-
psnet.ahrq.gov/node/49868/psn-pdf
July 02, 2019 - Delayed Clozapine Prescription in an Elderly Man With
Dementia
July 2, 2019
Tsourounis C, Ghomeshi KK. Delayed Clozapine Prescription in an Elderly Man With Dementia. PSNet
[internet]. 2019.
https://psnet.ahrq.gov/web-mm/delayed-clozapine-prescription-elderly-man-dementia
The Case
An 86-year-old man with neurode…
-
psnet.ahrq.gov/node/49563/psn-pdf
May 01, 2008 - Is It Safe to Be Direct?
May 1, 2008
Kulkarni NS, Williams M. Is It Safe to Be Direct? PSNet [internet]. 2008.
https://psnet.ahrq.gov/web-mm/it-safe-be-direct
The Case
A 92-year-old man with hypertension and heart failure (HF) was evaluated by his primary care physician
(PCP) for progressive shortness of breat…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/literacy-toolkit/healthlittoolkit2-tool2a.docx
June 02, 2025 - Primary Care Health Literacy Assessment
Please select one answer that most accurately describes your practice:
Doing Well
Our practice is doing this well
Needs Improvement
Our practice is doing this, but could do it better
Not Doing
Our practice is not doing this
Not Sure or N/A
I don’t know…
-
psnet.ahrq.gov/node/49578/psn-pdf
January 01, 2009 - Hospital Admission Due to High-Dose Methotrexate Drug
Interaction
January 1, 2009
Siegel LC, Gandhi TK. Hospital Admission Due to High-Dose Methotrexate Drug Interaction. PSNet
[internet]. 2009.
https://psnet.ahrq.gov/web-mm/hospital-admission-due-high-dose-methotrexate-drug-interaction
The Case
A 40-year-old wo…
-
psnet.ahrq.gov/node/49420/psn-pdf
October 01, 2003 - To LP or Not LP
October 1, 2003
Landrigan CP. To LP or Not LP. PSNet [internet]. 2003.
https://psnet.ahrq.gov/web-mm/lp-or-not-lp
The Case
A 4-month-old male infant was seen in the office setting of a large multisite practice. He presented with
fever and irritability without an obvious source. He was referred to …
-
www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/learn-about-cusp-slides.html
July 01, 2023 - Learn About the Comprehensive Unit-based Safety Program for Perinatal Safety
AHRQ Safety Program for Perinatal Care
Slide 1: AHRQ Safety Program for Perinatal Care
Learn About the Comprehensive Unit-based Safety Program for Perinatal Safety
Slide 2: CUSP and Perinatal Safety
Image: A chart is shown …
-
www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/chipra_15-p001-1-ef.pdf
January 01, 2015 - Insurance Continuity Metric Suite I: Duration of First Observed Enrollment and Duration of Newborn’s First Enrollment
Insurance Continuity Metric Suite I:
Duration of First Observed Enrollment and
Duration of Newborn’s First Enrollment
Measure Developer: The Children’s Hospital of Philadelphia (CHOP)
Measure Nume…
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/chlorhexidine-bathing.pdf
April 01, 2022 - Making It Work Tip Sheet: Chlorhexidine Bathing and Perineal Cleaning
AHRQ Safety Program for Intensive Care Units:
Preventing CLABSI and CAUTI
Making It Work Tip Sheet
Chlorhexidine Bathing and Perineal Cleaning
This “Making It Work” tip sheet provides additional information to help intensive care un…
-
www.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/management/visual-fac-notes.html
June 01, 2017 - Module 5: Visual Management - Facilitator Notes
Slide 1: Management Practices for Sustainability Module 5: Visual Management
Say:
As mentioned in the module on huddles, the frontline management system used to promote sustained, controlled standard work that ensures patient safety relies on several interlo…
-
www.ahrq.gov/patient-safety/reports/engage/summary.html
March 01, 2017 - Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families
Executive Summary
Previous Page Next Page
Table of Contents
Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families
Executive Summary
Introduction
Limitations of …
-
psnet.ahrq.gov/node/49839/psn-pdf
August 01, 2018 - Mixup Beyond the Medication Label
August 1, 2018
Pervanas H, VanValkenburgh D. Mixup Beyond the Medication Label. PSNet [internet]. 2018.
