-
psnet.ahrq.gov/web-mm/discharged-blindly
October 26, 2022 - Discharged Blindly
Citation Text:
Iezzoni LI. Discharged Blindly. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2005.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS…
-
www.ahrq.gov/hai/cusp/modules/identify/alt-text.html
March 01, 2013 - Identify Defects Module Alternate Text
Slide Number and Title
Slide Content
Content for Alternative Text (Illustration)
Slide 1
Cover Slide
(CUSP Toolkit logo)
The "Identify Defects Through Sensemaking" module of the Comprehensive Unit-Based Safety Program (CUSP) Toolkit. The CUSP Toolk…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/fallpxoverview.pptx
October 01, 2017 - PowerPoint Presentation
AHRQ’s Safety Program for
Nursing Homes:
On-Time Falls Prevention
Facilitator Training
Overview of On-Time
On-Time Falls Prevention
Facilitator Training
2-day training provides:
Overview of On-Time.
Instruction on the role of a Facilitator.
Introduction to On-Time reports and implementation…
-
effectivehealthcare.ahrq.gov/sites/default/files/related_files/prostate-cancer-risk-assessment-genes_disposition-comments.pdf
July 03, 2012 - Disposition of Comments Report for Multigene Panels in Prostate Cancer Risk Assessment
Source: http://effectivehealthcare.ahrq.gov/search-for-guides-reviews-and-
reports/?pageaction=displayproduct&productID=1171
Published Online: July 3, 2012
Comparative Effectiveness Research Review Disposition of Comme…
-
psnet.ahrq.gov/node/49574/psn-pdf
November 01, 2008 - A Mid-Summer Fog
November 1, 2008
Braddock CH. A Mid-Summer Fog. PSNet [internet]. 2008.
https://psnet.ahrq.gov/web-mm/mid-summer-fog
The Case
A 33-year-old woman with type I diabetes mellitus was admitted for symptoms of left flank pain, dysuria,
and emesis, concerning for pyelonephritis. The patient was taking …
-
psnet.ahrq.gov/node/33689/psn-pdf
October 01, 2009 - The Media: An Essential, If Sometimes Arbitrary,
Promoter of Patient Safety
October 1, 2009
Wachter R. The Media: An Essential, If Sometimes Arbitrary, Promoter of Patient Safety. PSNet [internet].
2009.
https://psnet.ahrq.gov/perspective/media-essential-if-sometimes-arbitrary-promoter-patient-safety
Perspective
…
-
www.ahrq.gov/sites/default/files/2024-07/mitchell-report.pdf
January 01, 2024 - Final Progress Report: Shared Decision Making in Vulnerable Populations
Final Progress Report
Shared Decision Making in Vulnerable Populations:
Suzanne Mitchell, MD, MS
Principal Investigator: Suzanne Mitchell, MD, MS
Team Members: Brian Jack, MD (Primary mentor); Nancy Kressin, PhD (BMC);
Paul Schroy, MD, MS (…
-
www.ahrq.gov/research/findings/factsheets/it/hitportfolio/index.html
January 01, 2020 - AHRQ's Digital Healthcare Research Program: Federal Partnerships in Improving Health Care Quality
AHRQ's digital healthcare initiative is part of the Nation's strategy to put information technology (IT) to work in healthcare. Since 2004, the Agency for Healthcare Research and Quality (AHRQ) has fund…
-
www.ahrq.gov/ncepcr/tools/transform-qi/deliver-facilitation/modules/menus.html
February 01, 2022 - Module Menus
The Modules
Introduction to the AHRQ Practice Facilitation Training Modules
Starting with a Practice
Facilitator Fundamentals
Effective Meetings
Introduction to Quality Improvement (QI) in Primary Care
Model for Improvement and PDSA Cycles
Process Mapping
The 5 Whys and Fishbone…
-
psnet.ahrq.gov/web-mm/secured-not-always-safe
October 01, 2015 - Secured But Not Always Safe
Citation Text:
Jahr JS, Hosseini P. Secured But Not Always Safe. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2006.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML …
-
www.ahrq.gov/hai/pfp/haccost2017-discuss.html
November 01, 2017 - Estimating the Additional Hospital Inpatient Cost and Mortality Associated With Selected Hospital-Acquired Conditions
Discussion
Previous Page Next Page
Table of Contents
Estimating the Additional Hospital Inpatient Cost and Mortality Associated With Selected Hospital-Acquired Conditions
Discussio…
-
psnet.ahrq.gov/node/60168/psn-pdf
March 25, 2020 - Right Electrocardiogram, Wrong Patient
March 25, 2020
Chen C, Venugopal S. Right Electrocardiogram, Wrong Patient. PSNet [internet]. 2020.
