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  1. psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.284_slideshow.ppt
    November 01, 2012 - Spotlight Case July 2008 Spotlight Case Transfusion Overload 1 2 Source and Credits This presentation is based on the November 2012 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available Commentary by: Manish S. Patel, MD, and Jeffrey L. Carson, MD, of UMDNJ−Robert Wood …
  2. Psn-Pdf (pdf file)

    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…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49656/psn-pdf
    June 01, 2012 - Comanagement: Who's in Charge? June 1, 2012 Cheng HQ. Comanagement: Who's in Charge? PSNet [internet]. 2012. https://psnet.ahrq.gov/web-mm/comanagement-whos-charge The Case A 77-year-old man with a history of chronic obstructive pulmonary disease (COPD) was admitted with a left hip fracture to the orthopedic surg…
  4. www.ahrq.gov/research/findings/final-reports/haidesign/haidesign-summary.html
    April 01, 2018 - Understanding the Role of Health Care Facility Design in the Acquisition and Prevention of HAIs This report summarizes the role of the built environment in the transmission of pathogens and discusses the impact that design features could have in mitigating transmission in health care facilities. …
  5. psnet.ahrq.gov/sites/default/files/2020-09/final_slides_sept_spotlight_case_when_the_lytes_go_out_slides_08.25.2020-revised.pdf
    January 01, 2020 - Microsoft PowerPoint - FINAL SLIDES Sept_Spotlight Case_When the Lytes Go Out_SLIDES_08.25.2020-revised.pptx Spotlight When the Lytes Go Out: A Case of Inpatient Cardiac Arrest Source and Credits • This presentation is based on the September 2020 AHRQ WebM&M Spotlight Case o See the full article at https://psne…
  6. www.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide6.html
    August 01, 2022 - Care for the Caregiver Program Implementation Guide AHRQ Communication and Optimal Resolution Toolkit Purpose: To guide an organization in developing and implementing a Care for the Caregiver program. Who should use this tool? The Care for the Caregiver Program Lead How to use this tool: Use this guide…
  7. www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/facilscanform.pdf
    June 02, 2025 - Survey on Patient Safety (facility version) 1 Survey on Patient Safety Instructions This survey asks for your opinions about patient safety issues, medical error, and event reporting in your facility and will take about 10 to 15 minutes to complete. If you do not wish to answer a question, or if a question …
  8. www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospitalscanform.doc
    June 02, 2025 - Hospital Survey on Patient Safety SOPSTM Hospital Survey Version: 1.0 Language: English Note · For more information on getting started, selecting a sample, determining data collection methods, establishing data collection procedures, conducting a Web-based survey, and preparing and analyzing data, and producing re…
  9. www.ahrq.gov/hai/cauti-tools/archived-webinars/patient-family-centered-care-slides.html
    December 01, 2017 - Patient and Family-Centered Care Slide Presentation Slide 1 Patient and Family-Centered Care Christine Goeschel ScD, MPA, MPS, RN, FAAN Assistant Professor, Johns Hopkins School of Medicine Joint Appointment, Schools of Public Health and Nursing And Gail Panoff Chair, Patient and Community Engage…
  10. www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/faqs/faq-chg-bathing.pdf
    March 01, 2022 - Addressing Questions Asked by Staff: Chlorhexidine for Bathing Decolonization of on-ICU Patients With Devices N Section 14-1 – Addressing Questions Asked by Staff: Chlorhexidine for Bathing Why does the hospital use special soap for bathing and showering in patients with medical devices? This hospital i…
  11. Psn-Pdf (pdf file)

    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…
  12. www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/clabsitools/clabsitoolsap3.ppt
    January 01, 2003 - Project Report - Lean Sigma Guidelines to Prevent Central Line-Associated Blood Stream Infections * Why do I need to complete this orientation? Problem Vascular access device-associated infections increase morbidity, mortality, hospital length of stay, and costs. Education of health care workers decrea…
  13. 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…
  14. www.ahrq.gov/sites/default/files/wysiwyg/patients-consumers/diagnosis-treatment/treatments/btpills/btpills.pdf
    September 01, 2015 - Blood Thinner Pills: Your Guide to Using Them Safely Blood Thinner Pills: Your Guide to Using Them Safely AHRQ Pub. No. 15-0047-C Replaces AHRQ Pub. No. 09-0086-C September 2015 The name of my blood thinner is: _____________________________________________________________ Reminders: Call your doctor or phar…
  15. 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…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33868/psn-pdf
    October 01, 2018 - Safety in the Retail Pharmacy October 1, 2018 Chui MA. Safety in the Retail Pharmacy. PSNet [internet]. 2018. https://psnet.ahrq.gov/perspective/safety-retail-pharmacy Perspective There are approximately 67,000 retail/community pharmacies dispensing 4.4 billion prescriptions each year.(1) Many patients interact w…
  17. www.ahrq.gov/hai/tools/mvp/modules/technical/daily-early-mobility-slides.html
    February 01, 2017 - Measure Descriptions for Daily Early Mobility: Slide Presentation AHRQ Safety Program for Mechanically Ventilated Patients Slide 1: AHRQ Safety Program for Mechanically Ventilated Patients Measure Descriptions for Daily Early Mobility Slide 2: Learning Objectives After this session, you will be able…
  18. 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 …
  19. 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…
  20. www.ahrq.gov/patient-safety/reports/engage/summary.html
    March 01, 2017 - Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families Executive Summary Previous Page Next Page Table of Contents Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families Executive Summary Introduction Limitations of …