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9901. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/836876/psn-pdf
      May 16, 2022 - Identifying Safety Events in the Prehospital Setting May 16, 2022 Crowe RP, Mossburg SE, Dowell P. Identifying Safety Events in the Prehospital Setting. PSNet [internet]. 2022. https://psnet.ahrq.gov/perspective/identifying-safety-events-prehospital-setting Introduction Measuring and monitoring patient safety in …

9902. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33610/psn-pdf
      April 01, 2005 - Introducing the New AHRQ WebM&M and AHRQ Patient Safety Network (PSNet) April 1, 2005 Wachter R. Introducing the New AHRQ WebM&M and AHRQ Patient Safety Network (PSNet). PSNet [internet]. 2005. https://psnet.ahrq.gov/perspective/introducing-new-ahrq-webmm-and-ahrq-patient-safety-network-psnet Editorial Five year…

9903. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33671/psn-pdf
      July 01, 2008 - The Soil, Not the Seed: The Real Problem with Root Cause Analysis July 1, 2008 Spath P, Minogue W. The Soil, Not the Seed: The Real Problem with Root Cause Analysis. PSNet [internet]. 2008. https://psnet.ahrq.gov/perspective/soil-not-seed-real-problem-root-cause-analysis Perspective Throughout most of his life, …

9904. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33836/psn-pdf
      June 01, 2017 - The Weekend Effect in Cardiology: Is It Real? If So, Can It Be Fixed? June 1, 2017 Martin VK, Mirnateghi N, Khoshchehreh M. The Weekend Effect in Cardiology: Is It Real? If So, Can It Be Fixed? . PSNet [internet]. 2017. https://psnet.ahrq.gov/perspective/weekend-effect-cardiology-it-real-if-so-can-it-be-fixed Per…

9905. Appendix: Evaluation Items | Agency for Healthcare Research and Quality
      www.ahrq.gov/funding/training-grants/hsrguide/hsrguideap.html
      October 01, 2014 - An Organizational Guide to Building Health Services Research Capacity Appendix: Evaluation Items Previous Page   Table of Contents An Organizational Guide to Building Health Services Research Capacity Introduction Step 1: Assessing Your Organization's Needs and Capabilities Step 2: Fostering a…

9906. 108-Cusp-Psychological-Safety (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/108-cusp-psychological-safety.docx
      June 02, 2025 - AHRQ Safety Program for MRSA Prevention CUSP Program: Psychological Safety ICU & Non-ICU Slide Title and Commentary Slide Number and Slide CUSP Program: Psychological Safety SAY: Welcome to this presentation on Psychological Safety as part of the overall approach to preventing MRSA in ICU and non-ICU settings. Sli…

9907. Interview with the OPTIMA Project Team | Agency for Healthcare Research and Quality
      www.ahrq.gov/evidencenow/projects/urinary/optima-interview.html
      November 01, 2024 - Interview with the OPTIMA Project Team Project Overview: The Optimizing Primary Care Tools for Incontinence Management (OPTIMA) project, led by University of California San Diego, is implementing a four-pronged intervention to improve the quality of care for women with urinary incontinence (UI). This intervent…

9908. Chapter 4. Developing and Pilot Testing Change: Implementing the Medication Reconciliation Process | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/match/chapter-4.html
      July 01, 2022 - Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation Chapter 4. Developing and Pilot Testing Change: Implementing the Medication Reconciliation Process Previous Page Next Page Table of Contents Medications at Transitions and Clinical Handoffs (MATCH) Toolkit…

9909. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33802/psn-pdf
      February 01, 2016 - Relationships Between Physician Professional Satisfaction and Patient Safety February 1, 2016 Friedberg MW. Relationships Between Physician Professional Satisfaction and Patient Safety. PSNet [internet]. 2016. https://psnet.ahrq.gov/perspective/relationships-between-physician-professional-satisfaction-and-patient-…

9910. Chapter 4. Developing and Pilot Testing Change: Implementing the Medication Reconciliation Process | Agency for Healthcare Research and Quality
      www.ahrq.gov/es/patient-safety/settings/hospital/match/chapter-4.html
      July 01, 2022 - Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation Chapter 4. Developing and Pilot Testing Change: Implementing the Medication Reconciliation Process Previous Page Next Page Table of Contents Medications at Transitions and Clinical Handoffs (MATCH) Toolkit…

