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  1. Measuring Quality in Physicians’ Practices in Southwestern Missouri Using an Electronic Health Record (pdf file)

    digital.ahrq.gov/sites/default/files/docs/page/McColmSuccessStory2009_0.pdf
    December 01, 2009 - Measuring Quality in Physicians’ Practices in Southwestern Missouri Using an Electronic Health Record Measuring Quality in Physicians’ Practices in Southwestern Missouri Using an Electronic Health Record Current efforts to improve the efficiency and quality of medical care while decreasing costs involve improving…

  2. Patients Take a Bite of Prevention Apple with Web-based Interactive Personal Health Record (pdf file)

    digital.ahrq.gov/sites/default/files/docs/page/SuccessStory_Krist_7312012.pdf
    July 01, 2011 - Patients Take a Bite of Prevention Apple with Web-based Interactive Personal Health Record                                                                                       9HRQ HE9LTH INFORM9TION TECHNOLOGY 1 9MBUL9TORY S9FETY 9ND QU9LITY • PCC Patients Take a Bite of Prevention Apple with Web!based …

  3. Developing and Testing Quality Measures for Interoperable Electronic Health Records (pdf file)

    digital.ahrq.gov/sites/default/files/docs/page/final-kaushal-story-7-6-12.pdf
    June 16, 2021 - Developing and Testing Quality Measures for Interoperable Electronic Health Records 1 AHRQ Health Information Technology Ambulatory Safety and Quality | EQM Developing and Testing Quality Measures for Interoperable Electronic Health Records Traditionally, clinical quality measures have been assessed through ei…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33735/psn-pdf
    August 01, 2012 - Medication Safety in Nursing Homes: What's Wrong and How to Fix It August 1, 2012 Gurwitz JH. Medication Safety in Nursing Homes: What's Wrong and How to Fix It. PSNet [internet]. 2012. https://psnet.ahrq.gov/perspective/medication-safety-nursing-homes-whats-wrong-and-how-fix-it Perspective At any point in time, …

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866621/psn-pdf
    August 28, 2024 - Application of Safety-II Principles August 28, 2024 Venkatesan C, Helak K, Sousane Z, et al. Application of Safety-II Principles. PSNet [internet]. 2024. https://psnet.ahrq.gov/perspective/application-safety-ii-principles Traditional approaches to patient safety have often been reactive rather than proactive, seeki…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33827/psn-pdf
    February 01, 2017 - New Insights About Team Training From a Decade of TeamSTEPPS February 1, 2017 Baker DP, King HB, Battles J. New Insights About Team Training From a Decade of TeamSTEPPS. PSNet [internet]. 2017. https://psnet.ahrq.gov/perspective/new-insights-about-team-training-decade-teamstepps Perspective Ten years ago, the Ag…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33848/psn-pdf
    December 01, 2017 - The Evolution of Patient Safety in Surgery December 1, 2017 Wachter R. The Evolution of Patient Safety in Surgery. PSNet [internet]. 2017. https://psnet.ahrq.gov/perspective/evolution-patient-safety-surgery Perspective In 1979, 20 years before the Institute of Medicine's To Err Is Human report (1) catalyzed the cr…

  8. Psn-Pdf (pdf file)

    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…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33815/psn-pdf
    September 01, 2016 - Telemedicine and Patient Safety September 1, 2016 Agboola SO, Kvedar JC. Telemedicine and Patient Safety. PSNet [internet]. 2016. https://psnet.ahrq.gov/perspective/telemedicine-and-patient-safety Perspective A paradigm shift is ongoing in the health care sector. The traditional model of episodic and hospital-base…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49701/psn-pdf
    February 01, 2014 - An Easily Forgotten Tube February 1, 2014 Ousey K. An Easily Forgotten Tube. PSNet [internet]. 2014. https://psnet.ahrq.gov/web-mm/easily-forgotten-tube The Case A 45-year-old man was admitted to the intensive care unit (ICU) for acute liver failure secondary to alcohol abuse. His illness was complicated by acute…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60548/psn-pdf
    May 28, 2020 - In Conversation With... Jeffrey Shuren, MD, JD May 28, 2020 In Conversation With.. Jeffrey Shuren, MD, JD. PSNet [internet]. 2020. https://psnet.ahrq.gov/perspective/conversation-jeffrey-shuren-md-jd Editor’s note: Jeffrey Shuren, MD, JD is the Director of the Center for Devices and Radiological Health at the Food…

