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8481. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49495/psn-pdf
      December 01, 2005 - Low on the Totem Pole December 1, 2005 Wachter R. Low on the Totem Pole. PSNet [internet]. 2005. https://psnet.ahrq.gov/web-mm/low-totem-pole Case Objectives Understand the concept of authority gradient List steps that can be taken to increase communication across an authority gradient Consider the current cultu…

8482. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73229/psn-pdf
      May 26, 2021 - Norepinephrine Dosing Error Associated with Multiple Health System Vulnerabilities May 26, 2021 Duby JJ, Schomer K, Oyewole V, et al. Norepinephrine Dosing Error Associated with Multiple Health System Vulnerabilities. PSNet [internet]. 2021. https://psnet.ahrq.gov/web-mm/norepinephrine-dosing-error-associated-mult…

8483. New Patient Mistakenly Checked in as Another | PSNet
      psnet.ahrq.gov/web-mm/new-patient-mistakenly-checked-another
      October 01, 2013 - New Patient Mistakenly Checked in as Another Citation Text: Green RA, Adelman JS. New Patient Mistakenly Checked in as Another. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2016. Copy Citation Format: Google Scholar B…

8484. Module 5: Situation Monitoring
      www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/module5-situation-monitoring.pptx
      January 10, 2022 - Module 5: Situation Monitoring Module 5 Situation Monitoring To Improve Diagnosis TeamSTEPPS® for Diagnosis Improvement Welcome to the TeamSTEPPS for Diagnosis Improvement Course. This presentation will cover Module 5, Situation Monitoring To Improve Diagnosis, that you will review as the facilitator. Individual…

8485. TeamSTEPPS® Diagnosis Improvement: Module 5 Situation Monitoring To Improve Diagnosis - Facilitator’s Notes (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/module5-presenters-notes.pdf
      January 10, 2022 - TeamSTEPPS® Diagnosis Improvement: Module 5 Situation Monitoring To Improve Diagnosis - Facilitator’s Notes Slide 1 TeamSTEPPS® for Diagnosis Improvement                                                                                                                                                          …

8486. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49554/psn-pdf
      January 01, 2008 - Chemotherapy Extravasation January 1, 2008 Schulmeister L. Chemotherapy Extravasation. PSNet [internet]. 2008. https://psnet.ahrq.gov/web-mm/chemotherapy-extravasation The Case A 73-year-old woman with no past medical history was diagnosed with stage IIIA breast cancer. She and her oncologist decided to begin sys…

8487. I Just Want to Go Home: Understanding Delirium’s Impact on Treatment Preferences | PSNet
      psnet.ahrq.gov/web-mm/i-just-want-go-home-understanding-deliriums-impact-treatment-preferences
      December 18, 2019 - I Just Want to Go Home: Understanding Delirium’s Impact on Treatment Preferences Citation Text: Steinberg K. I Just Want to Go Home: Understanding Delirium’s Impact on Treatment Preferences. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Servi…

8488. Guide to Implementing and Sustaining a Program To Prevent CLABSI and CAUTI in the Intensive Care Unit Setting (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/implementation-guide.pdf
      April 01, 2022 - Guide to Implementing and Sustaining a Program To Prevent CLABSI and CAUTI in the Intensive Care Unit Setting AHRQ Safety Program for Intensive Care Units: Preventing CLABSI and CAUTI Guide to Implementing and Sustaining a Program To Prevent CLABSI and CAUTI in the Intensive Care Unit Setting Overv…

8489. Abnormal Volunteer Results | PSNet
      psnet.ahrq.gov/web-mm/abnormal-volunteer-results
      July 18, 2016 - Abnormal Volunteer Results Citation Text: Fernandez C. Abnormal Volunteer Results. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2007. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote ta…

8490. Amplify Your Impact on Child Health Care Quality | Agency for Healthcare Research and Quality
      www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/amplify-impact-webinar.html
      October 01, 2020 - Amplify Your Impact on Child Health Care Quality Learning from the CHIPRA Quality Demonstration Grant Program On February 11, 2016, AHRQ and CMS presented a free Webinar, "Amplify Your Impact on Child Health Quality: Learning from the CHIPRA Quality Demonstration Grant Program." The presentations featured hig…

