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www.ahrq.gov/ncepcr/care/coordination/atlas/chapter6d.html
June 01, 2014 - Care Coordination Measures Atlas Update
Chapter 6. Measure Maps and Profiles (continued, 5)
Previous Page Next Page
Table of Contents
Care Coordination Measures Atlas Update
Chapter 1: Background
Chapter 2. What is Care Coordination?
Chapter 3. Care Coordination Measurement Framework
Chapter…
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psnet.ahrq.gov/node/49451/psn-pdf
June 01, 2004 - The Result Stopped Here
June 1, 2004
Astion ML. The Result Stopped Here. PSNet [internet]. 2004.
https://psnet.ahrq.gov/web-mm/result-stopped-here
The Case
A 91-year-old female was transferred to a hospital-based skilled nursing unit from the acute care hospital
for continued wound care and intravenous (IV) antib…
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psnet.ahrq.gov/web-mm/sick-and-pregnant
August 25, 2021 - Sick and Pregnant
Citation Text:
El-Ibiary S. Sick and Pregnant. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2008.
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Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/situ/simulation-slides.html
July 01, 2023 - Establishing a Program of In Situ Simulations: Slide Presentation
AHRQ Safety Program for Perinatal Care
Slide 1: AHRQ Safety Program for Perinatal Care
Establishing a Program of In Situ Simulations
Slide 2: Learning Objectives
Image: Four ascending steps show the learning objectives:
Describe i…
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psnet.ahrq.gov/web-mm/getting-right-doctor-right-away
July 01, 2011 - Getting the (Right) Doctor, Right Away
Citation Text:
Gupta K, Khanna R. Getting the (Right) Doctor, Right Away. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2016.
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Format:
Google Scholar BibTeX EndNote X…
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www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/psychological-safety-slides.pdf
March 18, 2025 - NAA National Webinar, February 2025: Establishing Psychological Safety for Healthcare Workers
Creating and Maintaining a Culture of Safety Series
(Session 1)
Establishing Psychological Safety for Healthcare Workers
NATIONAL WEBINAR SERIES
February 18, 2025
Housekeeping Instructions
• This webinar will be record…
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psnet.ahrq.gov/node/33705/psn-pdf
January 01, 2011 - Risk Management and Patient Safety
December 1, 2010
Manuel BM, McCarthy JL, Berry WR, et al. Risk Management and Patient Safety. PSNet [internet]. 2010.
https://psnet.ahrq.gov/perspective/risk-management-and-patient-safety
Perspective
In 1990, a Harvard-based research team reported the incidence of medical errors …
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psnet.ahrq.gov/node/49847/psn-pdf
November 01, 2018 - Written Signout: It Only Works If You Use The Right One
November 1, 2018
Lewis K, Rosenbluth G. Written Signout: It Only Works If You Use The Right One. PSNet [internet]. 2018.
https://psnet.ahrq.gov/web-mm/written-signout-it-only-works-if-you-use-right-one
The Case
A 75-year-old man was hospitalized due to a stro…
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psnet.ahrq.gov/primers-0
March 15, 2025 - Primers
Guides for key topics in patient safety through context, epidemiology, and relevant AHRQ PSNet content. The Patient Safety 101 Primer provides an overview of the patient safety field and covers key definitions and concepts.
