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psnet.ahrq.gov/node/849679/psn-pdf
June 28, 2023 - Under Pressure: Tracheostomy Cuff Over Inflation
Leading to Tissue Necrosis and Cuff Rupture
June 28, 2023
Gould E, Carlsen K, Trask J, et al. Under Pressure: Tracheostomy Cuff Over Inflation Leading to Tissue
Necrosis and Cuff Rupture. PSNet [internet]. 2023.
https://psnet.ahrq.gov/web-mm/under-pressure-tracheost…
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psnet.ahrq.gov/node/33873/psn-pdf
February 01, 2019 - In Conversation With… Susan E. Skochelak, MD, PhD
February 1, 2019
In Conversation With… Susan E. Skochelak, MD, PhD. PSNet [internet]. 2019.
https://psnet.ahrq.gov/perspective/conversation-susan-e-skochelak-md-phd
Editor's note: Dr. Skochelak is the Group Vice President for Medical Education at the American Medica…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module2/module2_managingchange.docx
June 02, 2025 - Module 2: How To Manage Change
Module 2: How To Manage Change
Module Aim
The aim of this module is to support change in your organization to maximize the possibility of successful implementation of the Pressure Injury Prevention Program.
Module Goals
The goals of Module 2 are to identify necessary actions to improve …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/2014finalhacreport-cx.pdf
December 01, 2016 - Interim Update on 2013 Annual Hospital-Acquired Condition Rate
December 2016
Saving Lives and Saving Money: Hospital-Acquired Conditions
Update
Final Data From National Efforts To Make Care Safer, 2010-2014
Summary
Final estimates for 2014 show a sustained 17 percent decline in hospital-acquired conditions…
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www.ahrq.gov/hai/cauti-tools/archived-webinars/preventing-cauti-specialized-populations-icu-slides.html
December 01, 2017 - Preventing CAUTI in Specialized Patient Populations: The ICU
Slide Presentation
Slide 1
Preventing CAUTI in Specialized Patient Populations: The ICU
Hannah Wunsch, MD, MSc
Herbert Irving Assistant Professor of Anesthesiology and Epidemiology
Columbia University
Eugene Chu, MD, FHM
Director of Hospi…
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www.ahrq.gov/hai/cauti-tools/archived-webinars/connecting-dots-slides.html
December 01, 2017 - Connecting the Dots: Improving Unit Safety Culture to Stop HAI
Slide Presentation
Slide 1
Connecting the Dots: Improving Unit Safety Culture to Stop HAI
Katherine J. Jones, PT, PhD
University of Nebraska Medical Center
Slide 2
Supported By
AHRQ Partnerships in Implementing Patient Safety Gran…
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psnet.ahrq.gov/node/60856/psn-pdf
August 26, 2020 - Too Many Cooks in the Kitchen
August 26, 2020
Dutton RP. Too Many Cooks in the Kitchen. PSNet [internet]. 2020.
https://psnet.ahrq.gov/web-mm/too-many-cooks-kitchen
Disclosure of Relevant Financial Relationships: As a provider accredited by the Accreditation Council for
Continuing Medical Education (ACCME), the Un…
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psnet.ahrq.gov/node/846169/psn-pdf
March 15, 2023 - Distraction of the Anesthesiologist and Lack of
Resuscitation Drugs Resulting in Delayed Treatment of
Laryngospasm.
March 15, 2023
Bohringer C. Distraction of the Anesthesiologist and Lack of Resuscitation Drugs Resulting in Delayed
Treatment of Laryngospasm. PSNet [internet]. 2023.
https://psnet.ahrq.gov/web-mm/…
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www.ahrq.gov/sites/default/files/2024-11/williams-galimbertti-report.pdf
January 01, 2024 - Final Progress Report: Challenges and Innovations in Evaluation of Quality of Care
AHRQ Grant Final Progress Report
Title of Project: Challenges and Innovations in Evaluation of Quality of Care
Measures Based on Small Counts
“National Conference on Small Numbers”
Principal Investigators and Team Members:
…
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www.ahrq.gov/hai/cusp/toolkit/content-calls/framework-slides/slides.html
October 01, 2014 - CUSP: A Framework for Success (Slide Presentation)
On the CUSP: Stop BSI
This PowerPoint slide presentation was shown on March 7, 2012
Contents
Slide 1. CUSP: A Framework for Success
Slide 2. Today's Speakers
Slide 3. Working Together – The Players
Slide 4. Learning Objectives
Slide 5. The Mic…
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psnet.ahrq.gov/node/838900/psn-pdf
October 27, 2022 - Fecal Contamination of the Peritoneum from
Laparoscopic Trocar Injury: A Routine Operation Goes
Wrong.
