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9681. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49435/psn-pdf
      February 01, 2004 - X-ray Flip February 1, 2004 Shapiro MJ. X-ray Flip. PSNet [internet]. 2004. https://psnet.ahrq.gov/web-mm/x-ray-flip The Case A 19-year-old man presented to the emergency department with respiratory distress after blunt chest trauma. A digital chest radiograph was labeled backwards; a "left" marker was mistakenly…

9682. AHRQ Safety Program for Perinatal Care: Implement Teamwork and Communication
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/implement/implement.pptx
      May 01, 2017 - AHRQ Safety Program for Perinatal Care: Implement Teamwork and Communication AHRQ Safety Program for Perinatal Care Implement Teamwork and Communication for Perinatal Safety AHRQ Publication No. 17-0003-3-EF May 2017 1 Learning Objectives 2 AHRQ Safety Program for Perinatal Care Teamwork & Comm. 2 Basic Com…

9683. Spotlight on South 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-south-carolina-state-snapshot.pdf
      January 01, 2018 - Spotlight on South Carolina -- The National Evaluation of the CHIPRA Quality Demonstration Grant Program January 2018 This brief highlights the major strategies, lessons learned, and outcomes from South Carolina’s experience during the quality demonstration funded by the Centers for Medicare & Medicaid Services (…

9684. CHIPRA - Spotlight on New Mexico (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/statesummaries/nm-statesum.pdf
      July 01, 2015 - CHIPRA - Spotlight on New Mexico July 2015 This brief highlights the major strategies, lessons learned, and outcomes from New Mexico’s experience in the quality demonstration funded by the Centers for Medicare & Medicaid Services (CMS) through the Children’s Health Insurance Program Reauthorization Act of 2009 (…

9685. Measure: Developmental Screening Follow-up: Follow-up Referral After Positive Developmental Screen (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/chipra-16-p001-2-ef.pdf
      April 01, 2016 - Measure: Developmental Screening Follow-up: Follow-up Referral After Positive Developmental Screen Measure: Developmental Screening Follow-up: Follow-up Referral After Positive Developmental Screen Measure Developer: Pediatric Measurement Center of Excellence (PMCoE) Numerator Denominator Exclusions Data Source(s…

9686. Insurance Continuity Metric Suite I: Duration of First Observed Enrollment and Duration of Newborn’s First Enrollment (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/chipra_15-p001-1-ef.pdf
      January 01, 2015 - Insurance Continuity Metric Suite I: Duration of First Observed Enrollment and Duration of Newborn’s First Enrollment Insurance Continuity Metric Suite I: Duration of First Observed Enrollment and Duration of Newborn’s First Enrollment Measure Developer: The Children’s Hospital of Philadelphia (CHOP) Measure Nume…

9687. Measure: Developmental Screening Follow-up: Follow-up with Patient Family After Developmental Screening (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/chipra_16-p001-1-ef.pdf
      April 01, 2016 - Measure: Developmental Screening Follow-up: Follow-up with Patient Family After Developmental Screening Measure: Developmental Screening Follow-up: Follow-up with Patient Family After Developmental Screening Measure Developer: Pediatric Measurement Center of Excellence (PMCoE) Numerator Denominator Exclusions Dat…

9688. Module 4: Teamwork and Communication | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module4/mod4-slides.html
      March 01, 2017 - Module 4: Teamwork and Communication AHRQ Safety Program for Long-Term Care: HAIs/CAUTI Slide 1: Module 4: Teamwork and Communication Slide 2: Objectives Describe effective communication and teamwork. Describe why teamwork training and improved communication optimizes resident safety. List barri…

9689. A Frontline Management System To Sustain Improvement in Safety Practices | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/management/kit.html
      June 01, 2017 - A Frontline Management System To Sustain Improvement in Safety Practices Contents 1. Why a Frontline Management System? 2. Components of the Frontline Management System 3. Interactions of Components 4. Using the Model for Improvement 5. Additional Resources 1. Why a Frontline Management System? M…

9690. Making It Work Tip Sheet: Empowering Nurses To Implement Nurse-Driven Protocols for Reducing CAUTI in the ICU Setting (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/empowering-nurses.pdf
      April 01, 2022 - Making It Work Tip Sheet: Empowering Nurses To Implement Nurse-Driven Protocols for Reducing CAUTI in the ICU Setting AHRQ Safety Program for Intensive Care Units: Preventing CLABSI and CAUTI Making It Work Tip Sheet Empowering Nurses To Implement Nurse-Driven Protocols for Reducing CAUTI in the ICU Se…

