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4541. Spotlight on Alaska -- The National Evaluation of the CHIPRA Quality Demonstration Grant Program (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/statesummaries/chipra-750-alaska-state-snapshot.pdf
      January 01, 2018 - Spotlight on Alaska -- The National Evaluation of the CHIPRA Quality Demonstration Grant Program January 2018 This brief highlights the major strategies, lessons learned, and outcomes from Alaska’s experience in the quality demonstration funded by the Centers for Medicare & Medicaid Services (CMS) through the Chi…

4542. CHIPRA - Spotlight on New Mexico (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/statesummaries/nm-statesum.pdf
      July 01, 2015 - CHIPRA - Spotlight on New Mexico July 2015 This brief highlights the major strategies, lessons learned, and outcomes from New Mexico’s experience in the quality demonstration funded by the Centers for Medicare & Medicaid Services (CMS) through the Children’s Health Insurance Program Reauthorization Act of 2009 (…

4543. Presentation: Program Overview
      www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/assess-resident-RTI-slides.pptx
      June 01, 2021 - Presentation: Program Overview Assessment of the Resident With a Suspected Respiratory Tract Infection Long-Term Care AHRQ Safety Program for Improving Antibiotic Use AHRQ Pub. No. 17(21)-0029 June 2021 Assessment of RTI 1 Objectives Recognize the signs and symptoms of a suspected respiratory tract infection Ident…

4544. Module 2 Implementation Guide: System Change: Laying the Foundation and Leadership (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/module-2-implementation-guide.pdf
      June 02, 2025 - Module 2 Implementation Guide: System Change: Laying the Foundation and Leadership Implementation Guide - Module 2 System Change: Laying the Foundation and Leadership Module Purpose Following the call to action in Module 1, the purpose of this module is to lay the foundation for systems change. Topics i…

4545. Using Data To Drive Change and Improve Patient Safety Slides
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/data-change-slides.pptx
      April 01, 2022 - Using Data To Drive Change and Improve Patient Safety Slides Using Data To Drive Change and Improve Patient Safety AHRQ Safety Program for Intensive Care Units: Preventing CLABSI and CAUTI AHRQ Pub. No. 17(22)-0019 April 2022 Objectives Describe why data are critical to driving improvement in your intensive care …

4546. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49390/psn-pdf
      February 01, 2003 - Flying Object Hits MRI February 1, 2003 Gosbee JW, Gosbee LL. Flying Object Hits MRI. PSNet [internet]. 2003. https://psnet.ahrq.gov/web-mm/flying-object-hits-mri The Case A child was brought to the Magnetic Resonance Imaging (MRI) room for a brain scan. Accompanied by an anesthesiologist, the child was receiving…

4547. PowerPoint Presentation
      www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/manage-resident-RTI-slides.pptx
      June 01, 2021 - PowerPoint Presentation Management of a Resident With a Suspected Respiratory Tract Infection Long-Term Care AHRQ Safety Program for Improving Antibiotic Use AHRQ Pub. No. 17(21)-0029 June 2021 Management RTI 1 Objectives Review testing and empiric treatment options for pneumonia Discuss opportunities for de-escal…

4548. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49839/psn-pdf
      August 01, 2018 - Mixup Beyond the Medication Label August 1, 2018 Pervanas H, VanValkenburgh D. Mixup Beyond the Medication Label. PSNet [internet]. 2018. https://psnet.ahrq.gov/web-mm/mixup-beyond-medication-label The Case An 80-year-old man was admitted to a hospital for recurrent hypoglycemia. He had been seen at another hospi…

4549. Impact of Health IT on Primary Care Workflow and Financial Measures (pdf file)
      digital.ahrq.gov/sites/default/files/docs/page/ImpactHealthITPrimaryCareWorkflow.pdf
      September 19, 2011 - Impact of Health IT on Primary Care Workflow and Financial Measures Impact of Health IT on Primary Care Workflow and Financial Measures Neil S. Fleming, PhD, CQE; Funded by AHRQ (R03HS018220-01) Track F: Economic Analysis of Health IT AHRQ 2011 Annual Conference September 19, 2011 Contact: Neil.Fle…

4550. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/866395/psn-pdf
      July 23, 2024 - Rescue Improvement Conference Innovation Summary July 23, 2024 https://psnet.ahrq.gov/innovation/rescue-improvement-conference-innovation-summary Summary The Rescue Improvement Conference (RIC)1 was designed at the University of Michigan to address failure to rescue with a particular focus on communication and com…

