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3361. Warm Handoff (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/warm-handoff-webinar-slides.pdf
      June 02, 2025 - Warm Handoff 1 Warm Handoff AHRQ Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families Speaker Kelly Smith, PhD Scientific Director, Quality & Safety Co-PI, AHRQ Guide to Improve Patient Safety in Primary Care Settings by Engaging Patients and Families kel…

3362. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/861882/psn-pdf
      January 31, 2024 - Patient Safety in Office-Based Care Settings January 31, 2024 Ricciardi R, Lee M, Mossburg S. Patient Safety in Office-Based Care Settings. PSNet [internet]. 2024. https://psnet.ahrq.gov/perspective/patient-safety-office-based-care-settings The Institute of Medicine’s 2000 publication To Err Is Human summarized res…

3363. 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…

3364. Medication Reconciliation | Digital Healthcare Research
      digital.ahrq.gov/medication-reconciliation
      January 01, 2023 - This information is for reference purposes only. It was current when produced and may now be outdated. Archive material is no longer maintained, and some links may not work. Persons with disabilities having difficulty accessing this information should contact us at: https://digital.ahrq.gov/contact-us . Let us know th…

3365. Spotlight Case [MONTH] 2003 (ppt file)
      psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.110_slideshow.ppt
      December 01, 2005 - Spotlight Case [MONTH] 2003 Spotlight Case December 2005 Low on the Totem Pole Source and Credits This presentation is based on the Dec. 2005 Spotlight Case in Surgery/Anesthesia See the full article at http://webmm.ahrq.gov CME credit is available through the Web site Commentary by: Robert Wachter, MD, …

3366. TeamSTEPPS Diagnosis Improvement Course | Agency for Healthcare Research and Quality
      www.ahrq.gov/teamstepps-program/diagnosis-improvement/index.html
      October 01, 2024 - TeamSTEPPS Diagnosis Improvement Course TeamSTEPPS® is an evidence-based program built on a framework composed of four teachable, learnable skills—communication, leadership, situation monitoring, and mutual support. The TeamSTEPPS for Diagnosis Improvement Course applies the TeamSTEPPS framework to the specific…

3367. Integrating Teamwork Tools into CUSP Efforts | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cauti-tools/archived-webinars/integrating-teamwork-tools-cusp-efforts-slides.html
      December 01, 2017 - Integrating Teamwork Tools into CUSP Efforts Slide Presentation Slide 1 Integrating Teamwork Tools into CUSP Efforts Shannon Davila, RN, MSN, CIC, CPQH New Jersey Hospital Association Slides adapted from original source: Barbara Edson, RN, MBA, MHA VP, Clinical Quality , Health Research & Educatio…

3368. Action Planning for the SOPS Surveys-Results (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/04-yount-sops-action-planning-tool.pdf
      June 01, 2019 - Action Planning for the SOPS Surveys-Results 31 Results to Action: An Action Planning Example Naomi Yount, PhD Senior Study Director, User Network for the AHRQ Surveys on Patient Safety Culture (SOPS) Westat 1. What areas do you want to focus on for improvement? • Review your percent positive scores on the s…

3369. BLADDER SCAN – POLICY #2202 12/11/06 (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/resources/tools/cauti-surveillance/review-form.docx
      March 01, 2017 - BLADDER SCAN – POLICY #2202 12/11/06 Appendix K. CAUTI Case Review Form Purpose The CAUTI Case Review Form is a performance improvement look-back tool that assists long-term care (LTC) facilities with identifying possible resident care issues that might have contributed to a catheter-associated urinary tract infecti…

3370. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38260/psn-pdf
      April 22, 2011 - Information exchange among physicians caring for the same patient in the community. April 22, 2011 van Walraven C, Taljaard M, Bell CM, et al. Information exchange among physicians caring for the same patient in the community. CMAJ. 2008;179(10):1013-8. doi:10.1503/cmaj.080430. https://psnet.ahrq.gov/issue/informa…

3371. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/837193/psn-pdf
      May 25, 2022 - Defining diagnostic error: a scoping review to assess the impact of the National Academies' report Improving Diagnosis in Health Care. May 25, 2022 Giardina TD, Hunte H, Hill MA, et al. Defining diagnostic error: a scoping review to assess the impact of the National Academies' report Improving Diagnosis in Health …

