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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/learn-from-defects-facguide.docx
January 01, 2017 - Facilitator Guide: Build Your SSI Prevention Bundle
Slide Title and Commentary
Slide Number and Slide
Title Slide
Learning From Defects in Care of Mechanically Ventilated Patients
SAY:
In this module, we will discuss the Learning From Defects tool. It is a very useful process that enables frontline staff to ident…
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www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/highlight01.html
March 01, 2019 - How are CHIPRA demonstration States approaching practice-level quality measurement and what are they learning?
Evaluation Highlight No. 1
The National Evaluation of the CHIPRA Quality Demonstration Grant Program
Authors: Grace A. Ferry, Henry T. Ireys, Leslie Foster, Kelly J. Devers, and Lauren Smith
This…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/fallspx/implmatls.html
November 01, 2017 - AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention
Falls Prevention Self-Assessment Worksheet
Purpose
The Self-Assessment Worksheet is a worksheet designed to help staff review how they currently identify residents who have experienced a change in falls risk, how they determine if new clinica…
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www.ahrq.gov/hai/cusp/modules/patient-family-engagement/notes.html
September 01, 2013 - Patient and Family Engagement
Facilitator Notes
The Patient and Family Engagement module of the Comprehensive Unit-based Safety Program (CUSP) Toolkit. The CUSP toolkit is a modular approach to patient safety, and modules presented in this toolkit are interconnected and are aimed at improving patient safety. …
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www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/workshop/guide1.html
October 01, 2017 - Module 1: Preventing Pressure Injuries in Hospitals—Understanding Why Change Is Needed
Training Guide
Module Aim
The aim of Module 1 is to introduce the Preventing Pressure Ulcers in Hospitals Toolkit training.
Module Goals
The goals of this introductory module are to identify the overall objectives…
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psnet.ahrq.gov/web-mm/fatal-twist-pseudohyperkalemia
February 10, 2021 - SPOTLIGHT CASE
A Fatal Twist in Pseudohyperkalemia
Citation Text:
Devera JL, Barnes DK, Lewis WR. A Fatal Twist in Pseudohyperkalemia. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2024.
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Format:
…
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psnet.ahrq.gov/web-mm/hypoxic-gas-supply-cross-connected-pipelines
February 05, 2020 - Hypoxic Gas Supply from Cross-Connected Pipelines
Citation Text:
Bohringer C, Guemidjian A, Utter G. Hypoxic Gas Supply from Cross-Connected Pipelines. PSNet [internet]. Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2024.
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Format:
Google S…
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psnet.ahrq.gov/web-mm/weight-and-height-juxtaposition-electronic-medical-record-causing-accidental-medication
March 15, 2023 - Efforts should be directed towards acknowledging and addressing the contributory factor of distractions
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psnet.ahrq.gov/web-mm/hyperglycemia-and-switching-subcutaneous-insulin
May 19, 2021 - Glucommander: a computer-directed intravenous insulin system shown to be safe, simple, and effective
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psnet.ahrq.gov/web-mm/discharging-our-responsibility
January 16, 2019 - Rich and colleagues randomized 282 elderly HF patients to usual care versus a nurse-directed multidisciplinary
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digital.ahrq.gov/program-overview/research-reports/2022-year-review/research-themes-and-findings
January 01, 2022 - Fast Healthcare Interoperability Resources (FHIR®) standards has the potential to improve guideline-directed
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digital.ahrq.gov/sites/default/files/docs/citation/modeling-pcmh-principles-attributes-patient-experiences-technical-report.pdf
November 01, 2014 - describe
these characteristics of the PCMH:
• Relationship with a personal physician
• Physician-directed … If the patient or patient’s family had called the practice, they would have been
directed to call 911 … Prima’s office as directed and meet Dr. Prima. (7)
– Transport Mr. Morales from Dr. … Confidentiality and security
• Cost-benefit decisionmaking
• Optimized office design
• Physician-directed … , and needs
appropriate 1
Provider type
Personal physician
Physician directed
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psnet.ahrq.gov/web-mm/renal-failure-due-benign-prostatic-hyperplasia
February 01, 2004 - She directed him to the nearest emergency department, where his creatinine was found to be markedly elevated
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psnet.ahrq.gov/web-mm/mechanical-prosthetic-valve-thrombosis-thromboembolism
August 21, 2005 - operations such as thrombectomy and bypass if needed, or endovascular management, including catheter-directed
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psnet.ahrq.gov/web-mm/emergency-error
January 18, 2013 - Improvements have been directed at the admission of patients, ward-based care, and the operating room
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psnet.ahrq.gov/web-mm/watch-warfarin
December 01, 2013 - There have been many efforts directed at improving the safe use of warfarin, including the use of point-of-care
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hcup-us.ahrq.gov/toolssoftware/surgflags/surgeryflags.jsp
October 01, 2017 - Flag Software for ICD-9-CM
Questions regarding the Surgery Flags Software for ICD-9-CM may be directed
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hcup-us.ahrq.gov/toolssoftware/ccs10/ccs10.jsp
November 01, 2019 - Comments, or Questions About the CCS for ICD-10-PCS (beta version)
Questions regarding the CCS may be directed
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www.uspreventiveservicestaskforce.org/uspstf/recommendation/skin-cancer-counseling
March 20, 2018 - All studies conducted in children and adolescents focused on sun protection behaviors; most were directed … Interventions for children were directed mostly toward parents; some materials were child-specific.
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digital.ahrq.gov/sites/default/files/docs/page/AppendixB.pdf
February 01, 2012 - learning theory occur very close to project go-live (“just
in time”) and use scenario-based and learner-directed