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  1. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy3/Strat3_Implement_Hndbook_508.pdf
    August 01, 2010 - Strategy 3: Nurse Bedside Shift Report Implementation Handbook Strategy 3: Nurse Bedside Shift Report (Implementation Handbook) Guide to Patient and Family Engagement Nurse Bedside Shift Report Implementation Handbook Strategy 3: Nurse Bedside Shift Report (Implementation Handbook) Guide to Patie…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73335/psn-pdf
    May 26, 2021 - Hyponatremia Secondary to Home Parenteral Nutrition Error May 26, 2021 Haas K, Lee A. Hyponatremia Secondary to Home Parenteral Nutrition Error. PSNet [internet]. 2021. https://psnet.ahrq.gov/web-mm/hyponatremia-secondary-home-parenteral-nutrition-error The Case A 4-year-old (former 33-week premature) boy with a …
  3. psnet.ahrq.gov/web-mm/untimely-end-despite-end-life-care-planning
    February 01, 2012 - An Untimely End Despite End-of-Life Care Planning Citation Text: Elia G, Barbour S, Anderson WG. An Untimely End Despite End-of-Life Care Planning. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2018. Copy Citation Format: …
  4. www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/introduction/prelaunch-activities.pdf
    March 01, 2022 - Toolkit Prelaunch Activities Decolonization of Non-ICU Patients With Devices Section 8 – Toolkit Prelaunch Activities We recommend that you follow the prelaunch checklist below (Table 8-1) for successful implementation. As is the case with many infection prevention programs, it will take time to achie…
  5. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4a_combo_psi03-pressureulcer-bestpractices.pdf
    January 01, 2012 - Selected Best Practices and Suggestions for Improvement Toolkit for Using the AHRQ Quality Indicators How To Improve Hospital Quality and Safety Selected …
  6. www.ahrq.gov/research/findings/final-reports/ssi/ssiapa.html
    April 01, 2018 - Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection Appendix A. Teleconferences with AHRQ & CDC Previous Page Next Page Table of Contents Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection Executive Summary Chapter 1.…
  7. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Ulep.pdf
    January 01, 2004 - Ten Considerations for Easing the Transition to a Web-based Patient Safety Reporting System 207 Ten Considerations for Easing the Transition to a Web-based Patient Safety Reporting System Sharon K. Ulep, Sheryl L. Moran Abstract Moving to a Web-based system for tracking patient safety events is a goal o…
  8. psnet.ahrq.gov/perspective/conversation-james-augustine-md
    July 28, 2021 - Do they have rapid processing of an emergency call and get appropriate EMS resources en route quickly
  9. psnet.ahrq.gov/web-mm/transfer-troubles
    December 29, 2014 - SPOTLIGHT CASE Transfer Troubles Citation Text: Hains IM. Transfer Troubles. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2012. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endno…
  10. AHRQ_Brand_NameOnly (xls file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/sustainability/sustainability-assesment-tool.xlsx
    March 01, 2017 - Sheet1 The purpose of this tool is to support the maintenance of your AHRQ Safety Program for Long-Term Care: CAUTI program efforts and its benefits to the improvement of resident safety culture overtime. This tool will help your team identify their current state, including what’s working and what’s not working, outl…
  11. www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/diagnostic-safety-resources.pdf
    May 01, 2023 - Diagnostic Safety Resource List Improving Diagnostic Safety in Medical Offices: A Resource List for Users of the AHRQ Diagnostic Safety Supplemental Item Set I. Purpose This document provides a list of references to websites and other publicly available resources that medical offices can use to improve the ex…
  12. www.uspreventiveservicestaskforce.org/home/getfilebytoken/-YHCmR_8bdShSaMTx6Mrgx
    Research Gaps for Interventions to Prevent Falls in Community-Dwelling Older Adults: Evidence Gaps Research Taxonomy Table 1 Evidence Gaps Research Taxonomy Table Topic: Research Gaps for Interventions to Prevent Falls in Community-Dwelling Older Adults To fulfill its mission to improve health by making evi…
  13. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/ambulatory-surgery-report.pdf
    May 01, 2017 - questions in the content areas of surgical safety checklist use, teamwork and communication, scope processing … 83% 81% 74% 0% 20% 40% 60% 80% 100% Use of the Checklist Teamwork and Communication Scope Processing … compliance could be tracked and monitored, and checklist-driven standard work in preadmission, sterile processing
  14. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-factraining-guide.docx
    June 02, 2025 - AHRQ’s Safety Program for Nursing Homes On-Time Pressure Ulcer Healing Facilitator Training Overview of On-Time Note: This version of the On-Time introduction is for training Facilitators who have not had pressure ulcer prevention training. If they have had that training, this set of slides can be omitted or may be …
  15. effectivehealthcare.ahrq.gov/sites/default/files/pdf/methods-guidance-tests-outcomes_methods.pdf
    July 01, 2012 - Methods Guide for Medical Test Reviews Chapter 3 3-1 Chapter 3 Choosing the Important Outcomes for a Systematic Review of a Medical Test Jodi B. Segal, M.D., M.P.H., Johns Hopkins University School of Medicine Abstract In this chapter of the Evidence-based Practice Centers Methods Guide for Medical …
  16. www.ahrq.gov/hai/cusp/toolkit/content-calls/zero-clabsi.html
    April 01, 2013 - some of that was education and some of that was the need to keep other lines open because of treatment processing
  17. effectivehealthcare.ahrq.gov/products/fibromyalgia/research-protocol
  18. www.ahrq.gov/sites/default/files/2025-02/woods-report.pdf
    January 01, 2025 - Final Progress Report: Risk-Informed Clinical Network for Safe Pediatric Emergency Transfers Risk-Informed Clinical Network for Safe Pediatric Emergency Transfers Final Report October 31, 2012 Principal Investigator: Donna Woods, PhD, EdM Team Members: Jane Holl, MD, MPH; Abel Kho, MD; Michael Kelleher, MD; Rann…
  19. www.ahrq.gov/hai/cusp/toolkit/content-calls/small-hospitals.html
    April 01, 2013 - Small and Rural and Critical Access Hospitals (Transcript) July 19, 2011 Operator: Excuse me, everyone. We now have our speakers in conference. Please be aware that each of your lines is in a listen-only mode. At the conclusion of the presentation, we will open the floor for questions. At that time, instruct…
  20. psnet.ahrq.gov/issue/cognitive-errors-and-logistical-breakdowns-contributing-missed-and-delayed-diagnoses-breast
    March 02, 2011 - Study Cognitive errors and logistical breakdowns contributing to missed and delayed diagnoses of breast and colorectal cancers: a process analysis of closed malpractice claims. Citation Text: Poon EG, Kachalia A, Puopolo AL, et al. Cognitive errors and logistical breakdowns contributin…