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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…
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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 …
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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…
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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:
…
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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…
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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…
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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…
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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…
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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…
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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…
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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…
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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…
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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…
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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…
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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…
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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…
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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…
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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…
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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…
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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…