4551. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50393/psn-pdf
      September 01, 2019 - Patient Safety and the Evolution of WebM&M and PSNet September 1, 2019 Ranji SR, Wachter R. Patient Safety and the Evolution of WebM&M and PSNet. PSNet [internet]. 2019. https://psnet.ahrq.gov/perspective/patient-safety-and-evolution-webmm-and-psnet Perspective Progress in any field requires scholarship and dissem…

4552. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49697/psn-pdf
      December 01, 2013 - Check the Anesthesia Machine December 1, 2013 Saddawi-Konefka D, Cooper JB. Check the Anesthesia Machine. PSNet [internet]. 2013. https://psnet.ahrq.gov/web-mm/check-anesthesia-machine The Case A 62-year-old man with weight of 134 kg (body mass index [BMI] of 40) and history of hypertension, diabetes, sleep apnea…

4553. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49387/psn-pdf
      February 01, 2003 - Patient Mix-Up February 1, 2003 Shojania KG. Patient Mix-Up. PSNet [internet]. 2003. https://psnet.ahrq.gov/web-mm/patient-mix The Case Joe Smith [not his real name], a 42-year-old man with nausea and vomiting for 4 days, was on the general medical service at an academic medical center. Overnight, another man wit…

4554. Nursing Homes Affiliated With U.S. Health Systems, 2018 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/chsp/data/chsp-brief8-nursinghomes.pdf
      January 01, 2021 - Nursing Homes Affiliated With U.S. Health Systems, 2018 1 Nursing Homes Affiliated with U.S. Health Systems, 2018 This analysis is based on AHRQ’s Compendium of U.S. Health Systems, 2018. Developed as part of the Comparative Health System Performance (CHSP) Initiative, the Compendium is a resource for data and r…

4555. National Patient Safety Goals | PSNet
      psnet.ahrq.gov/primer/national-patient-safety-goals
      January 16, 2025 - National Patient Safety Goals Citation Text: Shaikh U. National Patient Safety Goals. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2024. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote…

4556. Selected Best Practices and Suggestions for Improvement (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/d4d_pdi05-nqi01-pneumothorax-bestpractices.pdf
      May 16, 2016 - Selected Best Practices and Suggestions for Improvement Pediatric Toolkit for Using the AHRQ Quality Indicators How To Improve Hospital Quality and Safety 1 Tool D.4d Selected Best Practices and Suggestions for Improvement NQI 01/PDI 05: Iatrogenic Pneumothorax Why focus on iatrogenic pneumothorax in neonat…

4557. Getting Ready for Change Self-Assessment (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/a3_pdi_selfassessment.pdf
      May 12, 2016 - Getting Ready for Change Self-Assessment Pediatric Toolkit for Using the AHRQ Quality Indicators How To Improve Hospital Quality and Safety i Tool A.3 Getting Ready for Change Self-Assessment What is the purpose of this tool? This tool can be used to assess your hospital’s organizational infrastructure and it…

4558. Getting Ready for Change Self-Assessment (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/a3_pdi_selfassessment.docx
      May 12, 2016 - Getting Ready for Change Self-Assessment Pediatric Toolkit for Using the AHRQ Quality Indicators How To Improve Hospital Quality and Safety Getting Ready for Change Self-Assessment What is the purpose of this tool? This tool can be used to assess your hospital’s organizational infrastructure and its readiness to suppo…

4559. Office of the National Coordinator for Health Information Technology - Panel Discussion (pdf file)
      digital.ahrq.gov/sites/default/files/docs/page/2006ConinEganLoonsk_052411comp.pdf
      January 17, 2006 - Office of the National Coordinator for Health Information Technology - Panel Discussion Office of the National Coordinator for Health Information Technology Panel Discussion: Kelly Cronin John Loonsk, MD Lynn Egan, JD Visit our website at: http://www.hhs.gov/healthit/ Overview • ONC overview • ONC Major Initi…

4560. References | Agency for Healthcare Research and Quality
      www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-psychological-safety-ref.html
      September 01, 2023 - Strategies for Improving Clinician Psychological Safety in Reporting and Discussing Diagnostic Error References Previous Page   Table of Contents Strategies for Improving Clinician Psychological Safety in Reporting and Discussing Diagnostic Error Learning From Diagnostic Errors The Potential of …