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  1. www.ahrq.gov/diagnostic-safety/resources/issue-briefs/state-of-science-2.html
    June 01, 2020 - Operational Measurement of Diagnostic Safety: State of the Science Special Considerations for Measurement of Diagnostic Safety Previous Page Next Page Table of Contents Operational Measurement of Diagnostic Safety: State of the Science Introduction Special Considerations for Measurement of Diagn…
  2. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/102-how-integrate-cusp-approach-guide.docx
    October 01, 2024 - AHRQ Safety Program for MRSA Prevention How To Integrate a CUSP Approach ICU & Non-ICU Slide Title and Commentary Slide Number and Slide How to Integrate a CUSP Approach SAY: Welcome to this presentation about the Comprehensive Unit-based Safety Program, or CUSP. This presentation discusses how to integrate a CUSP…
  3. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/169-cusp-science-safety-slides.pptx
    October 01, 2024 - AHRQ Safety Program for MRSA Prevention AHRQ Safety Program for MRSA Prevention The Science of Safety: Principles in Practice ICU & Non-ICU AHRQ Pub. No. 25-0007 October 2024 AHRQ Safety Program for MRSA Prevention | ICU & Non-ICU The Science of Safety 1 Educational Objectives Describe the patient safety risks tha…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50843/psn-pdf
    January 29, 2020 - Incomplete Orders for Hypertonic Saline to Treat Hyponatremia January 29, 2020 Wiegley N, Morfín JA. Incomplete Orders for Hypertonic Saline to Treat Hyponatremia. PSNet [internet]. 2020. https://psnet.ahrq.gov/web-mm/incomplete-orders-hypertonic-saline-treat-hyponatremia The Case A 54-year-old man was brought t…
  5. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module5/module5_pressureinjury-msmt_slides.pptx
    June 02, 2025 - How To Measure Pressure Injury Rates and Prevention Practices How To Measure Pressure Injury Rates and Prevention Practices ADD Hospital Name Here Module 5 1 Basic Quality Improvement Principle If you can’t measure it, you can’t improve it. 2 2 Quality Improvement Principle Pressure injury rates and preven…
  6. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/day-of-discharge.pdf
    June 02, 2025 - Fielding the CAHPS Child Hospital Survey Page 1 Fielding the CAHPS® Child Hospital Survey Day-of-Discharge Survey Administration Introduction This document explains how to field the CAHPS Child Hospital Survey (Child HCAHPS) via electronic tablet on the day of discharge and gather the data needed for analysi…
  7. www.ahrq.gov/pqmp/implementation-qi/toolkit/antipsychotic/references.html
    July 01, 2021 - Safe and Judicious Use of Antipsychotic Medications in Children and Adolescents Toolkit References Previous Page   Table of Contents Safe and Judicious Use of Antipsychotic Medications in Children and Adolescents Toolkit Introduction Overview About the Measure Key Driver Diagrams Quality I…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49756/psn-pdf
    April 01, 2016 - Lost in Sign Out and Documentation April 1, 2016 Detsky ME. Lost in Sign Out and Documentation. PSNet [internet]. 2016. https://psnet.ahrq.gov/web-mm/lost-sign-out-and-documentation The Case A 71-year-old man presented to the emergency department with chest pain. While being evaluated by the emergency physician, …
  9. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/learn-from-defects-slides.pptx
    January 01, 2017 - Presentation: Program Overview Learn From Defects in Care of Mechanically Ventilated Patients AHRQ Safety Program for Mechanically Ventilated Patients AHRQ Pub. No. 16(17)-0018-34-EF January 2017 Learn From Defects ‹#› AHRQ Safety Program for Mechanically Ventilated Patients 1 Learning Objectives After this ses…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/61080/psn-pdf
