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  1. www.ahrq.gov/hai/tools/mvp/modules/technical/nurse-early-mobility-protocols-fac-guide.html
    January 01, 2017 - Nurse-Driven Early Mobility Protocols: Facilitator Guide AHRQ Safety Program for Mechanically Ventilated Patients Slide 1: Nurse-Driven Early Mobility Protocols Say: This module will provide an overview of the interventions required for early mobility in mechanically ventilated patients and ways to esta…
  2. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/nursedr-early-mobility-protocols-facguide.docx
    January 01, 2017 - Facilitator Guide: Build Your SSI Prevention Bundle Slide Title and Commentary Slide Number and Slide Title Slide Nurse-Driven Early Mobility Protocols SAY: This module will provide an overview of the interventions required for early mobility in mechanically ventilated patients and ways to establish and sustain a…
  3. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/safe-electronic/e-fetal-monitoring.pptx
    May 01, 2017 - AHRQ Safety Program for Perinatal Care: Monitoring for Perinatal Safety: Electronic Fetal Monitoring AHRQ Safety Program for Perinatal Care Monitoring for Perinatal Safety: Electronic Fetal Monitoring AHRQ Publication No. 17-0003-18-EF May 2017 1 Learning Objectives 2 AHRQ Safety Program for Perinatal Care Elect…
  4. www.ahrq.gov/pqmp/implementation-qi/toolkit/tcd/overview.html
    August 01, 2021 - Transcranial Doppler Ultrasonography (TCD) Screening Among Children with Sickle Cell Anemia Toolkit Overview Previous Page Next Page Table of Contents Transcranial Doppler Ultrasonography (TCD) Screening Among Children with Sickle Cell Anemia Toolkit Introduction Overview About the Measure K…
  5. psnet.ahrq.gov/primers-0
    March 15, 2025 - Primers Guides for key topics in patient safety through context, epidemiology, and relevant AHRQ PSNet content. The Patient Safety 101 Primer provides an overview of the patient safety field and covers key definitions and concepts. Latest Primers Clinical Decision Support Systems March…
  6. www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/implementation-guides/implementation-guide1/impguide1step1.html
    March 01, 2019 - Step 1: Define the Goals, Scope, and Institutional Home of Your Stakeholder Engagement Process Implementation Guide Number 1 This Implementation Guide includes suggested steps and tips for implementing initiatives for improving child health care quality from the CMS-funded national evaluation of the Children’…
  7. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/availability/chipra-0134-technicalspecs.pdf
    January 01, 2011 - Section II: Detailed Measure Specifications Section II: Detailed Measure Specifications Provide sufficient detail to describe how a measure would be calculated from the recommended data sources, uploading a separate document (+ Upload attachment) or a link …
  8. www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/statesummaries/chipra-750-maine-state-snapshot.pdf
    January 01, 2018 - Spotlight on Maine -- The National Evaluation of the CHIPRA Quality Demonstration Grant Program January 2018 This brief highlights the major strategies, lessons learned, and outcomes from Maine’s experience from February 2010 to February 2016 with the quality demonstration funded by the Centers for Medicare & Med…
  9. www.ahrq.gov/diagnostic-safety/resources/issue-briefs/state-of-science-2.html
    June 01, 2020 - Operational Measurement of Diagnostic Safety: State of the Science Special Considerations for Measurement of Diagnostic Safety Previous Page Next Page Table of Contents Operational Measurement of Diagnostic Safety: State of the Science Introduction Special Considerations for Measurement of Diagn…
  10. www.ahrq.gov/sites/default/files/2024-02/pittman-report.pdf
    January 01, 2024 - Final Progress Report: Four Safety Strategies: A Symposium on Implementation Four Safety Strategies: A Symposium on Implementation Principal Investigator: Mary A. Pittman, Dr.P.H. Project Team: Allan Frankel, M.D., Partners HealthCare System Tejal Gandhi, M.D., Brigham & Women’s Hospital Sarah Grillo Peter…
  11. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/day-of-discharge.pdf
    June 02, 2025 - Fielding the CAHPS Child Hospital Survey Page 1 Fielding the CAHPS® Child Hospital Survey Day-of-Discharge Survey Administration Introduction This document explains how to field the CAHPS Child Hospital Survey (Child HCAHPS) via electronic tablet on the day of discharge and gather the data needed for analysi…
  12. www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/man1.html
    December 01, 2017 - The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities Chapter 1. Introduction and Program Overview Previous Page Next Page Table of Contents The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities Chapter 1. Introduction and Program Ove…
  13. www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-reimagining-healthcare-teams-refs.html
    July 01, 2023 - Reimagining Healthcare Teams: Leveraging the Patient-Clinician-AI Triad To Improve Diagnostic Safety References Previous Page   Table of Contents Reimagining Healthcare Teams: Leveraging the Patient-Clinician-AI Triad To Improve Diagnostic Safety Introduction The Patient-Clinician Dyad The P…
  14. www.ahrq.gov/patient-safety/resources/learning-lab/building-ambulatory-long-desc.html
    April 01, 2021 - Building an Ambulatory Patient Safety Learning Laboratory for Diverse Populations (ASCENT) Principal Investigator: Urmimala Sarkar, M.D., M.P.H., University of California-San Francisco, San Francisco, CA AHRQ Grant No.: HS023558 Project Period: 09/30/14-09/29/20 Description: The overall goal of this p…
  15. www.ahrq.gov/ncepcr/reports/cost-guide/collection-tools.html
    February 01, 2017 - Estimating the Costs of Primary Care Transformation: A Practical Guide and Synthesis Report Appendix B. Example Data Collection Tools Previous Page Next Page Table of Contents Estimating the Costs of Primary Care Transformation: A Practical Guide and Synthesis Report Background A Practical Guide…
  16. psnet.ahrq.gov/web-mm/chemotherapy-administration-safety-standards
    March 30, 2016 - Chemotherapy Administration Safety Standards Citation Text: Bergsbaken J. Chemotherapy Administration Safety Standards. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2018. Copy Citation Format: Google Scholar BibTeX En…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49785/psn-pdf
    February 01, 2017 - Refused Medication Error February 1, 2017 Foley M. Refused Medication Error. PSNet [internet]. 2017. https://psnet.ahrq.gov/web-mm/refused-medication-error The Case A 59-year-old man was admitted to the hospital with acute renal failure and mental status changes. He was alert to self and place only. The patient h…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33630/psn-pdf
    March 01, 2006 - Team Training: Classroom Training vs. High-Fidelity Simulation March 1, 2006 Pratt SD, PSachs B. Team Training: Classroom Training vs. High-Fidelity Simulation. PSNet [internet]. 2006. https://psnet.ahrq.gov/perspective/team-training-classroom-training-vs-high-fidelity-simulation Point–Counterpoint Editor's Note…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49751/psn-pdf
    January 01, 2016 - New Patient Mistakenly Checked in as Another January 1, 2016 Green RA, Adelman JS. New Patient Mistakenly Checked in as Another. PSNet [internet]. 2016. https://psnet.ahrq.gov/web-mm/new-patient-mistakenly-checked-another The Case A 55-year-old man, presented to a primary care physician's office for an initial vis…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49572/psn-pdf
    October 01, 2008 - Mistaken Identity October 1, 2008 Hall LW. Mistaken Identity. PSNet [internet]. 2008. https://psnet.ahrq.gov/web-mm/mistaken-identity The Case An 85-year-old Cantonese-speaking woman was admitted to the medical service with altered mental status and a reported fall. After finding tenderness in her left hip, the p…