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psnet.ahrq.gov/node/73153/psn-pdf
April 28, 2021 - Two Cases of Retained Vaginal Packing: When Writing an
Order is Not Enough
April 28, 2021
Gibbs VC. Two Cases of Retained Vaginal Packing: When Writing an Order is Not Enough. PSNet
[internet]. 2021.
https://psnet.ahrq.gov/web-mm/two-cases-retained-vaginal-packing-when-writing-order-not-enough
Disclosure of Relev…
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psnet.ahrq.gov/node/72516/psn-pdf
November 25, 2020 - Premature Closure: Was It Just Syncope?
November 25, 2020
Maurier D, Barnes DK. Premature Closure: Was It Just Syncope? PSNet [internet]. 2020.
https://psnet.ahrq.gov/web-mm/premature-closure-was-it-just-syncope
Disclosure of Relevant Financial Relationships: As a provider accredited by the Accreditation Council fo…
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psnet.ahrq.gov/node/857061/psn-pdf
November 27, 2023 - In Conversation with... Joan Stanley about The Role of
Undergraduate Nursing Education in Patient Safety
November 27, 2023
Stanley J. In Conversation with.. Joan Stanley about The Role of Undergraduate Nursing Education in
Patient Safety . PSNet [internet]. 2023.
https://psnet.ahrq.gov/perspective/conversation-joa…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/safetransitions/hret-preinterventionasst.xlsx
June 02, 2025 - Pre-intervention Assessment: Adapting and Implementing Patient Safety Practices in Ambulatory Care
Introduction
Pre-Intervention Assessment
Purpose
The purpose for this self-assessment is to:
-Highlight current efforts to promote safe transitions of care and engage patients;
-Identify gaps or opportunities for…
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www.ahrq.gov/sites/default/files/2025-05/schuur-report.pdf
January 01, 2025 - Final Progress Report: Infection Prevention in Emergency Care: A Systems Approach
Title: Infection Prevention in Emergency Care: A Systems Approach
Principal Investigator: Jeremiah D. Schuur, MD, MHS
Team Members:
Conference Co-Chair: Connie Price, MD
Project Coordinator: Corine Sinnette, MA
Organization: Brigh…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/025-assessing-evc-webinar-notes.docx
October 01, 2024 - AHRQ Safety Program for MRSA Prevention
Assessing Environmental Cleaning Effectiveness
ICU & Non-ICU
Slide Title and Commentary
Slide Number and Slide
Assessing Environmental Cleaning Effectiveness
SAY:
Welcome to this presentation on Assessing Environmental Cleaning (EVC) Effectiveness and incorporating effective…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/024-assessing-evc-webinar-slides.pptx
October 01, 2024 - AHRQ Safety Program for MRSA Prevention
AHRQ Safety Program for MRSA Prevention
Assessing Environmental Cleaning Effectiveness
ICU & Non-ICU
AHRQ Pub. No. 25-0007
October 2024
AHRQ Safety Program for MRSA Prevention | ICU & Non-ICU
AHRQ Safety Program for MRSA Prevention | ICU & Non-ICU
Assessing Environmental Clea…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/016-contact-precautions-webinar-slides.pptx
October 01, 2024 - Slide Presentation: Contact Precautions for MRSA Prevention
AHRQ Safety Program for MRSA Prevention
Contact Precautions for MRSA Prevention
ICU & Non-ICU
AHRQ Pub. No. 25-0007
October 2024
AHRQ Safety Program for MRSA Prevention | ICU & Non-ICU
Contact Precautions
1
| 2
Discuss the purpose behind using contact pr…
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/supplhighlight02.pdf
August 01, 2012 - Supplements to Evaluation Highlight No. 2: How are States and evaluators measuring medical homeness in the CHIPRA Quality Demonstration Grant Program?
1
Supplements to Evaluation Highlight No. 2: How are States and evaluators measuring
medical homeness in the CHIPRA Quality Demonstration Grant Program?
