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6641. Integrating-Teamwork-Tools-Into-Cusp-Efforts-Transcript (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/integrating-teamwork-tools-into-cusp-efforts-transcript.docx
      April 07, 2015 - On the CUSP: Stop CAUTI in the ED ED Mini-Presentation to Accompany April 7, 2015 ED Coaching Call Sarah: Hello, everyone, and thank you for listening today. My name is Sarah Dalton and I am a research specialist with the Health Research and Educational Trust. Welcome to the second mini-presentation in the CAUTI ED …

6642. Overview: Getting Patients Off the Ventilator Faster: Slide Presentation | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/mvp/modules/vae/overview-off-ventilator-slides.html
      February 01, 2017 - Overview: Getting Patients Off the Ventilator Faster: Slide Presentation AHRQ Safety Program for Mechanically Ventilated Patients Slide 1: AHRQ Safety Program for Mechanically Ventilated Patients Overview: Getting Patients Off the Ventilator Faster Slide 2: Learning Objectives After this session, yo…

6643. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/841139/psn-pdf
      December 14, 2022 - Open wider: Failure to use an interpreter results in fractured teeth and hypoxia during a simple elective operation. December 14, 2022 Bohringer C, Godoy L. Open wider: Failure to use an interpreter results in fractured teeth and hypoxia during a simple elective operation. PSNet [internet]. 2022. https://psnet.ah…

6644. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/61078/psn-pdf
      October 28, 2020 - Inpatient Stroke Management in an Adolescent with Type 1 Diabetes and Home Insulin Pump October 28, 2020 Bagley B, Zuidema D, Crossen S, et al. Inpatient Stroke Management in an Adolescent with Type 1 Diabetes and Home Insulin Pump . PSNet [internet]. 2020. https://psnet.ahrq.gov/web-mm/inpatient-stroke-management…

6645. Final Progress Report: A new approach to the allocation of decisional authority (pdf file)
      www.ahrq.gov/sites/default/files/2024-02/whitney-report.pdf
      January 01, 2024 - Final Progress Report: A new approach to the allocation of decisional authority FINAL REPORT A new approach to the allocation of decisional authority Simon Whitney, MD, JD, Principal Investigator Team members Robert Volk, PhD, vice chair for research, Baylor College of Medicine, Department of Family …

6646. Summary of 2nd Comparative Health Systems Performance Initiative Workshop (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/chsp/reports/chsp-issue-brief-2.pdf
      March 01, 2018 - Summary of 2nd Comparative Health Systems Performance Initiative Workshop ISSUE BRIEF A Summary of the Second Annual Workshop of AHRQ’s Comparative Health System Performance Initiative Summary As part of the Comparative Health System Performance (CHSP) Initiative, the Agency for Healthcare Research and Qual…

6647. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49633/psn-pdf
      September 01, 2011 - The Safety and Quality of Long Term Care September 1, 2011 Vogelsmeier AA. The Safety and Quality of Long Term Care. PSNet [internet]. 2011. https://psnet.ahrq.gov/web-mm/safety-and-quality-long-term-care Case Objectives Identify commonly reported adverse events in long-term care. Identify two to three challenges…

6648. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49600/psn-pdf
      April 01, 2010 - Bad Writing, Wrong Medication April 1, 2010 Devine B. Bad Writing, Wrong Medication. PSNet [internet]. 2010. https://psnet.ahrq.gov/web-mm/bad-writing-wrong-medication Case Objectives Differentiate between a medication error and an adverse drug event. Appreciate the system complexities involved in medication erro…

6649. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60857/psn-pdf
      August 26, 2020 - Nothing Called Small Surgery August 26, 2020 Manske C. Nothing Called Small Surgery. PSNet [internet]. 2020. https://psnet.ahrq.gov/web-mm/nothing-called-small-surgery The Case  A 56-year-old female presented to surgical clinic with pain and swelling in left great toe associated with progressive deformity of the …

