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psnet.ahrq.gov/node/49617/psn-pdf
January 01, 2011 - Failure to Reevaluate
December 1, 2010
Wong-Beringer A. Failure to Reevaluate. PSNet [internet]. 2010.
https://psnet.ahrq.gov/web-mm/failure-reevaluate
The Case
A 61-year-old woman receiving palliative chemotherapy for non–small-cell lung cancer at a community
hospital developed methicillin-resistant staphylococc…
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-200-tech-specs.pdf
December 14, 2011 - Technical Specifications and Chart Abstraction Tool
Age upon
Age upon admission
Patient ID Race Ethnicity Gender Payer
Preferred
Language
admission (YEARS)
[e.g. for 12.5 year
(MONTHS) [
e.g. for 12.5
old, years = 12) year old,
months = 6]
1 White Non-Hispanic Female Medicaid English 12 3
2 Black Non-his…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/engaging-senior-leaders.pdf
April 01, 2022 - Making It Work Tip Sheet: Engaging Senior Leaders in Preventing Healthcare-Associated Infections
AHRQ Safety Program for Intensive Care Units:
Preventing CLABSI and CAUTI
Making It Work Tip Sheet
Engaging Senior Leaders in Preventing Healthcare Associated Infections
This “Making It Work” tip sheet pro…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/4-unc-webcast-fenton-wilhelm-amos.pdf
August 15, 2019 - Implementation of an Event Reporting and Learning System Leads to Improvements in Patient Safety Culture at UNC Medical Center-Fenton-Wilhelm-Amos
U
N
C H E A L T H C A R E S Y S T E M
U
N
C H E A L T H C A R E
Culture of Safety Improvement Project
UNC Medical Center
29
U
N
C H …
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www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/module-6-slides.pdf
October 28, 2021 - Laying the Groundwork for
Effective Care Coordination
Module 6
Rachel Jarvis, MA, ACSM-RCEP, CEP
Tammy Garwick, MA, MBA
ACSM RCEP, ACSM CEP, FAACVPR
PURPOSE
TAKEheart Training and Technical Assistance Components
Training sessions guided by the Million
Hear…
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www.ahrq.gov/sites/default/files/wysiwyg/cpi/about/impact/ahrq-works.pdf
April 01, 2017 - AHRQ Works: Building Bridges Between Research and Practice
Accelerating learning and innovation in health care
delivery is what AHRQ does—every day. AHRQ tools take
the “what” and translate it into the “how” by providing
research-backed, practical tools that doctors and nurses
can use to improve care.
This doc…
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/safety/changes-slides.pptx
November 01, 2019 - Acute Care Learning From Defects
AHRQ Safety Program for Improving Antibiotic Use
Making Effective Changes in Antibiotic Decision Making
Acute Care
AHRQ Pub. No. 17(20)-0028-EF
November 2019
Changes in Antibiotic Decision Making
AHRQ Safety Program for Improving Antibiotic Use – Acute Care
1
Objectives
Id…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/implementation-guide/appendix-k-debrief.pptx
June 01, 2015 - Improving Communication and Teamwork in the Surgical Environment
Debrief Example
Quality Improvement Study
Ambulatory Surgery Center
AHRQ Safety Program for Ambulatory Surgery
Implementation Guide
Appendix K. Quality Improvement Study Framework
| ‹#›
AHRQ Safety Program for Ambulatory Sur…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/tiered-approach-notes.docx
April 01, 2022 - Using a Tiered Approach With CUSP Principles Facilitator Guide
CUSP Module: Using a Tiered Approach With CUSP Principles
Facilitator Guide
Slide Number and Image
This module, titled “Using a Tiered Approach with CUSP Principles” is part of the Agency for Healthcare Research and Quality, or AHRQ, Safety Program …
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www.ahrq.gov/research/findings/final-reports/stpra/stpraapd3.html
April 01, 2018 - Proactive Risk Assessment of Surgical Site Infection in Ambulatory Surgery Centers
Appendix D, Table D3
Previous Page Next Page
Table of Contents
