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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…
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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…
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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…
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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…
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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…
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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…
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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 …
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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…
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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…
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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…
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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 …
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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…
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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)
…
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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…
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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 …
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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 …
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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…
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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…
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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…
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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…