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psnet.ahrq.gov/node/72616/psn-pdf
December 22, 2020 - Adverse Events in Dentistry
December 22, 2020
Kalenderian E, Walji MF, Fitall E, et al. Adverse Events in Dentistry. PSNet [internet]. 2020.
https://psnet.ahrq.gov/perspective/adverse-events-dentistry
Introduction
Similar to many other healthcare settings, dentistry carries with it inherent patient safety risks. D…
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/probabilistic-thinking5.html
September 01, 2022 - Improved Diagnostic Accuracy Through Probability-Based Diagnosis
References
Previous Page
Table of Contents
Improved Diagnostic Accuracy Through Probability-Based Diagnosis
Introduction
Fundamental Concepts for Understanding Probability
Probability and the Diagnostic Pathway
Future Vision …
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/leadership-3.html
June 01, 2021 - Leadership To Improve Diagnosis: A Call to Action
How Can Leaders Drive Improvements in Diagnostic Safety?
Previous Page Next Page
Table of Contents
Leadership To Improve Diagnosis: A Call to Action
Diagnostic Safety as a Challenge for Healthcare Leadership
Why Are Leaders Essential to Diagnosti…
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www.ahrq.gov/ncepcr/research-transform-primary-care/transform/tools-catalog/index.html
August 01, 2015 - AHRQ Infrastructure for Maintaining Primary Care Transformation (IMPaCT) Grants
Catalog of Tools and Resources
This Catalog of Tools and Resources brings together the materials developed through the ARHQ Infrastructure for Maintaining Primary Care Transformation (IMPaCT) cooperative grants. These grants suppo…
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psnet.ahrq.gov/node/33817/psn-pdf
October 01, 2016 - Health Care Data Science for Quality Improvement and
Patient Safety
October 1, 2016
Rajkomar A. Health Care Data Science for Quality Improvement and Patient Safety. PSNet [internet]. 2016.
https://psnet.ahrq.gov/perspective/health-care-data-science-quality-improvement-and-patient-safety
Perspective
Background
Ha…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.248_slideshow.ppt
September 01, 2011 - Spotlight Case July 2008
Spotlight Case
The Safety and Quality of Long Term Care
*
*
Source and Credits
This presentation is based on the September 2011
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available
Commentary by: Amy A. Vogelsmeier, PhD, RN, GCNS-BC, Uni…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.365_slideshow.ppt
January 01, 2016 - PowerPoint Presentation
Spotlight
A Room Without Orders
1
This presentation is based on the January 2016
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available
Commentary by: Amy Vogelsmeier, PhD, RN, Sinclair School of Nursing; and Laurel Despins, PhD, RN, Sinclair Sc…
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psnet.ahrq.gov/node/33777/psn-pdf
January 01, 2015 - Innovation and Lean Thinking: Mutually Supportive
Partners in the Transformation of Health Care
January 1, 2015
Plsek PE. Innovation and Lean Thinking: Mutually Supportive Partners in the Transformation of Health
Care. PSNet [internet]. 2015.
https://psnet.ahrq.gov/perspective/innovation-and-lean-thinking-mutually…
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psnet.ahrq.gov/node/49652/psn-pdf
May 01, 2012 - Double Dose at Transfer
May 1, 2012
Hackman JL. Double Dose at Transfer. PSNet [internet]. 2012.
https://psnet.ahrq.gov/web-mm/double-dose-transfer
The Case
A 74-year-old man with history of diabetes and hypertension was admitted to the emergency department
(ED) for left lower extremity pain, swelling, and erythe…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_ssi_investigation_facnotes.docx
December 01, 2017 - Facilitator Guide: Sustaining and Spreading Surgical Safety Improvements
Performing an SSI Investigation – Facilitator Notes
Slide Title and Commentary
Slide Number and Slide
Performing an SSI Investigation
SAY:
In this module, you’ll learn about performing a surgical site infection or SSI investigation.
