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  1. psnet.ahrq.gov/sites/default/files/2020-11/final_nov_spotlight_case_premature_closing-snycope_11.20.2020-revised.pdf
    January 01, 2020 - Microsoft PowerPoint - FINAL Nov_Spotlight Case_Premature Closing-Snycope_11.20.2020-revised.pptx Spotlight Premature Closure: Was it Just Syncope? Source and Credits • This presentation is based on the November 2020 AHRQ WebM&M Spotlight Case o See the full article at https://psnet.ahrq.gov/webmm o CME credit i…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33661/psn-pdf
    December 01, 2007 - Care Transitions December 1, 2007 Kripalani S. Care Transitions. PSNet [internet]. 2007. https://psnet.ahrq.gov/perspective/care-transitions Perspective Hospital discharge is often viewed as the end of an acute medical event. Goodbyes are said as patients pack their belongings and return home. Physicians scratch …
  3. psnet.ahrq.gov/web-mm/wrong-side-bedside-paravertebral-block-preventing-preventable
    August 10, 2019 - Wrong-side Bedside Paravertebral Block: Preventing the Preventable Citation Text: Barrington MJ, Uda Y. Wrong-side Bedside Paravertebral Block: Preventing the Preventable. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017. Copy C…
  4. Facapplycusp (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/apply/facapplycusp.docx
    June 02, 2025 - SAY: The “Apply CUSP” module of the Comprehensive Unit-based Safety Program (or CUSP) Toolkit introduces Just Culture principles, which emphasize shared accountability and attitudes toward risk. This module also summarizes the concepts and activities of the other six modules in the CUSP Toolkit. Slide 1 SAY: In th…
  5. Spreadnotes (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/spread/spreadnotes.docx
    June 02, 2025 - SAY: The Spread module of the Comprehensive Unit-based Safety Program (or CUSP) Toolkit helps all or part of an organization share, tailor, and use the components of a process that have worked well at the unit level. The other CUSP Toolkit modules focus on quality improvement projects at the unit level, where culture i…
  6. www.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/training-tools/slides.html
    October 01, 2020 - Sustainability Module Slide 1: Sustainability Module Sustainability Module Slide 2: Learning Objectives Image: Define sustainability. Understand the link between sustainability and spread. Create and implement a sustainability plan. Establish a sustainability measurement plan. Learn from examples …
  7. psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.347_slideshow.ppt
    May 01, 2015 - PowerPoint Presentation Spotlight Errors in Sepsis Management This presentation is based on the May 2015 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available Commentary by: David Shimabukuro, MD, University of California, San Francisco (UCSF) Editor, AHRQ WebM&M: Rober…
  8. www.ahrq.gov/pqmp/publications/search.html
    January 01, 2021 - All Publications The following list presents materials published as a result of the AHRQ-CMS Pediatric Quality Measures Program (PQMP). Results 1 - 25 of 107 Publications Pagination 1 2 3 4 5 next › ›› last » Last » Provider Specialty and R…
  9. www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/nashp-webinar-on-quality_measure-use.pdf
    September 21, 2015 - Title of Presentation: Using Quality Measures to Drive Improvement: Presentation for the National Academy of State Health Policy’s Vanguard Network and CHIP Directors Lessons from the CHIPRA Quality Demonstration Cindy Brach, MPP • Grace Anglin, MPH • Kyra Chamberlain, MS, RN • David Kelley, MD, MPA Se…
  10. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/physician-staff-engagement-facguide.docx
    January 01, 2017 - Facilitator Guide: Build Your SSI Prevention Bundle Slide Title and Commentary Slide Number and Slide Title Slide Physician and Staff Engagement SAY: Today, we will give you an overview of physician and staff engagement. Slide 1 Learning Objectives SAY: After this session, you will be able to identify the imp…
  11. psnet.ahrq.gov/sites/default/files/2020-08/too_many_cooks_spotlight_pdf.pdf
    January 01, 2020 - Spotlight Too Many Cooks in the Kitchen Source and Credits • This presentation is based on the August 2020 AHRQ WebM&M Spotlight Case o See the full article at https://psnet.ahrq.gov/webmm o CME credit is available o Commentary by: Richard P. Dutton, MD, MBA o AHRQ WebM&M Editors in Chief: Patrick Romano, MD…
  12. www.ahrq.gov/hai/tools/mvp/modules/cusp/assess-psc-hsop-slides.html
    February 01, 2017 - Assess Patient Safety Culture Using the Hospital Survey on Patient Safety: Slide Presentation AHRQ Safety Program for Mechanically Ventilated Patients Slide 1: AHRQ Safety Program for Mechanically Ventilated Patients Assess Patient Safety Culture Using the Hospital Survey on Patient Safety Slide 2: Lear…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73335/psn-pdf
    May 26, 2021 - Hyponatremia Secondary to Home Parenteral Nutrition Error May 26, 2021 Haas K, Lee A. Hyponatremia Secondary to Home Parenteral Nutrition Error. PSNet [internet]. 2021. https://psnet.ahrq.gov/web-mm/hyponatremia-secondary-home-parenteral-nutrition-error The Case A 4-year-old (former 33-week premature) boy with a …
  14. psnet.ahrq.gov/web-mm/or-peeping
    May 01, 2015 - OR Peeping Citation Text: Mackenzie CF. OR Peeping. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2004. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Dow…
  15. Teach-Back (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/teach-back-slides-final508.pdf
    June 02, 2025 - Teach-Back Teach-Back AHRQ Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families Presenter Presentation Notes The Agency for Healthcare Research and Quality, or AHRQ, funded the development of a Guide to Improving Patient Safety in Primary Care Settings by…
  16. www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/workplace-safety/Workplace-Safety-for-Hospitals-Spanish-12-15-22.docx
    December 01, 2022 - SOPS® Workplace Safety Supplemental Items for the SOPS Hospital Survey SOPS® Workplace Safety Supplemental Item Set for the SOPS Hospital Survey Language: Spanish Purpose: This supplemental item set was designed for use with the core SOPS® Hospital Survey Version 2.0 to help hospitals assess the extent to which their…
  17. www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/value-efficiency-supplemental-item-spanish.pdf
    March 01, 2023 - SOPS® Value and Efficiency Supplemental Item Set for the SOPS Medical Office Survey - Spanish SOPS® Value and Efficiency Supplemental Items for the SOPS Medical Office Survey Language: Spanish • Purpose: This supplemental item set was designed for use with the core SOPS® Medical Office Survey to help medical…
  18. www.ahrq.gov/hai/tools/surgery/modules/on-boarding/data-into-action-fac-notes.html
    December 01, 2017 - Turning Data Into Action—Using HSOPS and SSI Data as Part of a Meaningful Change: Facilitator Notes AHRQ Safety Program for Surgery Slide 1: Turning Data Into Action: Using HSOPS and SSI Data as Part of a Meaningful Change Say: In this module, you’ll learn about using data as part of your team’s improve…
  19. www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/labor-delivery-unit/tool-cord-prolapse.html
    July 01, 2023 - Labor and Delivery Unit Safety: Umbilical Cord Prolapse AHRQ Safety Program for Perinatal Care Purpose of the tool: This tool describes the key perinatal safety elements that support safe umbilical cord prolapse management. The key safety elements are presented within the framework of the Compreh…
  20. www.ahrq.gov/pqmp/publications/search.html?page=1
    March 24, 2018 - All Publications The following list presents materials published as a result of the AHRQ-CMS Pediatric Quality Measures Program (PQMP). Results 26 - 50 of 107 Publications Pagination « first « First ‹ previous ‹‹ 1 2 3 4 5 next › ›› …