https://psnet.ahrq.gov/web-mm/mixup-beyond-medication-label
The Case
An 80-year-old man was admitted to a hospital for recurrent hypoglycemia. He had been seen at another
hospi…
-
digital.ahrq.gov/program-overview/research-reports/2021-year-review/research-dissemination
January 01, 2021 - Research Dissemination
The impact of AHRQ-funded research goes beyond the studies themselves, as the dissemination of research findings from the DHR program is critical to the transfer of successful digital healthcare knowledge, tools, and strategies that improve healthcare delivery, optim…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/beprepared_quickstartfull.pdf
January 01, 2015 - Implementation Quick Start Guide: Be Prepared to Be Engaged
Implementation
Quick Start Guide
Be Prepared
To Be Engaged
The Guide to Improving Patient Safety in Primary Care
Settings by Engaging Patients and Families
Table of Contents
What Is the Be Prepared To Be Engaged Strategy? .........................…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/beprepared_quickstartbrochure.pdf
January 01, 2015 - Implementation Quick Start Guide: Be Prepared to Be Engaged (Half Page)
Implementation
Quick Start Guide
Be Prepared
To Be Engaged
The Guide to Improving Patient Safety
in Primary Care Settings by Engaging Patients
and Families
Table of Contents
What Is the Be Prepared To Be Engaged Strategy? ............…
-
www.ahrq.gov/es/patient-safety/settings/hospital/resource/nicu/coaching.html
December 01, 2013 - Transitioning Newborns from NICU to Home
Coaching in the Hospital
Previous Page Next Page
Table of Contents
Transitioning Newborns from NICU to Home
A Resource Toolkit
Basic Components of the Health Coach Program
Family Information Packet Cover Sheet
Coaching in the Hospital
Appendix A: Fa…
-
www.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes2.html
August 01, 2022 - Module 2: Obtaining Organizational Buy-in and Support
AHRQ Communication and Optimal Resolution Toolkit
Facilitator Notes
Say:
Module 2 of the CANDOR Toolkit describes the importance of obtaining organizational support for CANDOR implementation. This module focuses on the role of organizational le…
-
www.ahrq.gov/patient-safety/settings/hospital/resource/nicu/coaching.html
December 01, 2013 - Transitioning Newborns from NICU to Home
Coaching in the Hospital
Previous Page Next Page
Table of Contents
Transitioning Newborns from NICU to Home
A Resource Toolkit
Basic Components of the Health Coach Program
Family Information Packet Cover Sheet
Coaching in the Hospital
Appendix A: Fa…
-
psnet.ahrq.gov/node/33601/psn-pdf
December 15, 2024 - Electronic Health Records
December 15, 2024
Electronic Health Records. PSNet [internet]. 2019.
https://psnet.ahrq.gov/primer/electronic-health-records
PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that
they reflect current research and practice in the patient safet…
-
digital.ahrq.gov/sites/default/files/docs/page/2006ConinEganLoonsk_052411comp.pdf
January 17, 2006 - Office of the National Coordinator for Health Information Technology - Panel Discussion
Office of the National Coordinator
for Health Information Technology
Panel Discussion:
Kelly Cronin
John Loonsk, MD
Lynn Egan, JD
Visit our website at:
http://www.hhs.gov/healthit/
Overview
• ONC overview
• ONC Major Initi…
-
www.ahrq.gov/diagnostic-safety/resources/issue-briefs/nurse-role-dxsafety3.html
September 01, 2022 - Reinforcing the Value and Roles of Nurses in Diagnostic Safety: Pragmatic Recommendations for Nurse Leaders and Educators
Recognizing and Supporting Nurses in Diagnostic Safety
Previous Page Next Page
Table of Contents
Reinforcing the Value and Roles of Nurses in Diagnostic Safety: Pragmatic Recomme…