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www.ahrq.gov/hai/cusp/modules/understand/alt-text.html
July 01, 2018 - Understand the Science of Safety Module Alternate Text
Slide Number and Title
Slide Content
Content for Alternative Text (Illustration)
Slide 1
Cover Slide
(CUSP Toolkit logo)
The "Understand the Science of Safety" module of the CUSP Toolkit. The CUSP toolkit is a modular approach to pat…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/case.html
December 01, 2017 - AHRQ's Safety Program for Nursing Homes
Case Studies
These case studies follow three nursing home facilities that implemented the On-Time Pressure Ulcer Prevention Program.
Select for more AHRQ Impact Case Studies .
Contents
New York Nursing Facility Sees 56 Percent Drop in Pressure Ulcers with AHRQ-Fu…
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/models-care-adult-survivors-childhood-cancer-evidence-summary.pdf
February 01, 2022 - Evidence Summary_Models of Care That Include Primary Care for Adult Survivors of Childhood Cancer: A Realist Review
Evidence Report
Models of Care That Include Primary Care
for Adult Survivors of Childhood Cancer: A
Realist Review
Evidence Summary
Main Points
Background and Purpose
Childhood…
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psnet.ahrq.gov/web-mm/double-dose-transfer
November 01, 2012 - Double Dose at Transfer
Citation Text:
Hackman JL. Double Dose at Transfer. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2012.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged Pu…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruhealing/facslides.html
December 01, 2017 - On-Time Pressure Ulcer Healing: Facilitator Training Slide Presentation
AHRQ’s Safety Program for Nursing Homes
Text version of slide presentation.
Slide 1: Overview of On-Time
AHRQ’s Safety Program for Nursing Homes:
On-Time Pressure Ulcer Healing Facilitator Training
Slide 2: On-Time Pressure Ulcer…
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psnet.ahrq.gov/node/49404/psn-pdf
June 01, 2003 - Not a Miscarriage
June 1, 2003
Learman LA. Not a Miscarriage. PSNet [internet]. 2003.
https://psnet.ahrq.gov/web-mm/not-miscarriage
The Case
A 32-year-old woman, gravida 3, para 1, with a history of Type 2 diabetes mellitus on metformin, presented
at 7 and 2/7 weeks by last menstrual period (LMP). The patient rep…
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digital.ahrq.gov/ahrq-funded-projects/implementing-personalized-cross-sector-transitional-care-management-promote
January 01, 2024 - Implementing Personalized Cross-Sector Transitional Care Management to Promote Care Continuity, Reduce Low-Value Utilization, and Reduce the Burden of Treatment for High-Need, High-Cost Patients
Project Description
Publications
Research Story
Using health informatio…
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digital.ahrq.gov/ahrq-funded-projects/patient-engagement-reporting-medication-events-during-transitions-care
January 01, 2024 - Patient Engagement in Reporting Medication Events During Transitions of Care
Project Description
Publications
Engaging cancer patients to communicate medication-related experiences and concerns with their healthcare team via an electronic patient safety event reporting pl…
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psnet.ahrq.gov/node/866395/psn-pdf
July 23, 2024 - Rescue Improvement Conference Innovation Summary
July 23, 2024
https://psnet.ahrq.gov/innovation/rescue-improvement-conference-innovation-summary
Summary
The Rescue Improvement Conference (RIC)1 was designed at the University of Michigan to address failure
to rescue with a particular focus on communication and com…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/d4d_pdi05-nqi01-pneumothorax-bestpractices.pdf
May 16, 2016 - Selected Best Practices and Suggestions for Improvement
Pediatric Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
1 Tool D.4d
Selected Best Practices and Suggestions for Improvement
NQI 01/PDI 05: Iatrogenic Pneumothorax
Why focus on iatrogenic pneumothorax in neonat…
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psnet.ahrq.gov/node/49773/psn-pdf
July 01, 2016 - Near Miss With Neonate
October 1, 2016
Malana J, Lyndon A. Near Miss With Neonate. PSNet [internet]. 2016.
