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www.ahrq.gov/hai/cusp/modules/nursing/nursing-notes.html
December 01, 2012 - CUSP Toolkit, The Role of the Nurse Manager, Facilitator Notes
The Role of the Nurse Manager module of the CUSP Toolkit addresses the role of nursing leaders for your quality improvement initiative.
Contents
Slide 1. Cover Slide.
Slide 2. Learning Objectives
Slide 3. What is a Nurse Manager?
Slide 4…
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www.ahrq.gov/sites/default/files/2024-07/wears-report.pdf
January 01, 2024 - Final Progress Report: Reducing Risks by Engineering Resilience Into HIT for EDs
Reducing Risks by Engineering Resilience into HIT for EDs
Principal Investigator: Robert L. Wears, MD, MS, PhD
Team Members:
John Wreathall
Rollin (Terry) Fairbanks, MD, MS
Ann M. Bisantz, PhD
Shawna J Perry, MD
Chris Johnson,…
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psnet.ahrq.gov/node/33708/psn-pdf
March 01, 2011 - In Conversation with…Vineet Arora, MD, MA
March 1, 2011
In Conversation with…Vineet Arora, MD, MA . PSNet [internet]. 2011.
https://psnet.ahrq.gov/perspective/conversation-withvineet-arora-md-ma
Editor's note: Vineet Arora, MD, MA, is Associate Program Director for the Internal Medicine Residency
and Assistant Dea…
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www.ahrq.gov/hai/cusp/clabsi-final-companion/clabsicompapc.html
January 01, 2013 - Eliminating CLABSI, A National Patient Safety Imperative: Final Report Companion Guide
Appendix C. Article Exclusion List with Reason for Exclusion
Previous Page Next Page
Table of Contents
Eliminating CLABSI, A National Patient Safety Imperative: Final Report Companion Guide
Preface
Methods
P…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module3/mod03-gap-analysis-guide.pdf
April 01, 2016 - Purpose: To evaluate the extent to which current processes align with the Communication and Optimal Resolution
(CANDOR) process and includes;
■ Identifying the existing process
■ Identifying the existing outcome(s)
■ Identifying the desired outcome(s)
■ Identifying and documenting the gap(s)
Who should use t…
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www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/highlight07.html
February 01, 2014 - How are CHIPRA quality demonstration States designing and implementing caregiver peer support programs?
Evaluation Highlight No. 7
Authors: Grace A. Ferry, Henry Ireys, Dana Petersen, and Joseph Zickafoose
Contents
Key Messages
Background
Findings
Conclusions
Implications
Learn More
Endnotes…
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/highlight04.pdf
September 08, 2015 - How the CHIPRA quality demonstration elevated children on State health policy agendas
The CHIPRA Quality
Demonstration Grant Program
In February 2010, the Centers for Medicare &
Medicaid Services (CMS) awarded 10 grants,
funding 18 States, to improve the quality of
health care for children enrolled in Medicaid …
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www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/highlight10.html
August 01, 2014 - How are CHIPRA quality demonstration States testing the Children's Electronic Health Record Format?
Evaluation Highlight No. 10
Author: Leslie Foster
Contents
Key Messages
Background
Findings
Conclusion
Implications
Learn More
Endnotes
The CHIPRA Quality Demonstration Grant Program…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/hospital/about/child_hcaps_measures_909.pdf
May 11, 2016 - Patient Experience Measures from the CAHPS® Child Hospital Survey
CAHPS® Child Hospital Survey and Instructions
Patient Experience Measures from the
CAHPS® Child Hospital Survey
Introduction........................................................................... 1
Types of Measures ...........................…
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/highlight10.pdf
September 08, 2015 - Evaluation Highlight No.10, August 2014
The CHIPRA Quality
Demonstration Grant Program
In February 2010, the Centers for Medicare &
Medicaid Services (CMS) awarded 10 grants,
funding 18 States, to improve the quality of
health care for children enrolled in Medicaid
and the Children’s Health Insurance Program
…
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www.ahrq.gov/hai/cauti-tools/archived-webinars/connecting-dots-slides.html
December 01, 2017 - Connecting the Dots: Improving Unit Safety Culture to Stop HAI
Slide Presentation
Slide 1
Connecting the Dots: Improving Unit Safety Culture to Stop HAI
Katherine J. Jones, PT, PhD
University of Nebraska Medical Center
Slide 2
Supported By
AHRQ Partnerships in Implementing Patient Safety Gran…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/breaking-down-barriers-051215.pptx
February 01, 2015 - Slide 1
Breaking Down Barriers to Aseptic Catheter Insertion
Milisa Manojlovich, PhD, RN, CCRN
Associate Professor
University of Michigan School of Nursing
Stacy Martin, RN, BSN, CIC
Manager, Infection Prevention
Moffitt Cancer Center
Stephanie Carraway, MPH candidate
Infection Prevention Specialist
Moffitt Cancer C…
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psnet.ahrq.gov/node/60856/psn-pdf
August 26, 2020 - Too Many Cooks in the Kitchen
August 26, 2020
Dutton RP. Too Many Cooks in the Kitchen. PSNet [internet]. 2020.
