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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49545/psn-pdf
    September 01, 2007 - Coming Undone: Failure of Closure Device September 1, 2007 Baez-Escudero JL, Levine GN. Coming Undone: Failure of Closure Device. PSNet [internet]. 2007. https://psnet.ahrq.gov/web-mm/coming-undone-failure-closure-device The Case A 65-year-old man underwent coronary angiography because of atypical exertional chest…
  2. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module2/module2-obtaining-organizational-buy-in-support.pptx
    August 14, 2015 - Module 2: Communication and Optimal Resolution (CANDOR) Toolkit Module 2: Obtaining Organizational Buy-in and Support Communication and Optimal Resolution (CANDOR) Toolkit Module 2: Obtaining Organizational Buy-in and Support Module 2 of the CANDOR Toolkit describes the importance of obtaining organizational supp…
  3. www.ahrq.gov/research/publications/ahrq-info-quality-gdlns.html
    September 01, 2019 - Guidelines for Ensuring the Quality of Information Disseminated to the Public C. Agency for Healthcare Research and Quality Note: Last revised in 2006, these Guidelines also appear on the HHS Web site. AHRQ presents them here with a 2015 Update . Contents Agency Mission . Scope and Applicability …
  4. www.ahrq.gov/hai/cauti-tools/archived-webinars/patient-family-engagement-ed-transcript.html
    December 01, 2017 - Patient and Family Engagement in the Emergency Department Webinar Transcript On the CUSP: Stop CAUTI in the ED ED Mini-Presentation to Accompany July 7, 2015 ED Coaching Call Sarah:  Hello everyone, and thank you for listening today. My name is Sarah Dalton, and I am a Program Specialist at the Health Res…
  5. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/Patient_and_Family_Engagement_in_the_ED_transcript.docx
    July 07, 2015 - On the CUSP: Stop CAUTI in the ED ED Mini-Presentation to Accompany July 7, 2015 ED Coaching Call Sarah: Hello everyone, and thank you for listening today. My name is Sarah Dalton, and I am a Program Specialist at the Health Research and Educational Trust. Welcome to the fifth mini-presentation in the CAUTI ED cohort …
  6. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/engaging-srexec-facguide.docx
    January 01, 2017 - Facilitator Guide: Build Your SSI Prevention Bundle Slide Title and Commentary Slide Number and Slide Title Slide Engaging Senior Executives in Care of Mechanically Ventilated Patients SAY: In this module, we will discuss the importance of senior executive engagement on your safety program team. Slide 1 Lear…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33883/psn-pdf
    July 01, 2019 - In Conversation With… Suchi Saria, PhD July 1, 2019 In Conversation With… Suchi Saria, PhD. PSNet [internet]. 2019. https://psnet.ahrq.gov/perspective/conversation-suchi-saria-phd Editor's note: Dr. Saria is the John C. Malone Assistant Professor of computer science, statistics, and health policy at Johns Hopkins …
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60173/psn-pdf
    March 30, 2020 - In Conversation With... Ann Gaffey, RN, MSN, CPHRM and Bruce Spurlock, MD March 30, 2020 In Conversation With.. Ann Gaffey, RN, MSN, CPHRM and Bruce Spurlock, MD. PSNet [internet]. 2020. https://psnet.ahrq.gov/perspective/conversation-ann-gaffey-rn-msn-cphrm-and-bruce-spurlock-md Editor’s note: Ann D. Gaffey, RN, …
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33743/psn-pdf
    December 01, 2012 - Quality and Safety Challenges in Critical Care: Preventing and Treating Delirium in the Intensive Care Unit December 1, 2012 Vasilevskis EE, Ely WE, Dittus RS. Quality and Safety Challenges in Critical Care: Preventing and Treating Delirium in the Intensive Care Unit. PSNet [internet]. 2012. https://psnet.ahrq.gov…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49780/psn-pdf
    January 01, 2017 - The Missing Abscess: Radiology Reads in the Digital Era January 1, 2017 Siegel EL. The Missing Abscess: Radiology Reads in the Digital Era. PSNet [internet]. 2017. https://psnet.ahrq.gov/web-mm/missing-abscess-radiology-reads-digital-era Case Objectives Identify the most common complication of hysterectomy. Descr…
