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4801. Program Evaluation (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_8-program-evaluation-speaker-notes.pdf
      July 01, 2023 - Program Evaluation Hospital AIM Team Leads SPPC‐II Program Evaluation Module 8 of 8 SPPC‐II Toolkit JHU & AHRQ for AIM SCRIPT Welcome to Module 8 of the SPPC‐II Teamwork Toolkit. In this module we will discuss aspects related to the evaluation of the program. 1 Hospital AIM Team Leads SPPC‐II…

4802. Program Evaluation (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_8-program-evaluation-speaker-notes.pdf
      July 01, 2023 - Program Evaluation Hospital AIM Team Leads SPPC‐II Program Evaluation Module 8 of 8 SPPC‐II Toolkit JHU & AHRQ for AIM SCRIPT Welcome to Module 8 of the SPPC‐II Teamwork Toolkit. In this module we will discuss aspects related to the evaluation of the program. 1 Hospital AIM Team Leads SPPC‐II…

4803. Summary and Discussion | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/ptfamilyscan/ptfamily4.html
      July 01, 2018 - Guide to Patient and Family Engagement Summary and Discussion Previous Page Next Page Table of Contents Guide to Patient and Family Engagement Executive Summary Introduction Methods Findings Implications for the Guide Summary and Discussion Next Steps References Appendix A: Draft K…

4804. Resources by Safety Topic | Agency for Healthcare Research and Quality
      www.ahrq.gov/action-alliance/resources/type-harm.html
      September 01, 2025 - Resources by Safety Topic Contents Diagnostic Safety Emergency Preparedness Falls Healthcare-Associated Infections Maternal Safety Medication Safety Never Events Opioid Safety Pressure Ulcers Readmissions Sepsis Surgical Safety Transitions in Care Venous Thromboembolism Diagnostic Safety AHRQ Diagnostic Steward…

4805. AHRQ Patient Safety Tools and Resources (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/resources/resources/PS-tools-2024.pdf
      January 01, 2024 - AHRQ Patient Safety Tools and Resources Diagnostic Excellence Calibrate Dx is a self-evaluation tool for clinicians to improve their diagnostic decision making. This resource provides structured exercises and tools to help clinicians learn from reviewing their clinical practice. Anyone whose scope of practice i…

4806. Impact of Staff-Led Safety Walk Rounds (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Montgomery_42.pdf
      March 05, 2008 - Impact of Staff-Led Safety Walk Rounds Impact of Staff-Led Safety Walk Rounds Vicki L. Montgomery, MD, FAAP, FCCM Abstract Objectives: The primary objectives of this study were to provide a venue for discussing safety concerns and to facilitate finding solutions for everyday safety issues. Methods: The mul…

4807. Synthesis Report: Methods and Results From the AHRQ Estimating Costs Research Grants | Agency for Healthcare Research and Quality
      www.ahrq.gov/ncepcr/reports/cost-guide/synthesis-report.html
      February 01, 2017 - Estimating the Costs of Primary Care Transformation: A Practical Guide and Synthesis Report Synthesis Report: Methods and Results From the AHRQ Estimating Costs Research Grants Previous Page Next Page Table of Contents Estimating the Costs of Primary Care Transformation: A Practical Guide and Synthe…

4808. Strategy 6K: Cultivating Cultural Competence | Agency for Healthcare Research and Quality
      www.ahrq.gov/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/communication/strategy6kculturalcompetence.html
      March 01, 2020 - Strategy 6K: Cultivating Cultural Competence Contents 6.K.1. The Problem 6.K.2. Interventions    6.K.2.a. Maintaining Complete and Accurate Information on Enrollees    6.K.2.b. Building a Provider Network to Meet the Community’s Linguistic and Cultural Needs    6.K.2.c. Training Providers on Cultural…

4809. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49654/psn-pdf
      June 01, 2012 - Transfer Troubles June 1, 2012 Hains IM. Transfer Troubles. PSNet [internet]. 2012. https://psnet.ahrq.gov/web-mm/transfer-troubles Case Objectives Recognize that transfer of patients between hospitals is common. Understand the frequency of errors and adverse events in the transfer of patients between hospitals. …

