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7921. Selected Best Practices and Suggestions for Improvement (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4w_combo_pdi11-dehiscence-bestpractices.pdf
      May 17, 2016 - Selected Best Practices and Suggestions for Improvement Toolkit for Using the AHRQ Quality Indicators How To Improve Hospital Quality and Safety 1 Tool D.4w Selected Best Practices and Suggestions for Improvement PDI 11: Postoperative Wound Dehiscence Why focus on postoperative wound dehiscence in children?…

7922. Project Nurture Engages Pregnant People with Substance Use Disorder, Improves Maternal and Infant Outcomes. | PSNet
      psnet.ahrq.gov/innovation/project-nurture-engages-pregnant-people-substance-use-disorder-improves-maternal-and
      September 23, 2024 - Project Nurture Engages Pregnant People with Substance Use Disorder, Improves Maternal and Infant Outcomes. Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL March 11, 2021 Innovation …

7923. Microsoft PowerPoint - FINAL Nov_Spotlight Case_Premature Closing-Snycope_11.20.2020-revised.pptx (pdf file)
      psnet.ahrq.gov/sites/default/files/2020-11/final_nov_spotlight_case_premature_closing-snycope_11.20.2020-revised.pdf
      January 01, 2020 - Microsoft PowerPoint - FINAL Nov_Spotlight Case_Premature Closing-Snycope_11.20.2020-revised.pptx Spotlight Premature Closure: Was it Just Syncope? Source and Credits • This presentation is based on the November 2020 AHRQ WebM&M Spotlight Case o See the full article at https://psnet.ahrq.gov/webmm o CME credit i…

7924. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49734/psn-pdf
      May 01, 2015 - Departure From Central Line Ritual May 1, 2015 Ballard DW, Vinson DR, Mark DG. Departure From Central Line Ritual. PSNet [internet]. 2015. https://psnet.ahrq.gov/web-mm/departure-central-line-ritual The Case A 55-year-old man with a history of poorly controlled diabetes mellitus, pancreatic insufficiency, and alco…

7925. Spotlight on North Carolina -- The National Evaluation of the CHIPRA Quality Demonstration Grant Program (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/statesummaries/chipra-750-north-carolina-state-snapshot.pdf
      January 01, 2018 - Spotlight on North Carolina -- The National Evaluation of the CHIPRA Quality Demonstration Grant Program January 2018 This brief highlights the major strategies, lessons learned, and outcomes from North Carolina’s experience during the quality demonstration funded by the Centers for Medicare & Medicaid Services (…

7926. Design Guide for Implementing Warm Handoffs (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/warmhandoff-designguide.pdf
      June 02, 2025 - Design Guide for Implementing Warm Handoffs Design Guide for Implementing Warm Handoffs The Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families Table of Contents Introduction ............................................................................................…

7927. Selected Best Practices and Suggestions for Improvement (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/d4c_pdi03-foreignbody-bestpractices.pdf
      November 01, 2012 - Selected Best Practices and Suggestions for Improvement Pediatric Toolkit for Using the AHRQ Quality Indicators How To Improve Hospital Quality and Safety 1 Tool D.4c Selected Best Practices and Suggestions for Improvement PDI 03: Retained Surgical Item or Unretrieved Device Fragment Count Why focus on reta…

7928. Model State Enhancement Efforts | Agency for Healthcare Research and Quality
      www.ahrq.gov/ncepcr/research-transform-primary-care/transform/final-impact/model.html
      October 01, 2015 - AHRQ Infrastructure for Maintaining Primary Care Transformation (IMPaCT) Grants: A Synthesis Report Model State Enhancement Efforts Previous Page Next Page Table of Contents AHRQ Infrastructure for Maintaining Primary Care Transformation (IMPaCT) Grants: A Synthesis Report Introduction Methods …

7929. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49674/psn-pdf
      December 01, 2012 - Preventing PICC Complications: Whose Line Is It? December 1, 2012 Moureau N. Preventing PICC Complications: Whose Line Is It? PSNet [internet]. 2012. https://psnet.ahrq.gov/web-mm/preventing-picc-complications-whose-line-it The Case A 55-year-old woman with myasthenia gravis, hypertension, and hypothyroidism prese…

