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8701. Spotlight Case [MONTH] 2003 (ppt file)
      psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.131_slideshow.ppt
      August 01, 2006 - Spotlight Case [MONTH] 2003 Spotlight Case August 2006 Physical Diagnosis: A Lost Art? Source and Credits This presentation is based on the August 2006 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available through the Web site Commentary by: George Thompson III,…

8702. Part 3: Strategies for Designing a CME | Agency for Healthcare Research and Quality
      www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/implementation-guides/implementation-guide2/implguide2pt3.html
      September 01, 2014 - Designing Care Management Entities for Youth with Complex Behavioral Health Needs Part 3: Strategies for Designing a CME Previous Page Next Page Table of Contents Designing Care Management Entities for Youth with Complex Behavioral Health Needs Part 1: An Introduction to Care Management Entities (…

8703. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49667/psn-pdf
      October 01, 2012 - Looking for Meds in All the Wrong Places October 1, 2012 Manias E. Looking for Meds in All the Wrong Places. PSNet [internet]. 2012. https://psnet.ahrq.gov/web-mm/looking-meds-all-wrong-places The Case A 40-year-old uninsured woman with anxiety ran out of her prescribed clonazepam and had a seizure. She went to t…

8704. Part Three: Three Strategies for Continuous Improvement of Physician Feedback Reporting Systems | Agency for Healthcare Research and Quality
      www.ahrq.gov/ncepcr/tools/confid-report/three-strategies.html
      February 01, 2016 - Confidential Physician Feedback Reports: Designing for Optimal Impact on Performance Part Three: Three Strategies for Continuous Improvement of Physician Feedback Reporting Systems Previous Page Next Page Table of Contents Confidential Physician Feedback Reports: Designing for Optimal Impact on Perf…

8705. Recommendations and Areas for Future Research | Agency for Healthcare Research and Quality
      www.ahrq.gov/diagnostic-safety/resources/issue-briefs/distributed-cognition-er-nurses4.html
      August 01, 2022 - Distributed Cognition and the Role of Nurses in Diagnostic Safety in the Emergency Department Recommendations and Areas for Future Research Previous Page Next Page Table of Contents Distributed Cognition and the Role of Nurses in Diagnostic Safety in the Emergency Department Introduction The The…

8706. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33713/psn-pdf
      June 01, 2011 - The Safety of Medical Devices June 1, 2011 Nemeth CP. The Safety of Medical Devices. PSNet [internet]. 2011. https://psnet.ahrq.gov/perspective/safety-medical-devices Perspective Edward Tenner is right. Technology does have reverberations, including unintended consequences, or "revenge effects."(1) While such dra…

8707. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49412/psn-pdf
      September 01, 2003 - Shake Well September 1, 2003 Flynn EA. Shake Well. PSNet [internet]. 2003. https://psnet.ahrq.gov/web-mm/shake-well The Case A 35-year-old patient on the neurology service was receiving carbamazepine for a seizure disorder. Daily serum drug levels consistently fell below the therapeutic range, which led the physi…

8708. Final Progress Report: Organization of Care and Outcomes in Cardiac Surgery (pdf file)
      www.ahrq.gov/sites/default/files/2024-07/martinez-report.pdf
      January 01, 2024 - Final Progress Report: Organization of Care and Outcomes in Cardiac Surgery Program Director/Principal Investigator (Last, First, Middle): Martinez, Elizabeth A. Final Progress Report Title of Project: Organization of Care and Outcomes in Cardiac Surgery Principal Investigator: Elizabeth A. Martinez, MD, MHS T…

8709. Introduce CUSP
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/learn/learncusp.pptx
      April 01, 2011 - Introduce CUSP 1 Learning Objectives Review the impact of errors and patient harm and the underlying causes of errors Show how CUSP supports other quality and safety tools Describe Comprehensive Unit-based Safety Program (CUSP) framework and the goals of the CUSP Toolkit Demonstrate how to apply the CUSP T…

8710. SOPS Nursing Home Survey Version 2.0 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/nursing-home-survey-english-2.0.pdf
      June 05, 2025 - SOPS Nursing Home Survey Version 2.0 SOPS® Nursing Home Survey Version: 2.0 Language: English • For more information on getting started, selecting a sample, determining data collection methods, establishing data collection procedures, conducting a web-based survey, and preparing and analyzing data, and produc…

