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  1. Psn-Pdf (pdf file)

    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 …
  2. Psn-Pdf (pdf file)

    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 …
  3. 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…
  4. 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,…
  5. 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…
  6. 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…
  7. Psn-Pdf (pdf file)

    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…
  8. 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…
  9. 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…
  10. 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…
  11. Psn-Pdf (pdf file)

    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…
  12. 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 …
  13. 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. …
  14. 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…
  15. 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 …
  16. 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…
  17. 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…
  18. Psn-Pdf (pdf file)

    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…
  19. 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…
  20. 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…