Latest Primers
Clinical Decision Support Systems
March…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/howtogetstarted/How_PFE_Benefits_Hosp_508.pdf
January 01, 2012 - Information to Help Hospitals Get Started
Information to Help Hospitals Get Started
Guide to Patient and Family Engagement :: 1
How Patient and Family Engagement
Benefits Your Hospital
Patient and family engagement is an area of increasing
importance for hospitals. Not only is engaging patients
and families…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/warmhandoff-quickstartfull.pdf
January 27, 2017 - Implementation Quick Start Guide: Warm Handoff
Implementation
Quick Start Guide
Warm Handoff
The Guide to Improving Patient Safety in Primary Care
Settings by Engaging Patients and Families
Implementation Quick Start Guide: Warm Handoff | III
Table of Contents
What Is a Warm Handoff? .......................…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/management/problem-solving/problem-solving-component-kit.docx
May 01, 2017 - Module 3: Component Kit
AHRQ Safety Program for Ambulatory Surgery
Management Practices for Sustainability
Module 3: Problem Solving and Escalation
Problem Solving and Escalation – Standards Component Kit
Contents
1. What Are Problem Solving and Escalation? 2
2. What Is a Problem and What Is a Solution? 2
3. Wher…
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psnet.ahrq.gov/node/74022/psn-pdf
March 01, 2021 - The Role of Community Pharmacists in Patient Safety
October 25, 2021
Luchen GG, Hall KK, Hough KR. The Role of Community Pharmacists in Patient Safety . PSNet [internet].
2021.
https://psnet.ahrq.gov/perspective/role-community-pharmacists-patient-safety
What is a community pharmacy?
Community pharmacies are somet…
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psnet.ahrq.gov/node/49743/psn-pdf
September 01, 2015 - Dual Therapy Debacle
September 1, 2015
Kayser SR. Dual Therapy Debacle. PSNet [internet]. 2015.
https://psnet.ahrq.gov/web-mm/dual-therapy-debacle
The Case
An elderly man with a history of arthritis, benign prostatic hypertrophy with urinary obstruction,
hyperlipidemia, obesity, and a long history of tobacco use …
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digital.ahrq.gov/ahrq-funded-projects/cancelrx-health-it-tool-decrease-medication-discrepancies-outpatient-setting
January 01, 2023 - CancelRx: A Health IT Tool to Decrease Medication Discrepancies in the Outpatient Setting
Project Final Report ( PDF , 855.73 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 nece…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/new-cahps-tools-px-measurement-webcast.pdf
June 25, 2025 - New CAHPS Tools for Patient Experience Measurement: Slide Presentation
New CAHPS Tools for Patient Experience
Measurement
A Webcast Presented by the AHRQ CAHPS User Network
Wednesday, June 25, 2025
1:00 – 2:00 pm ET
Technical Info
• Audio issues
• Poor connection
• Use Q&A to submit questions
2
Agenda
…
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www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/implementing-cms-measure-slides.pdf
May 13, 2025 - Implementing the CMS Patient Safety Structural Measure: Slide Presentation
Implementing the CMS Patient Safety
Structural Measure
NATIONAL WEBINAR SERIES
May 13, 2025
Housekeeping Instructions
• This webinar will be recorded and available for viewing on the National Action
Alliance website.
• Please use the ‘…
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effectivehealthcare.ahrq.gov/sites/default/files/hesse.pdf
January 01, 2010 - Hesse
Slide 1: Collaborating
for Health: Engaging
Community Intelligence for Better
Patient
Outcomes
Bradford W. Hesse,
Ph.D.
Chief, Health Communication and Informatics Research Branch
National Cancer
Institute,
Rockville,
MD
Slide 2: Emergence of the…
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www.ahrq.gov/hai/cauti-tools/archived-webinars/navigating-hierarchy-slides.html
December 01, 2017 - Navigating Hierarchy in the Clinical Setting: Working and Communicating with Others
Slide Presentation
Slide 1
Navigating Hierarchy in the Clinical Setting: Working and Communicating with Others
Susan M. Hohenhaus, LPD, RN, CEN, FAEN
Executive Director
Emergency Nurses Association
Slide 2
Learni…
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www.ahrq.gov/hai/cauti-tools/facil-guide/preventing-cauti-icu-setting-module3-speaker-notes.html
February 01, 2023 - Module 3: Conversations Around Device Necessity Facilitator Notes
Preventing CAUTI in the ICU Setting
Slide 1
Say:
In Module 1, we discussed the indications for an indwelling urinary catheter, the causes of catheter-associated urinary tract infections, or CAUTI, in the intensive care unit, or ICU, as w…