9691. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49634/psn-pdf
      September 01, 2011 - Situational (Un)Awareness September 1, 2011 Abramson EL, Kaushal R. Situational (Un)Awareness. PSNet [internet]. 2011. https://psnet.ahrq.gov/web-mm/situational-unawareness The Case A 75-year-old man was admitted on a Tuesday evening with abdominal pain, jaundice, and elevated liver function tests, including a bi…

9692. Measure: Accurate ADHD Diagnosis (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/chipra_fs_14-p005-1-ef.pdf
      October 01, 2014 - Measure: Accurate ADHD Diagnosis Measure: Accurate ADHD Diagnosis Measure Developer: Pediatric Measurement Center of Excellence (PMCoE) Numerator Denominator Exclusions Data Source(s) Patients whose diagnosis of ADHD was based on a clinical exam with a physician that includes: – Confirmation of functional …

9693. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33829/psn-pdf
      March 01, 2017 - Our Maturing Understanding of Safety Culture: How to Change It and How It Changes Safety March 1, 2017 Singer SJ. Our Maturing Understanding of Safety Culture: How to Change It and How It Changes Safety. PSNet [internet]. 2017. https://psnet.ahrq.gov/perspective/our-maturing-understanding-safety-culture-how-change…

9694. Spotlight Case [MONTH] 2003 (ppt file)
      psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.128_slideshow.ppt
      July 01, 2006 - Spotlight Case [MONTH] 2003 Spotlight Case July 2006 Moving Pains Source and Credits This presentation is based on the June/July 2006 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available through the Web site Commentary by: Hildy Schell, RN, MS, CCRN, CCNS, and…

9695. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49387/psn-pdf
      February 01, 2003 - Patient Mix-Up February 1, 2003 Shojania KG. Patient Mix-Up. PSNet [internet]. 2003. https://psnet.ahrq.gov/web-mm/patient-mix The Case Joe Smith [not his real name], a 42-year-old man with nausea and vomiting for 4 days, was on the general medical service at an academic medical center. Overnight, another man wit…

9696. Strategy 6R: Reminder Systems for Immunizations and Preventive Services | Agency for Healthcare Research and Quality
      www.ahrq.gov/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/health-promotion-education/strategy6r-reminder-systems.html
      March 01, 2020 - Strategy 6R: Reminder Systems for Immunizations and Preventive Services Contents 6.R.1. The Problem 6.R.2. The Intervention     6.R.2.a. Reminder Systems for Patients     6.R.2.b. Reminder Systems for Physicians References    Download Strategy 6R:   Reminder Systems for Immunizations and Preventiv…

9697. Applicants Sought for National Coordinating Center and National Evaluation Center for State-Based Healthcare Extension Service | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/newsletters/e-newsletter/931.html
      October 01, 2024 - Applicants Sought for National Coordinating Center and National Evaluation Center for State-Based Healthcare Extension Service Issue Number 931 AHRQ News Now is a weekly newsletter that highlights agency research and program activities. October 1, 2024 AHRQ Stats: Disparities in Sepsis-Related Hospitali…

9698. References | Agency for Healthcare Research and Quality
      www.ahrq.gov/ncepcr/research-transform-primary-care/transform/synthesis-report/refs.html
      October 01, 2015 - Findings From the AHRQ Transforming Primary Care Grant Initiative: A Synthesis Report References Previous Page Next Page Table of Contents Findings From the AHRQ Transforming Primary Care Grant Initiative: A Synthesis Report Executive Summary Introduction Methods Overview of the 14 Transform…

9699. About the CAHPS Ambulatory Care Improvement Guide (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/improvement-guide/1-about/cahps-ambulatory-care-guide-section-1.pdf
      May 01, 2017 - About the CAHPS Ambulatory Care Improvement Guide The CAHPS Ambulatory Care Improvement Guide Practical Strategies for Improving Patient Experience Section 1: About the CAHPS Ambulatory Care Improvement Guide Visit the AHRQ Website for the full Guide. May 2017 (updated) https://www.ahrq.gov/cahps/quality-im…

9700. The Soil, Not the Seed: The Real Problem with Root Cause Analysis | PSNet
      psnet.ahrq.gov/perspective/soil-not-seed-real-problem-root-cause-analysis
      March 01, 2007 - The Soil, Not the Seed: The Real Problem with Root Cause Analysis Patrice Spath, BA, RHIT, and William Minogue, MD | July 1, 2008  View more articles from the same authors. Citation Text: Spath P, Minogue W. The Soil, Not the Seed: The Real Problem with Root Cause …