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  1. www.ahrq.gov/sites/default/files/2024-09/ratwani-report.pdf
    January 01, 2024 - Final Progress Report: Developing and Training Interruption Management Strategies for Emergency Physicians 1. TITLE PAGE Title: Developing and Training Interruption Management Strategies for Emergency Physicians Principal Investigator: Raj M. Ratwani, PhD Co-investigators: Zach Hettinger, MD, MS; Allan Fong, MS; T…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49546/psn-pdf
    October 17, 2007 - Do Not Disturb! October 1, 2007 Duffy DF, Cassel C. Do Not Disturb!. PSNet [internet]. 2007. https://psnet.ahrq.gov/web-mm/do-not-disturb Case Objectives Define professionalism. Discuss behaviors associated with lack of professionalism. Outline steps one should take if a significant breach of professionalism is …
  3. www.ahrq.gov/sites/default/files/2024-07/bates2-report.pdf
    January 01, 2024 - Final Progress Report: Improving Quality With Outpatient Decision Support Title: Improving Quality With Outpatient Decision Support Principal Investigator: David W. Bates, MD Organization: Brigham and Women's Hospital, Boston, Massachusetts Federal Project Officer: Stanley Edinger Grant Number: 5 U18 HS011046 Grant S…
  4. psnet.ahrq.gov/web-mm/double-never-event-wrong-patient-and-wrong-side
    August 20, 2018 - A Double “Never Event”: Wrong Patient and Wrong Side. Citation Text: Bellini A, Salcedo ES. A Double “Never Event”: Wrong Patient and Wrong Side.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2023. Copy Citation Format: …
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33785/psn-pdf
    May 01, 2015 - In Conversation With… John D. Birkmeyer, MD May 1, 2015 In Conversation With… John D. Birkmeyer, MD. PSNet [internet]. 2015. https://psnet.ahrq.gov/perspective/conversation-john-d-birkmeyer-md Editor's note: John D. Birkmeyer, MD, is an internationally recognized health services researcher with expertise in perfo…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49675/psn-pdf
    February 01, 2013 - Delay in Treatment: Failure to Contact Patient Leads to Significant Complications February 1, 2013 Shapiro DS. Delay in Treatment: Failure to Contact Patient Leads to Significant Complications. PSNet [internet]. 2013. https://psnet.ahrq.gov/web-mm/delay-treatment-failure-contact-patient-leads-significant-complicat…
  7. www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/teamwork-ptsafety-norms-slides.pdf
    June 30, 2025 - Improving Safety Using Teamwork and Patient Safety Norms Creating and Maintaining a Culture of Safety Series (Session 2) Improving Safety Using Teamwork and Patient Safety Norms NATIONAL WEBINAR SERIES March 18, 2025 Housekeeping Instructions • This webinar will be recorded and available for viewing on the NAA…
  8. www.ahrq.gov/sites/default/files/2024-09/kutney-lee-report.pdf
    January 01, 2024 - Final Progress Report: Changes in Hospital Care Organization and Outcomes 1. TITLE PAGE Title: Changes in Hospital Care Organization and Outcomes Principal Investigator: Ann Kutney-Lee Team Members: Linda H. Aiken (primary mentor); Jeffrey H. Silber, Mary Naylor, Ivo Abraham (co-mentors) Organization: University…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49527/psn-pdf
    December 01, 2006 - Right Patient, Wrong Sample December 1, 2006 Astion ML. Right Patient, Wrong Sample. PSNet [internet]. 2006. https://psnet.ahrq.gov/web-mm/right-patient-wrong-sample The Case A 54-year-old man was admitted to the hospital for preoperative evaluation and elective knee surgery. On the morning of surgery, the patien…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49585/psn-pdf
    May 01, 2009 - Delirium or Dementia? May 1, 2009 Rudolph JL. Delirium or Dementia? PSNet [internet]. 2009. https://psnet.ahrq.gov/web-mm/delirium-or-dementia Case Objectives State the key diagnostic differences between delirium and dementia. Describe the Confusion Assessment Method for workup of suspected delirium. Explain the…