8491. Computer-Based Training Modules: Basin Bed Bathing with CHG
      www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/training/cbt-basin-bathing.pptx
      March 01, 2022 - Computer-Based Training Modules: Basin Bed Bathing with CHG Decolonization of Non-ICU Patients With Devices Section 11-6 Nursing Protocol Training Basin Bed Bathing With 2% Chlorhexidine (CHG) and Showering With 4% CHG Liquid Soap AHRQ Pub. No. 20(22)-0036 March 2022 1 Targeted Decolonization Introduction Our…

8492. Slide 1 (ppt file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/health-literacy-pfe-070913.ppt
      July 01, 2013 - Slide 1 Health Literacy and Patient and Family Engagement: Strategic Tools to Prevent CAUTI * Barbara Meyer Lucas, MD, MHSA Project Consultant Michigan Health & Hospital Association Keystone Center for Patient Safety and Quality Milisa Manojlovich, PhD, RN, CCRN Associate Professor Division of Nursing Business & Hea…

8493. Build a Business Case for Quality Improvement: Facilitator Guide | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/mvp/modules/cusp/build-business-case-fac-guide.html
      February 01, 2017 - Build a Business Case for Quality Improvement: Facilitator Guide AHRQ Safety Program for Mechanically Ventilated Patients Slide 1: Build a Business Case for Quality Improvement Say: This slide set introduces building a business case for quality improvement. Slide 2: Learning Objectives Say: Afte…

8494. Presentation: Program Overview
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/ptfamcare-slides.pptx
      January 01, 2017 - Presentation: Program Overview Patient and Family Involvement in Care of Mechanically Ventilated Patients AHRQ Safety Program for Mechanically Ventilated Patients AHRQ Pub. No. 16(17)-0018-37-EF January 2017 Patient/Family Involvement ‹#› AHRQ Safety Program for Mechanically Ventilated Patients 1 Learning Obje…

8495. Final Progress Report: Electronic Communications Across Provider Settings (pdf file)
      www.ahrq.gov/sites/default/files/2024-07/morrison-report.pdf
      January 01, 2024 - Final Progress Report: Electronic Communications Across Provider Settings AHRQ Grant Final Progress Report Electronic Communications Across Provider Settings Deane Morrison - Principal Investigator Wendy Angelo, MD - Project Co-Director Josie Bendiks - Project Co-Director Dan Venecek - Project Manager …

8496. Project Report - Lean Sigma (ppt file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/contentcalls/framework-slides/CUSP-A-Framework-for-Success-Mar-7-2012-508.ppt
      January 01, 2012 - Project Report - Lean Sigma * National Content Webinar CUSP: A Framework for Success March 7, 2012 * * Today’s Speakers Marge Cannon, Medical Officer, CMS Minet Javellana, Health Insurance Specialist, CMS Barb Edson, Vice President of Clinical Quality, HRET Chris George, Director of National Projects, MHA…

8497. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60543/psn-pdf
      May 27, 2020 - Wrong Catheter in the Right Patient May 27, 2020 Chia C, Molla M. Wrong Catheter in the Right Patient. PSNet [internet]. 2020. https://psnet.ahrq.gov/web-mm/wrong-catheter-right-patient The Case  A 55-year-old man with history of emphysema was admitted to the hospital for pneumonia. The patient had two?peripheral…

8498. Learn-Facilitator-Guide (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/learn/learn-facilitator-guide.docx
      May 01, 2017 - AHRQ Safety Program for Perinatal Care Learn About the Comprehensive Unit-Based Safety Program for Perinatal Safety Learn About the Comprehensive Unit-Based Safety Program for Perinatal Safety SAY: This module introduces the comprehensive unit-based safety program, also called CUSP, that we will use as the foundation …

8499. Learn About the Comprehensive Unit-based Safety Program for Perinatal Safety: Facilitator Guide | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/learn-about-cusp-fac-guide.html
      July 01, 2023 - Learn About the Comprehensive Unit-based Safety Program for Perinatal Safety: Facilitator Guide AHRQ Safety Program for Perinatal Care Slide 1: Learn About the Comprehensive Unit-based Safety Program for Perinatal Safety Say: This module introduces the comprehensive unit-based safety program, also calle…

8500. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33721/psn-pdf
      November 01, 2011 - Lesson from the VA's Team Training Program November 1, 2011 Neily J, Mills PD, Paull DE, et al. Lesson from the VA's Team Training Program . PSNet [internet]. 2011. https://psnet.ahrq.gov/perspective/lesson-vas-team-training-program Perspective Introduction The Veterans Health Administration (VHA) National Center…