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  1. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_6-coaching.pptx
    July 01, 2023 - PowerPoint Presentation Coaching Module 6 of 8 SPPC-II Toolkit AHRQ Pub. No. 23-0046 July 2023 Hospital AIM Team Leads SPPC-II SCRIPT Welcome to Module 6 of the SPPC-II Teamwork Toolkit. In this module, we’ll learn some tactics for coaching your frontline providers on using the teamwork tools. 1 Coaching Involve…
  2. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_6-coaching.pptx
    July 01, 2023 - PowerPoint Presentation Coaching Module 6 of 8 SPPC-II Toolkit AHRQ Pub. No. 23-0046 July 2023 Hospital AIM Team Leads SPPC-II SCRIPT Welcome to Module 6 of the SPPC-II Teamwork Toolkit. In this module, we’ll learn some tactics for coaching your frontline providers on using the teamwork tools. 1 Coaching Involve…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50614/psn-pdf
    October 30, 2019 - In Conversation With… Vineet Chopra, MD, MSc October 30, 2019 In Conversation With… Vineet Chopra, MD, MSc. PSNet [internet]. 2019. https://psnet.ahrq.gov/perspective/conversation-vineet-chopra-md-msc Editor's note: Dr. Chopra is Chief of the Division of Hospital Medicine and Associate Professor of Medicine at the…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867672/psn-pdf
    February 26, 2025 - Misdiagnosis of Small Bowel Obstruction in the Setting of Previous Abdominal Operations February 26, 2025 Brown S, Utter GH, Barnes DK. Misdiagnosis of Small Bowel Obstruction in the Setting of Previous Abdominal Operations. PSNet [internet]. 2025. https://psnet.ahrq.gov/web-mm/misdiagnosis-small-bowel-obstruction…
  5. www.ahrq.gov/policymakers/chipra/overview/background/next-steps.html
    December 01, 2009 - Background Report for the Request for Public Comment on Initial, Recommended Core Set of Children's Healthcare Quality Measures for Voluntary Use by Medicaid and CHIP Programs Background Report on request for public comment on initial, recommended core set of Children's Healthcare Quality Measures for voluntary…
  6. psnet.ahrq.gov/web-mm/two-cases-retained-vaginal-packing-when-writing-order-not-enough
    September 01, 2003 - SPOTLIGHT CASE Two Cases of Retained Vaginal Packing: When Writing an Order is Not Enough Citation Text: Gibbs VC. Two Cases of Retained Vaginal Packing: When Writing an Order is Not Enough. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and …
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867651/psn-pdf
    February 26, 2025 - Safety I, Safety II, and the New Views of Safety February 26, 2025 Scanlon M, Jacobson N. Safety I, Safety II, and the New Views of Safety. PSNet [internet]. 2025. https://psnet.ahrq.gov/primer/safety-i-safety-ii-and-new-views-safety Background and Context Safety I and Safety II (Safety I/II) are not safety method…
  8. psnet.ahrq.gov/web-mm/multiple-levels-involved-prescribing-wrong-medication
    December 23, 2020 - Multiple Levels Involved in Prescribing the Wrong Medication Citation Text: Chin K, Chau V, Spero H, et al. Multiple Levels Involved in Prescribing the Wrong Medication. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2020. Copy Cit…
  9. psnet.ahrq.gov/web-mm/life-threatening-infant-overdose-sodium-chloride
    December 23, 2020 - Life-Threatening Infant Overdose of Sodium Chloride Citation Text: Hamline M, McGlynn G, Lee A, et al. Life-Threatening Infant Overdose of Sodium Chloride. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2020. Copy Citation Form…
  10. psnet.ahrq.gov/perspective/evolution-patient-safety-surgery
    August 01, 2017 - The Evolution of Patient Safety in Surgery Robert M. Wachter, MD | December 1, 2017  Also Read a Conversation View more articles from the same authors. Citation Text: Wachter R. The Evolution of Patient Safety in Surgery. PSNet [internet]. Rockville (MD): Agency…
