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  1. Falls Prevention Self-Assessment Worksheet - AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/ontimefallspxselfassessment.pdf
    June 02, 2025 - Falls Prevention Self-Assessment Worksheet - AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention Agency for Healthcare Research and Quality Safety Program for Nursing Homes: On-Time Prevention AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention Falls Prevention Self-Assessment Workshee…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/852699/psn-pdf
    August 30, 2023 - Beyond the Pandemic: Creating Total Systems Safety August 30, 2023 Van CM, Mossburg S, McGaffigan P. Beyond the Pandemic: Creating Total Systems Safety. PSNet [internet]. 2023. https://psnet.ahrq.gov/perspective/beyond-pandemic-creating-total-systems-safety The COVID-19 pandemic necessitated a shift in operations …

  3. Video to Improve Patient Safety: Clinical and Educational Uses | PSNet

    psnet.ahrq.gov/perspective/video-improve-patient-safety-clinical-and-educational-uses
    March 01, 2004 - Video to Improve Patient Safety: Clinical and Educational Uses Yan Xiao, PhD; Colin F. Mackenzie, MB, ChB; and F. Jacob Seagull, PhD | May 1, 2015  View more articles from the same authors. Citation Text: Xiao Y, Mackenzie CF, Seagull JF. Video to Improve Patient S…

  4. Transfusion "Slip" | PSNet

    psnet.ahrq.gov/web-mm/transfusion-slip
    June 14, 2011 - Transfusion "Slip" Citation Text: Kaplan HS. Transfusion "Slip". 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 …

  5. Primary Workaround, Secondary Complication | PSNet

    psnet.ahrq.gov/web-mm/primary-workaround-secondary-complication
    January 24, 2018 - Primary Workaround, Secondary Complication Citation Text: Debono D, Levett-Jones T. Primary Workaround, Secondary Complication. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2018. Copy Citation Format: Google Scholar B…

  6. Spotlight (pdf file)

    psnet.ahrq.gov/sites/default/files/2019-12/spotlight_code_status_dec_2019_powerpoint.pdf
    January 01, 2019 - Spotlight Spotlight "Do You Want Everything Done?": Clarifying Code Status Source and Credits • This presentation is based on the December 2019 AHRQ WebM&M Spotlight Case ○ See the full article at https://psnet.ahrq.gov/webmm ○ CME credit is available • Commentary by: Karl Steinberg MD, CMD, HMDC & Thaddeus M…

  7. Taking Care of Myself: A Guide for When I Leave the Hospital (pdf file)

    www.ahrq.gov/sites/default/files/publications/files/goinghomeguide.pdf
    April 01, 2010 - Taking Care of Myself: A Guide for When I Leave the Hospital Taking Care of Myself: A Guide for When I Leave the Hospital This guide is adapted from Project Re-Engineered Discharge (RED), which was funded by AHRQ and conducted by Brian Jack, M.D., and colleagues at Boston University Medical Center. Additional tool…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49640/psn-pdf
    November 01, 2011 - The Case for Patient Flow Management November 1, 2011 Litvak E, Bernheim SA. The Case for Patient Flow Management. PSNet [internet]. 2011. https://psnet.ahrq.gov/web-mm/case-patient-flow-management The Case A 52-year-old woman with a history of major depression, posttraumatic stress disorder, and alcohol abuse wa…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33722/psn-pdf
    December 01, 2011 - In Conversation With… Ann L. Hendrich, RN, PhD December 1, 2011 In Conversation With… Ann L. Hendrich, RN, PhD. PSNet [internet]. 2011. https://psnet.ahrq.gov/perspective/conversation-ann-l-hendrich-rn-phd Editor's note: Ann L. Hendrich, RN, PhD, is Vice President of Clinical Excellence Operations and Executive Di…

  10. CAHPS Child Hospital Survey: Overview of the Questionnaire (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/questionnaire-overview.pdf
    March 20, 2017 - CAHPS Child Hospital Survey: Overview of the Questionnaire CAHPS® Child Hospital Survey and Instructions CAHPS Child Hospital Survey: Overview of the Questionnaire Document No. 950 Updated 3/20/2017 CAHPS® Child Hospital Survey: Overview of the Questionnaire Introduction..............................…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49529/psn-pdf
    February 01, 2007 - Crossed Coverage February 1, 2007 Kayser SR. Crossed Coverage. PSNet [internet]. 2007. https://psnet.ahrq.gov/web-mm/crossed-coverage The Case A 27-year-old woman with a history of congenital heart disease was admitted for cardiac transplantation evaluation. She had already undergone multiple surgeries, including…

