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psnet.ahrq.gov/node/49625/psn-pdf
May 01, 2011 - Pocket Syringe Swap
May 1, 2011
Kulli JC. Pocket Syringe Swap. PSNet [internet]. 2011.
https://psnet.ahrq.gov/web-mm/pocket-syringe-swap
The Case
A 58-year-old man, scheduled for aortoiliac artery bypass graft, had an epidural catheter placed for
postoperative pain management. Surgery proceeded uneventfully under…
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psnet.ahrq.gov/node/49423/psn-pdf
November 01, 2003 - The Missing Suction Tip
November 1, 2003
Thomas EJ, Moore FA. The Missing Suction Tip. PSNet [internet]. 2003.
https://psnet.ahrq.gov/web-mm/missing-suction-tip
Case Objectives
Identify the risk factors for retained foreign bodies.
Understand methods used to prevent and identify retained foreign bodies.
Apprecia…
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psnet.ahrq.gov/node/851158/psn-pdf
June 28, 2023 - Ventricular Wall Injury during a Diagnostic Cardiac
Catheterization
June 28, 2023
Pham TH, Atreja S. Ventricular Wall Injury during a Diagnostic Cardiac Catheterization. PSNet [internet].
2023.
https://psnet.ahrq.gov/web-mm/ventricular-wall-injury-during-diagnostic-cardiac-catheterization
The Case
A patient was …
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www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/operational-adjustments-event-summary.pdf
July 02, 2020 - 1
Learning Community Affinity Group
Summary-at-a-Glance:
Operational Adjustments while Resuming In-Person Cardiac
Rehabilitation Programs
July 2, 2020
Event Purpose and Overview
• Purpose: To share and acquire strategies for how to adjust operations while resuming in-person
cardiac rehabilitation p…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/best-practices-survey-administration-webcast-sorra.pdf
January 01, 2024 - Best Practices for Administering SOPS® Surveys Users (Webcast): Sorra Presentation
Best Practices for Administering SOPS Surveys
Joann Sorra, Ph.D.
Project Director
User Network for the AHRQ Surveys on Patient Safety Culture (SOPS)
Westat
12
Selecting a SOPS Survey or Item Set
SOPS Surveys
SOPS Supplemental I…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/nh-workplace-safety-yount.pdf
January 01, 2023 - New AHRQ SOPS® Workplace Safety Supplemental Item Set for Nursing Homes - Naomi Yount, PhD
Workplace Safety Supplemental Item Set
for the SOPS Nursing Home Survey
Naomi Yount, PhD
Senior Study Director
Westat
31
Workplace Safety Supplemental Item Set
• Designed as a supplemental item set that can be added towa…
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www.ahrq.gov/cahps/quality-improvement/improvement-guide/4-approach-qi-process/sect4part2.html
January 01, 2020 - Section 4: Ways To Approach the Quality Improvement Process (Page 2 of 2)
Contents
Page 1 of 2
4.A. Focusing on Microsystems
4.B. Understanding and Implementing the Improvement Cycle
Page 2 of 2
4.C. An Overview of Improvement Models
4.D. Tools To Enhance Quality Improvement Initiatives
References…
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/qi-action-slides.pptx
April 01, 2022 - Quality Improvement in Action Slides
Quality Improvement in Action
AHRQ Safety Program for Intensive Care Units:
Preventing CLABSI and CAUTI
AHRQ Pub. No. 17(22)-0019
April 2022
Objectives
Describe methods to identify your intensive care unit’s (ICU) focus area of improvement using quality improvement strategies
R…
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/labor-delivery-unit/tool-cord-prolapse.html
July 01, 2023 - Labor and Delivery Unit Safety: Umbilical Cord Prolapse
AHRQ Safety Program for Perinatal Care
Purpose of the tool: This tool describes the key perinatal safety elements that support safe umbilical cord prolapse management. The key safety elements are presented within the framework of the Compreh…
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www.ahrq.gov/ncepcr/tools/obesity/obpcp1.html
May 01, 2014 - Integrating Primary Care Practices and Community-based Resources to Manage Obesity
Chapter 1: Attaining Zoning and Building Permits
Previous Page Next Page
Table of Contents
Integrating Primary Care Practices and Community-based Resources to Manage Obesity
Acknowledgements
Support
Foreword
O…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/podcasts/Role_of_Leadership_In_QI-_2011_11_01.pdf
January 01, 2011 - The Role of Leadership in Quality Improvement Efforts
The Role of Leadership in Quality Improvement Efforts
November 2011 Podcast
Speaker
Dr. Gregg Meyer, Senior Vice President, the Massachusetts General Hospital and Physicians Organization;
Director, the Edward P. Lawrence Center for Quality and Safety …
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/podcasts/Identifying_Areas_to_Improve_2012_03_01_Transcript.pdf
January 01, 2012 - Identifying Areas to Improve
Identifying Areas to Improve
March 2012 Podcast
Speaker
Donna Farley, Senior Health Policy Analyst and Co-lead, RAND CAHPS Team
Moderator
Carla Zema, Consultant, CAHPS User Network; Assistant Professor of Economics and Health Policy, Saint
Vincent College
Presentation A…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/026-why-choose-cusp.pptx
April 01, 2025 - PowerPoint Presentation
Why Choose a CUSP Approach?
