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psnet.ahrq.gov/issue/infections-associated-reprocessed-flexible-bronchoscopes
March 11, 2015 - Press Release/Announcement
Infections associated with reprocessed flexible bronchoscopes.
Citation Text:
Infections associated with reprocessed flexible bronchoscopes. FDA Safety Communication. Silver Spring, MD: US Food and Drug Administration; September 17, 2015.
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psnet.ahrq.gov/issue/maximizing-student-potential-lessons-pharmacy-programs-patient-safety-movement
October 23, 2024 - Commentary
Maximizing student potential: lessons for pharmacy programs from the patient safety movement.
Citation Text:
Abebe E, Bao A, Kokkinias P, et al. Maximizing student potential: lessons for pharmacy programs from the patient safety movement. Explor Res Clin Soc Pharm. 2023;9:1002…
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psnet.ahrq.gov/issue/physicians-practice-dispensing-medicines-qualitative-study
November 16, 2022 - Study
Physicians' practice of dispensing medicines: a qualitative study.
Citation Text:
Darbyshire D, Gordon M, Baker P, et al. Physicians' Practice of Dispensing Medicines: A Qualitative Study. J Patient Saf. 2016;12(2):82-8. doi:10.1097/PTS.0000000000000122.
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psnet.ahrq.gov/issue/adverse-events-and-comparison-systematic-and-voluntary-reporting-paediatric-intensive-care
February 01, 2011 - Study
Adverse events and comparison of systematic and voluntary reporting from a paediatric intensive care unit.
Citation Text:
Silas R, Tibballs J. Adverse events and comparison of systematic and voluntary reporting from a paediatric intensive care unit. Qual Saf Health Care. 2010;19(…
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psnet.ahrq.gov/issue/communication-about-harm-reduction-patients-who-have-opioid-use-disorder
January 02, 2017 - Commentary
Communication about harm reduction with patients who have opioid use disorder.
Citation Text:
Hawk M, Jawa R, Kay ES. Communication about harm reduction with patients who have opioid use disorder. JAMA. 2025;333(2):163-164. doi:10.1001/jama.2024.21307.
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psnet.ahrq.gov/issue/frequency-medication-errors-intravenous-acetylcysteine-acetaminophen-overdose
March 03, 2010 - Study
Frequency of medication errors with intravenous acetylcysteine for acetaminophen overdose.
Citation Text:
Hayes BD, Klein-Schwartz W, Doyon S. Frequency of medication errors with intravenous acetylcysteine for acetaminophen overdose. Ann Pharmacother. 2008;42(6):766-70. doi:10.13…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_4-situation-monitoring-speaker-notes.pdf
July 01, 2023 - eb
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Although we upheld
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psnet.ahrq.gov/node/49514/psn-pdf
July 01, 2006 - One ACE Too Many
July 1, 2006
Juurlink DN. One ACE Too Many. PSNet [internet]. 2006.
https://psnet.ahrq.gov/web-mm/one-ace-too-many
The Case
A 72-year-old man with coronary artery disease, diabetes, and recently diagnosed congestive heart failure
presented to the emergency department (ED) with chest pain. An acut…
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psnet.ahrq.gov/node/50931/psn-pdf
February 26, 2020 - Timely diagnosis of esophageal perforation
February 26, 2020
Utter GH, Cooke DT. Timely diagnosis of esophageal perforation. PSNet [internet]. 2020.
https://psnet.ahrq.gov/web-mm/timely-diagnosis-esophageal-perforation
The Case
A man with mixed connective tissue disease on low-dose prednisone and methotrexate pre…
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www.uspreventiveservicestaskforce.org/uspstf/document/final-research-plan15/depression-in-children-and-adolescents-screening
September 15, 2013 - Share to Facebook
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Print
archived
Final Research Plan
Depression in Children and Adolescents: Screening
September 15, 2013
Recommendations made by the USPSTF are independent of the U.S. government. T…
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psnet.ahrq.gov/node/843736/psn-pdf
February 01, 2023 - Saved by ECMO
February 1, 2023
Weiss NA. Saved by ECMO . PSNet [internet]. 2023.
https://psnet.ahrq.gov/web-mm/saved-ecmo
The Case
A 27-year-old pregnant woman was admitted at an estimated gestational age (EGA) of 29 weeks for
increased shortness of breath. She was diagnosed with severe pulmonary arterial hyperte…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/nursing-home-survey-english.docx
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, and prod…
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www.ahrq.gov/cpi/about/impact/index.html
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.
Thi…
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/TK2_T4_Common_Suspected_Infections_Tools_To_Improve_Communication_and_Decisionmaking.docx
October 01, 2016 - Slide Title and Commentary
Slide Number and Slide
Title Slide
Toolkit 2. Common Suspected Infections: Communication and Decision Making for Four Infections
Tool 4. Tools To Improve Communication and Decision Making
SAY:
Today we are introducing you to new tools to help improve communication and help prescribing clin…
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www.ahrq.gov/es/patient-safety/settings/hospital/red/toolkit/ptoutcome-phone.html
March 01, 2025 - Re-Engineered Discharge (RED) Toolkit
Patient Outcome Survey (phone version)
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
How CMS Measures the "30-Day All Cause …
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www.ahrq.gov/hai/tools/mvp/modules/technical/daily-early-mobility-slides.html
February 01, 2017 - Measure Descriptions for Daily Early Mobility: Slide Presentation
AHRQ Safety Program for Mechanically Ventilated Patients
Slide 1: AHRQ Safety Program for Mechanically Ventilated Patients
Measure Descriptions for Daily Early Mobility
Slide 2: Learning Objectives
After this session, you will be able…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/overview-cuspmvp-slides.pptx
January 01, 2017 - CMV_27_M3_CUSP_SSA_Premortem
Overview of the Comprehensive Unit-based Safety Program for Application to Mechanically Ventilated Patients
AHRQ Safety Program for Mechanically Ventilated Patients
AHRQ Pub. No. 16(17)-0018-27-EF
January 2017
Overview of CUSP for MVP ‹#›
AHRQ Safety Program for Mechanically Ventilat…
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www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/reports/2024-annual-report/ncepcr-grant-summaries-table.pdf
January 01, 2024 - AHRQ Primary Care Grant Summaries: Research Profiles and Emerging Research Spotlights
Research Profiles: Title and Description Principal Investigator(s)
and Institution
P1 Does A New Care Model Improve Care for Patients with Acute Kidney Injury After Hospital Discharge?
This grant funded the implementation of a p…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/cg/overview-questionnaires-cg40-3350.pdf
November 01, 2020 - Overview of the CAHPS Clinician & Group Visit Survey 4.0 (beta)
Overview of the CAHPS Clinician & Group Visit Survey 4.0 (beta)
Document No. 3350
Page 1
CAHPS Clinician & Group Survey and Instructions
Overview of the CAHPS Clinician &
Group Visit Survey 4.0 (beta)
Introduction
This document offers an overvi…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/hp/Adult_Med_Eng_HP51_2152a.pdf
October 01, 2020 - CAHPS Health Plan Survey Adult Medicaid Survey 5.1
CAHPS Health Plan Survey
Version: Adult Medicaid Survey 5.1
Language: English
Notes
• Release of 5.1 version: The CAHPS team updated this survey in the fall of 2020. To
reflect the fact that patients are receiving health care in person, by phone, and by vide…