  12. Mindfulness: Engaging Frontline Providers in Antimicrobial Stewardship | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/cauti-tools/archived-webinars/mindfulness-slides.html
    December 01, 2017 - Mindfulness: Engaging Frontline Providers in Antimicrobial Stewardship Slide Presentation Slide 1 Mindfulness: Engaging Frontline Providers in Antimicrobial Stewardship CAPT Arjun Srinivasan, MD Associate Director for Healthcare Associated Infection Prevention Programs Division of Healthcare Quality …

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/61079/psn-pdf
    October 28, 2020 - When Looks Aren’t All They Appear to Be: A Medication Error in an Uncommon Indication October 28, 2020 Ton K. When Looks Aren’t All They Appear to Be: A Medication Error in an Uncommon Indication . PSNet [internet]. 2020. https://psnet.ahrq.gov/web-mm/when-looks-arent-all-they-appear-be-medication-error-uncommon- …

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60543/psn-pdf
    May 27, 2020 - Wrong Catheter in the Right Patient May 27, 2020 Chia C, Molla M. Wrong Catheter in the Right Patient. PSNet [internet]. 2020. https://psnet.ahrq.gov/web-mm/wrong-catheter-right-patient The Case  A 55-year-old man with history of emphysema was admitted to the hospital for pneumonia. The patient had two?peripheral…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49398/psn-pdf
    May 01, 2003 - Bloody BP Cuff May 1, 2003 Madan AK. Bloody BP Cuff. PSNet [internet]. 2003. https://psnet.ahrq.gov/web-mm/bloody-bp-cuff The Case Patient #1, a 28-year-old male, was a trauma patient following a motor vehicle collision into a cement pillar. Patient #1 was in the trauma bay with massive injuries and profuse bleed…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49481/psn-pdf
    May 01, 2005 - Discharge Against Medical Advice May 1, 2005 Hwang SW. Discharge Against Medical Advice. PSNet [internet]. 2005. https://psnet.ahrq.gov/web-mm/discharge-against-medical-advice The Case A 50-year-old man with a history of alcohol abuse and alcohol-induced dementia was admitted to the medical service with mild alco…

  17. Safe Medication Administration: Slide Presentation | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/medication/safe-medication-slides.html
    July 01, 2023 - Safe Medication Administration: Slide Presentation AHRQ Safety Program for Perinatal Care Slide 1: AHRQ Safety Program for Perinatal Care Safe Medication Administration Slide 2: Learning Objectives Image: Four ascending steps show the learning objectives: Define high-alert medications. Identif…

  18. 3. Observations About the Structure of the Demonstration Grant Program | Agency for Healthcare Research and Quality

    www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/final-report/section3.html
    October 01, 2015 - National Evaluation of the CHIPRA Quality Demonstration Grant Program: Final Project Report 3. Observations About the Structure of the Demonstration Grant Program Previous Page Next Page Table of Contents National Evaluation of the CHIPRA Quality Demonstration Grant Program: Final Project Report …

  19. Missouri Quality Initiative (MOQI) Reduces Hospitalizations Among Nursing Home Residents | PSNet

    psnet.ahrq.gov/innovation/missouri-quality-initiative-moqi-reduces-hospitalizations-among-nursing-home-residents
    July 23, 2024 - Missouri Quality Initiative (MOQI) Reduces Hospitalizations Among Nursing Home Residents Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL July 28, 2021 Innovation Contact …

  20. Measure Descriptions for Daily Early Mobility: Facilitator Guide | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/tools/mvp/modules/technical/daily-early-mobility-fac-guide.html
    February 01, 2017 - Measure Descriptions for Daily Early Mobility: Facilitator Guide AHRQ Safety Program for Mechanically Ventilated Patients Slide 1: Measure Descriptions for Daily Early Mobility Say: In this module, you will learn about the data measures you will use to evaluate early mobility process and outcome measure…
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