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  1. Psn-Pdf (pdf file)

    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…
  2. Psn-Pdf (pdf file)

    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…
  3. 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…
  4. 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…
  5. Psn-Pdf (pdf file)

    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. …
  6. 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: …
  7. 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 ..................................................................…
  8. Psn-Pdf (pdf file)

    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…
  9. 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…
  10. Program Evaluation (pdf file)

    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…
  11. Program Evaluation (pdf file)

    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…
  12. 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…
  13. 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…
  14. 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…
  15. Psn-Pdf (pdf file)

    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…
  16. 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…
  17. 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…
  18. 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…
  19. Psn-Pdf (pdf file)

    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. …
  20. 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 …