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4881. On-Time Pressure Ulcer Prevention: Facilitator Training—Handouts (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruprev/pruprev-handouts.pdf
      March 22, 2014 - On-Time Pressure Ulcer Prevention: Facilitator Training—Handouts AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention Facilitator Training Handouts: Introduction to Pressure Ulcer Prevention Reports 1. Nutrition Report: High Risk 2. Nutrition Report (Exercise) 3. Weight Summary Report …

4882. Rapid Response for Perinatal Safety: Rapid Response Systems | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/rapid-response/tool-rapid-response-systems.html
      July 01, 2023 - Rapid Response for Perinatal Safety: Rapid Response Systems AHRQ Safety Program for Perinatal Care Purpose of the tool: This tool describes the key perinatal safety elements that support rapid response systems. The key safety elements are presented within the framework of the Comprehensive Unit-b…

4883. Learn About the Comprehensive Unit-Based Safety Program for Perinatal Safety (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/learn/learn-about-cusp-facilitator-guide.pdf
      May 01, 2017 - Learn About the Comprehensive Unit-Based Safety Program for Perinatal Safety AHRQ Safety Program for Perinatal Care Learn About the Comprehensive Unit-Based Safety Program for Perinatal Safety AHRQ Publication No. 17-0003-1-EF May 2017 SAY: This module introduces the comprehensive unit-based safety program, …

4884. CDSiC Stakeholder Community and Outreach Center: Quarterly Report (pdf file)
      cdsic.ahrq.gov/sites/default/files/2023-02/Stakeholder%20Center%20Quarterly%20Report%20Three_508_Jan26.pdf
      January 01, 2023 - CDSiC Stakeholder Community and Outreach Center: Quarterly Report STAKEHOLDER CENTER PROGRESS REPORT D E C E M B E R 2 0 2 2 CDSiC Stakeholder Community and Outreach Center: Quarterly Report Presented by: NORC at the University of Chicago 4350 East - West Highway Suite 800 Bethesda, MD 20814 …

4885. Making Patient Apps Interoperable With the Health IT Ecosystem (pdf file)
      cdsic.ahrq.gov/sites/default/files/2025-06/SRF%20Topic%20Highlight%20Patient%20App%20Interoperability.pdf
      January 01, 2025 - Making Patient Apps Interoperable With the Health IT Ecosystem AHRQ Pub. No. 25-0053 June 2025 Making Patient Apps Interoperable With the Health IT Ecosystem This resource for app developers explains considerations for developing patient-facing applications (apps) that are interoperable with …

4886. Final Progress Report: Rapid Understanding of Best Practices in Rural Intensive Care (RUBRIC) (pdf file)
      www.ahrq.gov/sites/default/files/2024-05/valley-report.pdf
      January 01, 2024 - Final Progress Report: Rapid Understanding of Best Practices in Rural Intensive Care (RUBRIC) AHRQ GRANT FINAL PROGRESS REPORT TEMPLATE Title Page Title of Project: Rapid Understanding of Best Practices in Rural Intensive Care (RUBRIC) Principal Investigator and Team Members: - Principal Investigator: Thomas S. Va…

4887. 4. Observations About the Evaluation | Agency for Healthcare Research and Quality
      www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/final-report/section4.html
      October 01, 2015 - National Evaluation of the CHIPRA Quality Demonstration Grant Program: Final Project Report 4. Observations About the Evaluation Previous Page Next Page Table of Contents National Evaluation of the CHIPRA Quality Demonstration Grant Program: Final Project Report 1. Overview 2. Synthesis of Key F…

4888. Learning From Defects Through Sensemaking: Slide Presentation | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/surgery/modules/implementation/learn-from-defects-slides.html
      December 01, 2017 - Learning From Defects Through Sensemaking: Slide Presentation AHRQ Safety Program for Surgery Slide 1: AHRQ Safety Program for Surgery—Implementation Learning From Defects through Sensemaking Slide 2: Learning Objectives Describe difference between first-order and second-order problem-solving. L…

4889. Summary and Discussion | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/ptfamilyscan/ptfamily4.html
      July 01, 2018 - Guide to Patient and Family Engagement Summary and Discussion Previous Page Next Page Table of Contents Guide to Patient and Family Engagement Executive Summary Introduction Methods Findings Implications for the Guide Summary and Discussion Next Steps References Appendix A: Draft K…

