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  1. Communication Strategies to Promote Resident Safety

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/educational-bundles/communication-and-teamwork/communication-strategies.pptx
    September 01, 2016 - Communication Strategies to Promote Resident Safety Communication Strategies To Promote Resident Safety AHRQ Pub. No. 16-0003-13-EF September 2016 AHRQ Safety Program for Long-Term Care: CAUTI 1 Objectives After participating in the session, attendees will be able to— Identify possible barriers to effective com…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33804/psn-pdf
    March 03, 2016 - In Conversation With… Paul McGann, MD March 1, 2016 In Conversation With… Paul McGann, MD. PSNet [internet]. 2016. https://psnet.ahrq.gov/perspective/conversation-paul-mcgann-md Editor's note: Dr. McGann is the Chief Medical Officer for Quality Improvement at the Centers for Medicare & Medicaid Services (CMS). He…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/846126/psn-pdf
    March 09, 2023 - Medication Handling and Compounding Errors in the Operating Room. March 15, 2023 Chaudhry J, Manning C, Dakwa D, et al. Medication Handling and Compounding Errors in the Operating Room. PSNet [internet]. 2023. https://psnet.ahrq.gov/web-mm/medication-handling-and-compounding-errors-operating-room The Case A 62-y…

  4. Equity in Patient Safety | PSNet

    psnet.ahrq.gov/perspective/equity-patient-safety
    September 24, 2024 - Annual Perspective Equity in Patient Safety Angela D. Thomas, DrPH, MPH, MBA; Merton Lee, PhD, PharmD; Sarah Mossburg, RN, PhD | March 27, 2024  View more articles from the same authors. Citation Text: Thomas A, Lee M, Mossburg S. Equity in Patient Safety. …

  5. Despite Clues, Failed to Rescue | PSNet

    psnet.ahrq.gov/web-mm/despite-clues-failed-rescue
    August 02, 2015 - SPOTLIGHT CASE Despite Clues, Failed to Rescue Citation Text: Ghaferi AA. Despite Clues, Failed to Rescue. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017. Copy Citation Format: Google Scholar BibTeX EndN…

  6. A Stable Airway? Fatal Airway Occlusion After Inadequate Post-Tracheostomy Care | PSNet

    psnet.ahrq.gov/web-mm/stable-airway-fatal-airway-occlusion-after-inadequate-post-tracheostomy-care
    June 28, 2023 - SPOTLIGHT CASE A Stable Airway? Fatal Airway Occlusion After Inadequate Post-Tracheostomy Care Citation Text: Gould E, Craddock K, Le Tellier T, et al. A Stable Airway? Fatal Airway Occlusion After Inadequate Post-Tracheostomy Care. PSNet [internet]. Rockville (MD): Agency for Healthcare Research…

  7. Community-Acquired Pneumonia Clinical Decision Support Implementation Toolkit Handbook (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cap-toolkit/cap_imptoolkit.pdf
    January 01, 2018 - Community-Acquired Pneumonia Clinical Decision Support Implementation Toolkit Handbook Community-Acquired Pneumonia Clinical Decision Support Implementation Toolkit Handbook 1 Table of Contents Introduction .................................................................................................…

  8. Developing an Effective Care Coordination System Implementation Guide

    www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/care-coordination-slides.pptx
    January 01, 2018 - Developing an Effective Care Coordination System Implementation Guide Enhancing Care Coordination for Cardiac Rehabilitation 1 The PowerPoint presentation (PPT) is designed to serve as a roadmap, along with the Implementation Guide (IG), for enhancing care coordination processes for facilitating enrollment a…

  9. Operations Center: Operational Framework – Option Year 2 (pdf file)

    cdsic.ahrq.gov/sites/default/files/2025-03/Operations%20Center%20OY2%20Operational%20Framework_508.pdf
    January 01, 2025 - Operations Center: Operational Framework – Option Year 2 Operations Center: Operational Framework – Option Year 2 Agency for Healthcare Research and Quality 5600 Fishers Lane Rockville, MD 20857 www.ahrq.gov Contract No: 75Q80120D00018 Prepared by: NORC…

  10. CDSiC Innovation Center: Quarterly Report (pdf file)

    cdsic.ahrq.gov/sites/default/files/2023-08/Innovation%20Center%20Q2%202023%20Progress%20Report.pdf
    January 01, 2023 - CDSiC Innovation Center: Quarterly Report INNOVATION CENTER PROGRESS REPORT J U L Y 2 0 2 3 CDSiC Innovation Center: Quarterly Report Agency for Healthcare Research and Quality 5600 Fishers Lane Rockville, MD 20857 www.ahrq.gov Contract No: 75Q80120D00018 Prepared by: NORC at the University of Chicago…