October 27, 2022
Ahmed SM, Ali M. Fecal Contamination of the Peritoneum from Laparoscopic Trocar Injury: A Routine
Operation Goes Wrong. PSNet [internet]. 2022.
https://psnet.ahrq.gov/web-mm/fecal-contamination-…
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psnet.ahrq.gov/node/49491/psn-pdf
September 01, 2005 - Time of Death?
September 1, 2005
Taekman JM, Wright MC. Time of Death? PSNet [internet]. 2005.
https://psnet.ahrq.gov/web-mm/time-death
The Case
An 80-year-old woman with multiple illnesses, including chronic obstructive pulmonary disease (COPD),
was found pulseless and cyanotic in her hospital bed. A code was ca…
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psnet.ahrq.gov/node/49750/psn-pdf
January 01, 2016 - A Room Without Orders
January 1, 2016
Vogelsmeier A, Despins L. A Room Without Orders. PSNet [internet]. 2016.
https://psnet.ahrq.gov/web-mm/room-without-orders
Case Objectives
Review a common process for planned direct hospital admissions.
Describe challenges of prioritizing day-to-day patient care activities wi…
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psnet.ahrq.gov/web-mm/ca-mrsa-skin-infections-ounce-prevention-worth-pound-cure
March 01, 2005 - SPOTLIGHT CASE
CA-MRSA Skin Infections: An Ounce of Prevention is Worth a Pound of Cure
Citation Text:
Liu C. CA-MRSA Skin Infections: An Ounce of Prevention is Worth a Pound of Cure. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human S…
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www.ahrq.gov/hai/tools/surgery/modules/on-boarding/sr-exec-slides.html
December 01, 2017 - Engaging Senior Executives: Facilitator Notes
AHRQ Safety Program for Surgery
Slide 1: Engaging Senior Executives
Say:
In this module we will discuss the importance of senior engagement on your safety program team.
Slide 2: Why Do We Need an Executive?
Say:
Sometimes getting executives involved …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_sr-execs_facnotes.docx
December 01, 2017 - Facilitator Guide: Engage Senior Executives in Surgical Site Infection Prevention Work
Engaging Senior Executives – Facilitator Notes
Slide Title and Commentary
Slide Number and Slide
Title Slide
Engaging Senior Executives
SAY:
In this module we will discuss the importance of senior engagement on your safety pr…
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psnet.ahrq.gov/perspective/conversation-jeffrey-starke-md
September 11, 2023 - In Conversation With… Jeffrey Starke, MD
October 1, 2017
Citation Text:
In Conversation With… Jeffrey Starke, MD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017.
Copy Citation
Form…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/urinary-catheter-insertion-notes.docx
April 01, 2022 - Indwelling Urinary Catheter Insertion Facilitator Notes
CAUTI Module:
Indwelling Urinary Catheter Insertion
Facilitator Guide
Slide Number and Image
This module, titled “Indwelling Urinary Catheter Insertion Bundle,” is part of the Agency for Healthcare Research and Quality’s Safety Program for Intensive Care Un…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/medicaidmgmt/mm7.html
October 01, 2014 - Designing and Implementing Medicaid Disease and Care Management Programs
Section 7: Measuring Value in a Care Management Program
Previous Page Next Page
Table of Contents
Designing and Implementing Medicaid Disease and Care Management Programs
Introduction
Section 1: Planning a Care Management P…
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/influenza-rsv-guide.docx
September 01, 2022 - The Never Antibiotics Diagnoses: Influenza and RSV – Facilitator Guide
AHRQ Safety Program for Improving Antibiotic Use
1
The “Never Antibiotics” Diagnoses:
Influenza and RSV
Ambulatory Care
Slide Title and Commentary
Slide Number and Slide
The “Never Antibiotics” Diagnoses: Influenza and RSV
Ambulatory
SAY…