Surgical Services
AHRQ Pub. No. 25-0029
April 2025
AHRQ Safety Program for MRSA Prevention: Targeting SSI
AHRQ Safety Program for MRSA Prevention | Surgical Services
AHRQ Safety Program for MRSA Prevention |
Why Choose a CUSP Approach?
1
Educational Objectives
D…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/nh/nursing-home-family-eng-1652a.doc
September 01, 2011 - CAHPS Nursing Home Survey: Family Member Instrument
CAHPS® Nursing Home Survey
Version:
Family Member Survey
Language: English
File name: nhfamily-eng-1652a.doc
Last updated: September 1, 2011
Response Scale: 4 points
For assistance with this survey, please contact the CAHPS Help Line at 800-492-9261 or cahps1…
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/099-cusp-guide-why-choose-cusp-approach.docx
October 01, 2024 - AHRQ Safety Program for MRSA Prevention
Why Choose a CUSP Approach?
ICU & Non-ICU
Slide Title and Commentary
Slide Number and Slide
Why Choose a CUSP Approach?
SAY:
Welcome to this presentation on the topic of “Why Choose a CUSP Approach?” The term CUSP is short for “the Comprehensive Unit-based Safety Program.” T…
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www.ahrq.gov/hai/tools/mvp/modules/cusp/assess-psc-hsop-slides.html
February 01, 2017 - Assess Patient Safety Culture Using the Hospital Survey on Patient Safety: Slide Presentation
AHRQ Safety Program for Mechanically Ventilated Patients
Slide 1: AHRQ Safety Program for Mechanically Ventilated Patients
Assess Patient Safety Culture Using the Hospital Survey on Patient Safety
Slide 2: Lear…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/physician-staff-engagement-facguide.docx
January 01, 2017 - Facilitator Guide: Build Your SSI Prevention Bundle
Slide Title and Commentary
Slide Number and Slide
Title Slide
Physician and Staff Engagement
SAY:
Today, we will give you an overview of physician and staff engagement.
Slide 1
Learning Objectives
SAY:
After this session, you will be able to identify the imp…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/nh/nursing-home-discharged-resident-eng-653a.doc
April 18, 2011 - CAHPS Nursing Home Survey; Discharged Resident/Short Stay Instrument
CAHPS® Nursing Home Survey
Version:
Discharged Resident Instrument
Language: English
For assistance with this survey, please contact the CAHPS Help Line at 800-492-9261 or cahps1@westat.com.
File name: discharged-resident-653a.doc
Released: …
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/hp/Child_Med_Eng_HP50_2155a.pdf
September 01, 2015 - CAHPS Health Plan Survey Child Medicaid Survey 5.0
CAHPS® Health Plan Surveys
Version: Child Medicaid Survey 5.0
Language: English
Notes
• Release of 5.0 version: The CAHPS Health Plan Surveys were updated in the Spring of
2012. The updates are limited to minor changes to the wording of several items and a …
-
psnet.ahrq.gov/node/49476/psn-pdf
March 02, 2005 - Around the Block
March 1, 2005
Minichiello T. Around the Block. PSNet [internet]. 2005.
https://psnet.ahrq.gov/web-mm/around-block
The Case
A 77-year-old woman with multiple medical problems was admitted to the hospital for an elective knee
replacement. The orthopedic surgeon, recognizing the risk of deep vein th…