3372. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/72566/psn-pdf
      January 01, 2021 - Incidence, nature and causes of avoidable significant harm in primary care in England: retrospective case note review. December 16, 2020 Avery AJ, Sheehan C, Bell BG, et al. Incidence, nature and causes of avoidable significant harm in primary care in England: retrospective case note review. BMJ Qual Saf. 2021;30(…

3373. Teamwork Training | PSNet
      psnet.ahrq.gov/primer/teamwork-training
      September 15, 2024 - Teamwork Training Citation Text: Teamwork Training. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Dow…

3374. Preventing Medication-Related Problems in Care Transitions to Skilled Nursing Facilities | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/preventing-medication-related-problems-care-transitions-skilled-nursing
      July 31, 2025 - Preventing Medication-Related Problems in Care Transitions to Skilled Nursing Facilities Project Description Publications Research Story Standardizing the hospital-to-skilled nursing facility transition by using a structured handoff between clinical teams along with…

3375. 108-Cusp-Psychological-Safety (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/108-cusp-psychological-safety.docx
      June 02, 2025 - AHRQ Safety Program for MRSA Prevention CUSP Program: Psychological Safety ICU & Non-ICU Slide Title and Commentary Slide Number and Slide CUSP Program: Psychological Safety SAY: Welcome to this presentation on Psychological Safety as part of the overall approach to preventing MRSA in ICU and non-ICU settings. Sli…

3376. In Conversation with...Richard Ricciardi about Office-Based Patient Safety | PSNet
      psnet.ahrq.gov/perspective/conversation-withrichard-ricciardi-about-office-based-patient-safety
      January 31, 2024 - In Conversation with...Richard Ricciardi about Office-Based Patient Safety Richard Ricciardi, Ph.D., CRNP, FAANP, FAAN | January 31, 2024  Also Read the Essay View more articles from the same authors. Citation Text: Ricciardi R, Lee M, Mossburg S. In Conversatio…

3377. Patient Safety in Office-Based Care Settings | PSNet
      psnet.ahrq.gov/perspective/patient-safety-office-based-care-settings
      January 31, 2024 - Patient Safety in Office-Based Care Settings Richard Ricciardi, Ph.D., CRNP, FAANP, FAAN; Merton Lee, PharmD, PhD; Sarah E. Mossburg, RN, PhD | January 31, 2024  Also Read the Conversation View more articles from the same authors. Citation Text: Ricciardi R, L…

3378. MO Patient Preference Inventory (xls file)
      cdsic.ahrq.gov/sites/default/files/2025-03/Copy%20of%20Final_MO_Patient%20Preference%20Inventory_6.7.24_508.xlsx
      January 01, 2025 - MO Patient Preference Inventory Quick Start User Guide Inventory of Patient Preference Measurement Tool for PC CDS VERSION AND DATE Version 1; June 5, 2024 PURPOSE • The Inventory of Patient Preference Measurement Tools for PC CDS identifies available patient preference measurement tools from the literature, to ena…

3379. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/863649/psn-pdf
      February 28, 2024 - In Conversation With...Stephen Hines, PhD and Monika Haugstetter, MHA, MSN, RN, CPHQ about TeamSTEPPS 3.0 February 28, 2024 In Conversation With..Stephen Hines, PhD and Monika Haugstetter, MHA, MSN, RN, CPHQ about TeamSTEPPS 3.0. PSNet [internet]. 2024. https://psnet.ahrq.gov/perspective/conversation-withstephen-…

3380. Spotlight (pdf file)
      psnet.ahrq.gov/sites/default/files/2022-05/final_cme_reviewed_-_spotlight_missing_a_large_vessel_occlusion_stroke_04.14.2022_-_copy.pdf
      January 01, 2022 - Spotlight Spotlight Missing a Large Vessel Occlusion Stroke in a Patient with a History of Seizures Source and Credits • This presentation is based on the May 2022 AHRQ WebM&M Spotlight Case o See the full article at https://psnet.ahrq.gov/webmm o CME credit is available o Commentary by: Kevin Keenan, MD and D…