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psnet.ahrq.gov/node/49598/psn-pdf
February 01, 2010 - Medication Reconciliation Pitfalls
February 1, 2010
Weber RJ. Medication Reconciliation Pitfalls. PSNet [internet]. 2010.
https://psnet.ahrq.gov/web-mm/medication-reconciliation-pitfalls
The Case
A 90-year-old woman who lived alone suffered a mechanical fall with subsequent hip fracture and was
brought to the eme…
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psnet.ahrq.gov/sites/default/files/2020-09/final_slides_sept_spotlight_case_when_the_lytes_go_out_slides_08.25.2020-revised.pdf
January 01, 2020 - Microsoft PowerPoint - FINAL SLIDES Sept_Spotlight Case_When the Lytes Go Out_SLIDES_08.25.2020-revised.pptx
Spotlight
When the Lytes Go Out: A Case
of Inpatient Cardiac Arrest
Source and Credits
• This presentation is based on the September 2020 AHRQ WebM&M
Spotlight Case
o See the full article at https://psne…
-
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…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.287_slideshow.ppt
December 01, 2012 - Spotlight Case July 2008
Spotlight Case
The Lung Nodule That Refused To Grow
*
*
Source and Credits
This presentation is based on the December 2012
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available
Commentary by: Alex A. Balekian, MD, MSHS, Keck School of Med…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/urinary-retention.pdf
April 01, 2022 - Making It Work Tip Sheet: Managing Urinary Retention and Catheterization in Intensive Care Unit Patients With Primary Neurologic Disorders
AHRQ Safety Program for Intensive Care Units:
Preventing CLABSI and CAUTI
Making It Work Tip Sheet
Managing Urinary Retention and Catheterization in Intensive
Care …
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/subglottic-slides.pptx
January 01, 2017 - Presentation: Program Overview
AHRQ Safety Program for Mechanically Ventilated Patients
Benefits of
Subglottic Secretion Drainage
Endotracheal Tubes
AHRQ Pub. No. 16(17)-0018-45-EF
January 2017
SSD-ETT Benefits ‹#›
AHRQ Safety Program for Mechanically Ventilated Patients
Learning Objectives
After this session, y…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/162-example-completed-learning-defects-tool.docx
October 01, 2024 - AHRQ Safety Program for MRSA Prevention
Learning From Defects Tool - Example
ICU & Non-ICU
Problem statement: Healthcare organizations can increase the extent to which they learn from defects. We define this learning as reducing the probability that future patients will be harmed.
What is a defect? A defect is any cli…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/d4d_pdi05-nqi01-pneumothorax-bestpractices.pdf
May 16, 2016 - Selected Best Practices and Suggestions for Improvement
Pediatric Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
1 Tool D.4d
Selected Best Practices and Suggestions for Improvement
NQI 01/PDI 05: Iatrogenic Pneumothorax
Why focus on iatrogenic pneumothorax in neonat…
-
www.ahrq.gov/research/findings/nhqrdr/2014chartbooks/womenhealth/wm-comm.html
September 01, 2015 - Chartbook on Women's Health Care
Communication and Care Coordination
Previous Page Next Page
Table of Contents
Chartbook on Women's Health Care
Acknowledgments
Women's Health Care
Key Findings of the 2014 QDR
2014 Chartbooks
Access to Health Care
Affordability
Communication and Care …
-
psnet.ahrq.gov/perspective/burnout-among-health-professionals-and-its-effect-patient-safety
December 22, 2018 - Annual Perspective
Burnout Among Health Professionals and Its Effect on Patient Safety
Audrey Lyndon, PhD | January 1, 2015
View more articles from the same authors.
Citation Text:
Lyndon A. Burnout Among Health Professionals and Its Effect on Patient Safety…
-
www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/statesummaries/nm-statesum.pdf
July 01, 2015 - CHIPRA - Spotlight on New Mexico
July 2015
This brief highlights the major strategies, lessons learned,
and outcomes from New Mexico’s experience in the quality
demonstration funded by the Centers for Medicare &
Medicaid Services (CMS) through the Children’s Health
Insurance Program Reauthorization Act of 2009 (…
-
www.ahrq.gov/ncepcr/research-transform-primary-care/transform/impactgrants/impact-profile-nc.html
August 01, 2018 - North Carolina IMPaCT: Advancing and Spreading Primary Care Transformation
Principal Investigator: Darren DeWalt, MD, and Mark Holmes, PhD
Institution: University of North Carolina
AHRQ Grant Number: U18HS020940
Overview of Primary Care Extension in North Carolina
AHRQ's IMPaCT grants were d…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/tpc/impact-profile-nc.pdf
April 01, 2015 - North Carolina IMPaCT: Advancing and Spreading Primary Care Transformation
North Carolina IMPaCT: Advancing and Spreading Primary Care
Transformation
Principal Investigator: Darren DeWalt, MD, and Mark Holmes, PhD
Institution: University of North Carolina
AHRQ Grant Number: U18HS020940
Overview…
-
www.ahrq.gov/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/customer-service/strategy6q-custservice-standards.html
March 01, 2020 - Strategy 6Q: Standards for Customer Service
Contents
6.Q.1. The Problem
6.Q.2. The Intervention
6.Q.3. Case Study
References
Download Strategy 6Q:
Standards for Customer Service
(PDF, 708 KB)
6.Q.1. The Problem
Achieving high levels of member satisfaction requires two …
-
www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/amplify-impact-webinar.pdf
June 01, 2017 - Amplify Your Impact on Child Health Care Quality: Learning from the CHIPRA Quality Demonstration Grant Program
Amplify Your Impact on Child Health
Care Quality:
Webinar
Learning from the CHIPRA Quality
Demonstration Grant Program
February 11, 2016
22
Agenda
• Welcome and introductions: Renee Fox, CMS, and…
-
www.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/access/cahps-strategy-6m.pdf
October 01, 2017 - Strategies for Improving Patient Experience with Ambulatory Care: Group Visits
The CAHPS Ambulatory Care
Improvement Guide
Practical Strategies for Improving Patient Experience
Section 6: Strategies for Improving Patient Experience with
Ambulatory Care
6.M. Group Visits
Visit the AHRQ Website for the full Gu…
-
www.ahrq.gov/ncepcr/reports/2025-annual-report/digital-healthcare.html
August 01, 2025 - AHRQ’s Investments in Primary Care Research for 2023 and 2024
Digital Healthcare
Previous Page Next Page
Table of Contents
AHRQ’s Investments in Primary Care Research for 2023 and 2024
Acknowledgements and Authors
Message from the Director of AHRQ’s National Center for Excellence in Primary Ca…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4r_combo_pdi05-nqi01-pneumothorax-bestpractices.pdf
May 16, 2016 - Selected Best Practices and Suggestions for Improvement
Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
1 Tool D.4r
Selected Best Practices and Suggestions for Improvement
NQI 01/PDI 05: Iatrogenic Pneumothorax
Why focus on iatrogenic pneumothorax in neonates and chi…
-
effectivehealthcare.ahrq.gov/sites/default/files/ch_3-user-guide-to-ocer_130129.pdf
September 21, 2012 - correct
Type-I error probability, we would be further
increasing the Type-II error probability, which
increases
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psnet.ahrq.gov/node/72586/psn-pdf
December 23, 2020 - The pressure to turnover hospital beds quickly is not a new trend; it increases the number of
patients