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9001. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44345/psn-pdf
      October 05, 2015 - Apologies following an adverse medical event: the importance of focusing on the consumer's needs. October 5, 2015 Allan A, McKillop D, Dooley J, et al. Apologies following an adverse medical event: The importance of focusing on the consumer's needs. Patient Educ Couns. 2015;98(9):1058-62. doi:10.1016/j.pec.2015.06…

9002. Methods To Deploy Training | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/quality/tools/cauti-ltc/methods-to-deploy.html
      March 01, 2017 - Methods To Deploy Training In-Service Education . Use the content as part of monthly in-service training. Consider engaging the staff by assigning a section to each person and having them teach their peers. The educator can be present to clarify points or answer questions. Self-Guided Learning . If you …

9003. Role of Practice Facilitators in Primary Care | Agency for Healthcare Research and Quality
      www.ahrq.gov/evidencenow/projects/heart-health/research-results/results/webinars/practice-facilitation.html
      March 01, 2021 - Role of Practice Facilitators in Primary Care August 2, 2017: Creating a Learning Health Care System: The Role of Practice Facilitators in Primary Care This EvidenceNOW Webinar provided information about the important role practice facilitators—specially trained coaches who are often clinicians themselves—pla…

9004. How to Train Medical Assistants for Expanded Roles: Webinar | Agency for Healthcare Research and Quality
      www.ahrq.gov/evidencenow/tools/train-medical-assitant.html
      November 01, 2018 - How to Train Medical Assistants for Expanded Roles: Webinar Resource: Video: Medical Assistants: Empowering and Effectively using crucial members of your patient care team – Part 2 (http://www.screencast.com/users/chsresults/folders/HVH%20Maintenance%20Videos/media/aba50466-3f29-4ed8-b11b-3a39ec3bc07e) In al…

9005. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46952/psn-pdf
      January 01, 2019 - Perspectives on patient and family engagement with reduction in harm: the forgotten voice. December 21, 2018 Schenk EC, Bryant RA, Van Son CR, et al. Perspectives on Patient and Family Engagement With Reduction in Harm: The Forgotten Voice. J Nurs Care Qual. 2019;34(1):73-79. doi:10.1097/NCQ.0000000000000333. htt…

9006. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50936/psn-pdf
      February 26, 2020 - Sitters as a patient safety strategy to reduce hospital falls: a systematic review. February 26, 2020 Greeley AM, Tanner EP, Mak S, et al. Sitters as a Patient Safety Strategy to Reduce Hospital Falls. Ann Intern Med. 2020;172(5):317-324. doi:10.7326/m19-2628. https://psnet.ahrq.gov/issue/sitters-patient-safety-st…

9007. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50744/psn-pdf
      December 18, 2019 - EMS crews brought patients to the hospital with misplaced breathing tubes. None of them survived December 18, 2019 Arditi L. Peoples Public Radio. December 3, 2019. https://psnet.ahrq.gov/issue/ems-crews-brought-patients-hospital-misplaced-breathing-tubes-none-them- survived Emergency medical services are often p…

9008. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/867748/psn-pdf
      March 12, 2025 - Adverse events involving telehealth in the Veterans Health Administration. March 12, 2025 Mills PD, Tomolo A, Yackel EE. Adverse events involving telehealth in the Veterans Health Administration. Jt Comm J Qual Patient Saf. 2024;Epub Dec 20. doi:10.1016/j.jcjq.2024.12.002. https://psnet.ahrq.gov/issue/adverse-even…

9009. AppendixJ_AHRQ_CDSPain (doc file)
      digital.ahrq.gov/sites/default/files/docs/citation/appendix-j-cdspain-additional-resources.docx
      July 31, 2024 - AppendixJ_AHRQ_CDSPain Appendix J. Additional Resources The resources outlined in Appendix J are meant to provide the practice champion, implementation team, and clinicians with additional resources to support their learning and improvement efforts. Clinician Resources · Prescribing opioids · Strategies to engage with…

9010. VHA’s National Falls Collaborative and Prevention Programs (pdf file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Stalhandske2_70.pdf
      March 01, 2006 - Toolkit, which is a compendium of information, sample policies, templates, presentations, posters, and videos … NCPS added articles to the annotated resource list, changed the format of the toolkit, modified the videos … media box contains three 11" x 17" posters; three DVDs, each containing one of the aforementioned videos … ; one VHS tape containing all three videos; and a small box containing two styles of sample buttons