  11. digital.ahrq.gov/sites/default/files/docs/citation/r21hs024751-dalal-final-report-2019.pdf
    January 01, 2019 - Interactive Patient-Centered Discharge Toolkit - Final Report TITLE: Interactive Patient-Centered Discharge Toolkit Principal Investigator and Team Members: Anuj K Dalal, MD (PI); Jeffrey L Schnipper, MD, MPH (Co-I); Stuart Lipsitz, ScD (Co-I); …
  12. www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/about/ncepcr-older-adults-presentation.pptx
    March 15, 2025 - Approaches to Address Health Risks for Older Adults National Center for Excellence in Primary Care 1 National Center for Excellence in Primary Care Research Presents Approaches to Address Health Risks for Older Adults January 16, 2025 Presented by: Lisa Kern, MD, MPH Alberta K. Tran, Ph.D., RN, CCRN Yu-J…
  13. www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/podcasts/user-centered-quality-reports-mcgee-20120301-transcript.pdf
    June 02, 2025 - User-Centered Quality Report Transcript release date 3/1/12 www.talkingquality.ahrq.gov Tips on Making Quality Reports User-Centered Moderator: Lise Rybowski, Consultant, TalkingQuality; President, The Severyn Group Speaker: Jeanne McGee, Sociologist, McGee and Evers Consulting Lise Rybowski From th…
  14. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/system/delivery-system-initiative/rodriguez/rodriguez.pptx
    June 02, 2025 - Slide 1 Implementing Team Approaches for Improving Diabetes Care in Health Centers Hector P. Rodriguez, PhD, MPH (hrod@berkeley.edu) UC Berkeley School of Public Health iCARE (Innovative Care Approaches through Research & Education) Acknowledgements Other Research Team Members (University of California and RA…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/846171/psn-pdf
    July 26, 2022 - Agitated Delirium Contributes to Missed Testing and Delayed Diagnosis of Gastric Perforation March 15, 2023 Trask J, Carlsen KM, Kuhn BT. Agitated Delirium Contributes to Missed Testing and Delayed Diagnosis of Gastric Perforation. PSNet [internet]. 2023. https://psnet.ahrq.gov/web-mm/agitated-delirium-contributes…
  16. psnet.ahrq.gov/perspective/conversation-michael-cohen-rph-ms-scd-hon
    April 01, 2006 - In Conversation with… Michael Cohen, RPh, MS, ScD (hon) April 1, 2006  Also Read an Essay Citation Text: In Conversation with… Michael Cohen, RPh, MS, ScD (hon). PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health …
  17. psnet.ahrq.gov/perspective/conversation-withdavid-marx-jd
    October 01, 2007 - In Conversation with...David Marx, JD October 1, 2007  Also Read an Essay Citation Text: In Conversation with..David Marx, JD. PSNet [internet]. 2007.In Conversation with...David Marx, JD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Qualit…
  18. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/howtogetstarted/Best_Practices_Hosp_Leaders_508.docx
    March 13, 2013 - Strategy 1: Working with Patients & Families as Advisors (Implementation Handbook) Key Takeaways Hospital leaders have a critical role in creating and sustaining a supportive environment for patient and family engagement. Leaders make a commitment to patient and family engagement by: Modeling partnerships with patie…
  19. www.ahrq.gov/cahps/quality-improvement/research/index.html
    March 01, 2025 - Research on Improving Patient Experience Many researchers study the feasibility and value of using CAHPS surveys to support efforts to improve patient experience in various healthcare settings. This page summarizes current and recent research funded under AHRQ’s CAHPS grants related to: Improving patient experi…
  20. psnet.ahrq.gov/web-mm/missed-opportunities-suicide-risk-assessment
    September 27, 2023 - SPOTLIGHT CASE Missed Opportunities for Suicide Risk Assessment Citation Text: Xiong G, Kahn D. Missed Opportunities for Suicide Risk Assessment. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. Copy Citation For…