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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49590/psn-pdf
    January 01, 2010 - Is the Admission Drug Dose Too Low? August 1, 2009 Kaushal R, Abramson EL. Is the Admission Drug Dose Too Low? PSNet [internet]. 2009. https://psnet.ahrq.gov/web-mm/admission-drug-dose-too-low The Case A 72-year-old man with a long history of chronic obstructive pulmonary disease (COPD) was admitted to the hospit…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49634/psn-pdf
    September 01, 2011 - Situational (Un)Awareness September 1, 2011 Abramson EL, Kaushal R. Situational (Un)Awareness. PSNet [internet]. 2011. https://psnet.ahrq.gov/web-mm/situational-unawareness The Case A 75-year-old man was admitted on a Tuesday evening with abdominal pain, jaundice, and elevated liver function tests, including a bi…
  3. psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.353_slideshow.ppt
    August 01, 2015 - PowerPoint Presentation Spotlight Privacy or Safety? 1 This presentation is based on the July/August 2015 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available Commentary by: John D. Halamka, MD, MS, Beth Israel Deaconess Medical Center; and Deven McGraw, JD, MPH, LLM…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49387/psn-pdf
    February 01, 2003 - Patient Mix-Up February 1, 2003 Shojania KG. Patient Mix-Up. PSNet [internet]. 2003. https://psnet.ahrq.gov/web-mm/patient-mix The Case Joe Smith [not his real name], a 42-year-old man with nausea and vomiting for 4 days, was on the general medical service at an academic medical center. Overnight, another man wit…
  5. www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/04-new_sops_diagnostic_safety-yount.pdf
    October 20, 2021 - New AHRQ SOPS® Diagnostic Safety Supplemental Items for Medical Offices - Yount Diagnostic Safety Supplemental Items for the SOPS Medical Office Survey Naomi Yount, PhD Westat 39 Diagnostic Safety Supplemental Items 40 • Designed as a supplemental item set that can be added to the end of the SOPS Medical Off…
  6. www.ahrq.gov/sites/default/files/wysiwyg/nhguide/TK2_T4_Common_Suspected_Infections_Tools_To_Improve_Communication_and_Decisionmaking.docx
    October 01, 2016 - Slide Title and Commentary Slide Number and Slide Title Slide Toolkit 2. Common Suspected Infections: Communication and Decision Making for Four Infections Tool 4. Tools To Improve Communication and Decision Making SAY: Today we are introducing you to new tools to help improve communication and help prescribing clin…
  7. www.ahrq.gov/es/patient-safety/settings/hospital/resource/nicu/coaching.html
    December 01, 2013 - Transitioning Newborns from NICU to Home Coaching in the Hospital Previous Page Next Page Table of Contents Transitioning Newborns from NICU to Home A Resource Toolkit Basic Components of the Health Coach Program Family Information Packet Cover Sheet Coaching in the Hospital Appendix A: Fa…
  8. www.ahrq.gov/es/patient-safety/settings/hospital/red/toolkit/redtool1.html
    March 01, 2013 - Re-Engineered Discharge (RED) Toolkit Tool 1: Overview 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 Your Hospital How CMS Measures the "30-Day All Cause Rehospitalization Rate…
  9. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/empowering-nurses.pdf
    April 01, 2022 - Making It Work Tip Sheet: Empowering Nurses To Implement Nurse-Driven Protocols for Reducing CAUTI in the ICU Setting AHRQ Safety Program for Intensive Care Units: Preventing CLABSI and CAUTI Making It Work Tip Sheet Empowering Nurses To Implement Nurse-Driven Protocols for Reducing CAUTI in the ICU Se…
  10. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/implement/implement.pptx
    May 01, 2017 - AHRQ Safety Program for Perinatal Care: Implement Teamwork and Communication AHRQ Safety Program for Perinatal Care Implement Teamwork and Communication for Perinatal Safety AHRQ Publication No. 17-0003-3-EF May 2017 1 Learning Objectives 2 AHRQ Safety Program for Perinatal Care Teamwork & Comm. 2 Basic Com…
  11. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/rapid-response/rapidresponse.pptx