https://psnet.ahrq.gov/web-mm/too-many-cooks-kitchen
Disclosure of Relevant Financial Relationships: As a provider accredited by the Accreditation Council for
Continuing Medical Education (ACCME), the Un…
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psnet.ahrq.gov/node/837215/psn-pdf
July 08, 2022 - Missing a Large Vessel Occlusion Stroke in a Patient with
a History of Seizures.
July 8, 2022
Keenan KJ, Nishijima DK. Missing a Large Vessel Occlusion Stroke in a Patient with a History of Seizures.
PSNet [internet]. 2022.
https://psnet.ahrq.gov/web-mm/missing-large-vessel-occlusion-stroke-patient-history-seizure…
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psnet.ahrq.gov/node/857258/psn-pdf
November 30, 2023 - Always Check the Muscle Twitch: Residual
Neuromuscular Block After Removal of a Gastric Balloon
November 30, 2023
Bohringer C, Ashley S. Always Check the Muscle Twitch: Residual Neuromuscular Block After Removal of
a Gastric Balloon. PSNet [internet]. 2023.
https://psnet.ahrq.gov/web-mm/always-check-muscle-twitch-…
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psnet.ahrq.gov/node/838900/psn-pdf
October 27, 2022 - Fecal Contamination of the Peritoneum from
Laparoscopic Trocar Injury: A Routine Operation Goes
Wrong.
October 27, 2022
Ahmed SM, Ali M. Fecal Contamination of the Peritoneum from Laparoscopic Trocar Injury: A Routine
Operation Goes Wrong. PSNet [internet]. 2022.
https://psnet.ahrq.gov/web-mm/fecal-contamination-…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/engage/engageexecnotes.docx
June 02, 2025 - SAY:
The “Engage the Senior Executive” module of the Comprehensive Unit-based Safety Program (or CUSP) Toolkit focuses on the role and responsibilities of the senior executive within the CUSP team. Engaging a senior executive to partner with a unit will bridge the gap between senior management and frontline providers …
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psnet.ahrq.gov/web-mm/ca-mrsa-skin-infections-ounce-prevention-worth-pound-cure
March 01, 2005 - SPOTLIGHT CASE
CA-MRSA Skin Infections: An Ounce of Prevention is Worth a Pound of Cure
Citation Text:
Liu C. CA-MRSA Skin Infections: An Ounce of Prevention is Worth a Pound of Cure. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human S…
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psnet.ahrq.gov/node/837748/psn-pdf
August 05, 2022 - Challenges of Diabetes Management and Medication
Reconciliation
August 5, 2022
Lee S, Molla M. Challenges of Diabetes Management and Medication Reconciliation . PSNet [internet].
2022.
https://psnet.ahrq.gov/web-mm/challenges-diabetes-management-and-medication-reconciliation
The Cases
Case #1: A 53-year-old man …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_audit_briefing_facnotes.docx
December 01, 2017 - Facilitator Guide: Auditing Your Briefings and Debriefings
Slide Title and Commentary
Slide Number and Slide
Auditing Your Briefing and Debriefing Process
SAY:
Let’s continue our discussion around briefings and debriefings. The previous module, Optimizing Your Briefings and Debriefings, focused on defining them…