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psnet.ahrq.gov/node/836942/psn-pdf
April 27, 2022 - Saline Flush Leads to Acute Paralysis of an Awake
Patient: Risks of Improper Medication Labeling in an
Operating Room
April 27, 2022
Kriss RS. Saline Flush Leads to Acute Paralysis of an Awake Patient: Risks of Improper Medication
Labeling in an Operating Room. PSNet [internet]. 2022.
https://psnet.ahrq.gov/web-m…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_ssi_investigation.pptx
December 01, 2017 - Performing SSI Investigations: Slide Presentation
Performing an SSI Investigation
AHRQ Safety Program for Surgery
Onboarding
AHRQ Pub No. 16(18)-0004-15-EF
December 2017
SAY:
In this module, you’ll learn about performing a surgical site infection or SSI investigation.
1
Learning Objectives
After this session, you …
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapa.html
December 01, 2017 - The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities
Appendix A. References and Equipment Sources
Previous Page Next Page
Table of Contents
The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities
Chapter 1. Introduction and Program Ove…
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psnet.ahrq.gov/node/73643/psn-pdf
August 01, 2022 - ECHO-Care Transitions Successfully Reduces Patient
Readmissions from Skilled Nursing Facilities, Reduces
Length of Stay
August 25, 2021
https://psnet.ahrq.gov/innovation/echo-care-transitions-successfully-reduces-patient-readmissions-skilled-
nursing
Summary
ECHO-Care Transitions (ECHO-CT) intends to ensure cont…
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/CHIPRA118-Materials_II.pdf
June 02, 2025 - CAPQuaM PQMP Perinatal MEASURE 3
A. Description
Divides low birthweight neonates who are admitted to a Level 2 or higher
nursery into five strata based upon their admission temperature and
calculates the proportion of infants in each stratum based upon their
temperature upon arrival to the Level 2 or higher nurser…
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www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/implementation-guides/implementation-guide1/impguide1app.html
March 01, 2019 - Appendix: Profiles of the CHIPRA Quality Demonstration States’ Stakeholder Engagement Initiatives
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 Childr…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/educational-bundles/infection-prevention/precautions/ppe-precautions.pptx
March 01, 2017 - PPE
Personal Protective Equipment
Training Module 3
AHRQ Pub. No. 16(17)-0003-10-EF
March 2017
AHRQ Safety Program for Long-Term Care: HAIs/CAUTI
AHRQ SAFETY PROGRAM FOR LONG-TERM CARE: HAIs/CAUTI
Welcome to today’s training module, titled “Personal Protective Equipment.” This is the third of four training module…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/management/overview/component-kit.docx
May 01, 2017 - Module 1- Component Kit
AHRQ Safety Program for Ambulatory Surgery
Management Practices for Sustainability
Module 1: Overview
A Frontline Management System To Sustain Improvement in Safety Practices
Contents
1. Why a Frontline Management System? 2
2. Components of the Frontline Management System 3
3. Interactions of …
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psnet.ahrq.gov/node/49827/psn-pdf
April 01, 2018 - Walking Patient, Missing Drain
April 1, 2018
Olkowski BF, Ravenel M, Stiefel MF. Walking Patient, Missing Drain. PSNet [internet]. 2018.
https://psnet.ahrq.gov/web-mm/walking-patient-missing-drain
The Case
A 43-year-old woman with a history of metastatic breast cancer was admitted to the hospital for an elective
…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.461_slideshow.ppt
November 01, 2018 - Spotlight
Spotlight
Supervision and Entrustment in Clinical Training: Protecting Patients, Protecting Trainees
*
Source and Credits
This presentation is based on the November 2018 AHRQ WebM&M Spotlight Case
See the full article at https://psnet.ahrq.gov/webmm
CME credit is available
Commentary by: Olle ten C…
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psnet.ahrq.gov/node/49551/psn-pdf
December 01, 2007 - Too Hot For Comfort
December 1, 2007
Cleland H, Wasiak J. Too Hot For Comfort. PSNet [internet]. 2007.
https://psnet.ahrq.gov/web-mm/too-hot-comfort
The Case
A 4-month-old infant admitted to rule out sepsis was receiving maintenance intravenous (IV) fluid and IV
antibiotics via a peripheral line in the left antec…
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psnet.ahrq.gov/node/49644/psn-pdf
December 01, 2011 - Missing the Point—Eye Injury
December 1, 2011
Sharma R, Brunette DD. Missing the Point—Eye Injury. PSNet [internet]. 2011.
https://psnet.ahrq.gov/web-mm/missing-point-eye-injury
The Case
A 31-year-old woman presented to the emergency department (ED) after suffering multiple lacerations
during an assault. The pati…
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www.ahrq.gov/teamstepps-program/curriculum/mutual/teach/two-day.html
July 01, 2024 - Mutual Support Two-Day Training
If you are teaching the Situation Monitoring Module as part of a two-day training, you should be able to perform all the activities noted below in around 90 minutes. Components you can include in this section for a two-day training include the following: Introduction and Objectiv…
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psnet.ahrq.gov/curated-article-libraries
March 18, 2025 - Curated Libraries
Curated Libraries are groupings of PSNet content, curated by AHRQ and by other experts in the patient safety field.
Watch the video to learn more about how this new feature works and how it can be of benefit to you.
Latest PSNet…
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www.ahrq.gov/prevention/resources/chronic-care/clinical-community-relationships-eval-roadmap/ccre-roadmap1.html
July 01, 2013 - Clinical-Community Relationships Evaluation Roadmap
1. Introduction and Purpose
Previous Page Next Page
Table of Contents
Clinical-Community Relationships Evaluation Roadmap
Executive Summary
1. Introduction and Purpose
2. Priority Questions and Recommendations
3. Conclusion
References
A…
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digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/experience
January 01, 2023 - Others' Experiences
To read about the experiences of individuals in the health care industry involved in health IT implementations at medical practices, select "Search" at the bottom of this page. Refine your search by selecting one or more options from any of the categories listed below. Subsequently, yo…
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www.ahrq.gov/sites/default/files/wysiwyg/sdoh/SDOH-overview-presentation.pdf
July 01, 2022 - AHRQ SDOH Database Overview
AHRQ SDOH Database Overview
July 2022
Overview
• Context
• Updated Database Contents
► Topics Covered in the Database
► Geographic and Temporal Coverage
► Documentation
► Methodological Contributions
• Data Uses
2
Premature Mortality and Social Vulnerability
Index Across U.S. …
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effectivehealthcare.ahrq.gov/sites/default/files/analytic-frameworks.ppt
December 09, 2009 - AHRQ Slide Template 2009
Analytic Frameworks
Agency for Healthcare Research and Quality (AHRQ)
Training Modules for Methods Guide for Effectiveness and Comparative Effectiveness
Reviews
Analytic Frameworks
Systematic Review Process Overview
Systematic Review Process Overview
This slide illustrates the steps i…
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psnet.ahrq.gov/web-mm/copy-and-paste
December 10, 2014 - Copy and Paste
Citation Text:
Hersh WR. Copy and Paste. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2007.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS
…
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digital.ahrq.gov/ahrq-funded-projects/using-electronic-data-improve-care-patients-known-or-suspected-cancer
January 01, 2023 - Using Electronic Data to Improve Care of Patients With Known or Suspected Cancer
Project Final Report ( PDF , 139 KB) Disclaimer
Disclaimer
The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessarily repr…