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9921. TeamSTEPPS® Diagnosis Improvement: Infographic (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/dxsafety-infographic.pdf
      February 01, 2022 - TeamSTEPPS® Diagnosis Improvement: Infographic TeamSTEPPS® for Diagnosis Improvement AHRQ Publication No. 22-0015 February 2022 References 1. National Academies of Sciences, Engineering, and Medicine. Improving Diagnosis in Health Care. Washington, DC: National Academies Press; 2015. https://doi.org/10.17226/21…

9922. Data Sources and Limitations | Agency for Healthcare Research and Quality
      www.ahrq.gov/cahps/cahps-database/comparative-data/2017-health-plan-chartbook/data-sources-limitations.html
      October 01, 2017 - 2017 CAHPS Health Plan Survey Chartbook Data Sources and Limitations Previous Page Next Page Table of Contents 2017 CAHPS Health Plan Survey Chartbook Executive Summary Data Sources and Limitations Appendix A. 2017 Survey Respondents by State Appendix B. Definition of Composites, Items, and …

9923. Action-Plan-Template (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/action-plan-template.docx
      April 01, 2022 - Unit Action Plan The Comprehensive Unit-based Safety Program (CUSP) or healthcare-associated infection (HAI) leader is responsible for leading the CUSP team in completing an Action Plan in order to drive work related to lowering bloodstream infections (CLABSI) and/or catheter-associated urinary tract infections (CAUTI)…

9924. PQMP 2.0 Journal Supplement | Agency for Healthcare Research and Quality
      www.ahrq.gov/pqmp/publications/2-0-journal-supplement.html
      September 01, 2021 - PQMP 2.0 Journal Supplement The second phase of the Pediatric Quality Measures Program (PQMP) was launched in 2016 to support the implementation and dissemination of evidence-based, consensus-built pediatric quality measures. Highlighting the tremendous work conducted and progress made by the PQMP grantees , t…

9925. Getting Started | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/resources/simulation-issue-brief7.html
      July 01, 2024 - Simulation To Improve Patient Safety: Getting Started Getting Started Previous Page Next Page Table of Contents Simulation To Improve Patient Safety: Getting Started Introduction Leverage Patient Safety Infrastructure Use Simulation To Adopt and Adapt Best Practices Use Simulation To Improve…

9926. NICU Family Information Packet, Appendix B, Apnea Of Prematurity (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/nicu_toolkit/nicupacket-apb-apnea.pdf
      June 02, 2025 - NICU Family Information Packet, Appendix B, Apnea Of Prematurity Apnea Of Prematurity Characteristics ■ Respiratory pause for at least 20 seconds, or a pause that is accompanied by bradycardia (heart rate <100 bpm), cyanosis, or pallor in an infant <37 weeks postmenstrual age (PMA). ■ Types of apnea: – Central…

9927. Findings From the AHRQ Transforming Primary Care Grant Initiative: A Synthesis Report | Agency for Healthcare Research and Quality
      www.ahrq.gov/ncepcr/research-transform-primary-care/transform/synthesis-report/index.html
      July 01, 2015 - Findings From the AHRQ Transforming Primary Care Grant Initiative: A Synthesis Report Next Page Table of Contents Findings From the AHRQ Transforming Primary Care Grant Initiative: A Synthesis Report Executive Summary Introduction Methods Overview of the 14 Transforming Primary Care Grants K…

9928. Patient Safety. | PSNet
      psnet.ahrq.gov/issue/patient-safety-13
      November 26, 2018 - Special or Theme Issue Patient Safety. Citation Text: Patient Safety. Todd DW, Bennett JD, eds. Oral Maxillofac Surg Clin North Am. 2017;29:121-244. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter …

9929. Medication Errors. | PSNet
      psnet.ahrq.gov/issue/medication-errors-0
      October 03, 2012 - Special or Theme Issue Medication Errors. Citation Text: Medication Errors. Brit J Clin Pharmacol. 2009;67:589-695. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL …

9930. A guide for HCAs on safe patient transfers. | PSNet
      psnet.ahrq.gov/issue/guide-hcas-safe-patient-transfers
      March 03, 2019 - Newspaper/Magazine Article A guide for HCAs on safe patient transfers. Citation Text: A guide for HCAs on safe patient transfers. Lees L. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linked…

