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www.ahrq.gov/sites/default/files/publications/files/crctoolkit.pdf
December 01, 2010 - always be shifting and loss of practices from the intervention during this time may be
inevitable, maintaining … We suggest
maintaining communication with clinicians and practice staff and establishing
expectations
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digital.ahrq.gov/sites/default/files/docs/citation/shareable-cds-efficiencies-final-report.pdf
December 01, 2019 - One reason for this may be difficulty in maintaining the evidence base
associated with the CDS tool … Does the CDS Connect artifact provide resources to assist with maintaining security?
-
psnet.ahrq.gov/node/50842/psn-pdf
January 29, 2020 - Patient Identification Errors: A Systems Challenge
January 29, 2020
Choudhury LS, Vu CT. Patient Identification Errors: A Systems Challenge. PSNet [internet]. 2020.
https://psnet.ahrq.gov/web-mm/patient-identification-errors-systems-challenge
The Cases
The following four events involving five patients all involved…
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psnet.ahrq.gov/node/846125/psn-pdf
March 15, 2023 - The I-READI Quality and Safety Framework: Strong
Communications Channels and Effective Practices to
Rapidly Update and Implement Clinical Protocols During a
Time of Crisis
March 15, 2023
https://psnet.ahrq.gov/innovation/i-readi-quality-and-safety-framework-strong-communications-channels-
and-effective
Summary
…
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psnet.ahrq.gov/node/49710/psn-pdf
May 01, 2014 - Discontinued Medications: Are They Really
Discontinued?
May 1, 2014
Mankey CG, Varkey P. Discontinued Medications: Are They Really Discontinued? PSNet [internet]. 2014.
https://psnet.ahrq.gov/web-mm/discontinued-medications-are-they-really-discontinued
The Case
A 69-year-old man with a history of chronic atrial f…
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psnet.ahrq.gov/node/49713/psn-pdf
June 01, 2014 - CVC Removal: A Procedure Like Any Other
June 1, 2014
Feil M. CVC Removal: A Procedure Like Any Other. PSNet [internet]. 2014.
https://psnet.ahrq.gov/web-mm/cvc-removal-procedure-any-other
The Case
A 27-year-old man with a history of Behçet disease and recurrent liver abscesses was admitted to the
hospital for a p…
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psnet.ahrq.gov/node/49739/psn-pdf
August 21, 2015 - Breathe Easy: Safe Tracheostomy Management
August 21, 2015
Russell MS, Russell MD. Breathe Easy: Safe Tracheostomy Management. PSNet [internet]. 2015.
https://psnet.ahrq.gov/web-mm/breathe-easy-safe-tracheostomy-management
The Case
A 75-year-old man was admitted to the hospital with sepsis due to multilobar pneumo…
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psnet.ahrq.gov/node/49625/psn-pdf
May 01, 2011 - Pocket Syringe Swap
May 1, 2011
Kulli JC. Pocket Syringe Swap. PSNet [internet]. 2011.
https://psnet.ahrq.gov/web-mm/pocket-syringe-swap
The Case
A 58-year-old man, scheduled for aortoiliac artery bypass graft, had an epidural catheter placed for
postoperative pain management. Surgery proceeded uneventfully under…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/difficult-conversations-transcript.pdf
April 01, 2022 - Transcript: How To Have Difficult Conversations With Colleagues Around Infection Prevention Practices
AHRQ Safety Program for Intensive Care
Units: Preventing CLABSI and CAUTI
Transcript
How To Have Difficult Conversations With Colleagues Around Infection
Prevention Practices
Host:
Kate Schmidgall …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/assemble/assemble-the-team.pptx
May 01, 2017 - AHRQ Safety Program for Perinatal Care: Monitoring for Perinatal Safety: Assemble the Team and Engage Leadership
AHRQ Safety Program for Perinatal Care
Assemble the Team
and Engage Leadership for Perinatal Safety
AHRQ Publication No. 17-0003-2-EF
May 2017
1
Learning Objectives
2
AHRQ Safety Program for Perinata…
-
www.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide5/notes.html
August 01, 2022 - Module 5: Response and Disclosure
AHRQ Communication and Optimal Resolution Toolkit
Facilitator Notes
Say:
In Module 5 of the CANDOR Toolkit, we will discuss the Response and Disclosure component of the CANDOR process.
Slide 1
Say:
The goal of this module is to:
Define…
-
www.ahrq.gov/ncepcr/tools/obesity/obpcp1.html
May 01, 2014 - Integrating Primary Care Practices and Community-based Resources to Manage Obesity
Chapter 1: Attaining Zoning and Building Permits
Previous Page Next Page
Table of Contents
Integrating Primary Care Practices and Community-based Resources to Manage Obesity
Acknowledgements
Support
Foreword
O…
-
www.ahrq.gov/hai/tools/mvp/modules/vae/monitoring-fac-guide.html
February 01, 2017 - Monitoring Ventilator-Associated Events: Facilitator Guide
AHRQ Safety Program for Mechanically Ventilated Patients
Slide 1: Monitoring Ventilator-Associated Events
Say:
Today, we will discuss monitoring ventilator-associated events.
Slide 2: Learning Objectives
Say:
After this session, you will…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/tools/surgical-complication-prevention/antibiotic_audit.docx
December 01, 2017 - Antibiotic Audit Tool
Antibiotic Audit Tool
Introduction
Problem Statement
Perioperative antimicrobial prophylaxis is an important strategy to prevent surgical site infection. Appropriate selection, dosing, and redosing ensure that the antibiotic concentration in surgical site tissue is maintained above the minimum…
-
www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/training-tools/pf-engagement-slides.html
May 01, 2017 - Patient and Family Engagement in the Surgical Environment Module
Slide 1: Patient and Family Engagement in the Surgical Environment Module
Slide 2: Learning Objectives
Image: Learning objectives are presented in a series of steps:
Define patient and family engagement.
Explain the importance of engagin…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4a_combo_psi03-pressureulcer-bestpractices.pdf
January 01, 2012 - Selected Best Practices and Suggestions for Improvement
Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
Selected …
-
www.ahrq.gov/cpi/about/mission/strategic-plan/CHStratPlan.html
December 01, 1999 - Strategic Plan: Children as a Priority Population
Describes AHRQ's Strategic Plan goals and objectives for including children in research as a priority population.
Vision
To establish the Agency for Healthcare Research and Quality (AHRQ) as one of the Nation's key public organizations for improving the qual…
-
psnet.ahrq.gov/node/49476/psn-pdf
March 02, 2005 - Around the Block
March 1, 2005
Minichiello T. Around the Block. PSNet [internet]. 2005.
https://psnet.ahrq.gov/web-mm/around-block
The Case
A 77-year-old woman with multiple medical problems was admitted to the hospital for an elective knee
replacement. The orthopedic surgeon, recognizing the risk of deep vein th…
-
psnet.ahrq.gov/web-mm/point-care-mixup-1-shot-turns-3
February 14, 2024 - Point-of-care Mixup: 1 Shot Turns Into 3
Citation Text:
Berberich RF. Point-of-care Mixup: 1 Shot Turns Into 3. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3…
-
psnet.ahrq.gov/node/33823/psn-pdf
January 01, 2017 - Workplace Safety in Health Care
January 1, 2017
Simon RW, Canacari EG. Workplace Safety in Health Care. PSNet [internet]. 2017.
https://psnet.ahrq.gov/perspective/workplace-safety-health-care
Perspective
The patient safety movement has highlighted the risks that patients face when receiving health care. But,
impo…