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psnet.ahrq.gov/node/73335/psn-pdf
May 26, 2021 - Hyponatremia Secondary to Home Parenteral Nutrition
Error
May 26, 2021
Haas K, Lee A. Hyponatremia Secondary to Home Parenteral Nutrition Error. PSNet [internet]. 2021.
https://psnet.ahrq.gov/web-mm/hyponatremia-secondary-home-parenteral-nutrition-error
The Case
A 4-year-old (former 33-week premature) boy with a …
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psnet.ahrq.gov/node/50842/psn-pdf
January 29, 2020 - Patient Identification Errors: A Systems Challenge
January 29, 2020
Choudhury LS, Vu CT. Patient Identification Errors: A Systems Challenge. PSNet [internet]. 2020.
https://psnet.ahrq.gov/web-mm/patient-identification-errors-systems-challenge
The Cases
The following four events involving five patients all involved…
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psnet.ahrq.gov/node/49670/psn-pdf
November 01, 2012 - Missed Pneumonia
November 1, 2012
Rohde JM, Flanders S. Missed Pneumonia. PSNet [internet]. 2012.
https://psnet.ahrq.gov/web-mm/missed-pneumonia
The Case
A 32-year-old man presented to the emergency department (ED) with 3 days of fever and right pleuritic
chest pain. Review of systems was negative for cough or dy…
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psnet.ahrq.gov/node/49637/psn-pdf
October 01, 2011 - The Dropped "No"
October 1, 2011
Johnson AJ. The Dropped "No". PSNet [internet]. 2011.
https://psnet.ahrq.gov/web-mm/dropped-no
The Case
A 62-year-old man with a history of cirrhosis was admitted with increasing abdominal girth and swelling in
his legs. Because the leg swelling was somewhat more pronounced in his…
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psnet.ahrq.gov/node/49710/psn-pdf
May 01, 2014 - Discontinued Medications: Are They Really
Discontinued?
May 1, 2014
Mankey CG, Varkey P. Discontinued Medications: Are They Really Discontinued? PSNet [internet]. 2014.
https://psnet.ahrq.gov/web-mm/discontinued-medications-are-they-really-discontinued
The Case
A 69-year-old man with a history of chronic atrial f…
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psnet.ahrq.gov/node/33673/psn-pdf
September 01, 2008 - The Role of Bar Coding and Smart Pumps in Safety
September 1, 2008
Rothschild JM, Keohane C. The Role of Bar Coding and Smart Pumps in Safety. PSNet [internet]. 2008.
https://psnet.ahrq.gov/perspective/role-bar-coding-and-smart-pumps-safety
Perspective
Medication safety in hospitals depends on the successful execu…
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www.ahrq.gov/prevention/resources/vision/resources/vision4.html
October 01, 2002 - Chapter 4
Vision Rehabilitation: Care and Benefit Plan Models: Literature Review
Appendix. Disability Primer
Definition of Disability and Goals of Rehabilitation
The Rehabilitation Act of 1973, as amended, defines an individual with a disability as
any person who (i) has a physical or mental impairm…
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www.ahrq.gov/ncepcr/care/coordination/atlas/chapter6a.html
June 01, 2014 - Care Coordination Measures Atlas Update
Chapter 6. Measure Maps and Profiles (continued, 2)
Previous Page Next Page
Table of Contents
Care Coordination Measures Atlas Update
Chapter 1: Background
Chapter 2. What is Care Coordination?
