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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.161_slideshow.ppt
October 01, 2007 - Spotlight Case [MONTH] 2003
Spotlight Case October 2007
Do Not Disturb!
Source and Credits
This presentation is based on the October 2007
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available online
Commentary by: F. Daniel Duffy, MD, University of Oklahoma, and…
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www.ahrq.gov/teamstepps-program/curriculum/implement/activity/change.html
June 01, 2023 - Implementation Change Management
The change management process must be carefully and strategically organized to attain widespread acceptance. To achieve an environment truly committed to patient safety, a successful TeamSTEPPS implementation requires a change in unit and organizational culture. This culture mus…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/management/huddles/huddles-component-kit.docx
May 01, 2017 - Module 2: Component Kit
AHRQ Safety Program for Ambulatory Surgery
Management Practices for Sustainability
Module 2: Daily Huddles
AHRQ’s Safety Program for Ambulatory
Daily Huddle Component Kit
Contents
1. Why a Daily Huddle? 2
2. “Know What, Know How, Know Why” for Daily Huddle 4
3. Plan-Do-Study-Act “Ramp”: …
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www.ahrq.gov/hai/tools/mvp/modules/technical/4es-early-mobility-slides.html
February 01, 2017 - The Four Es of Early Mobility: Slide Presentation
AHRQ Safety Program for Mechanically Ventilated Patients
Slide 1: AHRQ Safety Program for Mechanically Ventilated Patients
The Four Es of Early Mobility
Slide 2: Learning Objectives
After this session, you will be able to—
List the four Es from T…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/management/problem-solving/problem-solving-component-kit.docx
May 01, 2017 - Module 3: Component Kit
AHRQ Safety Program for Ambulatory Surgery
Management Practices for Sustainability
Module 3: Problem Solving and Escalation
Problem Solving and Escalation – Standards Component Kit
Contents
1. What Are Problem Solving and Escalation? 2
2. What Is a Problem and What Is a Solution? 2
3. Wher…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/4-overview-facilitator-guide.docx
January 01, 2019 - ISCR Overview: Facilitator Guide AHRQ Safety Program for Improving
Surgical Care and Recovery
Slide Title and Commentary
Slide Number and Slide
Title slide: ISCR Overview
Hello, and thank you for joining me. Today I'll be providing an overview of the Agency for Healthcare Research and Quality’s, or AHRQ’s, Safety…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/025-ss-why-choose-cusp-fg.docx
April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI
Why Choose a CUSP Approach?
Surgical Services
Slide Title and Commentary
Slide Number and Slide
Why Choose a CUSP Approach?
SAY:
Welcome to this presentation titled “Why Choose a CUSP Approach?” CUSP is short for the “Comprehensive Unit-based Safety Program.” …
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/002-cusp-learning-defects.pptx
October 01, 2024 - AHRQ Safety Program for MRSA Prevention
AHRQ Safety Program for MRSA Prevention
Learning From Defects
ICU & Non-ICU
AHRQ Pub. No. 25-0007
October 2024
AHRQ Safety Program for MRSA Prevention | ICU & Non-ICU
Learning From Defects
1
Educational Objectives
Describe a process to help teams learn from defects
Explore …
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/improve/acute_care_implementation_guide.pdf
November 01, 2019 - Toolkit Implementation Guide for Acute Care Antibiotic Stewardship Programs
AHRQ Pub. No. 17(20)-0028-EF
November 2019
AHRQ Safety Program for Improving Antibiotic Use
Toolkit Implementation Guide for
Acute Care Antibiotic Stewardship Programs
Introduction
Developing an antibiotic stewardship pr…
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hcup-us.ahrq.gov/datainnovations/clinicaldata/RealTimeLOINCTranslationPoster.jsp
July 01, 2016 - Linking Clinical Data to Administrative Data - AHRQ Contract with MHA
An official website of the Department of Health & Human Services
Search All AHRQ Websites
Careers
Contact Us
E…
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psnet.ahrq.gov/node/49788/psn-pdf
March 01, 2017 - Correct Treatment Plan for Incorrect Diagnosis: A
Pharmacist Intervention
March 1, 2017
Nelson SD. Correct Treatment Plan for Incorrect Diagnosis: A Pharmacist Intervention. PSNet [internet].
2017.
https://psnet.ahrq.gov/web-mm/correct-treatment-plan-incorrect-diagnosis-pharmacist-intervention
The Case
A 48-year…
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effectivehealthcare.ahrq.gov/sites/default/files/mccormack-presentation.pdf
October 08, 2025 - McCormack-notes-151008 copy - Teresa
My talk today is about engaging patients with
low health
literacy.
1
Health literacy is a key factor in securing access to healthcare services. So in my talk
today, I’ll talk a little bit about health literacy and what it is, how we measure health
literacy and the sta…
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digital.ahrq.gov/ahrq-funded-projects/clinical-decision-support-innovation-collaborative-cdsic
September 21, 2025 - Clinical Decision Support Innovation Collaborative (CDSiC)
Project Description
Publications
Research Story
The CDS Innovation Collaborative produced over 70 resources and conducted 5 demonstrations to show how technologies like artificial intelligence (AI), co-des…
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digital.ahrq.gov/sites/default/files/docs/page/ahrq-dhr-2021-year-in-review-at-a-glance.pdf
January 01, 2021 - AHRQ Digital Healthcare Research Program - At A Glance 2021
Research Program: At A Glance 2021
Our Purpose
The AHRQ Digital Healthcare Research Program (DHR) funds research that informs and
drives the transformation of digital healthcare. Our studies deliver actionable findings to
define how technologies work best …
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digital.ahrq.gov/ahrq-funded-projects/enhancing-patient-matching-support-operational-health-information-exchange
April 29, 2023 - Enhancing Patient Matching in Support of Operational Health Information Exchange
Project Final Report ( PDF , 3.12 MB) Disclaimer
Disclaimer
The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessarily repr…
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www.ahrq.gov/patient-safety/reports/hotline/summary.html
May 01, 2016 - Two highly integrated health care organizations in a single community—each of which already had a relationship
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psnet.ahrq.gov/web-mm/allergy-holter
May 01, 2008 - Study
Implementation of a medication reconciliation risk stratification tool integrated
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psnet.ahrq.gov/node/49674/psn-pdf
December 01, 2012 - from the National Health Trust of the United Kingdom concluded that anti-infective
CVCs should be integrated
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/report/apv2b.html
June 01, 2010 - problem to receive advice/assistance from more than one case manager
Indiana Medicaid Select Survey/Integrated
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www.ahrq.gov/research/findings/final-reports/crcscreeningrpt/crcscreen5.html
April 01, 2018 - These primarily include integrated delivery systems, independent practice associations or foundations