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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.302_slideshow.ppt
June 01, 2013 - Spotlight Case July 2008
Spotlight Case
Emergency Error
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2
Source and Credits
This presentation is based on the June 2013
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available
Commentary by: Nicholas Symons, MBChB, MSc, Imperial College London
Editor, AHRQ WebM&M: Robe…
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datatools.ahrq.gov/nhqdr/resources-addressing-disparities-and-improving-quality/
January 01, 2022 - guide for Hospitals (2008)
Provides a framework for equity reporting and shares lessons learned from experiences
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www.ahrq.gov/research/findings/final-reports/crctoolkit/crctoolA31.html
April 01, 2018 - Patients should also understand that these focus groups are to discuss their experiences with the SATIS-PHI
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www.ahrq.gov/sites/default/files/2024-05/valley-report.pdf
January 01, 2024 - Influence of the COVID-19 Pandemic on ICU Organization,
Care Processes, and Frontline Clinicians’ Experiences
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www.ahrq.gov/evidencenow/projects/state/how-to-guide/guide4.html
August 01, 2024 - community of practice, which included discussion-based meetings and a listserv to debrief on their experiences
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psnet.ahrq.gov/web-mm/mitigating-risk-intrahospital-transport-pediatric-patients-risk-physiologic-instability
May 27, 2020 - communication is critically important in this situation. 9-12 Using institutional guidelines for handoffs, the experiences
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www.ahrq.gov/sites/default/files/wysiwyg/nursing-home/materials/intramuscular-injections.pdf
June 01, 2021 - Intramuscular Injections – Best Practices for Safe Vaccine Administration in Nursing Homes
Intramuscular Injections
Best Practices for Safe Vaccine Administration in Nursing Homes
When vaccinating nursing home residents, proper intramuscular (IM) administration is important to make
sure the vaccine does …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/sensemaking/sensemaking.pptx
May 01, 2017 - AHRQ Safety Program for Perinatal Care: Monitoring for Perinatal Safety: Sensemaking and Learn from Defects
AHRQ Safety Program for Perinatal Care
Sensemaking and Learn From Defects for Perinatal Safety
AHRQ Publication No. 17-0003-5-EF
May 2017
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Learning Objectives
2
AHRQ Safety Program for Perinatal Care
Sen…
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/learn-from-defects-slides.html
July 01, 2023 - Sensemaking and Learn From Defects for Perinatal Safety
AHRQ Safety Program for Perinatal Care
Slide 1: AHRQ Safety Program for Perinatal Care
Sensemaking and Learn From Defects for Perinatal Safety
Slide 2: Learning Objectives
Image: Four ascending steps show the learning objectives:
Introduce …
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www.ahrq.gov/topics/behavioral-health.html
March 01, 2022 - Behavioral Health
Behavioral health problems, which include mental health and substance use disorders, are among the most common conditions seen in primary care settings. AHRQ provides data to quantify these challenges, tools and resources for screening and treatment, and funding for behavioral he…
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www.ahrq.gov/funding/process/grant-app-basics/esstplan.html
January 01, 2017 - Essentials of the Research Plan
A research plan is the main part of a grant application and describes a principal investigator's proposed research. This page describes the essential elements of a research plan.
The research plan gives a principal investigator the opportunity to discuss proposed research, stat…
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www.ahrq.gov/practiceimprovement/delivery-initiative/mccannon/index.html
December 01, 2020 - The Spread Problem
Slide Presentation by Joe McCannon
On February 17, Joe McCannon made this slide presentation at the AHRQ Expert Meeting on the Challenge and Promise of Delivery System Research.
Sign up: Quality Measure Tools Email updates
Slide 1
The Spread Problem
The Challenge and Promise of …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/identify/sensemaking.pptx
January 01, 2006 - Staff Safety Assessment
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CUSP and Sensemaking Tools1
CUSP Tools Sensemaking Tools
Staff Safety Assessment Discovery Form
Safety Issues Worksheet Root Cause Analysis
Learn from Defects Form Failure Mode and Effects Analysis
Probabilistic Risk Assessment
Causal Tree Worksheet
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3
Learning Objectives
…
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www.ahrq.gov/hai/cusp/clabsi-final/clabsifinalap.html
January 01, 2013 - Eliminating CLABSI, A National Patient Safety Imperative: Final Report
Appendix A: Interview Questions
Previous Page
Table of Contents
Eliminating CLABSI, A National Patient Safety Imperative: Final Report
Executive Summary
Report Organization
Program Implementation
Program Impact
What W…
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digital.ahrq.gov/ahrq-funded-projects/scaling-and-spreading-electronic-capture-patient-reported-outcomes-leveraging
January 01, 2024 - Scaling and Spreading Electronic Capture of Patient-Reported Outcomes Leveraging a National Surgical Quality Improvement Program
Project Final Report ( PDF , 983.41 KB) Disclaimer
Disclaimer
The findings and conclusions in this document are those of the author(s), who are respons…
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digital.ahrq.gov/ahrq-funded-projects/improving-healthcare-processes-and-outcomes-directly-integrating-health
September 29, 2024 - Improving Healthcare Processes and Outcomes by Directly Integrating Health Information Exchange Data in the Clinical Workflow
Project Description
Publications
Research Story
Integrating health information exchange (HIE) data directly into electronic health records h…
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digital.ahrq.gov/sites/default/files/docs/publication/Appleby22206.pdf
February 22, 2006 - Montana: Big Sky Country
Beckons Health IT
By Chuck Appleby
Linking providers with varying levels of IT development, a Montana RHIO aims to ease the burden on emer-
gency room physicians and eliminate paper-based processes.
Big Sky Country has drawn its share of outsiders, including celebrity ranchers, writers and …
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psnet.ahrq.gov/node/33836/psn-pdf
June 01, 2017 - The Weekend Effect in Cardiology: Is It Real? If So, Can It
Be Fixed?
June 1, 2017
Martin VK, Mirnateghi N, Khoshchehreh M. The Weekend Effect in Cardiology: Is It Real? If So, Can It Be
Fixed? . PSNet [internet]. 2017.
https://psnet.ahrq.gov/perspective/weekend-effect-cardiology-it-real-if-so-can-it-be-fixed
Per…
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www.ahrq.gov/patient-safety/reports/hotline/preface.html
May 01, 2016 - Developing and Testing the Health Care Safety Hotline: A Prototype Consumer Reporting System for Patient Safety Events
Preface
Previous Page Next Page
Table of Contents
Developing and Testing the Health Care Safety Hotline: A Prototype Consumer Reporting System for Patient Safety Events
Preface
…
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psnet.ahrq.gov/node/42745/psn-pdf
October 31, 2014 - Do variations in hospital mortality patterns after weekend
admission reflect reduced quality of care or different
patient cohorts? A population-based study.
October 31, 2014
Concha OP, Gallego B, Hillman K, et al. Do variations in hospital mortality patterns after weekend
admission reflect reduced quality of care …