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  1. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4v_combo_pdi10-sepsis-bestpractices.pdf
    May 17, 2016 - Selected Best Practices and Suggestions for Improvement Toolkit for Using the AHRQ Quality Indicators How To Improve Hospital Quality and Safety 1 Tool D.4v Selected Best Practices and Suggestions for Improvement PDI 10: Postoperative Sepsis Why focus on postoperative sepsis in children? • Postoperative s…
  2. www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/implementing-cms-measure-chat-transcript.pdf
    May 01, 2025 - May 2025: National Action Alliance for Patient and Workforce Safety Webinar Chat Transcript Welcome to the May NAA National Webinar.   Stay Connected with the National Action Alliance for Patient and Workforce Safety: Subscribe to the NAA Listserv Monthly Bulletin and Email us at NationalActionAlliance@hhs.gov   …
  3. www.ahrq.gov/research/findings/evidence-based-reports/er208-overview.html
    October 01, 2014 - Series Overview Closing the Quality Gap: Revisiting the State of the Science Overview of new series of evidence reports on quality improvement strategies. Contents Background Topic Selection and Scope Development Principles Key Questions Organizing Framework References     Background …
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33808/psn-pdf
    May 01, 2016 - Reducing the Safety Hazards of Monitor Alert and Alarm Fatigue May 1, 2016 Jacques S, Williams E. Reducing the Safety Hazards of Monitor Alert and Alarm Fatigue. PSNet [internet]. 2016. https://psnet.ahrq.gov/perspective/reducing-safety-hazards-monitor-alert-and-alarm-fatigue Perspective Alarm fatigue occurs whe…
  5. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module1/module1-overview.pptx
    June 02, 2025 - Module 1: Communication and Optimal Resolution (CANDOR) Toolkit Module 1: An Overview of the CANDOR Process Communication and Optimal Resolution (CANDOR) Toolkit Module 1: An Overview of the CANDOR Process The CANDOR Toolkit is composed of eight distinct modules that can be used to teach users about the CANDOR Pro…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73412/psn-pdf
    August 01, 2022 - “Behavioral Health Vital Signs” Initiative Increases Patient Education and Disclosure about Interpersonal Violence (IPV) June 30, 2021 https://psnet.ahrq.gov/innovation/behavioral-health-vital-signs-initiative-increases-patient-education-and- disclosure Summary The Behavioral Health Vital Signs (BHVS) screener i…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49650/psn-pdf
    March 01, 2012 - Turn the Other Cheek March 1, 2012 Starling J. Turn the Other Cheek. PSNet [internet]. 2012. https://psnet.ahrq.gov/web-mm/turn-other-cheek The Case A 56-year-old man underwent two skin biopsies to evaluate clinically concerning lesions. The first biopsy was diagnostic for squamous cell carcinoma (SCC) and docume…
  8. www.ahrq.gov/hai/tools/mvp/modules/cusp/physician-staff-engagement-slides.html
    March 01, 2017 - Physician and Staff Engagement: Slide Presentation AHRQ Safety Program for Mechanically Ventilated Patients Slide 1: AHRQ Safety Program for Mechanically Ventilated Patients Physician and Staff Engagement Slide 2: Learning Objectives After this session, you will be able to— Identify the importan…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49449/psn-pdf
    June 01, 2004 - Lethal Vertigo June 1, 2004 Furman JM. Lethal Vertigo. PSNet [internet]. 2004. https://psnet.ahrq.gov/web-mm/lethal-vertigo The Case A 64-year-old woman, with no prior medical history, complained of sudden onset of severe vertigo and vomiting, without headache. Her initial blood pressure in the emergency departme…
  10. psnet.ahrq.gov/web-mm/electrocardiogram-results-read-me
    May 01, 2019 - Electrocardiogram Results: ***READ ME*** Citation Text: Alpert JS. Electrocardiogram Results: ***READ ME***. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2012. Copy Citation Format: Google Scholar BibTeX EndNote X3 XM…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49532/psn-pdf
    March 15, 2007 - Back to Basics March 1, 2007 Hellman R. Back to Basics. PSNet [internet]. 2007. https://psnet.ahrq.gov/web-mm/back-basics The Case A 48-year-old woman with insulin-dependent diabetes mellitus presents to the emergency department with right upper quadrant pain, fever, and leukocytosis, prompting admission for pres…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49443/psn-pdf
    May 01, 2004 - Privacy Gone Awry May 1, 2004 Pauker SG, Pauker SP. Privacy Gone Awry. PSNet [internet]. 2004. https://psnet.ahrq.gov/web-mm/privacy-gone-awry The Case A 3-year-old child underwent bilateral myringotomies and tube insertion with adenoidectomy. Preoperatively, she had an upper respiratory infection, but was eating…
  13. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_ssi_investigation.pptx
    December 01, 2017 - Performing SSI Investigations: Slide Presentation Performing an SSI Investigation AHRQ Safety Program for Surgery Onboarding AHRQ Pub No. 16(18)-0004-15-EF December 2017 SAY: In this module, you’ll learn about performing a surgical site infection or SSI investigation. 1 Learning Objectives After this session, you …
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73643/psn-pdf
    August 01, 2022 - ECHO-Care Transitions Successfully Reduces Patient Readmissions from Skilled Nursing Facilities, Reduces Length of Stay August 25, 2021 https://psnet.ahrq.gov/innovation/echo-care-transitions-successfully-reduces-patient-readmissions-skilled- nursing Summary ECHO-Care Transitions (ECHO-CT) intends to ensure cont…
  15. www.ahrq.gov/research/findings/final-reports/ptflow/section6.html
    July 01, 2018 - Improving Patient Flow and Reducing Emergency Department Crowding: A Guide for Hospitals Section 6. Facilitating Change and Anticipating Challenges Previous Page Next Page Table of Contents Improving Patient Flow and Reducing Emergency Department Crowding: A Guide for Hospitals Acknowledgments E…
  16. www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/statesummaries/chipra-750-utah-state-snapshot.pdf
    January 01, 2018 - Spotlight on Utah -- The National Evaluation of the CHIPRA Quality Demonstration Grant Program January 2018 This brief highlights the major strategies, lessons learned, and outcomes from Utah’s experience from February 2010 to February 2016 with the quality demonstration funded by the Centers for Medicare & Medic…
  17. www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/statesummaries/chipra-750-illinois-state-snapshot.pdf
    January 01, 2018 - Spotlight on Illinois -- The National Evaluation of the CHIPRA Quality Demonstration Grant Program January 2018 This brief highlights the major strategies, lessons learned, and outcomes from Illinois’s experience from February 2010 to February 2016 with the quality demonstration funded by the Centers for Medicare…
  18. www.ahrq.gov/faqs/index.html?page=0
    Frequently Asked Questions Check to find the answers to your questions about the Agency for Healthcare Research and Quality (AHRQ) programs and activities. You can search by category or key words. You can also send us your questions or website feedback here. We will respond to your requests based on the bes…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33874/psn-pdf
    February 01, 2019 - Building Systems Citizenship in Health Professions Education: The Continued Call for Health Systems Science Curricula February 1, 2019 Gonzalo JD, Singh MK. Building Systems Citizenship in Health Professions Education: The Continued Call for Health Systems Science Curricula. PSNet [internet]. 2019. https://psnet.…
  20. www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/item-sets/administering-child-hcahps-narrative-items.pdf
    November 01, 2023 - Administering the CAHPS Child Hospital Narrative Item Set Administering the CAHPS® Child Hospital Narrative Item Set November 2023 Introduction ..................................................................................................................... 1 Deciding Whether to Use Narrative Items .........…