9011. VHA’s National Falls Collaborative and Prevention Programs (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Stalhandske2_70.pdf
      March 01, 2006 - Toolkit, which is a compendium of information, sample policies, templates, presentations, posters, and videos … NCPS added articles to the annotated resource list, changed the format of the toolkit, modified the videos … media box contains three 11" x 17" posters; three DVDs, each containing one of the aforementioned videos … ; one VHS tape containing all three videos; and a small box containing two styles of sample buttons

9012. Proceedings from AHRQ Summit on Transforming Care for People Living with Multiple Chronic Conditions (pdf file)
      www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/mcc-summit/mcc-summit-proceedings.pdf
      October 01, 2021 - Brief summaries of each of these sessions follow below with links to presenters’ videos and slides where … Background on all three reviews was provided to participants in videos and presentations. … In videos shared prior to the Summit, and during their Summit presentations, the authors shared the

9013. Proceedings from AHRQ Summit on Transforming Care for People Living with Multiple Chronic Conditions (pdf file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/mcc-summit/mcc-summit-proceedings.pdf
      October 01, 2021 - Brief summaries of each of these sessions follow below with links to presenters’ videos and slides where … Background on all three reviews was provided to participants in videos and presentations. … In videos shared prior to the Summit, and during their Summit presentations, the authors shared the

9014. Proceedings from AHRQ Summit on Transforming Care for People Living with Multiple Chronic Conditions (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/mcc-summit/mcc-summit-proceedings.pdf
      October 01, 2021 - Brief summaries of each of these sessions follow below with links to presenters’ videos and slides where … Background on all three reviews was provided to participants in videos and presentations. … In videos shared prior to the Summit, and during their Summit presentations, the authors shared the

9015. Diagnosis of Celiac Disease: Current State of the Evidence | Effective Health Care (EHC) Program
      effectivehealthcare.ahrq.gov/products/celiac-disease/clinician
      July 26, 2016 - Diagnosis of Celiac Disease: Current State of the Evidence Clinician Summary Archived July 26, 2016 Download Main Document PDF 884.8 KB Archived: This report is greater than 3 years old. Findings may be used for research purposes, but should not be considered current.   Focus of This Summary This…

9016. Diagnosis of Celiac Disease: Current State of the Evidence (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pdf/celiac-disease_clinician.pdf
      July 01, 2016 - Diagnosis of Celiac Disease: Current State of the Evidence Diagnosis of Celiac Disease: Current State of the Evidence Background Focus of This Summary This is a summary of a systematic review evaluating the evidence regarding the comparative accuracy (the balance of sensitivity and specificity) and possible adv…

9017. Diagnosis of Celiac Disease: Current State of the Evidence (pdf file)
      effectivehealthcare-admin.ahrq.gov/sites/default/files/pdf/celiac-disease_clinician.pdf
      July 01, 2016 - Diagnosis of Celiac Disease: Current State of the Evidence Diagnosis of Celiac Disease: Current State of the Evidence Background Focus of This Summary This is a summary of a systematic review evaluating the evidence regarding the comparative accuracy (the balance of sensitivity and specificity) and possible adv…

9018. Facilitator Notes | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cusp/modules/apply/ac-cusp.html
      December 01, 2012 - Facilitator Notes CUSP Toolkit, Apply CUSP The Apply CUSP module of the CUSP Toolkit introduces Just Culture principles, which emphasize shared accountability and attitudes towards risk. This module also summarizes the concepts and activities of the other six modules in the CUSP Toolkit, including TeamSTEPPS®…

9019. Nursingnotes (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/nursing/nursingnotes.docx
      August 28, 2012 - SAY: The Role of the Nurse Manager module of the Comprehensive Unit-based Safety Program (or CUSP) Toolkit addresses the role of nursing leaders for your quality improvement initiative. This module explains the responsibilities of the nurse manager, leadership and management roles of the nurse manager, key business and…

9020. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/841139/psn-pdf
      December 14, 2022 - Open wider: Failure to use an interpreter results in fractured teeth and hypoxia during a simple elective operation. December 14, 2022 Bohringer C, Godoy L. Open wider: Failure to use an interpreter results in fractured teeth and hypoxia during a simple elective operation. PSNet [internet]. 2022. https://psnet.ah…