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  1. psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.254_slideshow.ppt
    November 01, 2011 - Spotlight Case July 2008 Spotlight Case Near Miss with Bedside Medications * * Source and Credits This presentation is based on the November 2011 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available Commentary by: Albert W. Wu, MD, MPH, Johns Hopkins Bloomberg S…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49571/psn-pdf
    October 01, 2008 - Coming Up Short October 1, 2008 Hochberg Z'ev. Coming Up Short. PSNet [internet]. 2008. https://psnet.ahrq.gov/web-mm/coming-short The Case A 12-year-old Hispanic female was seen for a well-child check. The child was delivered 2 months prematurely (likely due to domestic violence) in Puerto Rico. She had an intra…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49468/psn-pdf
    December 16, 2004 - Mark My Limb December 1, 2004 Jacott WE, O'Leary D. Mark My Limb. PSNet [internet]. 2004. https://psnet.ahrq.gov/web-mm/mark-my-limb The Case A patient went to the operating room (OR) for surgery on the lower leg. Per the Universal Protocol, the surgeon marked the proper leg prior to bringing the patient to the O…
  4. www.ahrq.gov/prevention/guidelines/tobacco/clinicians/update/correctadd.html
    October 01, 2014 - Treating Tobacco Use and Dependence—2008 Update Corrections and Additions to the Public Health Service (PHS) Clinical Practice Guideline Treating Tobacco Use and Dependence: 2008 Update , a Public Health Service-sponsored Clinical Practice Guideline, is a product of the Tobacco Use and Dependence Guideline Pa…
  5. www.ahrq.gov/data/apcd/envscan/app-a.html
    June 01, 2017 - All-Payer Claims Databases Measurement of Care: Systematic Review and Environmental Scan of Current Practices and Evidence Appendix A. Detailed Literature Search Methodology Previous Page Next Page Table of Contents All-Payer Claims Databases Measurement of Care: Systematic Review and Environmental …
  6. integrationacademy.ahrq.gov/products/playbooks/behavioral-health-and-primary-care/what-not-do
    June 01, 2022 - An official website of the Department of Health & Human Services Search All AHRQ Sites Careers Contact Us Español FAQs Email Updates The Academy Integrating Behavioral Health & Primary Care Expand Navi…
  7. www.ahrq.gov/patient-safety/quality-resources/tools/chtoolbx/measures/measure-8.html
    December 01, 2017 - Examples of How States Use Quality Measures Child Health Care Quality Toolbox The Child Health Toolbox contains concepts, tips, and tools for evaluating the quality of health care for children. Contents Arizona Michigan Minnesota New York North Carolina Ohio Rhode Island Vermont Washingt…
  8. www.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/management/observation-comp-kit.html
    June 01, 2017 - Standard Work Observation Component Kit Contents 1. Why Standard Work Observation?          Connections to Other Components 2. Tips 3. Plan-Do-Study-Act Sequence: Observe Checklist Use Regularly 4. Example          Using the Observations 1. Why Standard Work Observation? As you’ve adapted a surgi…
  9. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/long-term-modules/module1/video-transcript-spanish.docx
    June 02, 2025 - Programa de seguridad de la AHRQ para cuidados a largo plazo: HAI/CAUTIPREVENIR HAIs Infeccones relacionadas con los cuidados de salud Kit de herramientas de seguridad para cuidados a largo plazo Módulo 1: Usar el kit de herramientas de seguridad integral para cuidados a largo plazo: Aplicar principios de seguridad.…
  10. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/d4a_pdi01-lacerationpuncture-bestpractices.pdf
    May 31, 2016 - Selected Best Practices and Suggestions for Improvement Pediatric Toolkit for Using the AHRQ Quality Indicators How To Improve Hospital Quality and Safety 1 Tool D.4a Selected Best Practices and Suggestions for Improvement PDI 01: Accidental Puncture or Laceration Why focus on accidental puncture and lacera…
  11. www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/chipra_1415-p008-2-ef.pdf
    January 01, 2015 - Measure: Pediatric Lower Respiratory Infection (LRI) Readmission Measure Measure: Pediatric Lower Respiratory Infection (LRI) Readmission Measure Measure Developer: Center of Excellence for Pediatric Quality Measurement (CEPQM) Numerator Denominator Exclusions Data Source(s) Hospitalizations at general acute ca…
  12. www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/resources/job-aid-presenting-data.pdf
    June 02, 2025 - Job Aid: Presenting Performance Data Primary Care Practice Facilitator Training Series 1 Job Aid: Presenting Performance Data Overview Presenting performance data to a practice in a way that facilitates meaningful action is an important part of quality improvement and an essential activity for a …
  13. www.ahrq.gov/es/patient-safety/settings/hospital/match/chapter-4.html
    July 01, 2022 - Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation Chapter 4. Developing and Pilot Testing Change: Implementing the Medication Reconciliation Process Previous Page Next Page Table of Contents Medications at Transitions and Clinical Handoffs (MATCH) Toolkit…
  14. www.ahrq.gov/patient-safety/settings/hospital/match/chapter-4.html
    July 01, 2022 - Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation Chapter 4. Developing and Pilot Testing Change: Implementing the Medication Reconciliation Process Previous Page Next Page Table of Contents Medications at Transitions and Clinical Handoffs (MATCH) Toolkit…
  15. www.ahrq.gov/evidencenow/projects/urinary/optima-interview.html
    November 01, 2024 - Interview with the OPTIMA Project Team Project Overview: The Optimizing Primary Care Tools for Incontinence Management (OPTIMA) project, led by University of California San Diego, is implementing a four-pronged intervention to improve the quality of care for women with urinary incontinence (UI). This intervent…
  16. www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/item-sets/CG/health-literacy-cg-cahps-adult-spanish-2357-3b.pdf
    June 02, 2025 - Supplemental Health Literacy Items for the CAHPS Clinician & Group Survey 12/1/2017 Page 1 Document No. 2357-3b www.ahrq.gov/cahps Supplemental Items for the CAHPS® Clinician & Group Survey 3.0 Topic: Health Literacy Population Version: Adult Language: Spanish Users of the CAHPS® Clinician & G…
  17. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4o_combo_pdi01-lacerationpuncture-bestpractices.pdf
    May 31, 2016 - Selected Best Practices and Suggestions for Improvement Toolkit for Using the AHRQ Quality Indicators How To Improve Hospital Quality and Safety 1 Tool D.4o Selected Best Practices and Suggestions for Improvement PDI 01: Accidental Puncture or Laceration Why focus on accidental puncture and laceration in ch…
  18. www.ahrq.gov/hai/tools/cauti-hospitals/toolkit-impl.html
    October 01, 2020 - Implementation Toolkit for Reducing CAUTI in Hospitals The Implementation module of the Toolkit for Reducing CAUTI in Hospitals discusses the importance of a comprehensive, unit-based approach to safety and its impact on improving patient care. It takes users step by step through execution of clinical and cul…
  19. psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.104_slideshow.ppt
    September 01, 2005 - Spotlight Case [MONTH] 2003 Spotlight Case September 2005 Double Trouble Source and Credits This presentation is based on the Sept. 2005 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available through the Web site Commentary by: Jerry H. Gurwitz, MD, University of…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33563/psn-pdf
    September 16, 2024 - Culture of Safety September 16, 2024 Culture of Safety. PSNet [internet]. 2019. https://psnet.ahrq.gov/primer/culture-safety PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that they reflect current research and practice in the patient safety field. Last reviewed in …