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psnet.ahrq.gov/node/49517/psn-pdf
August 01, 2006 - Miscalculated Risk
August 1, 2006
Strassels SA. Miscalculated Risk. PSNet [internet]. 2006.
https://psnet.ahrq.gov/web-mm/miscalculated-risk
The Case
A healthy 36-year-old man was admitted to a teaching hospital for acute low back strain after lifting his 2-
week-old infant. He received Vicodin (hydrocodone and a…
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psnet.ahrq.gov/node/49423/psn-pdf
November 01, 2003 - The Missing Suction Tip
November 1, 2003
Thomas EJ, Moore FA. The Missing Suction Tip. PSNet [internet]. 2003.
https://psnet.ahrq.gov/web-mm/missing-suction-tip
Case Objectives
Identify the risk factors for retained foreign bodies.
Understand methods used to prevent and identify retained foreign bodies.
Apprecia…
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/106-hhoi-team-leader-survey.pdf
May 13, 2022 - HHOI Team Leader Survey
Page 1
HHOI Team Leader Survey
Please complete the survey below.
Thank you!
The purpose of this survey is to evaluate clinic level characteristics among teams participating
in the Heart Healthy Ohio quality improvement initiative. Participation in this survey is
voluntary and it is free…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/mod2sess1.html
October 01, 2014 - Module 2: Communicating Change in a Resident's Condition
Session 1
Previous Page Next Page
Table of Contents
Module 2: Communicating Change in a Resident's Condition
Learning and Performance Objectives
Session 1
Session 2
Conclusion
Additional Tools and Resources
Appendix. Example of the…
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/qica-healthy-hearts.pdf
June 02, 2025 - Quality Improvement Change Assessment
Quality Improvement Change Assessment
© 2016 Healthy Hearts Northwest. This project is supported by grant number R18HS023908 from the Agency for Healthcare Research and Quality.
This is an abbreviated version of the Safety Net Medical Home Initiative, Patient-Centered Medical H…
-
www.ahrq.gov/sites/default/files/2025-03/toledo-report.pdf
January 01, 2025 - Final Progress Report: Reducing the Risk of Preventable Postpartum Lower Extremity Nerve Injuries
Title Page
Title of Project: Reducing the risk of preventable postpartum lower extremity nerve
injuries
Principal Investigator and Team Members: Paloma Toledo, MD, MPH; William A.
Grobman, MD, MBA; Julia Lee, PhD; …
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www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/operational-adjustments-event-summary.pdf
July 02, 2020 - 1
Learning Community Affinity Group
Summary-at-a-Glance:
Operational Adjustments while Resuming In-Person Cardiac
Rehabilitation Programs
July 2, 2020
Event Purpose and Overview
• Purpose: To share and acquire strategies for how to adjust operations while resuming in-person
cardiac rehabilitation p…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/item-sets/HP/supplemental-health-literacy-hpcahps-adult-2157-3a.docx
June 02, 2025 - CAHPS® Health Plan Survey 5.0 Supplemental Items: Health Literacy
Population Version: Adult
Supplemental Items for the CAHPS® Health Plan Survey 5.0
Topic: Health Literacy
Population Version: Adult
Language: English
Users of the CAHPS® Health Plan Survey are free to incorporate supplemental items in order to mee…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/warmhandoff-quickstartbrochure.pdf
January 27, 2017 - Implementation Quick Start Guide: Warm Handoff
Implementation
Quick Start Guide
Warm
Handoff
The Guide to Improving Patient Safety
in Primary Care Settings by Engaging Patients
and Families
Table of Contents
What Is a Warm Handoff?...................................................1
Why Use Warm Handoffs…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Tool_1_IDEAL_chklst_508.docx
January 01, 2010 - Strategy 4: IDEA Discharge Planning (Tool 1)
IDEAL Discharge Planning Overview, Process, and Checklist
Strategy 4: IDEAL Discharge Planning (Tool 1)
[Type text] [Type text] [Type text]
Strategy 4: IDEAL Discharge Planning (Tool 1)
Guide to Patient and Family Engagement :: 2
