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  1. A_ReferenceLibrary (pdf file)

    digital.ahrq.gov/sites/default/files/docs/page/A_ReferenceLibrary_1.pdf
    February 16, 2006 - A_ReferenceLibrary Appendix A: Reference Library APPENDIX A: REFERENCE LIBRARY PURPOSE: This reference library is intended to provide a focused subset of key papers, presentations, and other resources to aid readers in understanding the critical issues underlying the purpose of the Privacy and Securit…
  2. digital.ahrq.gov/sites/default/files/docs/page/UHIN_BusinessCaseReport.pdf
    November 01, 2005 - Establishing a Business Case for Health Information Exchange (HIE)                                                                                                                                                                                                                                                      …
  3. psnet.ahrq.gov/web-mm/delayed-recognition-positive-blood-culture
    January 29, 2020 - Delayed Recognition of a Positive Blood Culture Citation Text: Doernberg S. Delayed Recognition of a Positive Blood Culture. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017. Copy Citation Format: Google Scholar BibT…
  4. www.ahrq.gov/prevention/resources/depression/depsum1.html
    April 01, 2013 - Screening for Depression in Adults Summary of the Evidence The summaries of the evidence briefly present evidence of effectiveness for preventive health services used in primary care clinical settings, including screening tests, counseling, and chemoprevention. They summarize the more detailed Systematic Evid…
  5. psnet.ahrq.gov/web-mm/resuscitation-errors-shocking-problem
    October 19, 2022 - SPOTLIGHT CASE Resuscitation Errors: A Shocking Problem Citation Text: Edelson DP, Abella BS. Resuscitation Errors: A Shocking Problem. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2007. Copy Citation Format: …
  6. www.ahrq.gov/sites/default/files/2024-11/ballard-report.pdf
    January 01, 2024 - Final Progress Report: Using Performance Measurement To Improve the Quality and Safety of Healthcare Element 1. Title Page: Using Performance Measurement to Improve the Quality and Safety of Healthcare Report on The International Society for Quality in Health Care (ISQua) 6th International Summit on Indic…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49540/psn-pdf
    August 21, 2007 - Resuscitation Errors: A Shocking Problem August 21, 2007 Edelson DP, Abella BS. Resuscitation Errors: A Shocking Problem. PSNet [internet]. 2007. https://psnet.ahrq.gov/web-mm/resuscitation-errors-shocking-problem Case Objectives Appreciate that delays in defibrillation can have significant negative effects on sur…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49779/psn-pdf
    January 01, 2017 - The Empty Bag December 1, 2016 Vincent C. The Empty Bag. PSNet [internet]. 2016. https://psnet.ahrq.gov/web-mm/empty-bag The Case A 90-year-old woman with end-stage dementia was admitted to an acute care hospital for treatment of a hip fracture after a fall at a nursing home. During the hospitalization, her kidne…
  9. www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/curriculum/teamstepps-3-readiness-form.pdf
    August 01, 2005 - Is Your Organization Ready for TeamSTEPPS™? Is Your Organization Ready for TeamSTEPPS™? Answering these questions can help your institution understand its level of readiness to initiate the TeamSTEPPS program. You may find it helpful to have a colleague review your responses or to answer the questions with a large…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49705/psn-pdf
    January 01, 2020 - A "Reflexive" Diagnosis in Primary Care April 1, 2014 Betjemann J, Josephson AS. A "Reflexive" Diagnosis in Primary Care. PSNet [internet]. 2014. https://psnet.ahrq.gov/web-mm/reflexive-diagnosis-primary-care Case Objectives Appreciate that primary care doctors may be caring for an increasing number of patients wi…
  11. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/forming-cuspteam-facguide.docx
    January 01, 2017 - Facilitator Guide: Build Your SSI Prevention Bundle Slide Title and Commentary Slide Number and Slide Title Slide Forming a Comprehensive Unit-based Safety Program Team SAY: Today, we will briefly revisit the key concepts of the Comprehensive Unit-based Safety Program or CUSP. Then, we will dive into a focused di…
  12. www.ahrq.gov/hai/tools/mvp/modules/cusp/forming-cusp-team-fac-guide.html
    February 01, 2017 - Forming a Comprehensive Unit-based Safety Program Team: Facilitator Guide AHRQ Safety Program for Mechanically Ventilated Patients Slide 1: Forming a Comprehensive Unit-based Safety Program Team Say: Today, we will briefly revisit the key concepts of the Comprehensive Unit-based Safety Program or CUSP. …
  13. 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…
  14. www.ahrq.gov/sites/default/files/2024-11/devita-report.pdf
    January 01, 2024 - Final Progress Report: METs: Preventing Patient Crisies; Protecting Patients in Crisis AHRQ Final Report Title of Project: METs: Preventing Patient Crisies; Protecting Patients in Crisis AHRQ grant: 1 R13 HS 15757-01 Awarded May, 2005. Dates of project: May 2005-May 2006. Date of Conference: June 25 and 26, 2005. …
  15. www.ahrq.gov/sites/default/files/2024-10/smucker-report.pdf
    January 01, 2024 - Final Progress Report: Patient Safety in Hospice Care AHRQ Grant Final Progress Report Title of Project: Patient Safety in Hospice Care Principal Investigator: Douglas R. Smucker, MD, MPH, Adjunct Professor, University of Cincinnati Department of Family and Community Medicine Team Members: • Nancy Elder, MD, Ass…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49552/psn-pdf
    January 01, 2008 - How Do Providers Recover From Errors? January 1, 2008 West CP. How Do Providers Recover From Errors? PSNet [internet]. 2008. https://psnet.ahrq.gov/web-mm/how-do-providers-recover-errors Case Objectives Describe the provider-specific prevalence of medical errors. Appreciate the impact of medical errors on care pr…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33841/psn-pdf
    September 01, 2017 - In Conversation With… Andrew Gettinger, MD September 1, 2017 In Conversation With… Andrew Gettinger, MD. PSNet [internet]. 2017. https://psnet.ahrq.gov/perspective/conversation-andrew-gettinger-md Editor's note: Dr. Gettinger is the Chief Medical Information Officer and the Executive Director of the Office of Cli…
  18. 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…
  19. www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/progress-update-2024-slides.pdf
    January 01, 2024 - Slide Presentation - Progress Update: The National Action Alliance for Patient and Workforce Safety—What, Why and How? The National Action Alliance for Patient and Workforce Safety - What, Why, and How? NATIONAL WEBINAR April 23, 2024 Housekeeping Notes • This webinar will be recorded and available for viewing…
  20. www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/implementation-guides/implementation-guide1/impguide1step3.html
    March 01, 2019 - Step 3: Build the Stakeholder Group Structure 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’s Health Insurance Program Reauthorization Act of…