https://psnet.ahrq.gov/web-mm/right-electrocardiogram-wrong-patient
The Cases
Multiple electrocardiograms (EKGs) were incorrectly documented at a large urban tertiary care hosp…
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/018-revision-summary-contact-precautions.docx
October 01, 2024 - Summary of Evidence for Contact
Precautions To Prevent MRSA
ICU & Non-ICU
References
Methicillin-resistant Staphylococcus aureus (MRSA) is spread through direct contact, from person to person, or indirect contact, by touching something in the environment that was previously contaminated. Contact precautions, a type of …
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-factraining-slides.pptx
November 01, 2016 - PowerPoint Presentation
AHRQ’s Safety Program for
Nursing Homes:
On-Time Pressure Ulcer Healing
Facilitator Training
Overview of On-Time
On-Time Pressure Ulcer Healing Facilitator Training
Two-day training provides:
Overview of On-Time.
Instruction on the role of a Facilitator.
Introduction to On-Time reports and …
-
psnet.ahrq.gov/node/60653/psn-pdf
April 25, 2020 - Health Care Delivery and Pharmacists During the COVID-
19 Pandemic
June 29, 2020
Dopp AL, Fitall E, Hall KK, et al. Health Care Delivery and Pharmacists During the COVID-19 Pandemic.
PSNet [internet]. 2020.
https://psnet.ahrq.gov/perspective/health-care-delivery-and-pharmacists-during-covid-19-pandemic
Medication…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/preventing-cauti-plan-b-110414.pptx
January 01, 2013 - Antiseptic-impregnated catheters: Is the Juice Worth the Squeeze?
Preventing CAUTI:
What to Do When it’s Time for Plan B
Sanjay Saint, MD, PhD
George Dock Collegiate Professor of Internal Medicine
Division of General Medicine
University of Michigan Health Systems
Associate Chief of Medicine, Ann Arbor VA Medical Cent…
-
psnet.ahrq.gov/web-mm/electrocardiogram-results-read-me
May 01, 2019 - Electrocardiogram Results: ***READ ME***
Citation Text:
Alpert JS. Electrocardiogram Results: ***READ ME***. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2012.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XM…
-
psnet.ahrq.gov/sites/default/files/2020-10/final_slides_oct_2020_spotlight_case_inpt_stroke_mngt_in_adolescent_with_type1_diabetes.pdf
January 01, 2020 - Spotlight
Spotlight
Inpatient Stroke Management in a Patient
with Type 1 Diabetes and Home Insulin
Pump
Source and Credits
• This presentation is based on the October 2020 AHRQ WebM&M
Spotlight Case
o See the full article at https://psnet.ahrq.gov/webmm
o CME credit is available
o Commentary by: Berit B…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/ontime-preventablehospitaledvisits-overview.pptx
May 01, 2017 - PowerPoint Presentation
AHRQ’s Safety Program for
Nursing Homes:
On-Time Preventable Hospital and Emergency Department Visits
Facilitator Training
Overview of On-Time
On-Time Preventable Hospital and
ED Visits Facilitator Training
2-day training provides:
Overview of On-Time.
Instruction on the role of a Facilita…
-
psnet.ahrq.gov/node/49456/psn-pdf
July 12, 2004 - Glucose Roller Coaster
July 1, 2004
Sharpe B. Glucose Roller Coaster. PSNet [internet]. 2004.
https://psnet.ahrq.gov/web-mm/glucose-roller-coaster
The Case
A 71-year-old woman with congestive heart failure was admitted to the hospital. Her medical history was
significant for dialysis-dependent, end-stage kidney d…