8711. Spotlight Case [MONTH] 2003 (ppt file)
      psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.143_slideshow.ppt
      January 01, 2015 - Spotlight Case [MONTH] 2003 Spotlight Case February 2007 The ‘Customer’ Is Always Right Source and Credits This presentation is based on the February 2007 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available through the Web site Commentary by: Niraj L. Sehgal,…

8712. Facilitation Instructions for Conducting In Situ Simulations | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/situ/sim-tool-guidance.html
      July 01, 2023 - Facilitation Instructions for Conducting In Situ Simulations AHRQ Safety Program for Perinatal Care Purpose of the tool: Simulation provides opportunities to practice teamwork and clinical skills and strategies in a safe learning environment and, through practice and feedback, acquire teamwork …

8713. AHRQ Safety Program for Perinatal Care: Facilitation Instructions for Conducting In Situ Simulations (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/situ/simtool_guidance.docx
      May 01, 2017 - AHRQ Safety Program for Perinatal Care: Facilitation Instructions for Conducting In Situ Simulations Facilitation Instructions for Conducting In Situ Simulations Purpose of the tool: Simulation provides opportunities to practice teamwork and clinical skills and strategies in a safe learning environment and, through pr…

8714. Spotlight on New Mexico | Agency for Healthcare Research and Quality
      www.ahrq.gov/policymakers/chipra/statesummaries/nm-spotlight.html
      July 01, 2015 - Spotlight on New Mexico July 2015 This brief highlights the major strategies, lessons learned, and outcomes from New Mexico's experience in the quality demonstration funded by the Centers for Medicare & Medicaid Services (CMS) through the Children's Health Insurance Program Reauthorization Act of 2009 (CHIPR…

8715. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33790/psn-pdf
      August 01, 2015 - New Insights on Safety and Health IT August 1, 2015 Hettinger ZA, Ratwani RM, Fairbanks RJ. New Insights on Safety and Health IT. PSNet [internet]. 2015. https://psnet.ahrq.gov/perspective/new-insights-safety-and-health-it Perspective Despite the widespread adoption of electronic health records (EHRs) over the las…

8716. CAPQuaM PQMP Perinatal Measure 1 Detailed Measure Specifications (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/CHIPRA116-Materials-II.pdf
      June 02, 2025 - CAPQuaM PQMP Perinatal Measure 1 Detailed Measure Specifications CAPQuaM PQMP Perinatal Measure 1 Detailed Measure Specifications A. Description Describes whether or not at least one temperature was taken during the first 60 minutes of life (“Golden Hour”) for infants under 2500 grams. B. Eligible Populat…

8717. Measure: Appropriateness of Red Cell Transfusions in the Pediatric Intensive Care Unit (PICU) (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/chipra-16-p002-2-ef.pdf
      May 01, 2016 - Measure: Appropriateness of Red Cell Transfusions in the Pediatric Intensive Care Unit (PICU) Measure: Appropriateness of Red Cell Transfusions in the Pediatric Intensive Care Unit (PICU) Measure Developer: Pediatric Measurement Center of Excellence (PMCoE) Numerator Denominator Exclusions Data Source(s) Numbe…

8718. CHIPRA Report 117, Section 2, Technical Specifications (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-117-section-2-technical-specifications.pdf
      June 02, 2025 - CHIPRA Report 117, Section 2, Technical Specifications CAPQuaM PQMP Perinatal MEASURE 2 A. Description Describes the timeliness of the initial temperature taken after arrival to the Level 2 or higher nursery in the first 24 hours of life for infants under 2500 grams. B. Eligible Population Numerator: Live-bo…

8719. Preventing Device-Associated Infections | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cauti-tools/phys-championsgd/section4.html
      October 01, 2015 - Resident Physicians as Champions in Preventing Device-Associated Infections Preventing Device-Associated Infections Previous Page Next Page Table of Contents Resident Physicians as Champions in Preventing Device-Associated Infections Preamble and Summary Epidemiology of Invasive Devices and Comp…

8720. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49647/psn-pdf
      February 01, 2012 - Amended Lab Results: Communication Slip February 1, 2012 Mohta V. Amended Lab Results: Communication Slip. PSNet [internet]. 2012. https://psnet.ahrq.gov/web-mm/amended-lab-results-communication-slip The Case A 25-year-old woman in her first pregnancy was seen at 33 weeks' gestation with new onset hypertension an…