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  1. 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…
  2. Psn-Pdf (pdf file)

    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…
  3. 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…
  4. 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…
  5. 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…
  6. 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 …
  7. 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…
  8. 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…
  9. 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 …
  10. 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 …
  11. 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…
  12. 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…
  13. 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…
  14. 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 …
  15. Psn-Pdf (pdf file)

    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…
  16. Psn-Pdf (pdf file)

    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…
  17. 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: …
  18. 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…
  19. 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…
  20. 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…