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  1. www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/resources/job-aid-starting-practice.pdf
    June 02, 2025 - Job Aid: Starting with a Practice Primary Care Practice Facilitator Training Series 1 Job Aid: Starting with a Practice Overview How you start with a practice can set the tone for your work with the practice. Do your homework and be well prepared for all of your meetings. Spend time getting to know…
  2. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/nicu_toolkit/nicupacket-apb-sbs.pdf
    June 02, 2025 - NICU Family Information Packet, Appendix B, Short Bowel Syndrome Short Bowel Syndrome Pathophysiology ■ Functional disorder caused by alterations of normal intestinal anatomy and physiology. ■ Shortened bowel combined with malabsorption; dependent on parenteral nutrition >3 months. ■ May result from: necrotizin…
  3. www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/implementation-guide/app-m.html
    May 01, 2017 - Appendix M. Endoscopy Infographic - Implementation Guide Preventing Infections in Endoscopic Procedures More than 20 million gastrointestinal (GI) endoscopic procedures are performed annually in the United States. While rare, patients have acquired infections from these procedures due to: Poor…
  4. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/aseptic-catheter-insertion-practices-ed.pptx
    June 02, 2025 - PowerPoint Presentation Aseptic catheter insertion practices in the ED: A Focus on Engagement Milisa Manojlovich PhD, RN, CCRN Associate Professor University of Michigan, School of Nursing 1 1 Learning Objectives Discuss barriers to ED staff engagement Describe strategies to engage ED staff in aseptic ins…
  5. www.ahrq.gov/hai/cauti-tools/archived-webinars/aseptic-catheter-insertion-practices-ed-slides.html
    December 01, 2017 - Aseptic Catheter Insertion Practices in the ED: A Focus on Engagement Slide Presentation Slide 1 Aseptic Catheter Insertion Practices in the ED: A Focus on Engagement Milisa Manojlovich PhD, RN, CCRN Associate Professor University of Michigan, School of Nursing Slide 2 Learning Objectives Di…
  6. www.ahrq.gov/talkingquality/translate/presentation.html
    April 01, 2016 - Why Does the Presentation of Health Care Quality Scores Matter? Most people have trouble understanding complex information. Only a small fraction of Americans can easily read complex tables or understand the words typically used in medicine and health. The 2003 National Assessment of Adult Literacy found that…
  7. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/measurespec-code-tables.pdf
    June 05, 2025 - Transcranial Doppler Ultrasonography Screening among Children with Sickle Cell Anemia 1 Transcranial Doppler Ultrasonography Screening among Children with Sickle Cell Anemia Description The percentage of children ages 2 through 15 years old with sickle cell anemia (SCA; hemoglobin [Hb] SS or HbSβ0-thalas…
  8. www.ahrq.gov/hai/tools/surgery/modules/sustainability/scorecard-slides.html
    December 01, 2017 - Designing a Scorecard for Sustainability: Slide Presentation AHRQ Safety Program for Surgery Slide 1: AHRQ Safety Program for Surgery—Sustainability Designing a Scorecard for Sustainability Slide 2: Learning Objectives After this session, you will be able to– Assess objectively your unit’s curre…
  9. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d2_combo_projectcharter.docx
    December 23, 2009 - Project Charter What is the purpose of this tool? The purpose of the project charter is to describe the performance improvement rationale, goals, barriers, and anticipated resources to which the team will commit. Who are the target audiences? Staff members directly involved in the improvement project. Consider adding …
  10. psnet.ahrq.gov/issue/patterns-outpatient-benzodiazepine-prescribing-united-states
    September 20, 2011 - Study Patterns in outpatient benzodiazepine prescribing in the United States. Citation Text: Agarwal SD, Landon BE. Patterns in Outpatient Benzodiazepine Prescribing in the United States. JAMA Netw Open. 2019;2(1):e187399. doi:10.1001/jamanetworkopen.2018.7399. Copy Citation Format…
