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  1. psnet.ahrq.gov/web-mm/forgotten-turn
    August 01, 2018 - SPOTLIGHT CASE The Forgotten Turn Citation Text: Barbour S. The Forgotten Turn. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2010. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML En…
  2. psnet.ahrq.gov/web-mm/steroids-and-safety-preventing-medication-adverse-events-during-transitions-care
    September 09, 2013 - SPOTLIGHT CASE Steroids and Safety: Preventing Medication Adverse Events During Transitions of Care Citation Text: Lucier DJ, Greenwald JL. Steroids and Safety: Preventing Medication Adverse Events During Transitions of Care. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Qu…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/846564/psn-pdf
    March 29, 2023 - Technology as a Tool for Improving Patient Safety March 29, 2023 Holmgren AJ, McBride S, Gale B, et al. Technology as a Tool for Improving Patient Safety . PSNet [internet]. 2023. https://psnet.ahrq.gov/perspective/technology-tool-improving-patient-safety Introduction  In the past several decades, technological a…
  4. www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/report/api.html
    June 01, 2010 - Environmental Scan of Measures for Medicaid Title XIX Home and Community-Based Services Appendix I: Online and Journal Resources Previous Page Next Page Table of Contents Environmental Scan of Measures for Medicaid Title XIX Home and Community-Based Services Executive Summary Introduction and Sc…
  5. digital.ahrq.gov/sites/default/files/docs/citation/r21hs023994-tubb-final-report-2018.pdf
    January 01, 2018 - A Mobile App to Enhance Smoking Cessation Shared Decision Making in Primary Care - Final Report Title of Project: A Mobile App to Enhance Smoking Cessation Shared Decision Making in Primary Care Principal Investigator: Matthew Tubb MD PhD Team Members: Nancy Elder MD MSPH, Saundra Regan PhD, Sha…
  6. effectivehealthcare.ahrq.gov/sites/default/files/related_files/mhs-IV-surgical-report-cards.pdf
    July 01, 2023 - EHC Protocol: Addressing Social Isolation To Improve Health of Older Adults: A Rapid Evidence Review 1 Evidence-based Practice Center Rapid Response Protocol Project Title: Making Healthcare Safer IV: Use of Report Cards and Outcome Measurements to Improve the Safety of Surgical Care Review Questio…
  7. digital.ahrq.gov/sites/default/files/docs/citation/r21hs024350-wernz-final-report-2018.pdf
    January 01, 2018 - Evidence-based Contingency Planning for Electronic Health Record Downtime - Final Report 1 Title Page Title of Project: Evidence-based Contingency Planning for Electronic Health Record Downtime Principal Investigator and Team Members: PI: Christian Wernz, PhD Co-I: Raj Ratwani, PhD Co-I: Terry Fai…
  8. digital.ahrq.gov/sites/default/files/docs/citation/r21hs022927-primack-final-report-2017.pdf
    January 01, 2017 - Sponsored Health IT and Evidence-Based Prescribing among Medical Residents - Final Report Title of Project: Sponsored Health IT and Evidence-Based Prescribing among Medical Residents Principal Investigator: Brian A. Prima…
  9. digital.ahrq.gov/sites/default/files/docs/publication/r21hs022166-beebe-final-report-2016.pdf
    January 01, 2016 - The Long Term Effectiveness of Telephone Intervention Problem Solving (TIPS) - Final Report The long term effectiveness of Telephone Intervention Problem Solving (TIPS). PI Lora Humphrey Beebe, PhD, PMHNP-BC Team members: Kathleen D Smith, PhD, interventionist; Abbas Tavakoli, PhD…
  10. www.ahrq.gov/sites/default/files/2024-07/wears-report.pdf
    January 01, 2024 - Final Progress Report: Reducing Risks by Engineering Resilience Into HIT for EDs Reducing Risks by Engineering Resilience into HIT for EDs Principal Investigator: Robert L. Wears, MD, MS, PhD Team Members: John Wreathall Rollin (Terry) Fairbanks, MD, MS Ann M. Bisantz, PhD Shawna J Perry, MD Chris Johnson,…
  11. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/004-cusp-learning-from-defects.docx
