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4581. CHIPRA Quality Demonstration Grant Program Evaluation Highlight No. 5 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/highlight05.pdf
      September 08, 2015 - CHIPRA Quality Demonstration Grant Program Evaluation Highlight No. 5 The CHIPRA Quality Demonstration Grant Program In February 2010, the Centers for Medicare & Medicaid Services (CMS) awarded 10 grants, funding 18 States, to improve the quality of health care for children enrolled in Medicaid and the Children…

4582. Telediagnosis for Acute Care: Implications for the Quality and Safety of Diagnosis (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/Telediagnosis-brief2.pdf
      August 03, 2020 - Telediagnosis for Acute Care: Implications for the Quality and Safety of Diagnosis PATIENT SAFETY e Issue Brief 2 Telediagnosis for Acute Care: Implications for the Quality and Safety of Diagnosis e Issue Brief Telediagnosis for Acute Care: Implications for the Quality and Safety of Diagnosis Prepa…

4583. PowerPoint Presentation; Deep-Root Your Data
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/sustainability/sustainability_deep_root_data.pptx
      December 01, 2017 - PowerPoint Presentation; Deep-Root Your Data Deep-Rooting Your Data AHRQ Safety Program for Surgery Sustainability AHRQ Pub. No. 16(18)-0004-15-EF December 2017 AHRQ Safety Program for Surgery – Sustainability SAY: This module focuses on the concept of deep-rooting and set up sustainable interaction with your qual…

4584. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33857/psn-pdf
      July 01, 2012 - In Conversation With… David Blumenthal, MD, MPP July 1, 2012 In Conversation With… David Blumenthal, MD, MPP. PSNet [internet]. 2012. https://psnet.ahrq.gov/perspective/conversation-david-blumenthal-md-mpp-0 Editor's note: Dr. Blumenthal is President of the Commonwealth Fund and served as the National Coordinator …

4585. PowerPoint Presentation
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/educational-bundles/infection-prevention/environment-and-equipment/environment-equipment.pptx
      March 01, 2017 - PowerPoint Presentation Clean Equipment and Environment Promotes Safe Resident Care Training Module 2 AHRQ Pub. No. 16(17)-0003-9-EF March 2017 AHRQ Safety Program for Long-Term Care: HAIs/CAUTI Welcome to training module two titled, “Clean Equipment and Environment Promotes Safe Resident Care.” This is the sec…

4586. Microsoft PowerPoint - Spotlight Case_Gabapentin Overdose_12.21.2022 FINAL.pptx (pdf file)
      psnet.ahrq.gov/sites/default/files/2023-01/spotlight_overdose_of_gabapentin_and_oxycodone_in_a_patient_with_end-stage_renal_disease.pdf
      January 01, 2023 - Microsoft PowerPoint - Spotlight Case_Gabapentin Overdose_12.21.2022 FINAL.pptx Spotlight Overdose of Gabapentin and Oxycodone in a Patient with End-Stage Renal Disease: A Case for Appropriate Interruptive Drug-Disease Alerts  Source and Credits • This presentation is based on the January 2023 AHRQ WebM&M Spotl…

4587. Affordable Housing Community Offers Seniors Onsite Health Care Coordination and Support, Reducing Hospital Admissions and Falls and Improving Resident Health | PSNet
      psnet.ahrq.gov/innovation/affordable-housing-community-offers-seniors-onsite-health-care-coordination-and-support
      March 27, 2024 - Affordable Housing Community Offers Seniors Onsite Health Care Coordination and Support, Reducing Hospital Admissions and Falls and Improving Resident Health Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL …

4588. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60268/psn-pdf
      April 29, 2020 - Complications of ECMO During Transport April 29, 2020 Broman M. Complications of ECMO During Transport. PSNet [internet]. 2020. https://psnet.ahrq.gov/web-mm/complications-ecmo-during-transport The Case A 54-year-old woman with end-stage chronic obstructive pulmonary disease (COPD) was admitted with acute on chro…

4589. PowerPoint Presentation
      www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/curriculum/teamstepps-implementation-slides.pptx
      June 02, 2025 - PowerPoint Presentation Implementing TeamSTEPPS Introduction Reflecting on Day 1 Day 2 Preview Patient safety is threatened by poor communication and teamwork. TeamSTEPPS provides tools and a framework to improve both. Questions or reflections on day 1. 2 2 Preparing for Day 2 Day 2 Preview Day 1: Int…

4590. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/72614/psn-pdf
      March 01, 2021 - Rehearsing Team Care for Relatively Rare Obstetric Emergencies Leads to Improved Outcomes Originally published on December 22, 2020 Last updated on December 23, 2020 https://psnet.ahrq.gov/innovation/rehearsing-team-care-relatively-rare-obstetric-emergencies-leads- improved-outcomes Summary Multidisciplinary tea…