9931. PQMP National Asthma Quality Metric Key Driver Diagram (Vermont) (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/keydriver-vtcollaborative.pdf
      January 24, 2018 - PQMP National Asthma Quality Metric Key Driver Diagram (Vermont) PQMP National Asthma Quality Metric Key Driver Diagram (Vermont) – (I)Prevention/(II)Acute Episode/ (III)ED Care Global Aim: We aim to test and implement national performance measures that accurately assesses components of quality care for c…

9932. Appendix, Questions to Ask When Developing Your Design Team and Rationale | Agency for Healthcare Research and Quality
      www.ahrq.gov/es/patient-safety/settings/hospital/match/appendix/app-1.html
      July 01, 2022 - Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation Appendix, Questions to Ask When Developing Your Design Team and Rationale Previous Page Next Page Table of Contents Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconcili…

9933. Understanding SOPS Surveys: A Primer for New Users (Webcast) - Ginsberg (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/02-SOPS_101_Webcast-GINSBERG.pdf
      September 01, 2020 - Understanding SOPS Surveys: A Primer for New Users (Webcast) - Ginsberg Overview of AHRQ’s Patient Safety Priorities and Programs Caren Ginsberg, Ph.D. Center for Quality Improvement and Patient Safety Agency for Healthcare Research and Quality (AHRQ) 6 AHRQ’s Core Competencies AHRQ is a research and science-b…

9934. Tool 2: How to Begin the Re-engineered Discharge Implementation At Your Hospital (continued) | Agency for Healthcare Research and Quality
      www.ahrq.gov/es/patient-safety/settings/hospital/red/toolkit/sampleagenda.html
      March 01, 2013 - Re-Engineered Discharge (RED) Toolkit Tool 2: How to Begin the Re-engineered Discharge Implementation At Your Hospital (continued) Previous Page Next Page Table of Contents Re-Engineered Discharge (RED) Toolkit Tool 1: Overview Tool 2: How To Begin the Re-engineered Discharge Implementation at Y…

9935. Table 1. Overview of studies on the effectiveness of checklists | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/reports/issue-briefs/dxchecklists-table1.html
      September 01, 2020 - Evidence on Use of Clinical Reasoning Checklists for Diagnostic Error Reduction Table 1. Overview of studies on the effectiveness of checklists Previous Page Next Page Table of Contents Evidence on Use of Clinical Reasoning Checklists for Diagnostic Error Reduction Introduction Rationale for Use…

9936. The antidote to medical errors. | PSNet
      psnet.ahrq.gov/issue/antidote-medical-errors
      May 02, 2017 - Newspaper/Magazine Article The antidote to medical errors. Citation Text: The antidote to medical errors. Price M. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL …

9937. When doctors make mistakes. | PSNet
      psnet.ahrq.gov/issue/when-doctors-make-mistakes-1
      May 01, 2013 - Newspaper/Magazine Article When doctors make mistakes. Citation Text: When doctors make mistakes. Chen PW. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL …

9938. In a crisis, do-not-revive requests don't always work. | PSNet
      psnet.ahrq.gov/issue/crisis-do-not-revive-requests-dont-always-work
      December 16, 2015 - Newspaper/Magazine Article In a crisis, do-not-revive requests don't always work. Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL January 3, 2007 View more articles from the same aut…

9939. A clinician's guide to surgical fires: how they occur, how to prevent them, how to put them out. | PSNet
      psnet.ahrq.gov/issue/clinicians-guide-surgical-fires-how-they-occur-how-prevent-them-how-put-them-out
      March 12, 2025 - Commentary A clinician's guide to surgical fires: how they occur, how to prevent them, how to put them out. Citation Text: A clinician's guide to surgical fires. How they occur, how to prevent them, how to put them out. Health Devices. 2003;32(1):5-24. Copy Citation Format: …

9940. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43506/psn-pdf
      September 10, 2014 - Review of Alleged Patient Deaths, Patient Wait Times, and Scheduling Practices at the Phoenix VA Health Care System. September 10, 2014 Washington, DC: VA Office of the Inspector General; August 26, 2014. Report No.14-02603-267. https://psnet.ahrq.gov/issue/review-alleged-patient-deaths-patient-wait-times-and-sche…