Slide …
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www.ahrq.gov/hai/tools/surgery/modules/on-boarding/ssi-investigation-fac-notes.html
December 01, 2017 - Performing an SSI Investigation: Facilitator Notes
AHRQ Safety Program for Surgery
Slide 1: Performing an SSI Investigation
Say:
In this module, you’ll learn about performing a surgical site infection or SSI investigation.
Slide 2: Learning Objectives
Say:
Here are the objectives.
We want to d…
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www.ahrq.gov/hai/cusp/toolkit/learn-defects.html
December 01, 2012 - Learn from Defects Tool
CUSP Toolkit
Health care organizations can increase the extent to which they learn from defects.
Problem statement: Health care organizations can increase the extent to which they learn from defects. We define this learning as reducing the probability that a future patient will be h…
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www.ahrq.gov/research/findings/final-reports/ptflow/section3.html
April 01, 2020 - Improving Patient Flow and Reducing Emergency Department Crowding: A Guide for Hospitals
Section 3. Measuring Emergency Department Performance
Previous Page Next Page
Table of Contents
Improving Patient Flow and Reducing Emergency Department Crowding: A Guide for Hospitals
Acknowledgments
Execut…
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www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/implementation-guides/implementation-guide1/impguide1step5.html
March 01, 2019 - Step 5: Assess the Quality and Results of the Engagement
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 Reauthoriza…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/resources/tools/prevent/legbags-faqs.docx
March 01, 2017 - BLADDER SCAN – POLICY #2202 12/11/06
AHRQ Safety Program for Long-Term Care: HAIs/CAUTI
AHRQ Safety Program for Reducing CAUTI in Hospitals
Frequently Asked Questions About the Use of
and Care for Leg Bags in the Long-Term Care Setting
Disclaimer: Answers to the following frequently asked questions (FAQs) are based…
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/tracking-measuring-data-facilitator-guide.docx
June 01, 2021 - AHRQ Safety Program for Improving Antibiotic Use
Tracking and Measuring Antibiotic Use Data
Long-Term Care
Slide Title and Commentary
Slide Number and Slide
Tracking and Measuring Antibiotic Use Data
Long-Term Care
SAY:
Welcome to the presentation titled “Tracking and Measuring Antibiotic Use Data.”
Slide 1
…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/theresa-famolaro-slides-12-45.pdf
July 22, 2019 - Ambulatory Surgery Center SOPS: What You Need to Know Webcast
The SOPS Ambulatory Surgery Center
Survey
Theresa Famolaro, MPS, MS, MBA
Senior Study Director
User Network for the AHRQ Surveys on Patient Safety Culture (SOPS)
Westat
12
https://www.ahrq.gov/sops
Development of the ASC SOPS
• ASC SOPS was develop…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/learndefects.doc
June 02, 2025 - Learn From Defects Tool
Problem statement: Health care organizations can increase the extent to which they learn from defects. We define this learning as reducing the probability that a future patient will be harmed. Most often clinicians recover from mistakes by reducing risks to the patient who suffered a defect.
Wh…
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www.ahrq.gov/research/findings/final-reports/iomracereport/reldataaptabe1.html
May 01, 2018 - Race, Ethnicity, and Language Data: Standardization for Health Care Quality Improvement
Table E-1. Template of Granular Ethnicity Category Lists and Coding Schemes with Rollup to the OMB Race and Hispanic Ethnicity Categories
Previous Page Next Page
Table of Contents
Race, Ethnicity, and Language Da…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/management/problem-solving/problem-solving-facnotes.docx
May 01, 2017 - Module 3: Script and Slides
AHRQ Safety Program for Ambulatory Surgery
Management Practices for Sustainability
Module 3: Problem Solving and Escalation
AHRQ Safety Program for Reducing CAUTI in Hospitals
Facilitator Notes
SLIDE 1
Title: Management Practices for Sustainability, Module 3: Problem Solving and Escalati…