Chapter 3. Care Coordination Measurement Framework
Chapter…
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www.ahrq.gov/teamstepps-program/curriculum/intro/explain.html
July 01, 2023 - Section 2: Explanation and Value of the TeamSTEPPS Curriculum
This section contains explanations and illustrations to help you better understand and appreciate the structure and importance of the TeamSTEPPS curriculum and its key concepts. If you teach this content or want additional insights into how the mate…
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/ltc-implementation-guide.pdf
June 01, 2021 - Implementation Guide for the Toolkit To Improve Antibiotic Use in Long-Term Care
AHRQ Safety Program for Improving
Antibiotic Use
Implementation Guide for the Toolkit To Improve
Antibiotic Use in Long-Term Care
Introduction
Developing an antibiotic stewardship program (ASP) or improving an existing ASP can ta…
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www.ahrq.gov/hai/cusp/modules/learn/alt-text.html
April 01, 2013 - Learn Module Alternate Text
Slide Number and Title
Slide Content
Content for Alternative Text (Illustration)
Slide 1
Cover Slide
(CUSP Toolkit logo)
The ‘Learn About CUSP’ module of the Comprehensive Unit-based Safety Program (CUSP) Toolkit. The CUSP toolkit is a modular approach to pati…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/teach-back_quickstart_full.pdf
September 15, 2016 - Implementation Quick Start Guide: Teach-back
Implementation
Quick Start Guide
Teach-Back
The Guide to Improving Patient Safety in Primary Care
Settings by Engaging Patients and Families
Table of Contents
What Is Teach-Back? .....................................................................................…
-
www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module1/mod1-facguide.html
March 01, 2017 - Module 1: Using the Comprehensive Long-Term Care Safety Modules: Applying Safety Principles: Facilitator Notes
AHRQ Safety Program for Long-Term Care: HAIs/CAUTI
Slide 1: Module 1: Using the Comprehensive Long-Term Care Safety Modules: Applying Safety Principles
Say:
The Comprehensive LTC Safety Modules…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/long-term-modules/module1/facilitator-notes.docx
March 01, 2017 - Facilitator Notes
SAY:
The Comprehensive LTC Safety Modules assist users with how to apply safety principles. This overview module explains the purpose of the toolkit and how it can be used in your facility’s quality improvement initiatives.
SLIDE 1
SAY:
The objectives of this module are to—
· Describe the purpo…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/03-sops-riverside-handoffs-webcast-hansford.pdf
January 01, 2023 - Improving Hospital Handoffs Using AHRQ’s Surveys on Patient Safety Culture® Hospital Survey - Hansford and Murray
Assessing Patient Safety Culture to
Improve Hospital Handoffs
Ashley Hansford, BS, CPPS
Patient Safety Manager
Lauren Murray, MSN, RN, CMSRN
Director of Nursing, Med/Surg Unit
Riverside Health Sys…
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www.ahrq.gov/ncepcr/care/coordination/atlas/chapter6k.html
June 01, 2014 - Care Coordination Measures Atlas Update
Chapter 6. Measure Maps and Profiles (continued, 12)
Previous Page Next Page
Table of Contents
Care Coordination Measures Atlas Update
Chapter 1: Background
Chapter 2. What is Care Coordination?
Chapter 3. Care Coordination Measurement Framework
Chapte…
-
cdsic.ahrq.gov/sites/default/files/2024-12/OY2_Final%20IAS%20Workgroup%20Charter.pdf
January 01, 2024 - Implementation, Adoption, and Scaling Workgroup: Charter – Option Year 2
Implementation, Adoption, and
Scaling Workgroup: Charter –
Option Year 2
Agency for Healthcare Research and Quality
5600 Fishers Lane
Rockville, MD 20857
www.ahrq.gov
Contract No: 75Q80120D00018
Prepared by:
NORC at the…
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cdsic.ahrq.gov/sites/default/files/2024-12/OY2_Final%20MO%20Workgroup%20Charter.pdf
January 01, 2024 - Measurement and Outcomes Workgroup: Charter – Option Year 2
Measurement and Outcomes
Workgroup: Charter – Option Year 2
Agency for Healthcare Research and Quality
5600 Fishers Lane
Rockville, MD 20857
www.ahrq.gov
Contract No: 75Q80120D00018
Prepared by:
NORC at the University…
-
cdsic.ahrq.gov/cdsic/cdsic-stakeholder-community-outreach-center
January 02, 2025 - :
Skip to main content
HHS.gov
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Main navigation
CDS Home
CDS Innovation Collaborative
An official website of the Department of Health & Human Services
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pso.ahrq.gov/sites/default/files/wysiwyg/OnDemand%20Webinar%20Slides%20-%20June%2010%202015.pdf
January 01, 2010 - Benefits of AHRQ Patient Safety Organizations (PSOs): Success Stories From Hospital PSO Members
Benefits of AHRQ Patient Safety
Organizations (PSOs):
Success Stories from Hospital PSO Members
Webcast
June 10, 2015
2:00 – 3:00 pm ET
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