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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44447/psn-pdf
    September 02, 2015 - Community-, healthcare-, and hospital-acquired severe sepsis hospitalizations in the University HealthSystem Consortium. September 2, 2015 Page DB, Donnelly JP, Wang HE. Community-, Healthcare-, and Hospital-Acquired Severe Sepsis Hospitalizations in the University HealthSystem Consortium. Crit Care Med. 2015;43(9…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37166/psn-pdf
    February 03, 2011 - Mortality among hospitalized Medicare beneficiaries in the first 2 years following ACGME resident duty hour reform. February 3, 2011 Meltzer DO, Arora VM. Evaluating Resident Duty Hour Reforms. JAMA. 2007;298(9). doi:10.1001/jama.298.9.1055. https://psnet.ahrq.gov/issue/mortality-among-hospitalized-medicare-benef…
  3. www.uspreventiveservicestaskforce.org/home/getfilebytoken/p8huvc8UM4WfAnrNAzYnXS
    August 05, 2011 - Screening for Bladder Cancer: Clinical Summary of U.S. Preventive Services Task Force Recommendation SCREENING FOR BLADDER CANCER CLINICAL SUMMARY OF U.S. PREVENTIVE SERVICES TASK FORCE RECOMMENDATION Population Asymptomatic Adults Recommendation No recommendation Grade: I (Insufficie…
  4. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/esrd/procchecklist4-cleaning-disinfect.pdf
    December 15, 2014 - Cleaning and Disinfection of the Dialysis Station Procedural Checklist 4 Cleaning and Disinfection of the Dialysis Station Procedural Checklist #4 ☐ Don gown, gloves, and impermeable mask/eye protec…
  5. www.ahrq.gov/talkingquality/distribute/index.html
    September 01, 2017 - Distribute Your Health Care Quality Report to Consumers Long before you have comparative information to distribute, you need to be thinking about how and when to get it into the hands of consumers. Your objective is to place your report where your audience can find it quickly and easily and in a location that r…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42590/psn-pdf
    August 02, 2015 - Health care-associated infections: a meta-analysis of costs and financial impact on the US health care system. August 2, 2015 Zimlichman E, Henderson D, Tamir O, et al. Health care-associated infections: a meta-analysis of costs and financial impact on the US health care system. JAMA Intern Med. 2013;173(22):2039-2…
  7. digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/5w2h
    January 01, 2023 - 5W2H Also Known As Five Ws and Two Hs Who, What, When, Where, Why, How, How much Description 5W2H is a tool that provides guiding questions when assessing a process or problem. The five W's-who, what, when, where, and why, and the two H's-how and how much - force you to consider various …
  8. www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/implementation-guides/implementation-guide2/implguide2conc.html
    September 01, 2014 - Designing Care Management Entities for Youth with Complex Behavioral Health Needs Conclusion Previous Page Next Page Table of Contents Designing Care Management Entities for Youth with Complex Behavioral Health Needs Part 1: An Introduction to Care Management Entities (CMEs) Part 2: Assessing St…
  9. www.ahrq.gov/talkingquality/distribute/placement/index.html
    January 01, 2023 - Placement and Distribution Channels for a Quality Report A well-executed project doesn't end when the report has been printed or the Web site is launched. Unfortunately, you cannot rely on consumers to come to you for the information. While a few consumers actively seek out information on health care quality, m…
  10. www.ahrq.gov/talkingquality/explain/share-info/facts.html
    January 01, 2023 - Explain Key Health Care Facts Related to Your Quality Information Depending on the content of your report, you can provide information on: The kind(s) of organizations you are rating. The particular conditions that are addressed by your ratings. Specific issues, such as the importance of preventive serv…
  11. www.ahrq.gov/teamstepps-program/curriculum/situation/tools/monitoring.html
    June 01, 2023 - Tool: Cross-Monitoring Ongoing cross‐monitoring of the care environment helps everyone recognize risks and errors. It allows individuals and teams to take steps to correct the issue before harm or injury to the patient occurs. As one example, e-ICUs have proven the value of having remote staff cross-monitoring …
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865532/psn-pdf
    April 10, 2024 - Let us to the TWISST; Plan, Simulate, Study and Act. April 10, 2024 Colman N, Hebbar KB. Let us to the TWISST; Plan, Simulate, Study and Act. Pediatr Qual Saf. 2023;8(4):e664. doi:10.1097/pq9.0000000000000664. https://psnet.ahrq.gov/innovation/let-us-twisst-plan-simulate-study-and-act In situ simulation can identi…
  13. Slide 1 (ppt file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/vtguide/hopkinsinternalmed-slides.ppt
    January 01, 2013 - Slide 1 Algorithm driving ‘smart’ order set at Hopkins in Medical inpatients Zeidan AM, et al. Am J Hematol. 2013; 88:545-549 Major Risk Factors Age > 60 Cancer Previous VTE Acute CVA w/ paresis (< 3 mos.) Thrombophilia Decompensated NYHA Class III/IV heart failure Respiratory failure (ventilator-dependent) …
  14. Poster-Commitment (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/poster-commitment.docx
    June 01, 2021 - Directions for Completing and Displaying the Long-Term Care Commitment Poster How to “sign” the document Once the document is open in Microsoft Word, click on the bottom right side of the document (the blank space) and you will find a text box (with no fill color or outline). Use this text box to include the photogra…
  15. www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/video/huddle-emergency-dept-guide.pdf
    August 31, 2023 - TeamSTEPPS Video Debrief Guide: Huddle in Emergency Department TeamSTEPPS Video Debrief Guide: Huddle in Emergency Department Video Objective To demonstrate the benefits of a team huddle to enhance performance and patient safety. TeamSTEPPS Tool or Concept Huddle. Brief Video Description A multidisciplinary …
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42883/psn-pdf
    September 01, 2016 - Are we heeding the warning signs? Examining providers' overrides of computerized drug–drug interaction alerts in primary care. September 1, 2016 Slight SP, Seger DL, Nanji KC, et al. Are we heeding the warning signs? Examining providers' overrides of computerized drug-drug interaction alerts in primary care. PLoS …
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36342/psn-pdf
    March 02, 2011 - Missed and delayed diagnoses in the ambulatory setting: a study of closed malpractice claims. March 2, 2011 Gandhi TK, Kachalia A, Thomas EJ, et al. Missed and delayed diagnoses in the ambulatory setting: a study of closed malpractice claims. Ann Intern Med. 2006;145(7):488-496. https://psnet.ahrq.gov/issue/missed…
  18. www.ahrq.gov/evidencenow/projects/urinary/resources/practice-coaches-stun.html
    April 01, 2022 - Back to MUI Resources Barriers to Recruiting Primary Care Practices for Implementation Research During COVID-19: A Qualitative Study of Practice Coaches From the Stop Unhealthy (STUN) Alcohol Use Now Trial Resource Full Article Summary The COVID-19 pandemic has brought widesp…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47634/psn-pdf
    January 09, 2019 - Adverse Events in Long-Term-Care Hospitals: National Incidence Among Medicare Beneficiaries. January 9, 2019 Levinson DR. Adverse Events In Long-Term-Care Hospitals: National Incidence Among Medicare Beneficiaries. Washington, DC: US Department of Health and Human Services, Office of the Inspector General; 2018. R…
  20. www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/implementation-guide/app-g.html
    May 01, 2017 - Appendix G. Training Team Members How To Use the Checklist - Implementation Guide There are several ways you can train team members how to use the checklist. Here are some helpful things to remember: Have a one-on-one conversation with every person in your facility about the importance of meaningful and con…