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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33809/psn-pdf
    June 01, 2016 - In Conversation With… Gregg S. Meyer, MD, MSc June 1, 2016 In Conversation With… Gregg S. Meyer, MD, MSc. PSNet [internet]. 2016. https://psnet.ahrq.gov/perspective/conversation-gregg-s-meyer-md-msc Editor's note: Dr. Meyer is Chief Clinical Officer of Partners Healthcare System, the large Boston-based system tha…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49437/psn-pdf
    March 01, 2004 - Crossing the Line March 1, 2004 Feldman JP, Gould MK. Crossing the Line. PSNet [internet]. 2004. https://psnet.ahrq.gov/web-mm/crossing-line Case Objectives Review complications of central venous catheterization Discuss patient and operator factors that affect complication rates Describe methods for preventing c…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/854897/psn-pdf
    October 31, 2023 - Weight and Height Juxtaposition in the Electronic Medical Record Causing an Accidental Medication Overdose October 31, 2023 Jain NP, Dakwa D. Weight and Height Juxtaposition in the Electronic Medical Record Causing an Accidental Medication Overdose. PSNet [internet]. 2023. https://psnet.ahrq.gov/web-mm/weight-and-…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33643/psn-pdf
    December 01, 2006 - In Conversation with...J. Bryan Sexton, PhD, MA December 1, 2006 In Conversation with..J. Bryan Sexton, PhD, MA. PSNet [internet]. 2006. https://psnet.ahrq.gov/perspective/conversation-withj-bryan-sexton-phd-ma Editor's Note: J. Bryan Sexton, PhD, MA, is Assistant Professor, Department of Anesthesiology and Critic…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49573/psn-pdf
    January 01, 2009 - Dangerous Shift November 1, 2008 Patterson ES. Dangerous Shift. PSNet [internet]. 2008. https://psnet.ahrq.gov/web-mm/dangerous-shift Case Objectives Review the evidence base on erroneous actions related to shift changes. Understand the limits of standardizing handoffs in preventing errors at shift change. Expla…
  6. psnet.ahrq.gov/web-mm/mothers-milk-whose-mother
    November 15, 2023 - Mother's Milk, but Whose Mother? Citation Text: Dougherty D. Mother's Milk, but Whose Mother?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2010. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XM…
  7. www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/changing-system-facilitator-guide.docx
    June 01, 2021 - AHRQ Safety Program for Improving Antibiotic Use 1 Changing the System To Improve Patient Safety Long-Term Care Slide Title and Commentary Slide Number and Slide Changing the System To Improve Patient Safety SAY: Hello, and welcome to this presentation: “Changing the System To Improve Patient Safety.” Sl…
  8. www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/understanding-cms-patient-safety-measure-hospitals-webcast.pdf
    July 08, 2025 - Understanding the CMS Patient Safety Structural Measure Requirements for Hospitals Understanding the CMS Patient Safety Structural Measure Requirements for Hospitals Webcast July 8, 2025 12:00-12:45 PM ET Technical Info • Audio issues • Poor connection • Use Q&A to submit questions 2 Today’s Speakers Jo…
  9. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/teachback-module-accessible.pdf
    January 01, 2013 - Static Teach-back Interactive Module Teach-back 1. Title Teach-Back Improving Patient Safety by Engaging Patients and Families in Effective Clinician- Patient Communication 1 Teach-back Interactive Module 2. AHRQ Sponsored by the Agency for Healthcare Research and Quality (AHRQ), this tea…
  10. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/urinary-catheter-removal-notes.docx
    April 01, 2022 - Prompting Removal of Unnecessary Indwelling Urinary Catheters Facilitator Notes CAUTI Module: Indwelling Urinary Catheter Removal Facilitator Guide Slide Number and Image This module, titled “Indwelling Urinary Catheter Removal,” is part of the Agency for Healthcare Research and Quality’s Safety Program for In…
