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  1. 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…
  2. 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…
  3. 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…
  4. 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…
  5. 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…
  6. Psn-Pdf (pdf file)

    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…
  7. 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…
  8. 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…
  9. Psn-Pdf (pdf file)

    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…
  10. 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…
  11. Psn-Pdf (pdf file)

    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…
  12. 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…
  13. 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…
  14. 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…
  15. 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 …
  16. 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…
  17. 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…
  18. 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…
  19. 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…
  20. 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…