https://psnet.ahrq.gov/web-mm/near-miss-neonate
The Case
A 37-year-old pregnant woman was admitted to the hospital for scheduled induction of labor for postterm
dates. Early the next morning, intravenous oxy…
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www.ahrq.gov/hai/cauti-tools/archived-webinars/assess-adapt-slides.html
July 01, 2018 - Assess and Adapt: Understanding the Science of Safety and Reliability
Slide Presentation
Slide 1
Assess and Adapt: Understanding the Science of Safety and Reliability
Lisa H. Lubomski, PhD
Assistant Professor, Johns Hopkins Medicine
Armstrong Institute for Patient Safety & Quality
Department of Anest…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/assess-adapt-060314.pptx
March 01, 2009 - CAUTI Prevention Implementation in a Community Hospital
Assess and Adapt: Understanding the Science of Safety and Reliability
Lisa H. Lubomski, PhD
Assistant Professor, Johns Hopkins Medicine
Armstrong Institute for Patient Safety & Quality
Department of Anesthesiology & Critical Care Medicine
1
1
Learning Ob…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/ptfamcare-facguide.docx
January 01, 2017 - Facilitator Guide: Build Your SSI Prevention Bundle
Slide Title and Commentary
Slide Number and Slide
Title Slide
Patient and Family Involvement in Care of Mechanically Ventilated Patients
SAY:
This module is about patient and family involvement in patient care.
Slide 1
Learning Objectives
SAY:
At the end of…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/access/cahps-strategy-6e.pdf
July 07, 2017 - Strategies for Improving Patient Experience with Ambulatory Care: Rapid Referral Programs
The CAHPS Ambulatory Care
Improvement Guide
Practical Strategies for Improving Patient Experience
Section 6: Strategies for Improving Patient Experience with
Ambulatory Care
6.E. Rapid Referral Programs
Visit the AHRQ …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/literacy-toolkit/healthlittoolkit2-tool2a.docx
June 02, 2025 - Primary Care Health Literacy Assessment
Please select one answer that most accurately describes your practice:
Doing Well
Our practice is doing this well
Needs Improvement
Our practice is doing this, but could do it better
Not Doing
Our practice is not doing this
Not Sure or N/A
I don’t know…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/surgical/about/F2CGLizHoyRogerLevine.pdf
June 02, 2025 - Surgical Patient Experience of Care Survey Design Project
Surgical Patient Experience of Surgical Patient Experience of
Care Survey Design ProjectCare Survey Design Project
Elizabeth W. Hoy, MHA
Assistant Director, Regulatory Affairs
and Quality Improvement Programs
American College of Surgeons
OverviewOvervie…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4c_combo_psi06-pneumothorax-bestpractices.pdf
May 20, 2016 - Selected Best Practices and Suggestions for Improvement
Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
1 Tool D.4c
Selected Best Practices and Suggestions for Improvement
PSI 06: Iatrogenic Pneumothorax
Why Focus on Iatrogenic Pneumothorax?
• Iatrogenic pneumothora…
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www.ahrq.gov/hai/cusp/clabsi-final/clabsifinal4.html
January 01, 2013 - Eliminating CLABSI, A National Patient Safety Imperative: Final Report
What We Learned: Five Key Lessons
Previous Page Next Page
Table of Contents
Eliminating CLABSI, A National Patient Safety Imperative: Final Report
Executive Summary
Report Organization
Program Implementation
Program Impac…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4r_combo_pdi05-nqi01-pneumothorax-bestpractices.pdf
May 16, 2016 - Selected Best Practices and Suggestions for Improvement
Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
1 Tool D.4r
Selected Best Practices and Suggestions for Improvement
NQI 01/PDI 05: Iatrogenic Pneumothorax
Why focus on iatrogenic pneumothorax in neonates and chi…