Proactive Risk Assessment of Surgical Site Infection in Ambulatory Surgery Centers
Executive Summary
Chapter 1. Introduction
Chapter 2. ST-PRA Devel…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/envscan-exec-summary.pdf
March 01, 2017 - Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families--Executive Summary
Environmental Scan Report
Guide to Improving Patient Safety in Primary Care
Settings by Engaging Patients and Fam…
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integrationacademy.ahrq.gov/products/playbooks/moud-playbook/implementing-treatment/community-resources-and-recovery-supports
January 01, 2025 - An official website of the Department of Health & Human Services
Search All AHRQ Sites
Careers
Contact Us
Español
FAQs
Email Updates
The Academy
Integrating Behavioral Health & Primary Care
Expand Navi…
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www.uspreventiveservicestaskforce.org/uspstf/document/final-research-plan/lung-cancer-screening
August 16, 2018 - Share to Facebook
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Final Research Plan
Lung Cancer: Screening
August 16, 2018
Recommendations made by the USPSTF are independent of the U.S. government. They should not be construed as an offi…
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psnet.ahrq.gov/perspective/organizational-change-face-highly-public-errors-i-dana-farber-cancer-institute
December 23, 2020 - Organizational Change in the Face of Highly Public Errors—I. The Dana-Farber Cancer Institute Experience
James B. Conway; Saul N. Weingart, MD, PhD | May 1, 2005
View more articles from the same authors.
Citation Text:
Conway JB, Weingart SN. Organizational Change…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/d4h_pdi10-sepsis-bestpractices.pdf
May 17, 2016 - Selected Best Practices and Suggestions for Improvement
Pediatric Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
1 Tool D.4h
Selected Best Practices and Suggestions for Improvement
PDI 10: Postoperative Sepsis
Why focus on postoperative sepsis in children?
• Posto…
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psnet.ahrq.gov/node/49556/psn-pdf
March 01, 2008 - Hold That Order
March 1, 2008
Grissinger M. Hold That Order. PSNet [internet]. 2008.
https://psnet.ahrq.gov/web-mm/hold-order
The Case
A 25-year-old woman with a history of a pituitary tumor was admitted with hypernatremia. Because of her
previous pituitary resection and radiation, the patient had a long history …
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/cooperatives/evidencenow-executive-summary-southwest.pdf
November 01, 2017 - EvidenceNow Executive Summary - Southwest Cooperative
Southwest Cooperative
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 care pract…
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psnet.ahrq.gov/node/33874/psn-pdf
February 01, 2019 - Building Systems Citizenship in Health Professions
Education: The Continued Call for Health Systems
Science Curricula
February 1, 2019
Gonzalo JD, Singh MK. Building Systems Citizenship in Health Professions Education: The Continued Call
for Health Systems Science Curricula. PSNet [internet]. 2019.
https://psnet.…
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psnet.ahrq.gov/node/49748/psn-pdf
December 01, 2015 - Managing Ascites: Hazards of Fluid Removal
December 1, 2015
Moore K. Managing Ascites: Hazards of Fluid Removal. PSNet [internet]. 2015.
https://psnet.ahrq.gov/web-mm/managing-ascites-hazards-fluid-removal
The Case
A 50-year-old man with longstanding alcoholic cirrhosis presented to the emergency department (ED) w…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/04-nh_webcast-famolaro.pdf
September 21, 2022 - SOPS Nursing Home Survey: What You Need To Know - Theresa Famolaro, MPS, MS, MBA
The SOPS Nursing Home Survey and
Database
Theresa Famolaro, MPS, MS, MBA
Senior Study Director and Database Manager
User Network for the AHRQ Surveys on Patient Safety Culture (SOPS)
Westat
Survey User’s Guide
• On the AHRQ SOPS W…