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www.ahrq.gov/sites/default/files/2024-12/morgan-report.pdf
January 01, 2024 - Final Progress Report: Improving Patient Safety and Disease Management While on Contact Isolation
Final Progress Report
Improving Patient Safety and Disease Management While on Contact Isolation
Daniel Morgan (PI)
Anthony Harris (Mentor)
University of Maryland School of Medicine
Dates of Project: 7/01/09–6/30/14…
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psnet.ahrq.gov/node/50697/psn-pdf
November 27, 2019 - Cardiac Arrest in a Woman with UTI: A Case of QT
Prolongation
November 27, 2019
Kulig CE, Ebong IA. Cardiac Arrest in a Woman with UTI: A Case of QT Prolongation. PSNet [internet].
2019.
https://psnet.ahrq.gov/web-mm/cardiac-arrest-woman-uti-case-qt-prolongation
The Case
A 36-year-old woman with a history of dep…
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psnet.ahrq.gov/node/49448/psn-pdf
June 01, 2004 - Listen to the Family
June 1, 2004
Campbell D. Listen to the Family. PSNet [internet]. 2004.
https://psnet.ahrq.gov/web-mm/listen-family
The Case
Vascular surgery was consulted for placement of a dialysis catheter in a patient on the medical floor. The
surgical resident examined the patient, an elderly woman with …
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psnet.ahrq.gov/node/49598/psn-pdf
February 01, 2010 - Medication Reconciliation Pitfalls
February 1, 2010
Weber RJ. Medication Reconciliation Pitfalls. PSNet [internet]. 2010.
https://psnet.ahrq.gov/web-mm/medication-reconciliation-pitfalls
The Case
A 90-year-old woman who lived alone suffered a mechanical fall with subsequent hip fracture and was
brought to the eme…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/ptfamcare-facguide.docx
January 01, 2017 - Facilitator Guide: Build Your SSI Prevention Bundle
Slide Title and Commentary
Slide Number and Slide
Title Slide
Patient and Family Involvement in Care of Mechanically Ventilated Patients
SAY:
This module is about patient and family involvement in patient care.
Slide 1
Learning Objectives
SAY:
At the end of…
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psnet.ahrq.gov/node/49435/psn-pdf
February 01, 2004 - X-ray Flip
February 1, 2004
Shapiro MJ. X-ray Flip. PSNet [internet]. 2004.
https://psnet.ahrq.gov/web-mm/x-ray-flip
The Case
A 19-year-old man presented to the emergency department with respiratory distress after blunt chest
trauma. A digital chest radiograph was labeled backwards; a "left" marker was mistakenly…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/implement/implement.pptx
May 01, 2017 - AHRQ Safety Program for Perinatal Care: Implement Teamwork and Communication
AHRQ Safety Program for Perinatal Care
Implement Teamwork and Communication for Perinatal Safety
AHRQ Publication No. 17-0003-3-EF
May 2017
1
Learning Objectives
2
AHRQ Safety Program for Perinatal Care
Teamwork & Comm.
2
Basic Com…
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/chipra-16-p002-1-ef.pdf
May 01, 2016 - Measure: Initial Risk Assessment for Immobility-Related Pressure Ulcer Within 24 Hours of Pediatric Intensive Care Unit (PICU) Admission
Measure: Initial Risk Assessment
for Immobility-Related Pressure Ulcer
Within 24 Hours of Pediatric Intensive
Care Unit (PICU) Admission
Measure Developer: Pediatric Measurem…
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-89-adhd-behavior-section-5-attach-2.pdf
November 12, 2010 - ADHD: Available Information on Impact and Gaps/Variations in Care
Attention Deficit/Hyperactivity Disorder:
Available Information on Impact and Gaps/Variations in Care
Impact of Topic
Prevalence:
In a study by Visser et al, researchers …
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/pharyngitis-slides.pptx
September 01, 2022 - The “Sometimes Antibiotics” Diagnoses: Pharyngitis – Slides
AHRQ Safety Program for Improving Antibiotic Use
The “Sometimes Antibiotics”
Diagnoses: Pharyngitis
Ambulatory Care
AHRQ Pub. No. 17(22)-0030
September 2022
Pharyngitis
AHRQ Safety Program for Improving Antibiotic Use – Ambulatory Care
…
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www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module4/mod4-slides.html
March 01, 2017 - Module 4: Teamwork and Communication
AHRQ Safety Program for Long-Term Care: HAIs/CAUTI
Slide 1: Module 4: Teamwork and Communication
Slide 2: Objectives
Describe effective communication and teamwork.
