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psnet.ahrq.gov/node/60542/psn-pdf
May 27, 2020 - Life-Threatening Infant Overdose of Sodium Chloride
May 27, 2020
Hamline M, McGlynn G, Lee A, et al. Life-Threatening Infant Overdose of Sodium Chloride. PSNet
[internet]. 2020.
https://psnet.ahrq.gov/web-mm/life-threatening-infant-overdose-sodium-chloride
The Case
An infant with trisomy 21 underwent repair of a…
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psnet.ahrq.gov/perspective/conversation-leah-binder-ma-mga
February 26, 2025 - In Conversation With… Leah Binder, MA, MGA
April 1, 2014
Citation Text:
In Conversation With… Leah Binder, MA, MGA. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2014.
Copy Citation
Fo…
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psnet.ahrq.gov/sites/default/files/2022-04/final_spotlight_case_and_commentatry_io_line_extravasation-04.08.2022.pdf
January 01, 2022 - Spotlight
Spotlight
Intraosseous Line Extravasation in a
Pediatric Trauma Patient
Source and Credits
• This presentation is based on the April 2022 AHRQ WebM&M
Spotlight Case
o See the full article at https://psnet.ahrq.gov/webmm
o CME credit is available
o Commentary by: David Barnes, MD and Joseph Yoon, MD
o…
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www.ahrq.gov/professionals/prevention-chronic-care/improve/coordination/webinar01/fuzzysets_slides.html
July 01, 2013 - Webinar #1: Fuzzy Set Analysis (Slide Presentation)
Advanced Methods in Delivery System Research - Planning, Executing, Analyzing, and Reporting Research on Delivery System Improvement
Presenter: Marcus Thygeson, MD Discussant: Jodi Holtrop, PhD Moderator: Michael I. Harrison, PhD Sponsored by AHRQ's Delivery…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/prevention-chronic-care/improve/coordination/webinar01/sl_fuzzyset.ppt
May 14, 2013 - AHRQ Slide Template 2004
Advanced Methods in Delivery System Research –
Planning, Executing, Analyzing, and
Reporting Research on
Delivery System Improvement
Webinar #1: Fuzzy Set Analysis
Presenter: Marcus Thygeson, MD
Discussant: Jodi Holtrop, PhD,
Moderator: Michael I. Harrison, PhD
Sponsored by AHRQ’s Deliv…
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psnet.ahrq.gov/node/849661/psn-pdf
June 28, 2023 - Hurried Team Huddle and Poor Communication: Unsafe
Practice During Anesthesia for Emergency Cesarean
Delivery
June 28, 2023
Curtin A, Schloemerkemper N. Hurried Team Huddle and Poor Communication: Unsafe Practice During
Anesthesia for Emergency Cesarean Delivery. PSNet [internet]. 2023.
https://psnet.ahrq.gov/web…
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psnet.ahrq.gov/node/49561/psn-pdf
May 01, 2008 - Diagnosing HIV-It Doesn't Take a Brain Surgeon
May 1, 2008
Chou R. Diagnosing HIV-It Doesn't Take a Brain Surgeon. PSNet [internet]. 2008.
https://psnet.ahrq.gov/web-mm/diagnosing-hiv-it-doesnt-take-brain-surgeon
Case Objectives
Describe the current epidemiology of HIV infection.
Identify the risk factors for HIV…
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www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/module7-presenters-notes.pdf
January 01, 2008 - TeamSTEPPS® Diagnosis Improvement: Module 7: Putting It All Together
Slide 1
TeamSTEPPS® for Diagnosis
Improvement
…
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www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/module7-all-together.pptx
January 01, 2008 - Module 7: Putting It All Together
Module 7
Putting It All Together
TeamSTEPPS® for Diagnosis Improvement
Welcome to the TeamSTEPPS for Diagnosis Improvement Course. This presentation will cover Module 7, Putting It All Together, that you will review as the course facilitator.
The purpose of this summary module is…
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www.ahrq.gov/hai/cusp/modules/patient-family-engagement/notes.html
September 01, 2013 - Patient and Family Engagement
Facilitator Notes
The Patient and Family Engagement module of the Comprehensive Unit-based Safety Program (CUSP) Toolkit. The CUSP toolkit is a modular approach to patient safety, and modules presented in this toolkit are interconnected and are aimed at improving patient safety. …
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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/170-cusp-science-safety-notes.docx
October 01, 2024 - AHRQ Safety Program for MRSA Prevention
The Science of Safety:
Principles in Practice
ICU & Non-ICU
Slide Title and Commentary
Slide Number and Slide
The Science of Safety: Principles in Practice
SAY:
Welcome to this presentation on the topic of “The Science of Safety: Principles in Practice.”
As you consider esta…
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www.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/pu4.html
October 01, 2014 - Preventing Pressure Ulcers in Hospitals
4. How do we implement best practices in our organization?
Previous Page Next Page
Table of Contents
Preventing Pressure Ulcers in Hospitals
Overview
Key Subject Area Index
1. Are we ready for this change?
2. How will we manage change?
3. What are th…
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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/policymakers/chipra/demoeval/what-we-learned/highlight05.pdf
September 08, 2015 - CHIPRA Quality Demonstration Grant Program Evaluation Highlight No. 5
The CHIPRA Quality
Demonstration Grant Program
In February 2010, the Centers for Medicare &
Medicaid Services (CMS) awarded 10 grants,
funding 18 States, to improve the quality of
health care for children enrolled in Medicaid
and the Children…
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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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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/preventing-cauti-engaging-clinicians-051413.ppt
January 01, 2013 - Slide 1
Preventing CAUTI: Engaging Clinicians and Senior Leadership to Implement Change
*
Sanjay Saint, MD, MPH
M. Todd Greene, MPH, PhD
University of Michigan Medical School
Ann Arbor VA Medical Center
Learning Objectives
Describe the methods to engage clinicians in CAUTI prevention
Describe methods to engage l…
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psnet.ahrq.gov/node/73128/psn-pdf
July 01, 2022 - Hospital at Home? Care Reduces Costs, Readmissions,
and Complications and Enhances Satisfaction for Elderly
Patients.
April 7, 2021
https://psnet.ahrq.gov/innovation/hospital-homesm-care-reduces-costs-readmissions-and-complications-
and-enhances
Summary
The Hospital at Homesm program provides hospital-level care…
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www.ahrq.gov/sites/default/files/2024-07/weingart2-report.pdf
January 01, 2024 - Final Progress Report: Partnering With Patients To Find Adverse Events
Weingart, 1 K08 HS11644
Partnering with Patients to Find Adverse Events
Saul N. Weingart, MD, PhD
VP for Patient Safety
Dana-Farber Cancer Institute, and
Associate Professor of Medicine
Harvard Medical School
44 Binney St.
Boston, MA 02…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/implement/implement-facilitator-guide.pdf
May 01, 2017 - Implement Teamwork and Communication for Perinatal Safety
AHRQ Safety Program for Perinatal Care
Implement Teamwork and Communication for Perinatal Safety
AHRQ Publication No. 17-0003-3-EF
May 2017
SAY:
The Implement Teamwork and
Communication module of the AHRQ Safety
Program for Perinatal Care will help yo…