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  1. www.ahrq.gov/hai/tools/surgery/modules/on-boarding/ssi-investigation-fac-notes.html
    December 01, 2017 - Performing an SSI Investigation: Facilitator Notes AHRQ Safety Program for Surgery Slide 1: Performing an SSI Investigation Say: In this module, you’ll learn about performing a surgical site infection or SSI investigation. Slide 2: Learning Objectives Say: Here are the objectives. We want to d…
  2. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/sustainability/sustainability_sustscorecard_facnotes.docx
    December 01, 2017 - Accessible Facilitator Guide: Designing a Scorecard Designing a Scorecard – Facilitator Notes Slide Title and Commentary Slide Number and Slide Designing a Scorecard for Sustainability SAY: The module covers how to design a scorecard for sustaining your surgical improvement efforts. Slide 1 Learning Objecti…
  3. www.ahrq.gov/hai/tools/surgery/modules/sustainability/scorecard-fac-notes.html
    December 01, 2017 - Designing a Scorecard for Sustainability: Facilitator Notes AHRQ Safety Program for Surgery Slide 1: Sustaining and Spreading Surgical Safety Improvements Say: The module covers how to design a scorecard for sustaining your surgical improvement efforts. Slide 2: Learning Objectives Say: After th…
  4. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/management/observation/observation-component-kit.docx
    May 01, 2017 - Module 4: Component Kit Standard Work Observation Component Kit Contents 1. Why Standard Work Observation? 2 Connections to Other Components 3 2. Tips 3 3. Plan-Do-Study-Act “Ramp”: Observe Checklist Use Regularly 5 4. Example 6 Using the Observations 6 1. Why Standard Work Observation? As you’ve adapted a surgi…
  5. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/management/observation/observation-facnotes.docx
    May 01, 2017 - Module 4: Script and Slides AHRQ Safety Program for Ambulatory Surgery Management Practices for Sustainability Module 4: Observation and Integration AHRQ Safety Program for Reducing CAUTI in Hospitals Facilitator Notes SLIDE 1 Title: Management Practices for Sustainability: Module 4: Observation and Integration SAY…
  6. psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.434_slideshow.ppt
    February 01, 2018 - PowerPoint Presentation Spotlight Signout Fallout 1 Source and Credits This presentation is based on the February 2018 AHRQ WebM&M Spotlight Case See the full article at https://psnet.ahrq.gov/webmm CME credit is available Commentary by: Amy J. Starmer, MD, MPH, and Christopher P. Landrigan, MD, MPH, Harvard M…
  7. www.ahrq.gov/professionals/quality-patient-safety/patientsafetyculture/medical-office/2014/mosurv14chap7.html
    June 01, 2014 - Medical Office Survey on Patient Safety Culture Chapter 7. What’s Next? Previous Page Next Page Table of Contents Medical Office Survey on Patient Safety Culture Executive Summary Chapter 1. Introduction Chapter 2. Survey Administration Statistics Chapter 3. Medical Office Characteristics …
  8. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/medicaidreadmitguide/aspire_webinar3/aspire_webinar3.pptx
    December 01, 2014 - Designing & Delivering Whole-Person Transitional Care The Hospital Guide to Reducing Medicaid Readmissions Webinar 3 Designing & Delivering Whole-Person Transitional Care The Hospital Guide to Reducing Medicaid Readmissions Webinar 3: Review & Update Readmission Reduction Efforts Agenda Describe the purpose of co…
  9. www.ahrq.gov/sites/default/files/wysiwyg/nursing-home/materials/vaccine-conversation-guide.pdf
    June 02, 2025 - Vaccine Conversation Guide A Guide for Building COVID-19 Vaccine Trust and Increasing Vaccination Rates Among CNAs: One-on-one Conversation Guide 1 Here are some specific recommendations for your one-on-one conversations that draw on what we learned through this project. One-on-one conversation guide If they s…
  10. www.ahrq.gov/sites/default/files/wysiwyg/topics/hhs_ed_boarding_may30.pdf
    May 30, 2023 - Letter to HHS Secretary on Emergency Department Boarding May 30, 2023 The Honorable Xavier Becerra Secretary The U.S. Department of Health and Human Services 200 Independence Avenue, S.W. Washington, D.C., 20201 Dear Secretary Becerra: We write to you today with deep concern about the growing public health …
  11. psnet.ahrq.gov/cme
    February 26, 2025 - Misdiagnosis of Small Bowel Obstruction in the Setting of Previous Abdominal Operations A man with a history of prior umbilical hernia repair presented to the emergency department (ED) with abdominal pain and was initially diagnosed with cholelithiasis before being discharged home. However, the next day he returned to …
  12. www.uspreventiveservicestaskforce.org/home/getfilebytoken/2VxcSta8ko2L_GC97XjZqm
    September 01, 2015 - Screening for Iron Deficiency Anemia and Iron Supplementation in Pregnant Women to Improve Maternal Health and Birth Outcomes September 2015 Task Force FINAL Recommendation | 1 Understanding Task Force Recommendations Screening for Iron Deficiency Anemia and Iron Supplementation in Pregnant Women to Improve Mate…
  13. hcup-us.ahrq.gov/datainnovations/raceethnicitytoolkit/ca11.jsp
    June 01, 2014 - Race, Ethnicity, and Language Data Collection: Nuts and Bolts An official website of the Department of Health & Human Services Search All AHRQ Websites Careers Contact Us Espanol …
  14. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/107-cusp-psychological-safety-fg.docx
    April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI CUSP Program: Psychological Safety Surgical Services For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries Slide Title and Commentary Slide Number and Slide CUSP Program: Psychological Safety SAY: Welcome to this presentation on psychologica…
  15. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module4/module4_pu-implementation_slides.pptx
    June 02, 2025 - How To Implement the Pressure Injury Prevention Program in Your Organization How To Implement the Pressure Injury Prevention Program in Your Organization ADD Hospital Name here Module 4 What We Have Done Thus Far Up to this point, you have: Looked at your organization’s readiness to improve pressure injury preventi…
  16. psnet.ahrq.gov/web-mm/cups-error
    January 12, 2011 - medication cups represents an understandable and almost predictable event—a veritable accident waiting to happen
  17. psnet.ahrq.gov/web-mm/patient-mix
    December 01, 2007 - It is also important to remember that these 'flukes' do happen, and the thousands of medication administrations
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33849/psn-pdf
    January 01, 2018 - We are testifying to things that didn't actually happen, physical exam findings that we didn't do, or
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33791/psn-pdf
    September 01, 2015 - have this great EHR, you should be harnessing it for safety, but these transcription errors still happen
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33855/psn-pdf
    April 01, 2018 - Every patient is different and things happen in the hospitalization, so to get the acute situation under