4591. 0129References (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/0129references.pdf
      October 23, 2013 - References 1. Jencks SF, Williams MV, Coleman EA. Rehospitalizations among patients in the Medicare fee-for-service program. N Engl J Med. 2009;360(14):1418–1428. 2. Wick EC, Shore AD, Hirose K, Ibrahim AM, Gearhart SL, Efron J, Weiner JP, Makary MA. Readmission rates and cost following colorectal surgery. Dis …

4592. Meeting Sessions and Takeaways | Agency for Healthcare Research and Quality
      www.ahrq.gov/evidencenow/projects/state/meeting-summary-cooperatives/building-state2.html
      October 01, 2024 - Building State Cooperatives for Healthcare Improvement: Meeting Summary Meeting Sessions and Takeaways Previous Page Next Page Table of Contents Building State Cooperatives for Healthcare Improvement: Meeting Summary Introduction Meeting Sessions and Takeaways Appendix A: Meeting Agenda Appe…

4593. Plan Your Reporting Checklist (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/talkingquality/resources/checklist/checklist-plan-report.pdf
      December 26, 2018 - Plan Your Reporting Checklist 1 TalkingQuality Your Project Checklist: Plan Your Reporting Project This document contains checklists for the following sections of Plan Your Reporting Project: • Identify the Audience • Identify Objectives • Know the Reporting Environment • Find Potential Partners • I…

4594. Plan Complete Checklist (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/talkingquality/resources/checklist/checklist-plan-report.doc
      December 26, 2018 - Plan Complete Checklist TalkingQuality Note: You must use the UP and DOWN ARROW instead of TAB or SHIFT + TAB to fill out this form. This document contains thirty-seven links. Your Project Checklist: Plan Your Reporting Project This document contains checklists for the following sections of Plan Your Reporting Pr…

4595. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60267/psn-pdf
      March 01, 2021 - Affordable Housing Community Offers Seniors Onsite Health Care Coordination and Support, Reducing Hospital Admissions and Falls and Improving Resident Health Originally published on June 12, 2020 Last updated on January 11, 2021 https://psnet.ahrq.gov/innovation/affordable-housing-community-offers-seniors-onsite-h…

4596. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/867850/psn-pdf
      February 26, 2025 - In Conversation with Timothy Vogus about High Reliability Organization (HRO) Principles and Patient Safety February 26, 2025 Vogus T, Lee M, Mossburg SE. In Conversation with Timothy Vogus about High Reliability Organization (HRO) Principles and Patient Safety. PSNet [internet]. 2025. https://psnet.ahrq.gov/persp…

4597. “This is the wrong patient's blood!”: Evaluating a Near-Miss Wrong Transfusion Event | PSNet
      psnet.ahrq.gov/web-mm/wrong-patients-blood-evaluating-near-miss-wrong-transfusion-event
      July 01, 2017 - SPOTLIGHT CASE “This is the wrong patient's blood!”: Evaluating a Near-Miss Wrong Transfusion Event Citation Text: Barnhard S. “This is the wrong patient's blood!”: Evaluating a Near-Miss Wrong Transfusion Event. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Dep…

4598. Disposition of Comments_Comparative Effectiveness Review No. 260: Nutrition as Prevention for Improved Cancer Health Outcomes (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/cer-260-improved-cancer-outcomes-disposition-comments.pdf
      May 22, 2023 - Disposition of Comments_Comparative Effectiveness Review No. 260: Nutrition as Prevention for Improved Cancer Health Outcomes Comparative Effectiveness Review Disposition of Comments Report Title: Nutrition as Prevention for Improved Cancer Health Outcomes Draft report available for public comment…

4599. Supplemental Project To Assess the Transparency of Reporting for Trials Evaluating Treatment for Infertility (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pdf/transparency-infertility_research.pdf
      June 01, 2017 - Supplemental Project To Assess the Transparency of Reporting for Trials Evaluating Treatment for Infertility Methods Research Report Supplemental Project To Assess the Transparency of Reporting for Trials Evaluating Treatment for Infertility Methods Research Repo…

4600. Issue Brief - Telediagnosis for Acute Care: Implications for the Quality and Safety of Diagnosis (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/telediagnosis.pdf
      August 03, 2020 - Issue Brief - Telediagnosis for Acute Care: Implications for the Quality and Safety of Diagnosis PATIENT SAFETY e Issue Brief Telediagnosis for Acute Care: Implications for the Quality and Safety of Diagnosis This page intentionally left blank. e Issue Brief Telediagnosis for Acute Care: Implications …