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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49434/psn-pdf
    February 01, 2004 - Undiagnosed Vaginal Bleeding February 1, 2004 Mandelblatt J. Undiagnosed Vaginal Bleeding . PSNet [internet]. 2004. https://psnet.ahrq.gov/web-mm/undiagnosed-vaginal-bleeding The Case The patient is a 34-year-old gravida 3, para 3 woman with a 2-year history of increasingly profuse vaginal bleeding. Over the past…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49703/psn-pdf
    March 01, 2014 - After-Visit Confusion March 1, 2014 Ventres W. After-Visit Confusion. PSNet [internet]. 2014. https://psnet.ahrq.gov/web-mm/after-visit-confusion The Case An otherwise healthy 18-year-old woman presented to an urgent care clinic with new bumps and white spots near her tongue. The patient's mother accompanied her …
  3. www.ahrq.gov/sites/default/files/wysiwyg/nhguide/6_TK1_T1-Talking_with_Residents_Final.pdf
    October 01, 2016 - Nursing Home Antimicrobial Stewardship Guide Educate & Engage Residents, Family Toolkit To Educate and Engage Residents and Family Members Tool 1. Talking With Residents These talking points are presented in Q&A format to encourage an open and respectful dialogue between nurses or prescribing clinicians and res…
  4. www.ahrq.gov/sites/default/files/wysiwyg/nhguide/6_TK1_T2-Talking_with_Residents_Family_Members_Final.docx
    October 01, 2016 - Tool 2. Talking With Residents’ Family Members These talking points are presented in Q&A format to encourage an open and respectful dialogue between nurses or prescribing clinicians and residents’ family members about antibiotics and the risks involved with taking antibiotics. The talking points are designed to: (1) ed…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33611/psn-pdf
    July 01, 2005 - In Conversation with…Christopher P. Landrigan, MD April 1, 2005 In Conversation with…Christopher P. Landrigan, MD. PSNet [internet]. 2005. https://psnet.ahrq.gov/perspective/conversation-withchristopher-p-landrigan-md Editor's Note: In October 2004, in what immediately became a landmark paper in patient safety, Dr.…
  6. www.ahrq.gov/professionals/prevention-chronic-care/improve/coordination/webinar05/mixedmethods.html
    June 01, 2017 - Advanced Methods in Delivery System Research - Planning, Executing, Analyzing, and Reporting Research on Delivery System Improvement Webinar #5: Mixed Methods (Slide Presentation) This slide presentation was presented at a webinar on December 3, 2013. Slide 1 Advanced Methods Webinars: Integrating Mixed…
  7. www.ahrq.gov/sites/default/files/wysiwyg/professionals/prevention-chronic-care/improve/coordination/webinar05/mixed_methods.pptx
    December 03, 2013 - Advanced Methods in Delivery System Research – Planning, Executing, Analyzing, and Reporting Research on Delivery System Improvement Webinar #1: Fuzzy Set Analysis Advanced Methods Webinars: Integrating Mixed Methods in Health Services and Delivery System Research Presenters: Benjamin Crabtree, PhD Michael K. Magi…
  8. www.ahrq.gov/teamstepps-program/curriculum/intro/explain.html
    July 01, 2023 - Section 2: Explanation and Value of the TeamSTEPPS Curriculum  This section contains explanations and illustrations to help you better understand and appreciate the structure and importance of the TeamSTEPPS curriculum and its key concepts. If you teach this content or want additional insights into how the mate…
  9. www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/03-sops-riverside-handoffs-webcast-hansford.pdf
    January 01, 2023 - Improving Hospital Handoffs Using AHRQ’s Surveys on Patient Safety Culture® Hospital Survey - Hansford and Murray Assessing Patient Safety Culture to Improve Hospital Handoffs Ashley Hansford, BS, CPPS Patient Safety Manager Lauren Murray, MSN, RN, CMSRN Director of Nursing, Med/Surg Unit Riverside Health Sys…
  10. Facapplycusp (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/apply/facapplycusp.docx