Guide to Patient and Family Engagement :…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/safe-electronic/e-fetal-monitoring_facguide.docx
May 01, 2017 - AHRQ Safety Program for Perinatal Care
Monitoring for Perinatal Safety: Electronic Fetal Monitoring
Monitoring for Perinatal Safety—Electronic Fetal Monitoring
SAY:
The Monitoring for Perinatal Safety bundle provides information on the use of electronic fetal monitoring (EFM). This bundle offers an approach to the us…
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/safe-electronic-fac-guide.html
July 01, 2023 - Monitoring for Perinatal Safety: Electronic Fetal Monitoring: Facilitator Guide
AHRQ Safety Program for Perinatal Care
Slide 1: Monitoring for Perinatal Safety: Electronic Fetal Monitoring
Say:
The Monitoring for Perinatal Safety bundle provides information on the use of electronic fetal monitoring (EFM…
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www.ahrq.gov/hai/cusp/clabsi-final-companion/clabsicomp4c.html
January 01, 2013 - Eliminating CLABSI, A National Patient Safety Imperative: Final Report Companion Guide
Infections Avoided, Excess Costs Averted, and Changes in Mortality Rate
Previous Page Next Page
Table of Contents
Eliminating CLABSI, A National Patient Safety Imperative: Final Report Companion Guide
Preface
…
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/perinatal/0085-tech-specs.pdf
January 01, 2012 - Behavioral Health Risk Assessment for Pregnant Women Measure Technical Specifications
Text Description for PCPI eSpecification
Copyright 2012 American Medical Association and the National Committee for Quality Assurance. All rights reserved.
Clinical Topic Maternity Care
Measure Title Behavioral Health Risk…
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www.ahrq.gov/hai/cauti-tools/phys-championsgd/section5.html
October 01, 2015 - Resident Physicians as Champions in Preventing Device-Associated Infections
Resident Physicians as Safety Champions
Previous Page Next Page
Table of Contents
Resident Physicians as Champions in Preventing Device-Associated Infections
Preamble and Summary
Epidemiology of Invasive Devices and Comp…
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cdsic.ahrq.gov/sites/default/files/2024-12/OY2_Final%20IAS%20Workgroup%20Charter.pdf
January 01, 2024 - Implementation, Adoption, and Scaling Workgroup: Charter – Option Year 2
Implementation, Adoption, and
Scaling Workgroup: Charter –
Option Year 2
Agency for Healthcare Research and Quality
5600 Fishers Lane
Rockville, MD 20857
www.ahrq.gov
Contract No: 75Q80120D00018
Prepared by:
NORC at the…
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cdsic.ahrq.gov/sites/default/files/2025-07/CDSiC%20Topic%20Highlight_PC%20CDS%20and%20SDM_508_0.pdf
January 01, 2025 - How Patient-Centered Clinical Decision Support Can Strengthen Shared Decision Making
AHRQ Pub. No. 25-0058
June 2025
How Patient-Centered Clinical Decision Support
Can Strengthen Shared Decision Making
This resource describes shared decision making, patient-centered clinical decision support (PC…
-
cdsic.ahrq.gov/sites/default/files/2024-12/OY2_Final%20MO%20Workgroup%20Charter.pdf
January 01, 2024 - Measurement and Outcomes Workgroup: Charter – Option Year 2
Measurement and Outcomes
Workgroup: Charter – Option Year 2
Agency for Healthcare Research and Quality
5600 Fishers Lane
Rockville, MD 20857
www.ahrq.gov
Contract No: 75Q80120D00018
Prepared by:
NORC at the University…
-
www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/0085textdesc.pdf
January 01, 2012 - Clinical Topic
Text Description for PCPI eSpecification
Copyright 2012 American Medical Association and the National Committee for Quality Assurance. All rights reserved.
Clinical Topic Maternity Care
Measure Title Behavioral Health Risk Assessment
Measure # MC-3
Measure
Description
Percentage of pati…
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www.ahrq.gov/ncepcr/tools/obesity/obpcp1.html
May 01, 2014 - Integrating Primary Care Practices and Community-based Resources to Manage Obesity
Chapter 1: Attaining Zoning and Building Permits
Previous Page Next Page
Table of Contents
Integrating Primary Care Practices and Community-based Resources to Manage Obesity
Acknowledgements
Support
Foreword
O…