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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…
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psnet.ahrq.gov/node/866841/psn-pdf
September 23, 2024 - System Approaches to Social Determinants of Health
Screening and Intervention Innovation Summary
September 23, 2024
https://psnet.ahrq.gov/innovation/system-approaches-social-determinants-health-screening-and-
intervention-innovation
Summary
UNC Health is a nonprofit healthcare system of more than 500 clinics and…
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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…
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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…
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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…
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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 …
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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…
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psnet.ahrq.gov/primer/health-care-associated-infections
December 15, 2024 - Healthcare-associated Infections
Citation Text:
Healthcare - Associated Infections. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote t…
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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 …
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digital.ahrq.gov/sites/default/files/Final%20Innovation%20Center%20Operational%20Framework_508.pdf
April 06, 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 …
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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…
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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…
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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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psnet.ahrq.gov/Webmm/submit-case-info
August 10, 2025 - Selection Criteria and Honorarium Information
How it works
Health care professionals may submit de-identified cases that highlight medical errors or other patient
safety/quality
issues. Note that you can choose to submit cases either …
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psnet.ahrq.gov/node/49393/psn-pdf
April 01, 2003 - Which End Is Which?
April 1, 2003
Campbell AR. Which End Is Which? PSNet [internet]. 2003.
https://psnet.ahrq.gov/web-mm/which-end-which
The Case
A 39-year-old woman with chronic peri-anal fistulas and infected anal sinuses underwent laparoscopic
diverting colostomy to divert her fecal stream and allow the perine…
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psnet.ahrq.gov/node/49773/psn-pdf
July 01, 2016 - Near Miss With Neonate
October 1, 2016
Malana J, Lyndon A. Near Miss With Neonate. PSNet [internet]. 2016.
https://psnet.ahrq.gov/web-mm/near-miss-neonate
The Case
A 37-year-old pregnant woman was admitted to the hospital for scheduled induction of labor for postterm
dates. Early the next morning, intravenous oxy…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.203_slideshow.ppt
August 01, 2009 - Spotlight Case July 2008
Spotlight Case
Nurse Staffing Ratios:
The Crucible of Money, Policy, Research, and Patient Care
*
Source and Credits
This presentation is based on the August 2009 AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME/CEU credit is available
Commentary by: …
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/statesummaries/chipra-750-georgia-state-snapshot.pdf
January 01, 2018 - Spotlight on Georgia -- National Evaluation of the CHIPRA Quality Demonstration Grant Program
This brief highlights the major strategies, lessons learned,
and outcomes from Georgia’s experience from February
2010 to February 2016 with the quality demonstration
funded by the Centers for Medicare & Medicaid
Service…
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www.ahrq.gov/ncepcr/research-transform-primary-care/transform/impactgrants/impact-profile-nc.html
August 01, 2018 - North Carolina IMPaCT: Advancing and Spreading Primary Care Transformation
Principal Investigator: Darren DeWalt, MD, and Mark Holmes, PhD
Institution: University of North Carolina
AHRQ Grant Number: U18HS020940
Overview of Primary Care Extension in North Carolina
AHRQ's IMPaCT grants were d…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/tpc/impact-profile-nc.pdf
April 01, 2015 - North Carolina IMPaCT: Advancing and Spreading Primary Care Transformation
North Carolina IMPaCT: Advancing and Spreading Primary Care
Transformation
Principal Investigator: Darren DeWalt, MD, and Mark Holmes, PhD
Institution: University of North Carolina
AHRQ Grant Number: U18HS020940
Overview…