  11. www.ahrq.gov/hai/tools/mvp/modules/technical/pain-mgmt-slides.html
    January 01, 2017 - Evidence Behind Pain, Agitation, and Delirium: Assessments and Sedation Management: Slide Presentation AHRQ Safety Program for Mechanically Ventilated Patients Slide 1: AHRQ Safety Program for Mechanically Ventilated Patients Evidence Behind Pain, Agitation, and Delirium: Assessments and Sedation Manageme…
  12. www.ahrq.gov/es/patient-safety/settings/hospital/vtguide/guide5.html
    October 01, 2022 - Preventing Hospital-Associated Venous Thromboembolism Chapter 5. Implement the VTE Prevention Protocol Previous Page Next Page Table of Contents Preventing Hospital-Associated Venous Thromboembolism Preface Executive Summary Chapter 1. The Framework for Improvement Chapter 2. Analyze Care De…
  13. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/overview-cuspmvp-facguide.docx
    January 01, 2017 - Facilitator Guide: Build Your SSI Prevention Bundle Slide Title and Commentary Slide Number and Slide Title Slide Overview of the Comprehensive Unit-based Safety Program for Application to Mechanically Ventilated Patients SAY: Today, we will be giving you an overview of the Comprehensive Unit-based Safety Program…
  14. www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/rapid-response/tool-rapid-response-systems.html
    July 01, 2023 - Rapid Response for Perinatal Safety: Rapid Response Systems AHRQ Safety Program for Perinatal Care Purpose of the tool: This tool describes the key perinatal safety elements that support rapid response systems. The key safety elements are presented within the framework of the Comprehensive Unit-b…
  15. www.ahrq.gov/patient-safety/reports/candor-demo-program/plan-grants/findings.html
    August 01, 2022 - Planning Grants Final Evaluation Report Findings Previous Page Next Page Table of Contents Planning Grants Final Evaluation Report Executive Summary Introduction Methodology Findings Appendix A. Grantee Profiles Appendix B. References Improving Communication Four planni…
  16. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/labor-delivery-unit/tool_shoulder-dystocia.docx
    May 01, 2017 - AHRQ Safety Program for Perinatal Care: Labor and Delivery Unit Safety Shoulder Dystocia AHRQ Safety Program for Perinatal Care Labor and Delivery Unit Safety Shoulder Dystocia Labor and Delivery Unit Safety—Shoulder Dystocia Purpose of the tool: This tool describes the key perinatal safety elements related to the saf…
  17. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/educational-bundles/urine-culturing/antibiotic-stewardship/abx-stewardship-part1.pptx
    March 01, 2017 - Antibiotic Stewardship Slides, Part 1: Hand Hygiene How To Avoid the Harms of Antibiotic Overuse Training Module 4 AHRQ Pub. No. 16(17)-0003-21-EF March 2017 AHRQ Safety Program for Long-term Care: HAIs/CAUTI AHRQ Safety Program for Long-Term Care: HAIs/CAUTI AHRQ SAFETY PROGRAM FOR LONG-TERM CARE: HAIs/CAUTI …
  18. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/medmanage_quickstartbrochure.pdf
    December 15, 2016 - Implementation Quick Start Guide: Medication Management (Half-Page) Implementation Quick Start Guide Medication Management The Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families Table of Contents What Is the Medication Management Strategy? ...................1 W…
  19. cdsic.ahrq.gov/sites/default/files/2025-06/SRF%20Topic%20Highlight%20Patient%20App%20Interoperability.pdf
    January 01, 2025 - Making Patient Apps Interoperable With the Health IT Ecosystem AHRQ Pub. No. 25-0053 June 2025 Making Patient Apps Interoperable With the Health IT Ecosystem This resource for app developers explains considerations for developing patient-facing applications (apps) that are interoperable with …
  20. cdsic.ahrq.gov/cdsic/workgroup-viewpoint
    February 03, 2023 - : Skip to main content HHS.gov Menu Main navigation CDS Home CDS Innovation Collaborative An official website of the Department of Health & Human Services …