Evalua…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/Translation-Guidelines-SOPS-090222.pdf
September 02, 2022 - Translation Guidelines for the AHRQ Surveys on Patient Safety Culture™ (SOPS®)
Guidelines for Translating SOPS® Surveys - Updated 9/2/2022
1
Translation Guidelines for the AHRQ Surveys
on Patient Safety Culture™ (SOPS®)
Prepared by
Westat
1600 Research Blvd.
Rockville, MD 20850
under contract number HHSA 2…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/chtoolbx/develop/develop.doc
January 01, 2003 - Develop Your Own
Develop Your Own?
Contents
Before You Begin
· Have You Identified the Significant Health Problems of Your Target Population(s)?
· Do Measures Already Exist that Accurately Assess Quality in Your Area of Interest?
· Have You Clearly Defined the Anticipated Uses of the Resulting Quality Informat…
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www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/highlight08.html
June 01, 2014 - CHIPRA quality demonstration States help school-based health centers strengthen their medical home features
Evaluation Highlight No. 8
Authors: Mynti Hossain, Rebecca Coughlin, and Joseph Zickafoose
Contents
Key Messages
Background
Findings
Conclusions
Implications
Learn More
Endnotes
…
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www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/supplhighlight02.html
May 01, 2013 - Supplements to Evaluation Highlight No. 2
How are States and evaluators measuring medical homeness in the CHIPRA Quality Demonstration Grant Program?
Evaluation Highlight No. 2 is the second in a series of reports that present descriptive and analytic findings from the national evaluation of the Children’s H…
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psnet.ahrq.gov/perspective/conversation-gordon-schiff-md
February 26, 2025 - In Conversation With… Gordon Schiff, MD
July 1, 2018
Citation Text:
In Conversation With… Gordon Schiff, MD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2018.
Copy Citation
Format:
…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/find5.html
December 01, 2012 - Assessing the Health and Welfare of the HCBS Population
Outcomes by HCBS Participant Characteristics
Previous Page Next Page
Table of Contents
Assessing the Health and Welfare of the HCBS Population
Introduction
HCBS Population
Availability and Use of State Medicaid HCBS
Outcome Indicators f…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/actionplan-trip-facguide.docx
January 01, 2017 - Facilitator Guide: Build Your SSI Prevention Bundle
Slide Title and Commentary
Slide Number and Slide
Title Slide
Action Plan for Translating Research Into Practice: Gap Analysis and Tests of Change
SAY:
This module will cover the Translating Research Into Practice (TRIP) framework. The TRIP framework lets us dig…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/learn-from-defects-facguide.docx
January 01, 2017 - Facilitator Guide: Build Your SSI Prevention Bundle
Slide Title and Commentary
Slide Number and Slide
Title Slide
Learning From Defects in Care of Mechanically Ventilated Patients
SAY:
In this module, we will discuss the Learning From Defects tool. It is a very useful process that enables frontline staff to ident…
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psnet.ahrq.gov/node/843051/psn-pdf
February 01, 2023 - Respiratory Distress after Neck Surgery: Two Cases of
Postoperative Cervical Hematoma.
February 1, 2023
Graves CE, Kuhn MA. Respiratory Distress after Neck Surgery: Two Cases of Postoperative Cervical
Hematoma. PSNet [internet]. 2023.
https://psnet.ahrq.gov/web-mm/respiratory-distress-after-neck-surgery-two-cases-…
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psnet.ahrq.gov/node/865429/psn-pdf
April 24, 2024 - Missed Connection: A Case of Inadequate ECG Oversight
in Cardiac Surgery
April 24, 2024
Bohringer C, Fierro M, Venugopal S. Missed Connection: A Case of Inadequate ECG Oversight in Cardiac
Surgery. PSNet [internet]. 2024.
https://psnet.ahrq.gov/web-mm/missed-connection-case-inadequate-ecg-oversight-cardiac-surgery…
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psnet.ahrq.gov/web-mm/do-you-want-everything-done-clarifying-code-status
March 27, 2024 - SPOTLIGHT CASE
"Do You Want Everything Done?": Clarifying Code Status
Citation Text:
Steinberg K, Mason Pope T. "Do You Want Everything Done?": Clarifying Code Status. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
…