Describe why teamwork training and improved communication optimizes resident safety.
List barri…
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/chipra_1416-p013-ef.pdf
February 01, 2016 - Measure: PROMIS Pediatric Global Health Measure (PGH-7)
Measure: PROMIS Pediatric Global Health
Measure (PGH-7)
Measure Developer: The Children’s Hospital of Philadelphia PQMP Center of Excellence
Numerator Denominator Exclusions Data Source(s)
The sum of the measure
scores across all
individuals in the group. …
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www.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/management/kit.html
June 01, 2017 - A Frontline Management System To Sustain Improvement in Safety Practices
Contents
1. Why a Frontline Management System?
2. Components of the Frontline Management System
3. Interactions of Components
4. Using the Model for Improvement
5. Additional Resources
1. Why a Frontline Management System?
M…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/cusp-team-slides.pptx
April 01, 2022 - Building an Engaged CUSP Team Slides
Building an Engaged Comprehensive Unit-based Safety Program Team
AHRQ Safety Program for Intensive Care Units:
Preventing CLABSI and CAUTI
AHRQ Pub. No. 17(22)-0019
April 2022
1
Objectives
Identify tools and resources available to support your CLABSI and/or CAUTI improvemen…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapb5txt.html
December 01, 2017 - The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities
Appendix B8: Unsafe Behavior Worksheet (Text Description)
Previous Page Next Page
Table of Contents
The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities
Chapter 1. Introduction an…
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/staff-survey-post-intervention-va.pdf
February 23, 2018 - Practice Member Survey
Dear Survey Respondent,
You are receiving this survey because your practice is participating in the Heart of Virginia Healthcare (HVH)
project. Now in its third and final year, the HVH project is asking staff and clinicians in each practice to
complete …
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psnet.ahrq.gov/node/39743/psn-pdf
October 13, 2010 - Anatomy and pathophysiology of errors occurring in
clinical radiology practice.
October 13, 2010
Brook OR, O'Connell AM, Thornton E, et al. Quality initiatives: anatomy and pathophysiology of errors
occurring in clinical radiology practice. Radiographics. 2010;30(5):1401-10. doi:10.1148/rg.305105013.
https://psnet…
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psnet.ahrq.gov/node/37155/psn-pdf
October 06, 2011 - Classification of adverse events occurring in a surgical
intensive care unit.
October 6, 2011
Frankel H, Sperry J, Kaplan L, et al. Classification of adverse events occurring in a surgical intensive care
unit. Am J Surg. 2007;194(3):328-32.
https://psnet.ahrq.gov/issue/classification-adverse-events-occurring-surgi…
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hcup-us.ahrq.gov/reports/factsandfigures/2009/pdfs/FF_2009_exhibit5_2.pdf
January 01, 2009 - 5.2A
HCUP Facts and Figures: Statistics on Hospital-Based Care in the United States, 2009 65
EXHIBIT 5.2 Common Conditions During Hospital Stays for Females
5.3
6.4
1.1
1.21.4
1.91.5
1.91.9
2.13.1
2.7
2.2
2.1
4.6
0
5
10
15
20
25
Male Stays
16.4 Million Stays
(42% of All Stays)
Female Stays
22.…
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www.uspreventiveservicestaskforce.org/uspstf/sites/default/files/file/supporting_documents/child-maltreatment-interventions-draft-rec-bulletin.pdf
September 25, 2023 - U.S. Preventive Services Task Force Issues Draft Recommendation Statement on Primary Care Interventions to Prevent Child Maltreatment
www.uspreventiveservicestaskforce.org 1
U.S. Preventive Services Task Force Issues Draft Recommendation
Statement on Primary Care Interventions to Prevent
Child Maltreatmen…