    June 02, 2025 - SAY: The “Apply CUSP” module of the Comprehensive Unit-based Safety Program (or CUSP) Toolkit introduces Just Culture principles, which emphasize shared accountability and attitudes toward risk. This module also summarizes the concepts and activities of the other six modules in the CUSP Toolkit. Slide 1 SAY: In th…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33625/psn-pdf
    January 01, 2006 - Aviation Safety Methods: Quickly Adopted but Questions Remain January 1, 2006 Thomas EJ. Aviation Safety Methods: Quickly Adopted but Questions Remain. PSNet [internet]. 2006. https://psnet.ahrq.gov/perspective/aviation-safety-methods-quickly-adopted-questions-remain Perspective On August 2, 2005, Air France flig…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49731/psn-pdf
    April 01, 2015 - Fire in the Hole!—An OR Fire April 1, 2015 Mehta SP, Domino KM. Fire in the Hole!—An OR Fire. PSNet [internet]. 2015. https://psnet.ahrq.gov/web-mm/fire-hole-or-fire The Case A patient was taken to the operating room (OR) to undergo a planned laparoscopic subtotal colon resection for a biopsy-proven adenocarcinom…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49694/psn-pdf
    October 01, 2013 - Are You Mrs. A? An Issue of Identification Over Telephone October 1, 2013 Adelman JS. Are You Mrs. A? An Issue of Identification Over Telephone. PSNet [internet]. 2013. https://psnet.ahrq.gov/web-mm/are-you-mrs-issue-identification-over-telephone The Case Mr. A was a 78-year-old man admitted with non-ST elevation…
  14. psnet.ahrq.gov/web-mm/point-care-mixup-1-shot-turns-3
    February 14, 2024 - Point-of-care Mixup: 1 Shot Turns Into 3 Citation Text: Berberich RF. Point-of-care Mixup: 1 Shot Turns Into 3. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017. Copy Citation Format: Google Scholar BibTeX EndNote X3…
  15. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/workforce-financing/workforce-executive-summary.pdf
    October 01, 2016 - AHRQ New Models of Primary Care Workforce and Financing - Executive Summary New Models of Primary Care Workforce and Financing Executive Summary AHRQ New Models of Primary Care Workforce and Financing Executive Summary Prepared for: Agency for Healthcare Research and …
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49607/psn-pdf
    August 01, 2010 - Missed Patient Assignment: Is Anyone There? August 1, 2010 Sittig DF, Campbell EM, Singh H. Missed Patient Assignment: Is Anyone There? PSNet [internet]. 2010. https://psnet.ahrq.gov/web-mm/missed-patient-assignment-anyone-there The Case In one hospital, nurses' patient assignments were communicated by listing the…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33782/psn-pdf
    March 01, 2015 - Where Does Risk-Adjusted Mortality Fit Into a Safety Measurement Program? March 1, 2015 Scott IA. Where Does Risk-Adjusted Mortality Fit Into a Safety Measurement Program? PSNet [internet]. 2015. https://psnet.ahrq.gov/perspective/where-does-risk-adjusted-mortality-fit-safety-measurement-program Perspective Much…
  18. psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.272_slideshow.ppt
    July 01, 2012 - Spotlight Case July 2008 Spotlight Case Not-So-Therapeutic Tap * * Source and Credits This presentation is based on the July 2012 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available Commentary by: Jeffrey H. Barsuk, MD, MS; Northwestern University Feinberg Scho…
  19. digital.ahrq.gov/sites/default/files/docs/page/2006ClancyKeyesYoung_051211comp.pdf
    June 16, 2021 - Acknowledging Our Track Chairs Acknowledging Our Track Chairs  Steve Simon, Harvard Medical School  Jack Starmer, Vanderbilt University  Atif Zafar, Indiana University  Marc Overhage, Regenstrief Institute  Mark Frisse, Vanderbilt University  Jan Walker, Partners Health Care and Cntr for Health IT Leadership  …
  20. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/situ/simulation_cord-prolapse.docx
    May 01, 2017 - AHRQ Safety Program for Perinatal Care: Sample Scenario for Umbilical Cord Prolapse In Situ Simulation AHRQ Safety Program for Perinatal Care Sample Scenario for Umbilical Cord Prolapse In Situ Simulation Sample Scenario for Umbilical Cord Prolapse In Situ Simulation Purpose of the tool: The Umbilical Cord Prolapse …