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psnet.ahrq.gov/node/33570/psn-pdf
June 15, 2024 - Diagnostic Errors
June 15, 2024
Diagnostic Errors. PSNet [internet]. 2019.
https://psnet.ahrq.gov/primer/diagnostic-errors
PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that
they reflect current research and practice in the patient safety field. Last reviewed in 20…
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digital.ahrq.gov/ahrq-funded-projects/barriers-and-facilitators-implementation-and-adoption-ehr-home-care
January 01, 2023 - Barriers and Facilitators to Implementation and Adoption of EHR in Home Care
Project Final Report ( PDF , 287.71 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 repre…
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www.ahrq.gov/es/patient-safety/settings/hospital/resource/pressureulcer/tool/pu3.html
October 01, 2014 - Preventing Pressure Ulcers in Hospitals
3. What are the best practices in pressure ulcer prevention that we want to use?
Previous Page Next Page
Table of Contents
Preventing Pressure Ulcers in Hospitals
Overview
Key Subject Area Index
1. Are we ready for this change?
2. How will we manage ch…
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www.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/pu3.html
October 01, 2014 - Preventing Pressure Ulcers in Hospitals
3. What are the best practices in pressure ulcer prevention that we want to use?
Previous Page Next Page
Table of Contents
Preventing Pressure Ulcers in Hospitals
Overview
Key Subject Area Index
1. Are we ready for this change?
2. How will we manage ch…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-West_102.pdf
March 31, 2008 - Relationship Between Patient Harm and Reported Medical Errors in Primary Care: A Report from the ASIPS Collaborative
Relationship Between Patient Harm and
Reported Medical Errors in Primary Care:
A Report from the ASIPS Collaborative
David R. West, PhD; Wilson D. Pace, MD; L. Miriam Dickinson, PhD;
Daniel M. H…
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hcup-us.ahrq.gov/reports/methods/FinalReportonObservationStatus_v2Final.pdf
January 01, 2010 - Observation Status Related to U
HCUP Methods Series
kbr33831
Contact Information:
Healthcare Cost and Utilization Project (HCUP)
Agency for Healthcare Research and Quality
540 Gaither Road
Rockville, MD 20850
http://www.hcup-us.ahrq.gov
For Technical Assistance with HCUP Products:
Email: hcu…
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www.ahrq.gov/sites/default/files/2024-01/thomas2-report.pdf
January 01, 2024 - Final Progress Report: Teamwork and Error in Neonatal Intensive Care
Teamwork and Error in Neonatal Intensive
Care
Eric J. Thomas, MD, MPH
Robert L. Helmreich, PhD
J. Bryan Sexton, PhD
Gwen Sherwood, RN, PhD, FAAN
Robert Lasky, PhD
Thomas Kallarackal
Sharon Crandell, MD
Jennipher Mulhollem
Dates:…
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psnet.ahrq.gov/node/73643/psn-pdf
August 01, 2022 - ECHO-Care Transitions Successfully Reduces Patient
Readmissions from Skilled Nursing Facilities, Reduces
Length of Stay
August 25, 2021
https://psnet.ahrq.gov/innovation/echo-care-transitions-successfully-reduces-patient-readmissions-skilled-
nursing
Summary
ECHO-Care Transitions (ECHO-CT) intends to ensure cont…
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psnet.ahrq.gov/node/49826/psn-pdf
April 01, 2018 - Air on the Side of Caution
April 1, 2018
Robertson JM, Pozner CN. Air on the Side of Caution. PSNet [internet]. 2018.
https://psnet.ahrq.gov/web-mm/air-side-caution
The Case
A young woman with morbid obesity was scheduled for cardiac catheterization to evaluate shortness of
breath and chest pain. A decision was m…
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psnet.ahrq.gov/node/49827/psn-pdf
April 01, 2018 - Walking Patient, Missing Drain
April 1, 2018
Olkowski BF, Ravenel M, Stiefel MF. Walking Patient, Missing Drain. PSNet [internet]. 2018.