  11. www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/highlight06.html
    January 01, 2014 - How are CHIPRA quality demonstration States working together to improve the quality of health care for children? Evaluation Highlight No. 6 Authors: Dana Petersen, Henry Ireys, Grace Ferry, and Leslie Foster Contents Key Messages Background Findings Conclusion Implications Learn More Endno…
  12. www.ahrq.gov/ncepcr/tools/confid-report/system-design.html
    February 01, 2016 - Confidential Physician Feedback Reports: Designing for Optimal Impact on Performance Part Two: Design of Physician Feedback Reporting Systems Previous Page Next Page Table of Contents Confidential Physician Feedback Reports: Designing for Optimal Impact on Performance Foreword Introduction Par…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74252/psn-pdf
    January 12, 2022 - In Conversation With... Poonam Sharma, MD, MPH, the Senior Clinical Data Analyst at Atrium Health, and Rhonda Dickman, MSN, RN, CPHQ, the Director of the Tennessee Hospital Association PSO January 12, 2022 In Conversation With.. Poonam Sharma, MD, MPH, the Senior Clinical Data Analyst at Atrium Health, and Rhonda…
  14. www.ahrq.gov/evidencenow/projects/state/how-to-guide/guide5.html
    August 01, 2024 - Developing and Sustaining State-Based Infrastructure To Support Primary Care Quality Improvement 5. Moving Toward Sustainability Previous Page Next Page Table of Contents Developing and Sustaining State-Based Infrastructure To Support Primary Care Quality Improvement Using This Guide 1. Backgrou…
  15. www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module6/mod6-facguide.html
    March 01, 2017 - Module 6: Sustainability: Facilitator Notes AHRQ Safety Program for Long-Term Care: HAIs/CAUTI Slide 1: Module 6: Sustainability Say: The Sustainability module of this toolkit helps an organization maintain and sustain a process that has worked well. Slide 2: Objectives Say: In this module we wi…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49758/psn-pdf
    April 01, 2016 - Dropping to New Lows April 1, 2016 Juang PC, Kulasa K. Dropping to New Lows. PSNet [internet]. 2016. https://psnet.ahrq.gov/web-mm/dropping-new-lows Case Objectives State how to manage diabetes medications when patients are admitted to the hospital Describe a guideline-recommended insulin regimen for a hospitaliz…
  17. www.ahrq.gov/sites/default/files/2024-12/moyer-report.pdf
    January 01, 2024 - Final Progress Report: Crossing an Invisible Quality Chasm: From NICU to Ambulatory Care AHRQ Grant Final Progress Report Title: Crossing An Invisible Quality Chasm: From NICU to Ambulatory Care Principal Investigator: Virginia A. Moyer, MD, MPH Team Members: Papile, Lucille A., MD, Co-Investigator Guillory, Char…
  18. www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/training-tools/improving-slides.html
    October 01, 2020 - Improving Communication and Teamwork in the Surgical Environment Module Slide 1: Improving Communication and Teamwork in the Surgical Environment Module Slide 2: Image: The objectives are listed as a series of ascending steps: Describe teamwork and communication issues in the surgical environment, Ap…
  19. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/cusp-icu-notes.docx
    April 01, 2022 - Engage the Team and Applying CUSP in the ICU Setting Slides CUSP Module: Engaging the Team and Applying CUSP in the ICU Setting Facilitator Guide Slide Number and Image This module, titled “Engaging the Team and Applying CUSP in the ICU Setting” is part of the Agency for Healthcare Research and Quality, or AHRQ…
  20. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/educational-bundles/indwelling-urinary-catheteruse/catheter-care/cathetercare-maintenance.pptx
    March 01, 2017 - Catheter Care and Maintenance Catheter Care and Maintenance National Content Series AHRQ Pub. No. 16(17)-0003-12-EF March 2017 AHRQ Safety Program for Long-term Care: HAIs/CAUTI Welcome to today’s educational session on catheter care and maintenance. This module is part of the Agency for Healthcare Research and…