  11. Meeting Minutes, April 2016 | Agency for Healthcare Research and Quality

    www.ahrq.gov/news/events/nac/2016-04-nac/nacmtg0416-minutes.html
    August 01, 2016 - Meeting Minutes, April 2016 National Advisory Council Minutes from the April 20, 2016, meeting of the Agency for Healthcare Research and Quality's National Advisory Council. Contents Summary Call to Order and Approval of November 3, 2015, Summary Report Acting Director's Update AHRQ’S Work in Primar…

  12. A Laceration that Needed a Proper Exam, Not an X-Ray | PSNet

    psnet.ahrq.gov/web-mm/laceration-needed-proper-exam-not-x-ray
    November 25, 2020 - SPOTLIGHT CASE A Laceration that Needed a Proper Exam, Not an X-Ray Citation Text: Wander J, Barnes DK. A Laceration that Needed a Proper Exam, Not an X-Ray.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2024. Copy Cit…

  13. Fecal Contamination of the Peritoneum from Laparoscopic Trocar Injury: A Routine Operation Goes Wrong. | PSNet

    psnet.ahrq.gov/web-mm/fecal-contamination-peritoneum-laparoscopic-trocar-injury-routine-operation-goes-wrong
    March 03, 2021 - SPOTLIGHT CASE Fecal Contamination of the Peritoneum from Laparoscopic Trocar Injury: A Routine Operation Goes Wrong. Citation Text: Ahmed SM, Ali M. Fecal Contamination of the Peritoneum from Laparoscopic Trocar Injury: A Routine Operation Goes Wrong.. PSNet [internet]. Rockville (MD): Agency fo…

  14. Failure to Ensure Patient Safety Leads to Patient Falls in Nursing Homes. | PSNet

    psnet.ahrq.gov/web-mm/failure-ensure-patient-safety-leads-patient-falls-nursing-homes
    August 14, 2024 - SPOTLIGHT CASE Failure to Ensure Patient Safety Leads to Patient Falls in Nursing Homes. Citation Text: Failure to Ensure Patient Safety Leads to Patient Falls in Nursing Homes.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Servic…

  15. Briefintrotoicd-10Codes041117 (pdf file)

    hcup-us.ahrq.gov/datainnovations/BriefIntrotoICD-10Codes041117.pdf
    April 11, 2017 - Recommended Citation: Moore BJ, Fingar KF. Brief Introduction to ICD-10-CM/PCS Codes. ONLINE. April 11, 2017. U.S. Agency for Healthcare Research and Quality. Available: https://www.hcup-us.ahrq.gov/datainnovations/icd10_resources.jsp. BRIEF INTRODUCTION TO ICD-10-CM/PCS CODES http://www.hcup-us.ahrq…

  16. Evaluating Practices and Developing Tools for Comparative Effectiveness Reviews of Diagnostic Test Accuracy: Methods for the Joint Meta-Analysis of Multiple Tests (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/pdf/diagnostic-tests-accuracy_research.pdf
    January 01, 2013 - and πD= (π D , D… k k00 k11 k k00 …, π k11)' are π̂ D and π̂ D , respectively, with elements defined

  17. R18Hs017270-Fricton-Final-Report-2011 (pdf file)

    digital.ahrq.gov/sites/default/files/docs/publication/r18hs017270-fricton-final-report-2011.pdf
    January 01, 2011 - Follow up time was defined as the time from first dental encounter in the pre intervention period to … the activation encounter and in the post intervention period was defined as the time from activation

  18. Longitudinal Telephony & Multiple Disease Management System to Improve Ambulatory Care for Complex Patients - Final Report (pdf file)

    digital.ahrq.gov/sites/default/files/docs/publication/r18hs017855-friedman-final-report-2013.pdf
    January 01, 2013 - - Linked Care for Complex Patients (TLC-C), in the care of patients with complex health care needs defined … The primary outcome was ‘hospital events’ defined as unscheduled hospitalizations and emergency department

  19. Sharing patient lifelog data with the primary care team for two patient populations: preventative care & chronic disease management - Final Report (pdf file)

    digital.ahrq.gov/sites/default/files/docs/citation/r21hs023654-munson-final-report-2017.pdf
    January 01, 2017 - to do a trial of the recommended post-operative dietary guidelines and to track their diet for a defined … Lee defined five types of boundary negotiating artifacts that facilitate information transmission and

  20. Introducing the CAHPS Child Hospital Survey_Transcript (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20150122/introducing-cahps-child-hospital-survey-transcript.pdf
    January 01, 2015 - So we approached two physician leaders and defined what a champion looks like. … But if we continue to keep our focus on the patient and family experience as defined by our patients
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