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psnet.ahrq.gov/node/865656/psn-pdf
April 24, 2024 - Verbal Orders and Medication Overrides: A Dangerous
Combination
April 24, 2024
Mueller C, MacDowell P, Bourgeois JA. Verbal Orders and Medication Overrides: A Dangerous
Combination. PSNet [internet]. 2024.
https://psnet.ahrq.gov/web-mm/verbal-orders-and-medication-overrides-dangerous-combination
The Case
A 26-ye…
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psnet.ahrq.gov/node/49779/psn-pdf
January 01, 2017 - The Empty Bag
December 1, 2016
Vincent C. The Empty Bag. PSNet [internet]. 2016.
https://psnet.ahrq.gov/web-mm/empty-bag
The Case
A 90-year-old woman with end-stage dementia was admitted to an acute care hospital for treatment of a
hip fracture after a fall at a nursing home. During the hospitalization, her kidne…
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psnet.ahrq.gov/web-mm/standard-deviations
January 01, 2006 - SPOTLIGHT CASE
Standard Deviations
Citation Text:
Sabin JE. Standard Deviations. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2009.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML E…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/039-mrsa-surveillance-slides.pptx
October 01, 2024 - AHRQ Safety Program for MRSA Prevention
AHRQ Safety Program for MRSA Prevention
MRSA Surveillance
ICU & Non-ICU
AHRQ Pub. No. 25-0007
October 2024
AHRQ Safety Program for MRSA Prevention | ICU & Non-ICU
MRSA Surveillance
1
Educational Objectives
Describe both active and passive approaches to surveillance of methic…
-
psnet.ahrq.gov/node/49516/psn-pdf
August 01, 2006 - Physical Diagnosis: A Lost Art?
August 1, 2006
Thompson GR, Verghese A. Physical Diagnosis: A Lost Art? PSNet [internet]. 2006.
https://psnet.ahrq.gov/web-mm/physical-diagnosis-lost-art
Case Objectives
Appreciate the decline in proficiency and reliance on physical examination skills among health care
providers.
…
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www.ahrq.gov/hai/tools/mvp/modules/cusp/overview-cusp-mvp-facguide.html
February 01, 2017 - Overview of the Comprehensive Unit-based Safety Program for Application to Mechanically Ventilated Patients: Facilitator Guide
AHRQ Safety Program for Mechanically Ventilated Patients
Slide 1: Overview of the Comprehensive Unit-based Safety Program for Application to Mechanically Ventilated Patients
Say: …
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/translating-cahps-surveys.pdf
January 17, 2017 - Translating CAHPS Surveys
Translating CAHPS® Surveys
Contents
Purpose of this Document ............................................................................................................................. 1
Select Translation Team Members ..................................................................…
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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…
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www.ahrq.gov/sites/default/files/wysiwyg/chsp/compendium/2021-nh-linkage-techdoc.pdf
January 01, 2021 - Compendium of U.S. Health Systems, 2021, Nursing Home Linkage File, Technical Documentation
Comparative Health System Performance
Initiative: Compendium of U.S. Health Systems,
2021, Nursing Home Linkage File, Technical
Documentation
Prepared for:
Agency for Healthcare Research and Quality
U.S. Depa…
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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/situ/simulation.pptx
May 01, 2017 - AHRQ Safety Program for Perinatal Care: Facilitation Instructions for Conducting In Situ Simulations
AHRQ Safety Program for Perinatal Care
Establishing a Program of
In Situ Simulations
AHRQ Publication No. 17-0003-22-EF
May 2017
1
Learning Objectives
2
AHRQ Safety Program for Perinatal Care
In Situ Simulation…
-
www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/implementation-guides/implementation-guide1/impguide1step3.html
March 01, 2019 - Step 3: Build the Stakeholder Group Structure
Implementation Guide Number 1
This Implementation Guide includes suggested steps and tips for implementing initiatives for improving child health care quality from the CMS-funded national evaluation of the Children’s Health Insurance Program Reauthorization Act of…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/overview-cuspmvp-facguide.docx
January 01, 2017 - Facilitator Guide: Build Your SSI Prevention Bundle
Slide Title and Commentary
Slide Number and Slide
Title Slide
Overview of the Comprehensive Unit-based Safety Program for Application to Mechanically Ventilated Patients
SAY:
Today, we will be giving you an overview of the Comprehensive Unit-based Safety Program…
-
psnet.ahrq.gov/node/50949/psn-pdf
February 26, 2020 - Pre-analytical pitfalls: Missing and mislabeled specimens
February 26, 2020
Tran NK, Liu Y. Pre-analytical pitfalls: Missing and mislabeled specimens . PSNet [internet]. 2020.
https://psnet.ahrq.gov/web-mm/pre-analytical-pitfalls-missing-and-mislabeled-specimens
The Case
Case #1:
A 56-year-old man was admitted to…
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/changing-system-facilitator-guide.docx
June 01, 2021 - AHRQ Safety Program for Improving Antibiotic Use
1
Changing the System To Improve Patient Safety
Long-Term Care
Slide Title and Commentary
Slide Number and Slide
Changing the System To Improve Patient Safety
SAY:
Hello, and welcome to this presentation: “Changing the System To Improve Patient Safety.”
Sl…
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www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/module-3-implementation-guide.pdf
June 02, 2025 - 1
Implementation Guide - Module 3
Understanding your Workflow Processes to Prepare for Systems Change
Module Purpose
This module continues the discussion of the steps necessary for systems change to support the
implementation of automatic referral with effective care coordination. Topics include the “w…
-
www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/microbiologic-specimens-facilitator-guide.docx
June 01, 2021 - AHRQ Safety Program for Improving Antibiotic Use
1
Appropriate Collection of Microbiologic Specimens
Long-Term Care
Slide Title and Commentary
Slide Number and Slide
Appropriate Collection of Microbiologic Specimens
Long-Term Care
SAY:
Welcome to this presentation, titled, “Appropriate Collection of Microbiol…
-
psnet.ahrq.gov/node/49654/psn-pdf
June 01, 2012 - Transfer Troubles
June 1, 2012
Hains IM. Transfer Troubles. PSNet [internet]. 2012.
https://psnet.ahrq.gov/web-mm/transfer-troubles
Case Objectives
Recognize that transfer of patients between hospitals is common.
Understand the frequency of errors and adverse events in the transfer of patients between hospitals.
…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/educational-bundles/urine-culturing/antibiotic-stewardship/abx-stewardship-part1.pptx
March 01, 2017 - Antibiotic Stewardship Slides, Part 1: Hand Hygiene
How To Avoid the Harms of
Antibiotic Overuse
Training Module 4
AHRQ Pub. No. 16(17)-0003-21-EF
March 2017
AHRQ Safety Program for Long-term Care: HAIs/CAUTI
AHRQ Safety Program for Long-Term Care: HAIs/CAUTI
AHRQ SAFETY PROGRAM FOR LONG-TERM CARE: HAIs/CAUTI
…