    October 01, 2017 - AHRQ Safety Program for Perinatal Care: Rapid Response for Perinatal Safety AHRQ Safety Program for Perinatal Care Rapid Response for Perinatal Safety AHRQ Publication No. 17-0003-20-EF October 2017 1 Learning Objectives AHRQ Safety Program for Perinatal Care 2 Rapid Response Perinatal Safety 2 Rapid Respons…
  12. cdsic.ahrq.gov/sites/default/files/2023-01/Final%20Workgroup%20Charter_Trust%20and%20Patient-Centeredness_Personnel%20Update_Jan26.pdf
    January 01, 2023 - FINAL WORKGROUP CHARTER: TRUST AND PATIENT-CENTEREDNES FINAL WORKGROUP CHARTER: TRUST AND PATIENT-CENTEREDNESS O C T O B E R 2 0 2 2 Agency for Healthcare Research and Quality: Clinical Decision Support Innovation Collaborative (CDSiC) Presented by: NORC at the University of Chicago …
  13. cdsic.ahrq.gov/sites/default/files/2023-01/Final%20Workgroup%20Charter_Scaling_%20Measurement_%20and%20Dissemination_Personnel%20Update_Jan26.pdf
    January 01, 2023 - FINAL WORKGROUP CHARTER: SCALING, MEASUREMENT, AND DISSEMINATION OF CDS FINAL WORKGROUP CHARTER: SCALING, MEASUREMENT, AND DISSEMINATION OF CDS O C T O B E R 2 0 2 2 Agency for Healthcare Research and Quality: Clinical Decision Support Innovation Collaborative (CDSiC) Presented by: NORC at th…
  14. digital.ahrq.gov/sites/default/files/Final%20Workgroup%20Charter_Scaling_%20Measurement_%20and%20Dissemination_Personnel%20Update_Jan26.pdf
    October 01, 2022 - FINAL WORKGROUP CHARTER: SCALING, MEASUREMENT, AND DISSEMINATION OF CDS FINAL WORKGROUP CHARTER: SCALING, MEASUREMENT, AND DISSEMINATION OF CDS O C T O B E R 2 0 2 2 Agency for Healthcare Research and Quality: Clinical Decision Support Innovation Collaborative (CDSiC) Presented by: NORC at th…
  15. digital.ahrq.gov/sites/default/files/Final%20Workgroup%20Charter_Trust%20and%20Patient-Centeredness_Personnel%20Update_Jan26.pdf
    October 01, 2022 - FINAL WORKGROUP CHARTER: TRUST AND PATIENT-CENTEREDNES FINAL WORKGROUP CHARTER: TRUST AND PATIENT-CENTEREDNESS O C T O B E R 2 0 2 2 Agency for Healthcare Research and Quality: Clinical Decision Support Innovation Collaborative (CDSiC) Presented by: NORC at the University of Chicago …
  16. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/d7_pdi_implementationmeasurement.pdf
    January 01, 2016 - Implementation Measurement Pediatric Toolkit for Using the AHRQ Quality Indicators How To Improve Hospital Quality and Safety i Tool D.7 Implementation Measurement What is the purpose of this tool? The purpose of the implementation measurement tool is to provide a format in which you can determine if best…
  17. www.ahrq.gov/patient-safety/settings/hospital/resource/nicu/coaching.html
    December 01, 2013 - Transitioning Newborns from NICU to Home Coaching in the Hospital Previous Page Next Page Table of Contents Transitioning Newborns from NICU to Home A Resource Toolkit Basic Components of the Health Coach Program Family Information Packet Cover Sheet Coaching in the Hospital Appendix A: Fa…
  18. psnet.ahrq.gov/primer/strategies-and-approaches-investigating-patient-safety-events
    March 15, 2025 - Strategies and Approaches for Investigating Patient Safety Events Citation Text: Shaikh U. Strategies and Approaches for Investigating Patient Safety Events. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2022. Copy Citation Fo…
  19. www.ahrq.gov/prevention/resources/chronic-care/ccrm-atlas-suppl/ccrm-atlas3-3.html
    October 01, 2013 - Potential Measures for Clinical-Community Relationships Community Resource Element Previous Page Next Page Table of Contents Potential Measures for Clinical-Community Relationships Acknowledgements Executive Summary Introduction Potential Measure Development Methodology Potential Measures …
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49773/psn-pdf
    July 01, 2016 - Near Miss With Neonate October 1, 2016 Malana J, Lyndon A. Near Miss With Neonate. PSNet [internet]. 2016. https://psnet.ahrq.gov/web-mm/near-miss-neonate The Case A 37-year-old pregnant woman was admitted to the hospital for scheduled induction of labor for postterm dates. Early the next morning, intravenous oxy…