-
psnet.ahrq.gov/node/33814/psn-pdf
September 01, 2016 - In Conversation With… Reed V. Tuckson, MD
September 1, 2016
In Conversation With… Reed V. Tuckson, MD. PSNet [internet]. 2016.
https://psnet.ahrq.gov/perspective/conversation-reed-v-tuckson-md
Editor's note: Dr. Tuckson is Managing Director of Tuckson Health Connections, LLC, and President of
the American Telemed…
-
psnet.ahrq.gov/node/49676/psn-pdf
February 01, 2013 - Death by PCA
February 1, 2013
Hicks RW. Death by PCA. PSNet [internet]. 2013.
https://psnet.ahrq.gov/web-mm/death-pca
The Case
A healthy 21-year-old pregnant woman delivered a healthy baby via Caesarean section after an
uncomplicated pregnancy. Two hours after delivery, the post-anesthesia care unit (PACU) nurse …
-
www.ahrq.gov/hai/cauti-tools/archived-webinars/health-literacy-slides.html
December 01, 2017 - Health Literacy and Patient and Family Engagement: Strategic Tools to Prevent CAUTI
Slide Presentation
Slide 1
Health Literacy and Patient and Family Engagement: Strategic Tools to Prevent CAUTI
Barbara Meyer Lucas, MD, MHSA
Project Consultant
Michigan Health & Hospital Association
Keystone Center fo…
-
www.ahrq.gov/hai/tools/mvp/modules/vae/overview-off-ventilator-slides.html
February 01, 2017 - Overview: Getting Patients Off the Ventilator Faster: Slide Presentation
AHRQ Safety Program for Mechanically Ventilated Patients
Slide 1: AHRQ Safety Program for Mechanically Ventilated Patients
Overview: Getting Patients Off the Ventilator Faster
Slide 2: Learning Objectives
After this session, yo…
-
psnet.ahrq.gov/node/49864/psn-pdf
June 01, 2019 - Speaking Up for Patient Safety: What They Don't Tell You
in Training About Feedback and Burnout
June 1, 2019
Adair KC, Frankel A, Sexton B. Speaking Up for Patient Safety: What They Don't Tell You in Training About
Feedback and Burnout. PSNet [internet]. 2019.
https://psnet.ahrq.gov/web-mm/speaking-patient-safety-…
-
psnet.ahrq.gov/node/846768/psn-pdf
March 29, 2023 - Endotracheal Tube Fallout in a Patient with Severe
Obesity During Eye Surgery.
March 29, 2023
Bohringer C. Endotracheal Tube Fallout in a Patient with Severe Obesity During Eye Surgery. PSNet
[internet]. 2023.
https://psnet.ahrq.gov/web-mm/endotracheal-tube-fallout-patient-severe-obesity-during-eye-surgery
The Ca…
-
www.ahrq.gov/sites/default/files/2024-11/devita-report.pdf
January 01, 2024 - Final Progress Report: METs: Preventing Patient Crisies; Protecting Patients in Crisis
AHRQ Final Report
Title of Project: METs: Preventing Patient Crisies; Protecting Patients in Crisis
AHRQ grant: 1 R13 HS 15757-01
Awarded May, 2005.
Dates of project: May 2005-May 2006.
Date of Conference: June 25 and 26, 2005.
…
-
www.ahrq.gov/sites/default/files/2024-01/grahamlear-report.pdf
January 01, 2024 - Final Progress Report: Improving Quality in Medication Management in Schools
Project Title: Improving Quality in Medication Management in Schools
Principal Investigator: Julia Graham Lear, PhD
Team Members: Annette Ferebee, MPH, Project Director
Nancy Eichner, MUP, Senior Program Manager
Theresa Chapman, Executive …
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/teachback-module-accessible.pdf
January 01, 2013 - Static Teach-back Interactive Module
Teach-back
1. Title
Teach-Back
Improving Patient Safety by Engaging Patients and Families in Effective Clinician-
Patient Communication
1 Teach-back Interactive Module
2. AHRQ
Sponsored by the Agency for Healthcare
Research and Quality (AHRQ), this tea…
-
psnet.ahrq.gov/node/49528/psn-pdf
January 01, 2015 - The "Customer" Is Always Right
February 1, 2007
Sehgal NL. The "Customer" Is Always Right. PSNet [internet]. 2007.
https://psnet.ahrq.gov/web-mm/customer-always-right
Case Objectives
Understand the importance of identifying a patient's agenda.
