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5041. Health System Participation in Medicare Bundled Payment Models, 2016 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/chsp/bundled-payments.pdf
      January 01, 2019 - Health System Participation in Medicare Bundled Payment Models, 2016 1 Comparative Health System Performance Initiative Health System Participation in Medicare Bundled Payment Models, 2016 Data Highlight, No. 6 January 2019 Hospital participation in Medicare bundled payment models, by system membership Sys…

5042. Insulin Administration: Pen vs Vial – Similar, but Not Interchangeable | PSNet
      psnet.ahrq.gov/web-mm/insulin-administration-pen-vs-vial-similar-not-interchangeable
      December 20, 2023 - Insulin Administration: Pen vs Vial – Similar, but Not Interchangeable Citation Text: Camarillo H. Insulin Administration: Pen vs Vial – Similar, but Not Interchangeable. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2023. Copy Ci…

5043. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49818/psn-pdf
      January 01, 2018 - A Costly Colonoscopy Leads to a Delay in Diagnosis January 1, 2018 Moriates C. A Costly Colonoscopy Leads to a Delay in Diagnosis. PSNet [internet]. 2018. https://psnet.ahrq.gov/web-mm/costly-colonoscopy-leads-delay-diagnosis The Case A 50-year-old man presented to a primary care clinic to establish care, as he ha…

5044. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33847/psn-pdf
      August 01, 2017 - In Conversation With… Karl Bilimoria, MD, MS August 1, 2017 In Conversation With… Karl Bilimoria, MD, MS. PSNet [internet]. 2017. https://psnet.ahrq.gov/perspective/conversation-karl-bilimoria-md-ms-0 Editor's note: Dr. Bilimoria is the Director of the Surgical Outcomes and Quality Improvement Center of Northwest…

5045. 099-Cusp-Guide-Why-Choose-Cusp-Approach (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/099-cusp-guide-why-choose-cusp-approach.docx
      October 01, 2024 - AHRQ Safety Program for MRSA Prevention Why Choose a CUSP Approach? ICU & Non-ICU Slide Title and Commentary Slide Number and Slide Why Choose a CUSP Approach? SAY: Welcome to this presentation on the topic of “Why Choose a CUSP Approach?” The term CUSP is short for “the Comprehensive Unit-based Safety Program.” T…

5046. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49493/psn-pdf
      November 01, 2005 - Infused, Not Ingested November 1, 2005 Foley M. Infused, Not Ingested. PSNet [internet]. 2005. https://psnet.ahrq.gov/web-mm/infused-not-ingested The Case A patient in the ICU was scheduled for a CT scan. The nurse prepared the patient by administering contrast, an unfamiliar task for this particular nurse. Rathe…

5047. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49607/psn-pdf
      August 01, 2010 - Missed Patient Assignment: Is Anyone There? August 1, 2010 Sittig DF, Campbell EM, Singh H. Missed Patient Assignment: Is Anyone There? PSNet [internet]. 2010. https://psnet.ahrq.gov/web-mm/missed-patient-assignment-anyone-there The Case In one hospital, nurses' patient assignments were communicated by listing the…

5048. Slide Presentation - Workforce Safety and Well-Being Webinar Series (Session 3): Resolving Workforce Turnover Crisis (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/workforce-turnover-crisis.pdf
      April 01, 2025 - Slide Presentation - Workforce Safety and Well-Being Webinar Series (Session 3): Resolving Workforce Turnover Crisis Workforce Safety and Well-being Webinar Series (Session 3) Resolving The Workforce Turnover Crisis NATIONAL WEBINAR SERIES December 10, 2024 Housekeeping Instructions • This webinar will be recor…

5049. Patient and Family Engagement for Perinatal Safety: Facilitator Guide | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/pf-engagement-fac-guide.html
      July 01, 2023 - Patient and Family Engagement for Perinatal Safety: Facilitator Guide AHRQ Safety Program for Perinatal Care Slide 1: Patient and Family Engagement for Perinatal Safety Say: The Patient and Family Engagement module focuses on an important topic: making sure patients and their family members understand w…

