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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.314_slideshow.ppt
February 01, 2014 - PowerPoint Presentation
Spotlight Case
Multifactorial Medication Mishap
1
This presentation is based on the February 2014
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available
Commentary by: Annie Yang, PharmD, BCPS
NYU Langone Medical Center
Editor, AHRQ WebM&M: Robe…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapb1txt.html
December 01, 2017 - The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities
Appendix B1: The FMP Self-Assessment Tool (Text Description)
Previous Page Next Page
Table of Contents
The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities
Chapter 1. Introduction…
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psnet.ahrq.gov/node/49477/psn-pdf
April 01, 2005 - Hold the tPA
April 1, 2005
Fagan SC. Hold the tPA. PSNet [internet]. 2005.
https://psnet.ahrq.gov/web-mm/hold-tpa
The Case
A 74-year-old woman with a history of atrial fibrillation on warfarin therapy came to the emergency
department (ED) 1 hour after the sudden onset of aphasia and right-sided weakness. A non-co…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapb5txt.html
December 01, 2017 - The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities
Appendix B8: Unsafe Behavior Worksheet (Text Description)
Previous Page Next Page
Table of Contents
The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities
Chapter 1. Introduction an…
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psnet.ahrq.gov/node/49590/psn-pdf
January 01, 2010 - Is the Admission Drug Dose Too Low?
August 1, 2009
Kaushal R, Abramson EL. Is the Admission Drug Dose Too Low? PSNet [internet]. 2009.
https://psnet.ahrq.gov/web-mm/admission-drug-dose-too-low
The Case
A 72-year-old man with a long history of chronic obstructive pulmonary disease (COPD) was admitted to
the hospit…
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digital.ahrq.gov/sites/default/files/docs/page/ImpactHealthITPrimaryCareWorkflow.pdf
September 19, 2011 - Impact of Health IT on Primary Care Workflow and Financial Measures
Impact of Health IT on
Primary Care Workflow and
Financial Measures
Neil S. Fleming, PhD, CQE;
Funded by AHRQ (R03HS018220-01)
Track F: Economic Analysis of Health IT
AHRQ 2011 Annual Conference
September 19, 2011
Contact: Neil.Fle…
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psnet.ahrq.gov/node/867980/psn-pdf
March 25, 2025 - Not All Headaches are Due to Migraine: Red Flags, Don’t
Miss Diagnoses, and Diagnostic Pitfalls
March 25, 2025
Olson APJ. Not All Headaches are Due to Migraine: Red Flags, Don’t Miss Diagnoses, and Diagnostic
Pitfalls. PSNet [internet]. 2025.
https://psnet.ahrq.gov/web-mm/not-all-headaches-are-due-migraine-red-fla…
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psnet.ahrq.gov/node/49428/psn-pdf
January 01, 2004 - To Resuscitate or Not?
January 1, 2004
Wu AW, Pronovost P. To Resuscitate or Not? PSNet [internet]. 2004.
https://psnet.ahrq.gov/web-mm/resuscitate-or-not
The Case
A critically ill end-stage AIDS patient was hospitalized for end-of-life care. Given the state of his disease,
his code status was Do Not Resuscitate/…
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psnet.ahrq.gov/innovation/combined-proactive-risk-assessment-cpra-4-step-technique-innovation-summary
February 26, 2025 - Combined Proactive Risk Assessment (CPRA) – 4-Step Technique Innovation Summary
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February 26, 2025
Innovation
Contact
…
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psnet.ahrq.gov/Webmm/submit-case-info
August 10, 2025 - Selection Criteria and Honorarium Information
How it works
Health care professionals may submit de-identified cases that highlight medical errors or other patient
safety/quality
issues. Note that you can choose to submit cases either …
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www.ahrq.gov/teamstepps-program/curriculum/implement/pre/measure.html
January 01, 2024 - Measurement
Once the problem or challenge has been identified, measurement will play an important role in defining the magnitude of the problem, assessing the short-term reactions to the TeamSTEPPS training, and ultimately demonstrating improvements that follow TeamSTEPPS implementation.
Measurement is the pr…
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psnet.ahrq.gov/node/867845/psn-pdf
February 26, 2025 - Combined Proactive Risk Assessment (CPRA) – 4-Step
Technique Innovation Summary
February 26, 2025
https://psnet.ahrq.gov/innovation/combined-proactive-risk-assessment-cpra-4-step-technique-innovation-
summary
Summary
This innovation describes the Veteran Health Administration (VHA) National Center for Patient Saf…
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www.ahrq.gov/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/customer-service/strategy6q-custservice-standards.html
March 01, 2020 - Strategy 6Q: Standards for Customer Service
Contents
6.Q.1. The Problem
6.Q.2. The Intervention
6.Q.3. Case Study
References
Download Strategy 6Q:
Standards for Customer Service
(PDF, 708 KB)
6.Q.1. The Problem
Achieving high levels of member satisfaction requires two …
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cdsic.ahrq.gov/cdsic/innovation-center
January 02, 2025 - :
Skip to main content
HHS.gov
Menu
Main navigation
CDS Home
CDS Innovation Collaborative
An official website of the Department of Health & Human Services
…
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integrationacademy.ahrq.gov/products/playbooks/moud-playbook
March 10, 2025 - An official website of the Department of Health & Human Services
Search All AHRQ Sites
Careers
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Español
FAQs
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The Academy
Integrating Behavioral Health & Primary Care
Expand Navi…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/a3_pdi_selfassessment.pdf
May 12, 2016 - Getting Ready for Change Self-Assessment
Pediatric Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
i Tool A.3
Getting Ready for Change Self-Assessment
What is the purpose of this tool? This tool can be used to assess your hospital’s organizational
infrastructure and it…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/a3_pdi_selfassessment.docx
May 12, 2016 - Getting Ready for Change Self-Assessment
Pediatric Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
Getting Ready for Change Self-Assessment
What is the purpose of this tool? This tool can be used to assess your hospital’s organizational infrastructure and its readiness to suppo…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/d7_pdi_implementationmeasurement.pdf
January 01, 2016 - Implementation Measurement
Pediatric Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
i Tool D.7
Implementation Measurement
What is the purpose of this tool? The purpose of the implementation measurement tool is to
provide a format in which you can determine if best…
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www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-24-care-model.pdf
September 01, 2015 - Primary Care Practice Facilitation Curriculum Module 24: Introduction to the Care Model
Primary Care
Practice Facilitation
Curriculum
Module 24: Introduction to the Care Model
Agency for Healthcare Research and Quality
Advancing Excellence in Health Care www.ahrq.gov
Primary Ca…
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/cooperatives/evidencenow-executive-summary-ok.pdf
November 01, 2017 - EvidenceNow Executive Summary - Oklahoma Cooperative
Oklahoma Cooperative
Oklahoma
EvidenceNOW: Advancing Heart Health in Primary Care is an initiative of the Agency for Healthcare
Research and Quality (AHRQ) to transform health care delivery by building a critical infrastructure
to help smaller primary ca…