Appreciate the factors that contribute to unmet patient expectations.
…
-
www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/labor-delivery-unit/tool-obhemorrhage.html
July 01, 2023 - Labor and Delivery Unit Safety: Obstetric Hemorrhage
AHRQ Safety Program for Perinatal Care
Purpose of the tool: This tool describes the key perinatal safety elements related to the management obstetric hemorrhage. The key elements are presented within the framework of the Comprehensive Unit-base…
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_8-program-evaluation-speaker-notes.pdf
July 01, 2023 - Program Evaluation
Hospital AIM
Team
Leads
SPPC‐II
Program Evaluation
Module 8 of 8
SPPC‐II
Toolkit
JHU & AHRQ for
AIM
SCRIPT
Welcome to Module 8 of the SPPC‐II Teamwork Toolkit. In this module we will discuss
aspects related to the evaluation of the program.
1
Hospital AIM
Team
Leads
SPPC‐II…
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_8-program-evaluation-speaker-notes.pdf
July 01, 2023 - Program Evaluation
Hospital AIM
Team
Leads
SPPC‐II
Program Evaluation
Module 8 of 8
SPPC‐II
Toolkit
JHU & AHRQ for
AIM
SCRIPT
Welcome to Module 8 of the SPPC‐II Teamwork Toolkit. In this module we will discuss
aspects related to the evaluation of the program.
1
Hospital AIM
Team
Leads
SPPC‐II…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/rapid-response/rapidresponse_facguide.pdf
May 01, 2017 - AHRQ Safety Program for Perinatal Care: Rapid Response for Perinatal Safety
AHRQ Safety Program for Perinatal Care
Rapid Response for Perinatal Safety
AHRQ Publication No. 17-0003-20-EF
May 2017
SAY:
The Rapid Response for Perinatal Safety
bundle provides information establishing a
unitwide approach, also …
-
www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/rapid-response/tool-rapid-response-systems.html
July 01, 2023 - Rapid Response for Perinatal Safety: Rapid Response Systems
AHRQ Safety Program for Perinatal Care
Purpose of the tool: This tool describes the key perinatal safety elements that support rapid response systems. The key safety elements are presented within the framework of the Comprehensive Unit-b…
-
www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-203-section-8-a-data-feasibility.pdf
June 02, 2025 - Section 8-A, Data Feasibility Tool
EHR Data Feasibility Tool copyright 2011 American Medical
Association. All Rights Reserved. This tool and the information
contained therein may not be reproduced or distributed and may
only be used for collecting data in connection with an agreement
with the American Medical As…
-
www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-200-section-8-data-feasibility-tool-1.pdf
June 02, 2025 - Section 8, Data Feasibility Tool and Feasibility Testing Results
EHR Data Feasibility Tool copyright 2011 American Medical
Association. All Rights Reserved. This tool and the information
contained therein may not be reproduced or distributed and may
only be used for collecting data in connection with an agreement…
-
www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-199-section-8-a-ehr-data-feasibility-tool.pdf
June 02, 2025 - Section 8-A, EHR Data Feasibility Tool
EHR Data Feasibility Tool copyright 2011 American Medical
Association. All Rights Reserved. This tool and the information
contained therein may not be reproduced or distributed and may
only be used for collecting data in connection with an agreement
with the American Medica…
-
psnet.ahrq.gov/web-mm/forgotten-line
March 11, 2011 - The Forgotten Line
Citation Text:
Render ML. The Forgotten Line. 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 PubMedId RIS …
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/4es-early-mobility-facguide.docx
January 01, 2017 - Facilitator Guide: Build Your SSI Prevention Bundle
Slide Title and Commentary
Slide Number and Slide
Title Slide
The Four Es of Early Mobility
SAY:
This module explains how to apply the Four Es of the TRIP framework to Early Mobility: engage, educate, execute, and evaluate.
Slide 1
Learning Objectives
SAY:
A…