5050. Quality Improvement in Action Slides
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/qi-action-slides.pptx
      April 01, 2022 - Quality Improvement in Action Slides Quality Improvement in Action AHRQ Safety Program for Intensive Care Units: Preventing CLABSI and CAUTI AHRQ Pub. No. 17(22)-0019 April 2022 Objectives Describe methods to identify your intensive care unit’s (ICU) focus area of improvement using quality improvement strategies R…

5051. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33775/psn-pdf
      December 01, 2014 - African Partnerships for Patient Safety: Lessons Learned December 1, 2014 Syed SS. African Partnerships for Patient Safety: Lessons Learned. PSNet [internet]. 2014. https://psnet.ahrq.gov/perspective/african-partnerships-patient-safety-lessons-learned Perspective In the last 6 years I have had the privilege of sha…

5052. Central Venous Catheter Removal
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/central-catheter-removal.pptx
      April 01, 2022 - Central Venous Catheter Removal Central Venous Catheter Removal Prompting Removal of Unnecessary Catheters AHRQ Safety Program for Intensive Care Units: Preventing CLABSI and CAUTI AHRQ Pub. No. 17(22)-0019 April 2022 AHRQ Safety Program for Intensive Care Units: Preventing CLABSI and CAUTI 1 Case 1: Central Venou…

5053. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49691/psn-pdf
      September 01, 2013 - DRESSed for Failure September 1, 2013 Abramson EL, Kaushal R. DRESSed for Failure. PSNet [internet]. 2013. https://psnet.ahrq.gov/web-mm/dressed-failure The Case A 60-year-old woman who uses a wheelchair presented to the emergency department (ED) with right hand cellulitis and an uncomplicated urinary tract infec…

5054. Health System Participation in Medicare Bundled Payment Models, 2016 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/chsp/bundled-payments_0.pdf
      January 01, 2019 - Health System Participation in Medicare Bundled Payment Models, 2016 1 Comparative Health System Performance Initiative Health System Participation in Medicare Bundled Payment Models, 2016 Data Highlight, No. 6 January 2019 Hospital participation in Medicare bundled payment models, by system membership Sy…

5055. Provider-Offered Medicare Advantage Plans Among U.S. Health Systems, 2016 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/chsp/ma-plans.pdf
      March 01, 2019 - Provider-Offered Medicare Advantage Plans Among U.S. Health Systems, 2016 1 Comparative Health System Performance Initiative Provider-Offered Medicare Advantage Plans Among U.S. Health Systems, 2016 Data Highlight, No. 7 March 2019 Systems offering a Medicare Advantage (MA) plan About 12% of systems offer …

5056. Provider-Offered Insurance Products Among U.S. Health Systems, 2016 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/chsp/insurance-products.pdf
      January 01, 2019 - Provider-Offered Insurance Products Among U.S. Health Systems, 2016 1 Comparative Health System Performance Initiative Provider-Offered Insurance Products Among U.S. Health Systems, 2016 Data Highlight, No. 5 January 2019 Systems offering an insurance product Nearly 4 in 10 systems offer an insurance produ…

5057. Workaround Error | PSNet
      psnet.ahrq.gov/web-mm/workaround-error
      October 30, 2024 - Workaround Error Citation Text: Pape T. Workaround Error. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2006. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

5058. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49776/psn-pdf
      November 01, 2016 - Continuity Errors in Resident Clinic November 1, 2016 Warm EJ. Continuity Errors in Resident Clinic. PSNet [internet]. 2016. https://psnet.ahrq.gov/web-mm/continuity-errors-resident-clinic The Case A 32-year-old woman presented to internal medicine clinic for evaluation of headaches and difficulty concentrating. …

5059. New AHRQ SOPS® Workplace Safety Supplemental Item Set for Nursing Homes - Naomi Yount, PhD (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/nh-workplace-safety-yount.pdf
      January 01, 2023 - New AHRQ SOPS® Workplace Safety Supplemental Item Set for Nursing Homes - Naomi Yount, PhD Workplace Safety Supplemental Item Set for the SOPS Nursing Home Survey Naomi Yount, PhD Senior Study Director Westat 31 Workplace Safety Supplemental Item Set • Designed as a supplemental item set that can be added towa…

5060. Implementation Guide for the Toolkit To Improve Antibiotic Use in Long-Term Care (pdf file)
      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…