9911. HHS AHRQ Freedom of Information Annual Report - FY 2010 (2) | Agency for Healthcare Research and Quality
      www.ahrq.gov/policy/foia/foiafy10a.html
      October 01, 2014 - HHS AHRQ Freedom of Information Annual Report - FY 2010 (2) Freedom of Information Act Annual Report for Fiscal Year 2010. HHS Freedom of Information Annual Report—FY 2010 (continued) VI. Administrative Appeals of Initial Determinations of FOIA Requests Received, Processed, and Pending Administrative Ap…

9912. Reducing Unnecessary Urinary Catheter Use in the Emergency Department (March 3, 2015) | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cauti-tools/archived-webinars/reducing-unnecessary-urinary-catheter-use-ed-transcript.html
      December 01, 2017 - Reducing Unnecessary Urinary Catheter Use in the Emergency Department (March 3, 2015) Webinar Transcript Janine: Hello, everyone, and thank you for listening today. My name is Janine Rissinger, and I'm a program with the Health Research and Educational Trust. Welcome to the first recording in the Cohort 9ED …

9913. Reducing-Unnecessary-Urinary-Catheter-Use-Ed-Transcript (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/reducing-unnecessary-urinary-catheter-use-ed-transcript.docx
      June 02, 2025 - Janine: Hello, everyone, and thank you for listening today. My name is Janine Rissinger, and I’m a program with the Health Research and Educational Trust. Welcome to the first recording in the Cohort 9ED Educational Webinar Series. Today’s webinar topic is ED Physician Engagement. For Cohort Education we are using the…

9914. Reducing Unnecessary Urinary Catheter Use in the Emergency Department | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cauti-tools/archived-webinars/reducing-urinary-catheter-use-ed-transcript.html
      December 01, 2017 - Reducing Unnecessary Urinary Catheter Use in the Emergency Department Webinar Transcript On the CUSP: Stop CAUTI in the ED ED Mini-Presentation to Accompany March 3, 2015 ED Coaching Call Janine: Hello, everyone, and thank you for listening today. My name is Janine Rissinger, and I'm a program with the He…

9915. Presentation: Program Overview
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/engaging-srexec-slides.pptx
      January 01, 2017 - Presentation: Program Overview Engaging Senior Executives in Care of Mechanically Ventilated Patients AHRQ Safety Program for Mechanically Ventilated Patients AHRQ Pub. No 16(17)-0018-33-EF January 2017 Engaging Senior Executives ‹#› AHRQ Safety Program for Mechanically Ventilated Patients 1 Learning Objectiv…

9916. Urinary Catheter Maintenance
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/urinary-catheter-maintenance.pptx
      April 01, 2022 - Urinary Catheter Maintenance Indwelling Urinary Catheter Maintenance Maintaining Awareness and Proper Care of Catheters in Place AHRQ Safety Program for Intensive Care Units: Preventing CLABSI and CAUTI AHRQ Pub. No. 17(22)-0019 April 2022 1 Disrupting the Life Cycle of a Catheter Device Disrupting the Life Cyc…

9917. Attachment 13.2 Chronic Care Follow-Up Measure Results (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-145-materials-xiii.pdf
      January 01, 2014 - Attachment 13.2 Chronic Care Follow-Up Measure Results Attachment 13.1 ADHD Expert Workgroup and Leadership Team Rosters ADH…

9918. PowerPoint Presentation
      www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/microbiologic-specimens-slides.pptx
      June 01, 2021 - PowerPoint Presentation Appropriate Collection of Microbiologic Specimens Long-Term Care AHRQ Safety Program for Improving Antibiotic Use AHRQ Pub. No. 17(21)-0029 June 2021 Collection of Specimens 1 Objectives Recognize that collecting a good specimen is important to making treatment decisions. Detail procedur…

9919. Module 4: Observation and Integration - Facilitator Notes | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/management/observation-fac-notes.html
      June 01, 2017 - Module 4: Observation and Integration - Facilitator Notes Slide 1: Management Practices for Sustainability Module 4: Observation and Integration Say: “The aim of supervision should be to help people and machines and gadgets to do a better job.” 1  This quote comes from W.E. Deming, one of the fathers of t…

9920. Standard Work Observation Component Kit | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/management/observation-comp-kit.html
      June 01, 2017 - Standard Work Observation Component Kit Contents 1. Why Standard Work Observation?          Connections to Other Components 2. Tips 3. Plan-Do-Study-Act Sequence: Observe Checklist Use Regularly 4. Example          Using the Observations 1. Why Standard Work Observation? As you’ve adapted a surgi…