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psnet.ahrq.gov/node/49524/psn-pdf
November 01, 2006 - Secured But Not Always Safe
November 1, 2006
Jahr JS, Hosseini P. Secured But Not Always Safe. PSNet [internet]. 2006.
https://psnet.ahrq.gov/web-mm/secured-not-always-safe
The Case
An 84-year-old healthy woman underwent an elective left total knee replacement for degenerative
osteoarthritis. She received spinal …
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psnet.ahrq.gov/node/50615/psn-pdf
October 30, 2019 - Misidentifying the Unidentified – John Doe and the EHR
October 30, 2019
Janowak CF, Janowak LM. Misidentifying the Unidentified – John Doe and the EHR. PSNet [internet].
2019.
https://psnet.ahrq.gov/web-mm/misidentifying-unidentified-john-doe-and-ehr
The Case
Two male patients of similar age arrived at the same …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/learn/learncusp.pptx
April 01, 2011 - Introduce CUSP
1
Learning Objectives
Review the impact of errors and patient harm and the underlying causes of errors
Show how CUSP supports other quality and safety tools
Describe Comprehensive Unit-based Safety Program (CUSP) framework and the goals of the CUSP Toolkit
Demonstrate how to apply the CUSP T…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.143_slideshow.ppt
January 01, 2015 - Spotlight Case [MONTH] 2003
Spotlight Case February 2007
The ‘Customer’ Is Always Right
Source and Credits
This presentation is based on the February 2007
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available through the Web site
Commentary by: Niraj L. Sehgal,…
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/pf-advisers.html
May 01, 2017 - Working With Patient and Family Advisors
AHRQ Safety Program for Perinatal Care
Slide 1: Working With Patient and Family Advisors
Part 1. Introduction and Overview
[Hospital Name | Presenter name and title | Date of presentation]
Strategy 1: Working With Patient and Family Advisors Training (Tool…
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www.ahrq.gov/policymakers/chipra/statesummaries/nm-spotlight.html
July 01, 2015 - 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 (CHIPR…
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psnet.ahrq.gov/node/33790/psn-pdf
August 01, 2015 - New Insights on Safety and Health IT
August 1, 2015
Hettinger ZA, Ratwani RM, Fairbanks RJ. New Insights on Safety and Health IT. PSNet [internet]. 2015.
https://psnet.ahrq.gov/perspective/new-insights-safety-and-health-it
Perspective
Despite the widespread adoption of electronic health records (EHRs) over the las…
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/stewardship-slides.pptx
June 01, 2021 - PowerPoint Presentation
Sustaining Your Antibiotic Stewardship Program
Long-Term Care
AHRQ Safety Program for Improving Antibiotic Use
AHRQ Pub. No. 17(21)-0029
June 2021
Sustaining Stewardship
1
Objectives
Recognize that stewardship interventions must be sustained to have a continued effect
Discuss approaches for…
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www.ahrq.gov/hai/tools/mvp/modules/technical/intro-early-mobility-fac-guide.html
February 01, 2017 - Introduction and Evidence for Early Mobility: A Protocol To Get Patients Out of Bed Faster: Facilitator Guide
AHRQ Safety Program for Mechanically Ventilated Patients
Slide 1: Introduction and Evidence for Early Mobility: A Protocol To Get Patients Out of Bed Faster
Say:
This module provides an introdu…
-
www.ahrq.gov/hai/cauti-tools/phys-championsgd/section4.html
October 01, 2015 - Resident Physicians as Champions in Preventing Device-Associated Infections
Preventing Device-Associated Infections
Previous Page Next Page
Table of Contents
Resident Physicians as Champions in Preventing Device-Associated Infections
Preamble and Summary
Epidemiology of Invasive Devices and Comp…
-
psnet.ahrq.gov/node/49647/psn-pdf
February 01, 2012 - Amended Lab Results: Communication Slip
February 1, 2012
Mohta V. Amended Lab Results: Communication Slip. PSNet [internet]. 2012.
https://psnet.ahrq.gov/web-mm/amended-lab-results-communication-slip
The Case
A 25-year-old woman in her first pregnancy was seen at 33 weeks' gestation with new onset hypertension
an…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.251_slideshow.ppt
October 01, 2011 - Spotlight Case [MONTH] 2003
Spotlight Case
Mobility Lost in the ICU
*
*
Source and Credits
This presentation is based on the October 2011
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available
Commentary by: Jim Smith, PT, DPT, MA; Associate Professor of Physical …
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.64_slideshow.ppt
June 01, 2004 - Spotlight Case [MONTH] 2003
Spotlight Case June 2004
The Wrong Shot:
Error Disclosure
Source and Credits
This presentation is based on the June 2004
AHRQ WebM&M Spotlight Case in Pediatrics
CME credit is available through the Web site
See the full article at http://webmm.ahrq.gov
Commentary by: Thomas H. …
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www.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/management/huddles-fac-notes.html
June 01, 2017 - Module 2: Daily Huddles - Facilitator Notes
Slide 1: Management Practices for Sustainability Module 2: Daily Huddles
Say:
This is the second module in the series on frontline management systems to promote sustained safety standard work in ambulatory surgery centers.
Slide 2: A Frontline Management Syste…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/management/huddles/daily-huddles-facnotes.docx
May 01, 2017 - Module 2: Script and Slides
AHRQ Safety Program for Ambulatory Surgery
Management Practices for Sustainability
Module 2: Daily Huddles
AHRQ Safety Program for Reducing CAUTI in Hospitals
Facilitator Notes
SLIDE 1
Title: Management Practices for Sustainability, Module 2: Daily Huddles
SAY: This is the second module …
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/intro-early-mobility-facguide.docx
January 01, 2017 - Facilitator Guide: Build Your SSI Prevention Bundle
Slide Title and Commentary
Slide Number and Slide
Title Slide
Evidence for Early Mobility: A Protocol To Get Patients Out of Bed Faster
SAY:
This module provides an introduction to and the evidence behind early mobility. We will also discuss establishing a proto…
-
www.ahrq.gov/hai/cauti-tools/phys-championsgd/refs.html
October 01, 2015 - Resident Physicians as Champions in Preventing Device-Associated Infections
References
Previous Page Next Page
Table of Contents
Resident Physicians as Champions in Preventing Device-Associated Infections
Preamble and Summary
Epidemiology of Invasive Devices and Complications
Examples of Patie…
-
psnet.ahrq.gov/node/33780/psn-pdf
July 01, 2015 - Safety and Medical Education
January 1, 2014
Ranji SR. Safety and Medical Education. PSNet [internet]. 2014.
https://psnet.ahrq.gov/perspective/safety-and-medical-education
Annual Perspective 2014
As the patient safety field has grown, so too has the appreciation for the need to improve safety in medical
educatio…
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www.ahrq.gov/evidencenow/projects/heart-health/research-results/research/collection.html
March 01, 2021 - Data Collection Instruments and Analysis
An overarching, cross-cooperative evaluation of the EvidenceNOW initiative was conducted by the national evaluation team (ESCALATES). Local evaluations were also conducted by each cooperative. As part of these evaluations, the cooperatives and ESCALATES collected not onl…
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www.ahrq.gov/news/newsletters/e-newsletter/961.html
June 01, 2025 - Researcher Akira Nishisaki Designs Quality Improvement Processes To Reduce Harm in Pediatric ICUs
Issue Number
961
AHRQ News Now is a weekly newsletter that highlights agency research and program activities.
June 10, 2025
AHRQ Stats: Annual Expenditures for Diet-Related Health Conditions Treatment for m…