4890. Labor and Delivery Unit Safety: Obstetric Hemorrhage | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/labor-delivery-unit/tool-obhemorrhage.html
      July 01, 2023 - Labor and Delivery Unit Safety: Obstetric Hemorrhage AHRQ Safety Program for Perinatal Care Purpose of the tool: This tool describes the key perinatal safety elements related to the management obstetric hemorrhage. The key elements are presented within the framework of the Comprehensive Unit-base…

4891. Strategy 6K: Cultivating Cultural Competence | Agency for Healthcare Research and Quality
      www.ahrq.gov/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/communication/strategy6kculturalcompetence.html
      March 01, 2020 - Strategy 6K: Cultivating Cultural Competence Contents 6.K.1. The Problem 6.K.2. Interventions    6.K.2.a. Maintaining Complete and Accurate Information on Enrollees    6.K.2.b. Building a Provider Network to Meet the Community’s Linguistic and Cultural Needs    6.K.2.c. Training Providers on Cultural…

4892. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/863650/psn-pdf
      February 28, 2024 - ABCDEF Bundle + Data Literacy Training, Performance Measurement Tracking, and Performance Feedback February 28, 2024 https://psnet.ahrq.gov/innovation/abcdef-bundle-data-literacy-training-performance-measurement-tracking- and-performance Summary To improve patient care and outcomes in the intensive care unit (ICU…

4893. CDSiC Stakeholder Community and Outreach Center: Quarterly Report (pdf file)
      digital.ahrq.gov/sites/default/files/Stakeholder%20Center%20Quarterly%20Report%20Three_508_Jan26.pdf
      September 01, 2023 - CDSiC Stakeholder Community and Outreach Center: Quarterly Report STAKEHOLDER CENTER PROGRESS REPORT D E C E M B E R 2 0 2 2 CDSiC Stakeholder Community and Outreach Center: Quarterly Report Presented by: NORC at the University of Chicago 4350 East - West Highway Suite 800 Bethesda, MD 20814 …

4894. Making Patient Apps Interoperable With the Health IT Ecosystem (pdf file)
      digital.ahrq.gov/sites/default/files/SRF%20Topic%20Highlight%20Patient%20App%20Interoperability.pdf
      February 18, 2024 - Making Patient Apps Interoperable With the Health IT Ecosystem AHRQ Pub. No. 25-0053 June 2025 Making Patient Apps Interoperable With the Health IT Ecosystem This resource for app developers explains considerations for developing patient-facing applications (apps) that are interoperable with …

4895. Methicillin-Resistant Staphylococcus aureus | PSNet
      psnet.ahrq.gov/perspective/methicillin-resistant-staphylococcus-aureus
      June 24, 2010 - Methicillin-Resistant Staphylococcus aureus Gary A. Noskin, MD | April 1, 2008  View more articles from the same authors. Citation Text: Noskin GA. Methicillin-Resistant Staphylococcus aureus. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Qua…

4896. Wrong Catheter in the Right Patient | PSNet
      psnet.ahrq.gov/web-mm/wrong-catheter-right-patient
      May 16, 2022 - Wrong Catheter in the Right Patient Citation Text: Chia C, Molla M. Wrong Catheter in the Right Patient. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2020. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML En…

4897. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/857259/psn-pdf
      November 30, 2023 - Medication Mix-Up Leads to Patient Death November 30, 2023 Sanchez L, Romano PS. Medication Mix-Up Leads to Patient Death. PSNet [internet]. 2023. https://psnet.ahrq.gov/web-mm/medication-mix-leads-patient-death The Case  An 81-year-old man was transferred from an outside hospital and admitted to the intensive car…

4898. Medication Mix-Up Leads to Patient Death | PSNet
      psnet.ahrq.gov/web-mm/medication-mix-leads-patient-death
      July 08, 2022 - Medication Mix-Up Leads to Patient Death Citation Text: Sanchez L, Romano PS. Medication Mix-Up Leads to Patient Death. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2023. Copy Citation Format: Google Scholar BibTeX En…

4899. Failure to Rescue the Mother | PSNet
      psnet.ahrq.gov/web-mm/failure-rescue-mother
      September 23, 2020 - Failure to Rescue the Mother Citation Text: Vivero A, Klapper EB, Gregory KD, et al. Failure to Rescue the Mother. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. Copy Citation Format: Google Scholar BibTeX EndNote…

4900. The Consequences of Miscommunication Regarding a Possible Artifact | PSNet
      psnet.ahrq.gov/web-mm/consequences-miscommunication-regarding-possible-artifact
      May 11, 2019 - SPOTLIGHT CASE The Consequences of Miscommunication Regarding a Possible Artifact Citation Text: Gwal K. The Consequences of Miscommunication Regarding a Possible Artifact. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 20…