7930. Strategy 6A: Open Access Scheduling for Routine and Urgent Appointments | Agency for Healthcare Research and Quality
      www.ahrq.gov/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/access/strategy6a-openaccess.html
      March 01, 2020 - Strategy 6A: Open Access Scheduling for Routine and Urgent Appointments Contents 6.A.1. The Problem 6.A.2. The Intervention 6.A.3. Benefits of This Model 6.A.4. Implementation of This Model 6.A.5. Challenges of This Model 6.A.6. Examples References   Download Strategy 6A: Open Access Sch…

7931. Measurement and Outcomes Workgroup: Charter – Option Year 2 (pdf file)
      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…

7932. Selected Best Practices and Suggestions for Improvement (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4b_combo_psi05-foreignbody-bestpractices.pdf
      November 01, 2012 - Selected Best Practices and Suggestions for Improvement Toolkit for Using the AHRQ Quality Indicators How To Improve Hospital Quality and Safety 1 Tool D.4b Selected Best Practices and Suggestions for Improvement PSI 05: Retained Surgical Item or Unretrieved Device Fragment Count Why Focus on Retained Fore…

7933. Selected Best Practices and Suggestions for Improvement (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4q_combo_pdi03-foreignbody-bestpractices.pdf
      November 01, 2012 - Selected Best Practices and Suggestions for Improvement Toolkit for Using the AHRQ Quality Indicators How To Improve Hospital Quality and Safety 1 Tool D.4q Selected Best Practices and Suggestions for Improvement PDI 03: Retained Surgical Item or Unretrieved Device Fragment Count Why focus on retained forei…

7934. Transition to Nowhere | PSNet
      psnet.ahrq.gov/web-mm/transition-nowhere
      March 21, 2009 - Transition to Nowhere Citation Text: Farrell TW. Transition to Nowhere. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2015. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMed…

7935. 110-Ss-Lfd-Sample (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/110-ss-lfd-sample.docx
      April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI Learning From Defects Tool—Sample Surgical Services For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries What Is a Defect? A defect is any clinical or operational event or situation that you would not want to happen again. This could include i…

7936. Model State Enhancement Efforts | Agency for Healthcare Research and Quality
      www.ahrq.gov/ncepcr/reports/grants-impact/model-state.html
      February 01, 2017 - AHRQ Infrastructure for Maintaining Primary Care Transformation (IMPaCT) Grants: A Synthesis Report Model State Enhancement Efforts Previous Page Next Page Table of Contents AHRQ Infrastructure for Maintaining Primary Care Transformation (IMPaCT) Grants: A Synthesis Report Introduction Methods …

7937. Patient Safety Learning Pilot: Narratives from the Frontlines (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Kellie_30.pdf
      April 21, 2008 - Our future plans include a focus on verbal reporting of near misses during our safety rounds.”

7938. Disposition of Comments_Technical Brief No. 49: Evidence Map on Home- and Community-Based Services and Person-Centered Care for Older Adults (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/evidence-map-technical-brief-49-disposition-comments.pdf
      September 05, 2024 - the diverse and complex needs of the aging population and the challenges in evaluating HCBS care plans … people with disabilities, the complexity of their needs, and the challenges in evaluating HCBS care plans

7939. NYC REACH Regional Extension Center Provider Survey (pdf file)
      digital.ahrq.gov/sites/default/files/docs/survey/nyc-reach-regional-extension-center-provider-survey.pdf
      June 16, 2021 - NYC REACH Regional Extension Center Provider Survey NYC REACH Regional Extension Center Provider Survey New York City Health and Mental Hygiene, New York NY This is a questionnaire designed to be completed by clinical staff in an ambulatory setting. The tool includes questions to assess perception of electronic …

7940. Missed Connection: A Case of Inadequate ECG Oversight in Cardiac Surgery | PSNet
      psnet.ahrq.gov/web-mm/missed-connection-case-inadequate-ecg-oversight-cardiac-surgery
      March 25, 2020 - SPOTLIGHT CASE Missed Connection: A Case of Inadequate ECG Oversight in Cardiac Surgery Citation Text: Bohringer C, Fierro M, Venugopal S. Missed Connection: A Case of Inadequate ECG Oversight in Cardiac Surgery. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Dep…