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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…
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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…
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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…
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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…
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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 …
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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…
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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…
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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…
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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.…
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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…
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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…
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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 …
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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…
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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…
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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…
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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…
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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…
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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…
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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…
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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 …