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www.ahrq.gov/sites/default/files/2024-01/savage-report.pdf
January 01, 2024 - strategy, organizations
are unable to detect and address workarounds, thus limiting patient safety initiatives … result of
perceived barriers and inefficiencies, it suggests a need for continuous quality improvement
initiatives
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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/sops-asc-webcast-transcript-ad.pdf
February 01, 2019 - provides you literally with a template and instructions on how to
define your goals and select your initiatives … plan back to people that are on your action planning team and staff that you want to implement the
initiatives
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psnet.ahrq.gov/perspective/new-insights-about-team-training-decade-teamstepps
February 01, 2017 - Even after a decade, organizations continue to struggle with organizational change initiatives. … King, MS Chief of Patient Safety and High Reliability Initiatives Defense Health Agency Department of
-
www.ahrq.gov/ncepcr/care/coordination/atlas/chapter4.html
June 01, 2014 - (Because the Atlas measures search was not designed specifically to identify public reporting initiatives … evaluating the effects of team-based or multidisciplinary care models or the effectiveness of improvement initiatives
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psnet.ahrq.gov/perspective/conversation-patricia-dykes-about-ongoing-journey-prevent-patient-falls
December 18, 2024 - Interview
In Conversation With...Amy Helwig about Health Plan Patient Safety Initiatives … Perspectives on Safety
Health Plan Patient Safety Initiatives
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psnet.ahrq.gov/perspective/ongoing-journey-prevent-patient-falls
December 18, 2024 - Interview
In Conversation With...Amy Helwig about Health Plan Patient Safety Initiatives … Perspectives on Safety
Health Plan Patient Safety Initiatives
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www.ahrq.gov/research/findings/nhqrdr/chartbooks/intro.html
June 01, 2018 - integrated report presents information on trends, disparities, changes in disparities over time, and initiatives … Looking Forward that summarizes future directions for health care quality initiatives.
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psnet.ahrq.gov/node/49868/psn-pdf
July 02, 2019 - Delayed Clozapine Prescription in an Elderly Man With
Dementia
July 2, 2019
Tsourounis C, Ghomeshi KK. Delayed Clozapine Prescription in an Elderly Man With Dementia. PSNet
[internet]. 2019.
https://psnet.ahrq.gov/web-mm/delayed-clozapine-prescription-elderly-man-dementia
The Case
An 86-year-old man with neurode…
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www.ahrq.gov/sites/default/files/publications/files/haify11.pdf
January 01, 2011 - AHRQ Projects to Prevent Healthcare-Associated Infections, Fiscal Year 2011
Introduction
Healthcare-associated infections (HAIs)
are infections that people acquire while
they are receiving treatment for another
condition in a health care setting. They
are costly, deadly, and largely
preventable. A core part of the Ag…
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effectivehealthcare.ahrq.gov/sites/default/files/interactive_media_glasgow_presentation.pdf
January 01, 2009 - Glasgow.Presentation
Source:
Eisenberg
Center
Conference
Series
2009,
Translating
Information
Into
Action:
Improving
Quality
of
Care
Through
Interactive
Media,
Effective
Health
Care
Program
Web
site
(http://www.effectivehealthcare.ahrq.g…
-
psnet.ahrq.gov/node/49393/psn-pdf
April 01, 2003 - Which End Is Which?
April 1, 2003
Campbell AR. Which End Is Which? PSNet [internet]. 2003.
https://psnet.ahrq.gov/web-mm/which-end-which
The Case
A 39-year-old woman with chronic peri-anal fistulas and infected anal sinuses underwent laparoscopic
diverting colostomy to divert her fecal stream and allow the perine…
-
www.ahrq.gov/professionals/prevention-chronic-care/improve/coordination/webinar03/logicmodelsl.html
July 01, 2013 - Advanced Methods in Delivery System Research - Planning, Executing, Analyzing, and Reporting Research on Delivery System Improvement
Webinar #3: Logic Models (Slide Presentation)
This slide presentation was presented at a webinar on June 4, 2013.
Presenter: Dana Petersen, PhD Discussant: Todd Gilmer, PhD Mo…
-
psnet.ahrq.gov/node/49488/psn-pdf
August 21, 2005 - PCA Overdose
August 21, 2005
Doyle JD. PCA Overdose. PSNet [internet]. 2005.
https://psnet.ahrq.gov/web-mm/pca-overdose
The Case
A 49-year-old woman underwent an uneventful total abdominal hysterectomy bilateral salpingo-
oophorectomy. Postoperatively, the patient complained of severe pain and received intravenou…
-
www.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide6.html
August 01, 2022 - Care for the Caregiver Program Implementation Guide
AHRQ Communication and Optimal Resolution Toolkit
Purpose: To guide an organization in developing and implementing a Care for the Caregiver program.
Who should use this tool? The Care for the Caregiver Program Lead
How to use this tool: Use this guide…
-
psnet.ahrq.gov/node/49548/psn-pdf
October 01, 2007 - Toxic Tachycardia
October 1, 2007
Wartofsky L. Toxic Tachycardia. PSNet [internet]. 2007.
https://psnet.ahrq.gov/web-mm/toxic-tachycardia
The Case
A 66-year-old woman with a past medical history of hypertension and breast cancer was admitted with
abdominal pain. She complained of 3 weeks of progressive severe rig…
-
psnet.ahrq.gov/node/49841/psn-pdf
September 01, 2018 - Chemotherapy Administration Safety Standards
September 1, 2018
Bergsbaken J. Chemotherapy Administration Safety Standards. PSNet [internet]. 2018.
https://psnet.ahrq.gov/web-mm/chemotherapy-administration-safety-standards
The Case
A 67-year-old woman with cancer was admitted to the hospital to begin a chemotherapy…
-
psnet.ahrq.gov/node/49781/psn-pdf
January 01, 2017 - Hazards of Loading Doses
January 1, 2017
Mucksavage JJ, Tesoro EP. Hazards of Loading Doses. PSNet [internet]. 2017.
https://psnet.ahrq.gov/web-mm/hazards-loading-doses
The Case
A 40-year-old woman was recently discharged after a prolonged hospitalization for seizures and a cardiac
arrest. Two days after discharg…
-
psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.164_slideshow.ppt
December 01, 2007 - Spotlight Case [MONTH] 2003
Spotlight Case December 2007
Elopement
Source and Credits
This presentation is based on the December 2007 AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available
Commentary by: Debra Gerardi, RN, MPH, JD
Creighton University School of Law
Ed…
-
www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/statesummaries/chipra-750-georgia-state-snapshot.pdf
January 01, 2018 - Spotlight on Georgia -- National Evaluation of the CHIPRA Quality Demonstration Grant Program
This brief highlights the major strategies, lessons learned,
and outcomes from Georgia’s experience from February
2010 to February 2016 with the quality demonstration
funded by the Centers for Medicare & Medicaid
Service…
-
www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/statesummaries/chipra-750-idaho-state-snapshot.pdf
January 01, 2018 - Spotlight on Idaho -- The National Evaluation of the CHIPRA Quality Demonstration Grant Program
January 2018
This brief highlights the major strategies, lessons learned,
and outcomes from Idaho’s experience during the quality
demonstration funded by the Centers for Medicare
& Medicaid Services (CMS) through the C…