  12. Slide Presentation: An Introduction to Safe Transitions for Patients to New Appointments

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/safetransitions/safetransitions.pptx
    June 02, 2025 - Slide Presentation: An Introduction to Safe Transitions for Patients to New Appointments An Introduction to Safe Transitions for Patients to New Appointments Ambulatory Care Facility Team Presentation Overview Purpose and Benefits Toolkit Components Team Member Roles and Responsibilities Implementation Steps Resourc…

  13. Engage the Team and Applying CUSP in the ICU Setting Facilitator Guide

    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/cusp-icu-slides.pptx
    April 01, 2022 - Engage the Team and Applying CUSP in the ICU Setting Facilitator Guide Engaging the Team and Applying CUSP in the ICU Setting AHRQ Safety Program for Intensive Care Units: Preventing CLABSI and CAUTI AHRQ Pub. No. 17(22)-0019 April 2022 Objectives Define key aspects of safety culture and why it is important Recall…

  14. Building an Engaged CUSP Team Slides

    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/cusp-team-slides.pptx
    April 01, 2022 - Building an Engaged CUSP Team Slides Building an Engaged Comprehensive Unit-based Safety Program Team AHRQ Safety Program for Intensive Care Units: Preventing CLABSI and CAUTI AHRQ Pub. No. 17(22)-0019 April 2022 1 Objectives Identify tools and resources available to support your CLABSI and/or CAUTI improvemen…

  15. Executive Summary | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/reports/engage/summary.html
    March 01, 2017 - Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families Executive Summary Previous Page Next Page Table of Contents Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families Executive Summary Introduction Limitations of …

  16. Acute Care ASP Development

    www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/improve/program-part2-slides.pptx
    November 01, 2019 - Acute Care ASP Development Antibiotic Stewardship Program Development: Part 2 Acute Care AHRQ Safety Program for Improving Antibiotic Use AHRQ Pub. No. 17(20)-0028-EF November 2019 ASP Development – Part 2 AHRQ Safety Program for Improving Antibiotic Use – Acute Care 1 Objectives By the end of this module, parti…

  17. Final Innovation Center Operational Framework (pdf file)

    cdsic.ahrq.gov/sites/default/files/2022-04/Final%20Innovation%20Center%20Operational%20Framework_508.pdf
    January 01, 2022 - Final Innovation Center Operational Framework FINAL INNOVATION CENTER OPERATIONAL FRAMEWORK A P R I L 6 , 2 0 2 2 Agency for Healthcare Research and Quality Clinical Decision Support Innovation Collaborative (CDSiC) Presented by: NORC at the University of Chicago 4350 East-West Highway Suite …

  18. Module 2: Obtaining Organizational Buy-in and Support | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes2.html
    August 01, 2022 - Module 2: Obtaining Organizational Buy-in and Support AHRQ Communication and Optimal Resolution Toolkit Facilitator Notes Say: Module 2 of the CANDOR Toolkit describes the importance of obtaining organizational support for CANDOR implementation. This module focuses on the role of organizational le…

  19. Monitoring Progress for Sustainable Improvement (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/e1_pdi_monitorprogress.pdf
    June 02, 2025 - Monitoring Progress for Sustainable Improvement Pediatric Toolkit for Using the AHRQ Quality Indicators How To Improve Hospital Quality and Safety i Tool E.1 Monitoring Progress for Sustainable Improvement What is the purpose of this tool? This tool provides guidance on how to monitor and report your progres…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49563/psn-pdf
    May 01, 2008 - Is It Safe to Be Direct? May 1, 2008 Kulkarni NS, Williams M. Is It Safe to Be Direct? PSNet [internet]. 2008. https://psnet.ahrq.gov/web-mm/it-safe-be-direct The Case   A 92-year-old man with hypertension and heart failure (HF) was evaluated by his primary care physician (PCP) for progressive shortness of breat…
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