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psnet.ahrq.gov/node/49432/psn-pdf
February 09, 2004 - Delay in Initiating Antibiotics Results in Fatal Error
February 1, 2004
Bellini LM. Delay in Initiating Antibiotics Results in Fatal Error. PSNet [internet]. 2004.
https://psnet.ahrq.gov/web-mm/delay-initiating-antibiotics-results-fatal-error
Case Objectives
Understand the importance of ongoing patient re-evaluati…
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psnet.ahrq.gov/web-mm/crossing-borderline
June 01, 2022 - Crossing the Borderline
Citation Text:
Oldham JM. Crossing the Borderline. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2006.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged Pub…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module4/putoolkit_module4_tools.docx
January 01, 1995 - Pressure Ulcer Prevention Toolkit
Pressure Ulcer Prevention Toolkit
Module 4 Tools
2G: Pieper Pressure Ulcer Knowledge Test
4A: Assigning Responsibilities for Using Best Practice Bundle with the left column completed (by the Implementation Team Leader/co-leaders and best practices decided upon earlier by the team
4B:…
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psnet.ahrq.gov/node/49706/psn-pdf
January 01, 2015 - Clostridium Difficile Relapse Secondary to Medication
Access Issue
April 1, 2014
Walker PC, Nagel J. Clostridium Difficile Relapse Secondary to Medication Access Issue. PSNet [internet].
2014.
https://psnet.ahrq.gov/web-mm/clostridium-difficile-relapse-secondary-medication-access-issue
The Case
A 24-year-old wom…
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www.ahrq.gov/patient-safety/settings/hospital/resource/guide/web6.html
December 01, 2017 - Webinar 6: Enhance Services for High-Risk Patients
Designing & Delivering Whole-Person Transitional Care: The Hospital Guide to Reducing Medicaid Readmissions
Text version of Webinar slide presentation.
Slide 1: Designing & Delivering Whole-Person Transitional Care
Designing & Delivering Whole-Person Tr…
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/co-nm-specialinnovation.pdf
January 01, 2020 - Electronic Student Health Questionnaire (eSHQ) enhances risk assessment for adolescents: Special Innovation Feature, August 2015
Page 1
The National Evaluation of the
CHIPRA Quality Demonstration Grant Program
SUMMARY
The electronic Student Health Questionnaire (eSHQ)
improved early identification of health ris…
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www.ahrq.gov/hai/tools/mvp/modules/cusp/engaging-sr-exec-fac-guide.html
February 01, 2017 - Engaging Senior Executives in Care of Mechanically Ventilated Patients: Facilitator's Guide
AHRQ Safety Program for Mechanically Ventilated Patients
Slide 1: Engaging Senior Executives in Care of Mechanically Ventilated Patients
Say:
In this module, we will discuss the importance of senior executive eng…
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psnet.ahrq.gov/node/61079/psn-pdf
October 28, 2020 - When Looks Aren’t All They Appear to Be: A Medication
Error in an Uncommon Indication
October 28, 2020
Ton K. When Looks Aren’t All They Appear to Be: A Medication Error in an Uncommon Indication . PSNet
[internet]. 2020.
https://psnet.ahrq.gov/web-mm/when-looks-arent-all-they-appear-be-medication-error-uncommon-
…
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psnet.ahrq.gov/node/60543/psn-pdf
May 27, 2020 - Wrong Catheter in the Right Patient
May 27, 2020
Chia C, Molla M. Wrong Catheter in the Right Patient. PSNet [internet]. 2020.
