-
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…
-
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 …
-
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…
-
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…
-
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…
-
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 …
-
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…
-
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…
-
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…
-
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…
-
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…
-
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…
-
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 …
-
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…
-
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…
-
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…
-
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…
-
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…
-
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…
-
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 ›
››
…