    October 01, 2024 - AHRQ Safety Program for MRSA Prevention Learning From Defects ICU & Non-ICU Slide Title and Commentary Slide Number and Slide Learning From Defects SAY: Welcome to this presentation on Learning From Defects (LFD) as part of an overall approach to preventing MRSA in ICU and non-ICU settings. Slide 1 Educational…
  12. ICU Assessment (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/icu-assessment.docx
    April 01, 2022 - ICU Assessment AHRQ Safety Program for Intensive Care Units: Preventing CLABSI and CAUTI Date Completed by Team: _____________________ ICU Assessment of Current CLABSI & CAUTI Prevention Practices The purpose of this assessment is to understand current central line-associated bloodstream infections (CLABSI) and…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49534/psn-pdf
    May 01, 2007 - Antiseizure Medication Disorder May 1, 2007 Alldredge BK. Antiseizure Medication Disorder. PSNet [internet]. 2007. https://psnet.ahrq.gov/web-mm/antiseizure-medication-disorder Case Objectives Appreciate the challenges of safe use of antiepileptic medications. Identify phenytoin toxicity. Understand the pharmaco…
  14. Engageexecnotes (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/engage/engageexecnotes.docx
    June 02, 2025 - SAY: The “Engage the Senior Executive” module of the Comprehensive Unit-based Safety Program (or CUSP) Toolkit focuses on the role and responsibilities of the senior executive within the CUSP team. Engaging a senior executive to partner with a unit will bridge the gap between senior management and frontline providers …
  15. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Carpenter.doc
    January 01, 2004 - Background -- AHRQ and other funders interest in promoting faster movement from research to practice/science to service/TRIP/T Advances in Patient Safety: Vol. 4 Development of a Research Dissemination Tool Development of a Planning Tool to Guide Research Dissemination Deborah Carpenter, Veronica Nieva, Tarek Al…
  16. www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/CHIPRA204-Materials_II.pdf
    June 02, 2025 - eMeasure Title Follow-up Referral after Positive Developmental Screen eMeasure Identifier (Measure Authoring Tool) 376 eMeasure Version number 0.0.005 NQF Number None GUID d47f5664-bd76-4a65-88aa-f73f6fb6a2c8 Measurement Period January 1, 20xx through December 31, 20xx Measure Steward Agency for Healthcare Resea…
  17. www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module3/mod3-facguide.html
    March 01, 2017 - Module 3: Staff Empowerment: Facilitator Notes AHRQ Safety Program for Long-Term Care: HAIs/CAUTI Slide 1: Module 3: Staff Empowerment Say: The Staff Empowerment module will discuss the importance of staff empowerment and strategies for implementing staff empowerment in your facility. Slide 2: Objecti…
  18. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/vae/monitoring-vae-slides.pptx
    January 01, 2017 - Monitoring Ventilator-Associated Events Module 2 Monitoring Ventilator-Associated Events AHRQ Safety Program for Mechanically Ventilated Patients AHRQ Pub. No. 16(17)-0018-26-EF January 2017 Monitoring VAEs ‹#› AHRQ Safety Program for Mechanically Ventilated Patients 1 Learning Objectives After this sessio…
  19. www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/communication-facilitator-guide.docx
    June 01, 2021 - AHRQ Safety Program for Improving Antibiotic Use 1 Improving Teamwork and Communication Long-Term Care Slide Title and Commentary Slide Number and Slide Improving Teamwork and Communication Long-Term Care SAY: Welcome to this presentation, “Improving Teamwork and Communication.” Slide 1 Objectiv…
  20. Facilitator-Notes (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/long-term-modules/module4/facilitator-notes.docx
    March 01, 2017 - Facilitator Notes SAY: The Teamwork and Communication module will discuss how safety teams in nursing homes can understand and practice successful teamwork and effective communication to improve the resident safety culture in their facility. SLIDE 1 SAY: In this module we will— · Describe effective communicati…