    October 28, 2020 - Preventing Complications during Aneurysm Clipping – the Role of Neuromonitoring. October 28, 2020 DeLemos C. Preventing Complications during Aneurysm Clipping – the Role of Neuromonitoring. PSNet [internet]. 2020. https://psnet.ahrq.gov/web-mm/preventing-complications-during-aneurysm-clipping-role-neuromonitoring …
  11. www.ahrq.gov/sites/default/files/2024-02/pittman-report.pdf
    January 01, 2024 - Final Progress Report: Four Safety Strategies: A Symposium on Implementation Four Safety Strategies: A Symposium on Implementation Principal Investigator: Mary A. Pittman, Dr.P.H. Project Team: Allan Frankel, M.D., Partners HealthCare System Tejal Gandhi, M.D., Brigham & Women’s Hospital Sarah Grillo Peter…
  12. psnet.ahrq.gov/web-mm/xl-or-smaller
    September 13, 2017 - XL or Smaller? Citation Text: Kozer E. XL or Smaller?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2003. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49447/psn-pdf
    June 01, 2004 - Dangerous Dapsone June 1, 2004 Bookwalter T. Dangerous Dapsone. PSNet [internet]. 2004. https://psnet.ahrq.gov/web-mm/dangerous-dapsone The Case A 78-year-old woman with newly diagnosed multiple myeloma on corticosteroids presented to the emergency department with dyspnea. Upon admission, she was found to be hypo…
  14. www.ahrq.gov/policy/foia/foiafy08.html
    October 01, 2014 - HHS AHRQ Freedom of Information Annual Report - FY 2008 Freedom of Information Act Annual Report for Fiscal Year 2008. I. Agency: Agency for Healthcare Research and Quality (AHRQ) Report Prepared by: Nancy Comfort (no longer at AHRQ) Title: Freedom of Information Officer Address:   5600 Fishers Lane,…
  15. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/availability/chipra-0134-technicalspecs.pdf
    January 01, 2011 - Section II: Detailed Measure Specifications Section II: Detailed Measure Specifications Provide sufficient detail to describe how a measure would be calculated from the recommended data sources, uploading a separate document (+ Upload attachment) or a link …
  16. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/implementation-guide/appendix-o-part2-transcript.docx
    June 02, 2025 - Strategy 2: Communicating to Improve Quality (Tool 3) AHRQ Safety Program for Ambulatory Surgery Implementation Guide Appendix O. A Clear View on Flexible Endoscope Processing – Part 2, Disinfection/Sterilization Record Keeping Transcript/Facilitator Notes Sue Klacik: (Slide 1) Hi, and welcome to Part 2 of A Clea…
  17. www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/improving-communication-guide.docx
    September 01, 2022 - Improving Communication Between Members of the Practice Around Antibiotic Decisions – Facilitator Guide AHRQ Safety Program for Improving Antibiotic Use 1 Improving Communication Between Members of the Practice Around Antibiotic Decisions Ambulatory Care Slide Title and Commentary Slide Number and Slide Im…
  18. www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/implementation-guide/app-o-fac-notes.html
    May 01, 2017 - Appendix O. Part 2—Disinfection/Sterilization Record Keeping: Facilitator Notes Implementation Guide Slide 1: Appendix O. Part 2: A Clear View of Flexible Endoscope Processing: Disinfection/Sterilization Record Keeping Hi, and welcome to Part 2 of A Clear View on Flexible Endoscope Processing . In this p…
  19. psnet.ahrq.gov/innovation/lifepoint-national-quality-program-provides-structured-framework-reducing-inpatient-harm
    February 26, 2025 - The LifePoint National Quality Program Provides Structured Framework for Reducing Inpatient Harm Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL January 5, 2021 Innovation Contact …
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49785/psn-pdf
    February 01, 2017 - Refused Medication Error February 1, 2017 Foley M. Refused Medication Error. PSNet [internet]. 2017. https://psnet.ahrq.gov/web-mm/refused-medication-error The Case A 59-year-old man was admitted to the hospital with acute renal failure and mental status changes. He was alert to self and place only. The patient h…