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5861. Mod03-Gap-Analysis-Guide (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module3/mod03-gap-analysis-guide.pdf
      April 01, 2016 - Purpose: To evaluate the extent to which current processes align with the Communication and Optimal Resolution (CANDOR) process and includes; ■ Identifying the existing process ■ Identifying the existing outcome(s) ■ Identifying the desired outcome(s) ■ Identifying and documenting the gap(s) Who should use t…

5862. Tools for Sustainability: Premortem and Scorecard: Facilitator Guide | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/mvp/modules/sustainability/premortem-scorecard-fac-guide.html
      February 01, 2017 - Tools for Sustainability: Premortem and Scorecard: Facilitator Guide AHRQ Safety Program for Mechanically Ventilated Patients Slide 1: Tools for Sustainability: Premortem and Scorecard Say: This module will cover sustaining and spreading safety improvements. To preface the sustainability discussions, th…

5863. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/837215/psn-pdf
      July 08, 2022 - Missing a Large Vessel Occlusion Stroke in a Patient with a History of Seizures. July 8, 2022 Keenan KJ, Nishijima DK. Missing a Large Vessel Occlusion Stroke in a Patient with a History of Seizures. PSNet [internet]. 2022. https://psnet.ahrq.gov/web-mm/missing-large-vessel-occlusion-stroke-patient-history-seizure…

5864. Psn-Pdf (pdf file)
      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…

5865. Final Progress Report: Developing Metrics for Measuring Hospital Response Capability for Mass Casualty Incidents (pdf file)
      www.ahrq.gov/sites/default/files/2024-11/mccarthy2-report.pdf
      January 01, 2024 - Final Progress Report: Developing Metrics for Measuring Hospital Response Capability for Mass Casualty Incidents Final Progress Report for AHRQ Grant 1R13HS017577-01 Title: Developing Metrics For Measuring Hospital Response Capability For Mass Casualty Incidents Principal Investigator: Melissa L. McCarthy, ScD Te…

5866. Learn From Defects Tool—Perioperative Setting | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/surgery/tools/applying-cusp/learn-from-defects.html
      December 01, 2017 - Learn From Defects Tool—Perioperative Setting AHRQ Safety Program for Surgery What is a defect? A defect is any event or situation that you don’t want to repeat. This could include an incident that caused patient harm or put patients at risk for harm, such as a patient fall. Problem statement: …

5867. Engaging Senior Executives: Facilitator Notes | Agency for Healthcare Research and Quality
      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 …

5868. Facilitator Guide: Engage Senior Executives in Surgical Site Infection Prevention Work (doc file)
      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…

5869. Module 3: Staff Empowerment: Facilitator Notes | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module3/mod3-facguide.html
      March 01, 2017 - Module 3: Staff Empowerment: Facilitator Notes AHRQ Safety Program for Long-Term Care: HAIs/CAUTI Slide 1: Module 3: Staff Empowerment Say: The Staff Empowerment module will discuss the importance of staff empowerment and strategies for implementing staff empowerment in your facility. Slide 2: Objecti…

5870. Section 5: Selecting a Care Management Program Model | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/medicaidmgmt/mm5.html
      October 01, 2014 - Designing and Implementing Medicaid Disease and Care Management Programs Section 5: Selecting a Care Management Program Model Previous Page Next Page Table of Contents Designing and Implementing Medicaid Disease and Care Management Programs Introduction Section 1: Planning a Care Management Prog…

5871. CAUTI Event Reporting Tool (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/clabsi-event-reporting_revised.docx
      April 01, 2022 - CAUTI Event Reporting Tool CLABSI Event Report Tool: Data for Event Analysis This event report template is designed to be used as a guide through the initial investigation for a defects analysis where the primary goal is to learn what happened and factors that may have contributed to the central line-associated blo…

5872. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49717/psn-pdf
      September 01, 2014 - A Lot of Pain (Medications) September 1, 2014 Herzig SJ. A Lot of Pain (Medications). PSNet [internet]. 2014. https://psnet.ahrq.gov/web-mm/lot-pain-medications Case Objectives Appreciate the challenges of managing acute pain in hospitalized patients on chronic opioids. Describe the importance of understanding th…

5873. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33793/psn-pdf
      November 01, 2015 - In Conversation With… Kaveh Shojania, MD November 1, 2015 In Conversation With… Kaveh Shojania, MD. PSNet [internet]. 2015. https://psnet.ahrq.gov/perspective/conversation-kaveh-shojania-md Editor's note: Kaveh Shojania, MD, is Editor-in-Chief of BMJ Quality and Safety and Director of the Centre for Quality Impro…

5874. Chest Pain in a Rural Hospital | PSNet
      psnet.ahrq.gov/web-mm/chest-pain-rural-hospital
      June 02, 2021 - SPOTLIGHT CASE Chest Pain in a Rural Hospital Citation Text: MacKinney CA, Mohr NM. Chest Pain in a Rural Hospital. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2018. Copy Citation Format: Google Scholar Bi…

5875. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33716/psn-pdf
      September 01, 2011 - In Conversation With…Kaveh G. Shojania, MD September 1, 2011 In Conversation With…Kaveh G. Shojania, MD. PSNet [internet]. 2011. https://psnet.ahrq.gov/perspective/conversation-withkaveh-g-shojania-md Editor's note: Kaveh G. Shojania, MD, is the Canada Research Chair in Patient Safety and Quality Improvement and t…

5876. Do Not Disturb! | PSNet
      psnet.ahrq.gov/web-mm/do-not-disturb
      February 03, 2011 - SPOTLIGHT CASE Do Not Disturb! Citation Text: Duffy DF, Cassel C. Do Not Disturb!. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2007. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML…

5877. “Copy and Paste” Notes and Autopopulated Text in the Electronic Health Records | PSNet
      psnet.ahrq.gov/web-mm/copy-and-paste-notes-and-autopopulated-text-electronic-health-record
      May 26, 2021 - “Copy and Paste” Notes and Autopopulated Text in the Electronic Health Records Citation Text: MacDonald S. “Copy and Paste” Notes and Autopopulated Text in the Electronic Health Records. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services.…

5878. Clinical Classifications Software (CCS) for ICD-9-CM
      hcup-us.ahrq.gov/toolssoftware/ccs/ccs.jsp
      July 01, 2025 - Clinical Classifications Software (CCS) for ICD-9-CM An official website of the Department of Health & Human Services Search All AHRQ Websites Careers Contact Us Espanol FAQs …

5879. Patient Safety Events Involving Opioid Dose Stacking | PSNet
      psnet.ahrq.gov/web-mm/patient-safety-events-involving-opioid-dose-stacking
      July 08, 2022 - SPOTLIGHT CASE Patient Safety Events Involving Opioid Dose Stacking Citation Text: Porras H, Lammers C. Patient Safety Events Involving Opioid Dose Stacking. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2022. Copy Cita…

5880. Nurse Staffing Ratios: The Crucible of Money, Policy, Research, and Patient Care | PSNet
      psnet.ahrq.gov/web-mm/nurse-staffing-ratios-crucible-money-policy-research-and-patient-care
      June 01, 2003 - SPOTLIGHT CASE Nurse Staffing Ratios: The Crucible of Money, Policy, Research, and Patient Care Citation Text: Rich V. Nurse Staffing Ratios: The Crucible of Money, Policy, Research, and Patient Care. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of H…