  11. psnet.ahrq.gov/issue/enhancing-medication-use-safety-benefits-learning-your-peers
    May 07, 2008 - Study Enhancing medication use safety: benefits of learning from your peers. Citation Text: Kazandjian VA, Ogunbo S, Wicker KG, et al. Enhancing medication use safety: benefits of learning from your peers. Qual Saf Health Care. 2009;18(5):331-5. doi:10.1136/qshc.2008.027938. Copy Cit…
  12. psnet.ahrq.gov/issue/defining-patient-safety-hospice-principles-guide-measurement-and-public-reporting
    September 23, 2020 - Commentary Defining patient safety in hospice: principles to guide measurement and public reporting. Citation Text: Casarett D, Spence C, Clark MA, et al. Defining patient safety in hospice: principles to guide measurement and public reporting. J Palliat Med. 2012;15(10):1120-3. doi:10…
  13. psnet.ahrq.gov/issue/alarm-system-management-evidence-based-guidance-encouraging-direct-measurement
    August 11, 2021 - Review Alarm system management: evidence-based guidance encouraging direct measurement of informativeness to improve alarm response. Citation Text: Rayo MF, Moffatt-Bruce SD. Alarm system management: evidence-based guidance encouraging direct measurement of informativeness to improve ala…
  14. psnet.ahrq.gov/issue/ashp-guidelines-remote-medication-order-processing
    April 19, 2013 - Commentary ASHP guidelines on remote medication order processing. Citation Text: Processing ASHPEP on RMO, Thompson B, Conrad G, et al. ASHP guidelines on remote medication order processing. Am J Health Syst Pharm. 2010;67(8):672-7. doi:10.2146/sp100003. Copy Citation Format: …
  15. psnet.ahrq.gov/issue/contribution-labelling-safe-medication-administration-anaesthetic-practice
    March 17, 2021 - Commentary The contribution of labelling to safe medication administration in anaesthetic practice. Citation Text: Merry A, Shipp DH, Lowinger JS. The contribution of labelling to safe medication administration in anaesthetic practice. Best Pract Res Clin Anaesthesiol. 2011;25(2):145-1…
  16. psnet.ahrq.gov/issue/electronic-prescribing-systems-pediatrics-rationale-and-functionality-requirements
    November 25, 2013 - Organizational Policy/Guidelines Electronic prescribing systems in pediatrics: the rationale and functionality requirements. Citation Text: Technology AA of PC on CI, Gerstle RS. Electronic prescribing systems in pediatrics: the rationale and functionality requirements. Pediatrics. 200…
  17. psnet.ahrq.gov/issue/medication-discrepancies-pediatric-hospital-discharge
    January 29, 2020 - Study Medication discrepancies at pediatric hospital discharge. Citation Text: Gattari TB, Krieger LN, Hu HM, et al. Medication Discrepancies at Pediatric Hospital Discharge. Hosp Pediatr. 2015;5(8):439-45. doi:10.1542/hpeds.2014-0085. Copy Citation Format: DOI Google Schol…
  18. psnet.ahrq.gov/issue/interdisciplinary-collaboration-maintain-culture-safety-labor-and-delivery-setting
    January 02, 2017 - Commentary Interdisciplinary collaboration to maintain a culture of safety in a labor and delivery setting. Citation Text: Burke C, Grobman WA, Miller D. Interdisciplinary collaboration to maintain a culture of safety in a labor and delivery setting. J Perinat Neonatal Nurs. 2013;27(2):…
  19. psnet.ahrq.gov/issue/medical-error-and-systems-signaling-conceptual-and-linguistic-definition
    July 12, 2019 - Commentary Medical error and systems of signaling: conceptual and linguistic definition. Citation Text: Smorti A, Cappelli F, Zarantonello R, et al. Medical error and systems of signaling: conceptual and linguistic definition. Intern Emerg Med. 2014;9(6):681-8. doi:10.1007/s11739-014-110…
  20. psnet.ahrq.gov/issue/independent-double-checks-high-alert-medications-essential-practice
    February 01, 2023 - Commentary Independent double-checks for high-alert medications: essential practice. Citation Text: Baldwin K, Walsh V. Independent double-checks for high-alert medications: essential practice. Nursing (Brux). 2014;44(4):65-7. doi:10.1097/01.NURSE.0000444547.64972.dc. Copy Citation …