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www.ahrq.gov/hai/tools/mvp/modules/technical/intro-early-mobility-slides.html
February 01, 2017 - Introduction and Evidence for Early Mobility: A Protocol To Get Patients Out of Bed Faster: Slide Presentation
AHRQ Safety Program for Mechanically Ventilated Patients
Slide 1: AHRQ Safety Program for Mechanically Ventilated Patients
Introduction and Evidence for Early Mobility: A Protocol To Get Patients…
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psnet.ahrq.gov/node/49616/psn-pdf
December 01, 2010 - Milliliters vs. Milligrams
December 1, 2010
Poole RL, Dixon T. Milliliters vs. Milligrams. PSNet [internet]. 2010.
https://psnet.ahrq.gov/web-mm/milliliters-vs-milligrams
The Case
A 32-year-old man was admitted to the hospital after a vehicle collision and multiple traumatic injuries. His
evaluation showed acu…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/management/huddles/huddles-component-kit.docx
May 01, 2017 - Module 2: Component Kit
AHRQ Safety Program for Ambulatory Surgery
Management Practices for Sustainability
Module 2: Daily Huddles
AHRQ’s Safety Program for Ambulatory
Daily Huddle Component Kit
Contents
1. Why a Daily Huddle? 2
2. “Know What, Know How, Know Why” for Daily Huddle 4
3. Plan-Do-Study-Act “Ramp”: …
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/partnering-executive-facilitator-guide.docx
June 01, 2021 - AHRQ Safety Program for Improving Antibiotic Use
1
Partnering With a Senior Executive
Long-Term Care
Slide Title and Commentary
Slide Number and Slide
Partnering With a Senior Executive
Long-Term Care
SAY:
Thank you for joining us. This presentation is titled “Partnering With a Senior Executive.” This is our f…
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psnet.ahrq.gov/web-mm/wrong-route-nutrients
September 04, 2010 - Wrong Route for Nutrients
Citation Text:
Scott-Cawiezell JR. Wrong Route for Nutrients. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2008.
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psnet.ahrq.gov/innovation/rescue-improvement-conference-innovation-summary
September 23, 2024 - Rescue Improvement Conference Innovation Summary
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July 23, 2024
View more articles from the same authors.
Innovation
Contact
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www.ahrq.gov/teamstepps-program/curriculum/implement/activity/change.html
June 01, 2023 - Implementation Change Management
The change management process must be carefully and strategically organized to attain widespread acceptance. To achieve an environment truly committed to patient safety, a successful TeamSTEPPS implementation requires a change in unit and organizational culture. This culture mus…
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www.ahrq.gov/teamstepps-program/curriculum/team/implement/teach-change.html
February 01, 2024 - Teaching Implementation Change Management
Change Management Overview and Objectives
Display Slide 63, “Change Management,” as the class reassembles before discussing the last implementation topic.
In discussing Slide 64, “Objectives,” as you transition from coaching to change management, note that succe…
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psnet.ahrq.gov/node/49683/psn-pdf
April 01, 2013 - Acute Care Admission of the Behavioral Health Patient
April 1, 2013
Weiss AP, Rosenbaum JF. Acute Care Admission of the Behavioral Health Patient. PSNet [internet]. 2013.
https://psnet.ahrq.gov/web-mm/acute-care-admission-behavioral-health-patient
The Case
A 25-year-old man presented to the emergency department (E…
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psnet.ahrq.gov/web-mm/timely-diagnosis-esophageal-perforation
September 27, 2023 - Timely diagnosis of esophageal perforation
Citation Text:
Utter GH, Cooke DT. Timely diagnosis of esophageal perforation. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2020.
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/nurse-role-dxsafety6.html
September 01, 2022 - Reinforcing the Value and Roles of Nurses in Diagnostic Safety: Pragmatic Recommendations for Nurse Leaders and Educators
References
Previous Page Next Page
Table of Contents
Reinforcing the Value and Roles of Nurses in Diagnostic Safety: Pragmatic Recommendations for Nurse Leaders and Educators
I…
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psnet.ahrq.gov/node/49502/psn-pdf
February 01, 2006 - Deciphering the Code
February 1, 2006
Goldstein MK. Deciphering the Code. PSNet [internet]. 2006.
https://psnet.ahrq.gov/web-mm/deciphering-code
The Case
An 85-year-old man with advanced oxygen-dependent chronic obstructive pulmonary disease (COPD)
presented to the emergency department (ED) with increasing shortn…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/howtogetstarted/How_PFE_Benefits_Hosp_508.pdf
January 01, 2012 - Information to Help Hospitals Get Started
Information to Help Hospitals Get Started
Guide to Patient and Family Engagement :: 1
How Patient and Family Engagement
Benefits Your Hospital
Patient and family engagement is an area of increasing
importance for hospitals. Not only is engaging patients
and families…
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psnet.ahrq.gov/web-mm/misleading-complaint
December 01, 2009 - Misleading Complaint
Citation Text:
Soni K, Dhaliwal G. Misleading Complaint. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2012.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/006-ss-preop-chlorhexidine.pptx
April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI
AHRQ Safety Program for MRSA Prevention: Targeting SSI
Use of Preoperative Chlorhexidine Antisepsis
Surgical Services
For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries
AHRQ Pub. No. 25-0029
April 2025
AHRQ Safety Program for MRSA Preventi…
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psnet.ahrq.gov/web-mm/lp-or-not-lp
February 01, 2018 - To LP or Not LP
Citation Text:
Landrigan CP. To LP or Not LP. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2003.
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psnet.ahrq.gov/node/33600/psn-pdf
June 16, 2024 - Patient Safety 101
June 16, 2024
Patient Safety 101. PSNet [internet]. 2019.
https://psnet.ahrq.gov/primer/patient-safety-101
PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that
they reflect current research and practice in the patient safety field. Last reviewed in…
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digital.ahrq.gov/ahrq-funded-projects/patients-safeguards-understanding-information-needs-hospitalized-patients
January 01, 2023 - Patients as Safeguards: Understanding the Information Needs of Hospitalized Patients
Project Final Report ( PDF , 978.5 KB) Disclaimer
Disclaimer
The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessaril…
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psnet.ahrq.gov/web-mm/fumbled-handoff
September 01, 2006 - Fumbled Handoff
Citation Text:
Vidyarthi A. Fumbled Handoff. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2004.
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effectivehealthcare.ahrq.gov/sites/default/files/module_iii2.ppt
May 29, 2025 - Slide 1
Engaging Stakeholders in the
Effective Health Care Program
Information and tools for researchers and investigators
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