  11. psnet.ahrq.gov/perspective/american-view-uks-patient-safety-enterprise-top-down-vs-bottom
    December 01, 2005 - An American View of the UK's Patient Safety Enterprise: Top Down vs. Bottom Up Robert M. Wachter, MD | June 1, 2012  View more articles from the same authors. Citation Text: Wachter R. An American View of the UK's Patient Safety Enterprise: Top Down vs. Bottom Up. …
  12. www.ahrq.gov/practiceimprovement/delivery-initiative/ihs/chapter3.html
    December 01, 2017 - ARRA ACTION: Comparative Effectiveness of Health Care Delivery Systems for American Indians and Alaska Natives Using Enhanced Data Infrastructure Chapter 3. Development of the Data Infrastructure Previous Page Next Page Table of Contents ARRA ACTION: Comparative Effectiveness of Health Care Delivery…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49544/psn-pdf
    September 01, 2007 - Discharging Our Responsibility September 1, 2007 Fonarow GC. Discharging Our Responsibility. PSNet [internet]. 2007. https://psnet.ahrq.gov/web-mm/discharging-our-responsibility The Case A 75-year-old man with a history of hypertension, coronary artery disease, and congestive heart failure (CHF) presented to the …
  14. digital.ahrq.gov/ahrq-funded-projects/cognitive-engineering-complex-decisionmaking-problem-solving-acute-care
    January 01, 2023 - Cognitive Engineering for Complex Decisionmaking & Problem Solving in Acute Care Project Final Report ( PDF , 366.73 KB) Disclaimer Disclaimer The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessarily r…
  15. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/027-cusp-program-sustainability-fg.docx
    April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI CUSP Program Sustainability Surgical Services For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries Slide Title and Commentary Slide Number and Slide Program Sustainability SAY: Welcome to this presentation on optimizing CUSP Program sustain…
  16. cdsic.ahrq.gov/sites/default/files/2024-12/OY2%20Innovation%20Center%20Charter_508.pdf
    January 01, 2024 - OY2 Innovation Center Charter Innovation Center: Charter – Option Year 2 Agency for Healthcare Research and Quality 5600 Fishers Lane Rockville, MD 20857 www.ahrq.gov Contract No: 75Q80120D00018 Prepared by: NORC at the University of Chicago November 2024 …
  17. www.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/reports-and-case-studies/health-share-of-oregon-case-study.pdf
    September 01, 2016 - Case Study: Improving Customer Service at Health Share of Oregon Case Study 1 Improving Customer Service at Health Share of Oregon Introduction There are many ways to evaluate the delivery of customer service in a health plan. Chief among these strategies is the assessment of enrollees’ experiences with cust…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73953/psn-pdf
    October 27, 2021 - Deprescribing as a Patient Safety Strategy October 27, 2021 Takhar S, Nelson N. Deprescribing as a Patient Safety Strategy. PSNet [internet]. 2021. https://psnet.ahrq.gov/primer/deprescribing-patient-safety-strategy Background Polypharmacy is defined as the act of taking five or more medications on a regular basis…
  19. www.ahrq.gov/ncepcr/tools/transform-qi/deliver-facilitation/modules/resources.html
    July 01, 2022 - AHRQ Practice Facilitation Training Modules: Additional Resources Below are supplemental resources for each AHRQ Practice Facilitation Training Module for learners who want to delve more into the topics taught. Introduction to AHRQ Practice Facilitation Training Modules Access AHRQ’ practice facilit…
  20. psnet.ahrq.gov/web-mm/seasonal-care-transition-failure
    June 01, 2016 - A Seasonal Care Transition Failure Citation Text: Young JQ. A Seasonal Care Transition Failure. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2011. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 X…