https://psnet.ahrq.gov/web-mm/walking-patient-missing-drain
The Case
A 43-year-old woman with a history of metastatic breast cancer was admitted to the hospital for an elective
…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.116_slideshow.ppt
February 01, 2006 - Spotlight Case [MONTH] 2003
Spotlight Case February 2006
Lost in Transition
Source and Credits
This presentation is based on the February 2006 AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available through the Web site
Commentary by: Christopher Beach, MD; Northwe…
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psnet.ahrq.gov/node/49515/psn-pdf
July 01, 2006 - Over Not So Easy
July 1, 2006
Cucina R. Over Not So Easy. PSNet [internet]. 2006.
https://psnet.ahrq.gov/web-mm/over-not-so-easy
The Case
A 62-year-old woman with end-stage liver disease was hospitalized for recurrent variceal bleeding. On
admission, she reported allergies to a number of medications as well as a …
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-moving-forward-cleary-slides.pdf
March 01, 2010 - CAHPS® Moving Forward: Innovations in Tools and Research Webcast
The Value and Impact of CAHPS
Paul D. Cleary, Ph.D.
Yale School of Public Health
www.ahrq.gov/cahps
Reported Patient Experiences are Related to
other Important Processes and Outcomes
Among dozens of studies examined in a
recent systematic revie…
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www.ahrq.gov/teamstepps-program/curriculum/situation/tools/index.html
June 01, 2023 - Section 2: Explanation of Key Concepts and Tools
This section contains explanations and illustrations to help you better understand and appreciate the importance of situation monitoring and TeamSTEPPS situation monitoring tools. If you teach this content or want additional insights on how the material can be mo…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/tiered-approach-notes.docx
April 01, 2022 - Using a Tiered Approach With CUSP Principles Facilitator Guide
CUSP Module: Using a Tiered Approach With CUSP Principles
Facilitator Guide
Slide Number and Image
This module, titled “Using a Tiered Approach with CUSP Principles” is part of the Agency for Healthcare Research and Quality, or AHRQ, Safety Program …
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www.ahrq.gov/hai/cauti-tools/ena-slides/part2.html
October 01, 2020 - The Emergency Nurses Association Presents CAUTI Slides and Transcript
Part Two: Removing the Obstacles to Practice Change
Previous Page Next Page
Table of Contents
The Emergency Nurses Association Presents CAUTI Slides and Transcript
Opening Materials: Attribution, Objectives, Introduction, and Ma…
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psnet.ahrq.gov/primer/strategies-and-approaches-tracking-improvements-patient-safety
June 15, 2024 - Strategies and Approaches for Tracking Improvements in Patient Safety
Citation Text:
Shaikh U. Strategies and Approaches for Tracking Improvements in Patient Safety . PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2021.
Copy Citat…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.266_slideshow.ppt
May 01, 2012 - Spotlight Case July 2008
Spotlight Case
The Perils of Cross Coverage
*
*
Source and Credits
This presentation is based on the May 2012
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available
Commentary by: Jeanne M. Farnan, MD, MHPE, and Vineet M. Arora, MD, MAPP, …
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www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/implementation-guides/implementation-guide1/impguide1step2.html
March 01, 2019 - Step 2: Determine Whom To Engage
Implementation Guide Number 1
This Implementation Guide includes suggested steps and tips for implementing initiatives for improving child health care quality from the CMS-funded national evaluation of the Children’s Health Insurance Program Reauthorization Act of 2009 (CHIPRA…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/podcasts/The_Case_for_Improving_Patient_Experience_-2011_10_01_Transcript.pdf
January 01, 2011 - CAHPS QI The Case for Improving Patient Experience
The Case for Improving Patient Experience
October 2011 Podcast
Speaker
Larry Morrissey, MD, Medical Director of Quality Improvement, Stillwater Medical Group
Moderator
Carla Zema, PhD, Consultant, CAHPS User Network; Assistant Professor of Economics an…