6650. Final Report: Collaborative Clinical Culture and Quality of Care (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/greenfield-report.pdf
      January 01, 2024 - Final Report: Collaborative Clinical Culture and Quality of Care Title of Project: Collaborative Clinical Culture and Quality of Care Principal Investigator and Team Members Sheldon Greenfield, Principal Investigator Sherrie H. Kaplan, Co-Principal Investigator Douglas Roblin, Co-Principal Investigator Norma Te…

6651. Final Progress Report: The P4P Decision Tool: A Stakeholder Guide to Exploring and Selecting an Appropriate Pay-for-Performance Program (pdf file)
      www.ahrq.gov/sites/default/files/2024-02/leapfrog-report.pdf
      January 01, 2024 - Final Progress Report: The P4P Decision Tool: A Stakeholder Guide to Exploring and Selecting an Appropriate Pay-for-Performance Program The P4P Decision Tool: A Stakeholder Guide to Exploring and Selecting an Appropriate Pay-for-Performance Program Supported by a grant from the Agency for Healthcare Research and …

6652. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33663/psn-pdf
      September 15, 2008 - Implementing a Patient Safety Program at a Large National Health System January 1, 2008 Hauck LD, Jacob J. Implementing a Patient Safety Program at a Large National Health System. PSNet [internet]. 2008. https://psnet.ahrq.gov/perspective/implementing-patient-safety-program-large-national-health-system Perspectiv…

6653. Sensemaking and Learn from Defects for Perinatal Safety (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/sensemaking/learn-from-defects-facilitator-guide.pdf
      May 01, 2017 - Sensemaking and Learn from Defects for Perinatal Safety AHRQ Safety Program for Perinatal Care Sensemaking and Learn From Defects for Perinatal Safety AHRQ Publication No. 17-0003-5-EF May 2017 SAY: The Sensemaking and Learn From Defects module of the Safety Program for Perinatal Care will help you identify…

6654. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49528/psn-pdf
      January 01, 2015 - The "Customer" Is Always Right February 1, 2007 Sehgal NL. The "Customer" Is Always Right. PSNet [internet]. 2007. https://psnet.ahrq.gov/web-mm/customer-always-right Case Objectives Understand the importance of identifying a patient's agenda. Appreciate the factors that contribute to unmet patient expectations. …

6655. Compendium of U.S. Health Systems, 2021, Nursing Home Linkage File, Technical Documentation (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/chsp/compendium/2021-nh-linkage-techdoc.pdf
      January 01, 2021 - Compendium of U.S. Health Systems, 2021, Nursing Home Linkage File, Technical Documentation Comparative Health System Performance Initiative: Compendium of U.S. Health Systems, 2021, Nursing Home Linkage File, Technical Documentation Prepared for: Agency for Healthcare Research and Quality U.S. Depa…

6656. 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…

6657. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49482/psn-pdf
      May 01, 2005 - Pregnant With Danger May 1, 2005 Pearlman MD, Desmond JS. Pregnant With Danger. PSNet [internet]. 2005. https://psnet.ahrq.gov/web-mm/pregnant-danger The Case A 35-year-old woman, 38 weeks pregnant, presented to the emergency department (ED) in the middle of the night complaining of left leg pain. She also had so…

6658. 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…

6659. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33635/psn-pdf
      July 01, 2006 - In Conversation with...Allan Frankel, MD July 1, 2006 In Conversation with..Allan Frankel, MD. PSNet [internet]. 2006. https://psnet.ahrq.gov/perspective/conversation-withallan-frankel-md Dr. Robert Wachter, Editor, AHRQ WebM&M: Tell us a little bit about how you became interested in this kind of work. Dr. Allan …

6660. Monitoring Ventilator-Associated Events: Slide Presentation | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/mvp/modules/technical/subglottic-slides.html
      February 01, 2017 - Monitoring Ventilator-Associated Events: Slide Presentation AHRQ Safety Program for Mechanically Ventilated Patients Slide 1: AHRQ Safety Program for Mechanically Ventilated Patients Monitoring Ventilator-Associated Events Slide 2: Learning Objectives After this session, you will be able to— Des…