-
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…
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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…
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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…
-
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…
-
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…
-
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…
-
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…
-
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…
-
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…
-
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…
-
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…
-
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
…
-
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…
-
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…
-
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
…
-
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…
-
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…
-
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…
-
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 …
-
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…