4810. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49450/psn-pdf
      June 01, 2004 - The Wrong Shot: Error Disclosure June 1, 2004 Gallagher TH, Levinson W. The Wrong Shot: Error Disclosure. PSNet [internet]. 2004. https://psnet.ahrq.gov/web-mm/wrong-shot-error-disclosure Case Objectives Describe the rationale for disclosing harmful errors to patients. Describe the specific information that patie…

4811. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/865376/psn-pdf
      March 27, 2024 - Navigating Chaos: Fatal Iatrogenic Liver Injury in a Patient Admitted for Leg Fractures March 27, 2024 Loseth C. Navigating Chaos: Fatal Iatrogenic Liver Injury in a Patient Admitted for Leg Fractures. PSNet [internet]. 2024. https://psnet.ahrq.gov/web-mm/navigating-chaos-fatal-iatrogenic-liver-injury-patient-admi…

4812. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49676/psn-pdf
      February 01, 2013 - Death by PCA February 1, 2013 Hicks RW. Death by PCA. PSNet [internet]. 2013. https://psnet.ahrq.gov/web-mm/death-pca The Case A healthy 21-year-old pregnant woman delivered a healthy baby via Caesarean section after an uncomplicated pregnancy. Two hours after delivery, the post-anesthesia care unit (PACU) nurse …

4813. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49732/psn-pdf
      May 01, 2015 - Errors in Sepsis Management May 1, 2015 Shimabukuro D. Errors in Sepsis Management. PSNet [internet]. 2015. https://psnet.ahrq.gov/web-mm/errors-sepsis-management Case Objectives Define sepsis, severe sepsis, and septic shock. Describe the severe sepsis/septic shock resuscitation bundle. Recognize commonly encou…

4814. Premature Extubation | PSNet
      psnet.ahrq.gov/web-mm/premature-extubation
      May 25, 2011 - Premature Extubation Citation Text: Sagana R, Hyzy RC. Premature Extubation. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged P…

4815. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33744/psn-pdf
      February 01, 2013 - In Conversation With… Beverley H. Johnson February 1, 2013 In Conversation With… Beverley H. Johnson. PSNet [internet]. 2013. https://psnet.ahrq.gov/perspective/conversation-beverley-h-johnson Editor's note: Beverley H. Johnson is the President and Chief Executive Officer of the Institute for Patient- and Family-…

4816. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33704/psn-pdf
      December 01, 2010 - In Conversation with...Geri Amori, PhD December 1, 2010 In Conversation with..Geri Amori, PhD. PSNet [internet]. 2010. https://psnet.ahrq.gov/perspective/conversation-withgeri-amori-phd Editor's note: Geri Amori, PhD, is Vice President for the Education Center at The Risk Management and Patient Safety Institute, a…

4817. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33841/psn-pdf
      September 01, 2017 - In Conversation With… Andrew Gettinger, MD September 1, 2017 In Conversation With… Andrew Gettinger, MD. PSNet [internet]. 2017. https://psnet.ahrq.gov/perspective/conversation-andrew-gettinger-md Editor's note: Dr. Gettinger is the Chief Medical Information Officer and the Executive Director of the Office of Cli…

4818. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33818/psn-pdf
      November 01, 2016 - In Conversation With… Andrew Bindman, MD November 1, 2016 In Conversation With… Andrew Bindman, MD. PSNet [internet]. 2016. https://psnet.ahrq.gov/perspective/conversation-andrew-bindman-md Editor's note: Dr. Bindman was appointed as Director of the Agency for Healthcare Research and Quality (AHRQ) in May 2016. P…

4819. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33654/psn-pdf
      August 01, 2007 - In Conversation with...James L. Reinertsen, MD August 1, 2007 In Conversation with..James L. Reinertsen, MD. PSNet [internet]. 2007. https://psnet.ahrq.gov/perspective/conversation-withjames-l-reinertsen-md Editor's Note: James L. Reinertsen, MD, heads the Reinertsen Group, a prominent health care consulting firm …

4820. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49552/psn-pdf
      January 01, 2008 - How Do Providers Recover From Errors? January 1, 2008 West CP. How Do Providers Recover From Errors? PSNet [internet]. 2008. https://psnet.ahrq.gov/web-mm/how-do-providers-recover-errors Case Objectives Describe the provider-specific prevalence of medical errors. Appreciate the impact of medical errors on care pr…