https://psnet.ahrq.gov/web-mm/wrong-catheter-right-patient
The Case
A 55-year-old man with history of emphysema was admitted to the hospital for pneumonia. The patient had
two?peripheral…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospital/sops-hsops-2-translation-guidelines.pdf
August 01, 2023 - Background and Information for Translators of the AHRQ Hospital Survey on Pateint Safety Culture Version 2.0
Agency for Healthcare Research and Quality (AHRQ)
Surveys on Patient Safety Culture™ (SOPS®)
Hospital Survey Version 2.0
Background and Information for Translators
August 2023
Purpose and Use of This…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/labor-delivery-unit/tool_cord-prolapse.docx
May 01, 2017 - AHRQ Safety Program for Perinatal Care: Labor and Delivery Unit Safety Umbilical Cord Prolapse
AHRQ Safety Program for Perinatal Care
Labor and Delivery Unit Safety
Umbilical Cord Prolapse
Labor and Delivery Unit Safety—Umbilical Cord Prolapse
Purpose of the tool: This tool describes the key perinatal safety elements …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/rapid-response/rapidresponse_facguide.docx
May 01, 2017 - AHRQ Safety Program for Perinatal Care
Rapid Response for Perinatal Safety
Rapid Response for Perinatal Safety
SAY:
The Rapid Response for Perinatal Safety bundle provides information establishing a unitwide approach, also referred to as a rapid response system, for responding to urgent maternity care issues.
Slide …
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www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/final-report/section3.html
October 01, 2015 - National Evaluation of the CHIPRA Quality Demonstration Grant Program: Final Project Report
3. Observations About the Structure of the Demonstration Grant Program
Previous Page Next Page
Table of Contents
National Evaluation of the CHIPRA Quality Demonstration Grant Program: Final Project Report
…
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www.ahrq.gov/hai/tools/mvp/modules/technical/daily-early-mobility-fac-guide.html
February 01, 2017 - Measure Descriptions for Daily Early Mobility: Facilitator Guide
AHRQ Safety Program for Mechanically Ventilated Patients
Slide 1: Measure Descriptions for Daily Early Mobility
Say:
In this module, you will learn about the data measures you will use to evaluate early mobility process and outcome measure…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/teach-back_quickstart_brochure.pdf
September 15, 2016 - Implementation Quick Start Guide: Teach-back (Half-page)
Implementation
Quick Start Guide
Teach-back
The Guide to Improving Patient Safety
in Primary Care Settings by Engaging Patients
and Families
Table of Contents
What Is Teach-Back? ...........................................................1
Why Use T…
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psnet.ahrq.gov/node/33642/psn-pdf
November 01, 2006 - In Conversation With...Donald A. Norman, PhD
November 1, 2006
In Conversation With..Donald A. Norman, PhD. PSNet [internet]. 2006.
https://psnet.ahrq.gov/perspective/conversation-withdonald-norman-phd
Dr. Robert Wachter, Editor, AHRQ WebM&M: Tell us a little bit about your background. How did you
become interested…
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digital.ahrq.gov/health-information-exchange-2
January 01, 2023 - This information is for reference purposes only. It was current when produced and may now be outdated. Archive material is no longer maintained, and some links may not work. Persons with disabilities having difficulty accessing this information should contact us at: https://digital.ahrq.gov/contact-us . Let us know th…
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psnet.ahrq.gov/node/836978/psn-pdf
May 16, 2022 - Check Twice, Transport Once
May 16, 2022
DePew A, Rice J, Chou J. Check Twice, Transport Once. PSNet [internet]. 2022.
https://psnet.ahrq.gov/web-mm/check-twice-transport-once
The Case
Case #1: A 26-year-old woman (Patient A) presented to the Emergency Department (ED) with abdominal
pain and was diagnosed with “s…
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digital.ahrq.gov/ahrq-funded-projects/state-and-regional-demonstration-health-information-technology-tn
January 01, 2023 - State and Regional Demonstration in Health Information Technology: Tennessee
Project Final Report ( PDF , 2.12 MB) Disclaimer
Disclaimer
(Persons using assistive technology may not be able to fully access information in this report. For assistance, please contact ahrqsection508@…
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effectivehealthcare.ahrq.gov/sites/default/files/product/pdf/ems-911-workforce-protocol.pdf
January 01, 2015 - Emergency Medical Service/911 Workforce Infection Control and Prevention Issues
Evidence-based Practice Center Technical Brief Protocol
Project Title: Emergency Medical Service/911 Workforce Infection Control and
Prevention Issues
I. Background and Objectives for the Technical Brief
Standard infectio…