 01, 2023 - Establishing a Program of In Situ Simulations: Slide Presentation
AHRQ Safety Program for Perinatal Care
Slide 1: AHRQ Safety Program for Perinatal Care
Establishing a Program of In Situ Simulations
Slide 2: Learning Objectives
Image: Four ascending steps show the learning objectives:
Describe i…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/situ/simulation_postpart-hemorrhage.docx
May 01, 2017 - AHRQ Safety Program for Perinatal Care: Sample Scenario for Postpartum Hemorrhage In Situ Simulation
AHRQ Safety Program for Perinatal Care
Sample Scenario for Postpartum Hemorrhage In Situ Simulation
Sample Scenario for Postpartum Hemorrhage In Situ Simulation
Purpose of the tool: The Postpartum Hemorrhage In Situ …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/situ/simulation_shoulder-dystocia.docx
May 01, 2017 - AHRQ Safety Program for Perinatal Care: Sample Scenario for Shoulder Dystocia In Situ Simulation
AHRQ Safety Program for Perinatal Care
Sample Scenario for Shoulder Dystocia In Situ Simulation
Sample Scenario for Shoulder Dystocia In Situ Simulation
Purpose of the tool: The Shoulder Dystocia In Situ Simulation tool …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/situ/simulation_antepart-hemorrhage.docx
May 01, 2017 - AHRQ Safety Program for Perinatal Care: Sample Scenario for Antepartum Hemorrhage In Site Simulation
AHRQ Safety Program for Perinatal Care
Sample Scenario for Antepartum Hemorrhage In Situ Simulation
Sample Scenario for Antepartum Hemorrhage In Situ Simulation
Purpose of the tool: The Antepartum Hemorrhage In Situ …
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/situ/simulation-postpart-hemorrhage.html
July 01, 2023 - Sample Scenario for Postpartum Hemorrhage In Situ Simulation
AHRQ Safety Program for Perinatal Care
Purpose of the tool: The Postpartum Hemorrhage In Situ Simulation tool provides a sample scenario for labor and delivery (L&D) staff to practice teamwork, communication, and technical skills in the…
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www.ahrq.gov/ncepcr/tools/transform-qi/deliver-facilitation/modules/resources.html
July 01, 2022 - AHRQ Practice Facilitation Training Modules: Additional Resources
Below are supplemental resources for each AHRQ Practice Facilitation Training Module for learners who want to delve more into the topics taught.
Introduction to AHRQ Practice Facilitation Training Modules
Access AHRQ’ practice facilit…
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hcup-us.ahrq.gov/db/nation/neds/2015HCUP_NEDS_121417.pdf
December 14, 2017 - Recommended Citation: Barrett ML. 2015 Healthcare Cost and Utilization Project
(HCUP) Nationwide Emergency Department Sample: Change in Structure and Data
Elements Caused by Transition to ICD-10-CM/PCS. ONLINE. December 14, 2017.
U.S. Agency for Healthcare Research and Quality. Available: https://www.hcup-
us.a…
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psnet.ahrq.gov/node/50769/psn-pdf
February 15, 2017 - Cultural Competence and Patient Safety
December 27, 2019
Brach C, Hall KK, Fitall E. Cultural Competence and Patient Safety. PSNet [internet]. 2019.
https://psnet.ahrq.gov/perspective/cultural-competence-and-patient-safety
Background
Culture can be defined as the “personal identification, language, thoughts, co…
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psnet.ahrq.gov/node/49547/psn-pdf
October 01, 2007 - Code Blue—Where To?
October 1, 2007
Adams BD. Code Blue—Where To? PSNet [internet]. 2007.
https://psnet.ahrq.gov/web-mm/code-blue-where
The Case
An 80-year-old man with a history of coronary artery disease, hypertension, and schizophrenia was
admitted to an inpatient psychiatry service for hallucinations and anxi…
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psnet.ahrq.gov/web-mm/one-bronchoscopy-two-errors
December 09, 2020 - One Bronchoscopy, Two Errors
Citation Text:
Leiten E, Nielsen R. One Bronchoscopy, Two Errors. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XM…
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psnet.ahrq.gov/web-mm/danger-disruption
July 29, 2020 - Danger in Disruption
Citation Text:
Fontaine DK. Danger in Disruption. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2009.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedI…
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psnet.ahrq.gov/web-mm/dont-pick-picc
December 01, 2011 - Don't Pick the PICC
Citation Text:
McGill RL. Don't Pick the PICC. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2018.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RI…
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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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www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/medicaidmgmt/mm8b.html
October 01, 2014 - Designing and Implementing Medicaid Disease and Care Management Programs
Section 8: The Care Management Evidence Base (continued)
Previous Page Next Page
Table of Contents
Designing and Implementing Medicaid Disease and Care Management Programs
Introduction
Section 1: Planning a Care Management …
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psnet.ahrq.gov/node/33883/psn-pdf
July 01, 2019 - In Conversation With… Suchi Saria, PhD
July 1, 2019
In Conversation With… Suchi Saria, PhD. PSNet [internet]. 2019.
https://psnet.ahrq.gov/perspective/conversation-suchi-saria-phd
Editor's note: Dr. Saria is the John C. Malone Assistant Professor of computer science, statistics, and
health policy at Johns Hopkins …
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/ykFSVS29KAwKzFWSXAVoMY
June 01, 2009 - Screening for Hepatitis B Virus Infection in Pregnancy: Reaffirmation Recommendation Statement
Screening for Hepatitis B Virus Infection in Pregnancy: U.S. Preventive
Services Task Force Reaffirmation Recommendation Statement
U.S. Preventive Services Task Force*
Description: Reaffirmation of the 2004 U.S. Preventive…
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psnet.ahrq.gov/node/33596/psn-pdf
June 01, 2025 - Failure to Rescue
January 29, 2025
Tokareva I, Romano P. Failure to Rescue. PSNet [internet]. 2025.
https://psnet.ahrq.gov/primer/failure-rescue
Updated in January 2025 by Irina Tokareva RN, BSN, MAS, CPHQ and Patrick Romano, MD, MPH. PSNet
primers are regularly reviewed and updated to ensure that they reflect cur…