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  1. Investigating for improvement? Five strategies to ensure national patient safety investigations improve patient safety. | PSNet

    psnet.ahrq.gov/issue/investigating-improvement-five-strategies-ensure-national-patient-safety-investigations
    February 28, 2024 - Commentary Investigating for improvement? Five strategies to ensure national patient safety investigations improve patient safety. Citation Text: Macrae C. Investigating for improvement? Five strategies to ensure national patient safety investigations improve patient safety. J R Soc Med.…

  2. Training-Tools-Material-Guide (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/training-tools/training-tools-material-guide.docx
    May 01, 2017 - Overview Definition of Sustainability and its Importance in Quality Improvement · Slides 4-8 Linking Sustainability and Spread · Slides 9-10 Planning Early for Sustainability · Slides 11-12 Barriers and Solutions to Sustaining Improvements · Slides 13-17 Steps to Creating and Implementing a Sustainability Plan · Slides…

  3. Sustainability-Tool (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/training-tools/sustainability-tool.docx
    May 01, 2017 - AHRQ Safety Program for Ambulatory Surgery Module 4: Sustainability Sustainability Tool Background: This tool can be used to identify sustainability issues in planning and implementing your improvement efforts. How to use this tool: The Implementation Team leader (or individual designated by the leader) should comple…

  4. Designing a safer process to prevent retained surgical sponges: a healthcare failure mode and effect analysis. | PSNet

    psnet.ahrq.gov/issue/designing-safer-process-prevent-retained-surgical-sponges-healthcare-failure-mode-and-effect
    April 27, 2019 - Study Designing a safer process to prevent retained surgical sponges: a healthcare failure mode and effect analysis. Citation Text: Steelman VM, Cullen JJ. Designing a safer process to prevent retained surgical sponges: a healthcare failure mode and effect analysis. AORN J. 2011;94(2):1…

  5. Table 2. Studies on the Effect of Screening and Feedback | Agency for Healthcare Research and Quality

    www.ahrq.gov/prevention/resources/depression/depsumtab2.html
    April 01, 2013 - Table 2. Studies on the Effect of Screening and Feedback Screening for Depression in Adults: Summary of the Evidence The summaries of the evidence briefly present evidence of effectiveness for preventive health services used in primary care clinical settings, including screening tests, counseling, and chemopr…

  6. Candidate Measure Submission Form (CPCF) | Agency for Healthcare Research and Quality

    www.ahrq.gov/policymakers/chipra/cpcf-form9.html
    December 01, 2013 - Candidate Measure Submission Form (CPCF) CHIPRA Pediatric Quality Measures Program (PQMP) The CHIPRA Pediatric Quality Measures Program (PQMP) Candidate Measure Submission Form (CPCF) was approved by the Office of Management and Budget (OMB) in accordance with the Paperwork Reduction Act.  The OMB Control Num…

  7. Potential for medication overdose with ENFit low dose tip syringe: FDA Safety Communication. | PSNet

    psnet.ahrq.gov/issue/potential-medication-overdose-enfit-low-dose-tip-syringe-fda-safety-communication
    October 28, 2020 - Press Release/Announcement Potential for medication overdose with ENFit low dose tip syringe: FDA Safety Communication. Citation Text: Potential for medication overdose with ENFit low dose tip syringe: FDA Safety Communication. MedWatch Safety Alert. Silver Spring, MD: US Food and Drug A…

  8. Potentially fatal errors with GDH-PQQ [glucose dehydrogenase pyrroloquinoline quinone] glucose monitoring technology. | PSNet

    psnet.ahrq.gov/issue/potentially-fatal-errors-gdh-pqq-glucose-dehydrogenase-pyrroloquinoline-quinone-glucose
    June 22, 2011 - Press Release/Announcement Potentially fatal errors with GDH-PQQ [glucose dehydrogenase pyrroloquinoline quinone] glucose monitoring technology. Citation Text: Potentially fatal errors with GDH-PQQ [glucose dehydrogenase pyrroloquinoline quinone] glucose monitoring technology. MedWat…

  9. Diagnostic Safety as a Challenge for Healthcare Leadership | Agency for Healthcare Research and Quality

    www.ahrq.gov/diagnostic-safety/resources/issue-briefs/leadership-1.html
    June 01, 2021 - Leadership To Improve Diagnosis: A Call to Action Diagnostic Safety as a Challenge for Healthcare Leadership Previous Page Next Page Table of Contents Leadership To Improve Diagnosis: A Call to Action Diagnostic Safety as a Challenge for Healthcare Leadership Why Are Leaders Essential to Diagnos…

  10. Transcranial Doppler Ultrasonography Screening among Children with Sickle Cell Anemia (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/measurespec-code-tables.pdf
    June 05, 2025 - Transcranial Doppler Ultrasonography Screening among Children with Sickle Cell Anemia 1 Transcranial Doppler Ultrasonography Screening among Children with Sickle Cell Anemia Description The percentage of children ages 2 through 15 years old with sickle cell anemia (SCA; hemoglobin [Hb] SS or HbSβ0-thalas…

  11. Timing and interventions of emergency teams during the MERIT study. | PSNet

    psnet.ahrq.gov/issue/timing-and-interventions-emergency-teams-during-merit-study
    June 02, 2010 - Study Timing and interventions of emergency teams during the MERIT study. Citation Text: Flabouris A, Chen J, Hillman K, et al. Timing and interventions of emergency teams during the MERIT study. Resuscitation. 2010;81(1):25-30. doi:10.1016/j.resuscitation.2009.09.025. Copy Citation …

  12. NICU Family Information Packet, Appendix B, Short Bowel Syndrome (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/nicu_toolkit/nicupacket-apb-sbs.pdf
    June 02, 2025 - NICU Family Information Packet, Appendix B, Short Bowel Syndrome Short Bowel Syndrome Pathophysiology ■ Functional disorder caused by alterations of normal intestinal anatomy and physiology. ■ Shortened bowel combined with malabsorption; dependent on parenteral nutrition >3 months. ■ May result from: necrotizin…

  13. Full work analysis of resident work hours. | PSNet

    psnet.ahrq.gov/issue/full-work-analysis-resident-work-hours
    June 06, 2018 - Study Full work analysis of resident work hours. Citation Text: Dassinger MS, Eubanks JW, Langham MR. Full work analysis of resident work hours. J Surg Res. 2008;147(2):178-81. doi:10.1016/j.jss.2008.03.010. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X…

  14. How Will You Pay for a Health Care Quality Report? | Agency for Healthcare Research and Quality

    www.ahrq.gov/talkingquality/plan/pay.html
    November 01, 2018 - How Will You Pay for a Health Care Quality Report? A consumer reporting project is not cheap, although there are ways to reduce costs and spread them across multiple parties (including other sponsors and participating health plans or providers). Data collection costs can range from as little as a few thousand…

  15. Electronic prescribing in pediatrics: toward safer and more effective medication management. | PSNet

    psnet.ahrq.gov/issue/electronic-prescribing-pediatrics-toward-safer-and-more-effective-medication-management
    October 04, 2011 - Organizational Policy/Guidelines Electronic prescribing in pediatrics: toward safer and more effective medication management. Citation Text: Committee 2011–2012 AA of PC on CITE. Electronic prescribing in pediatrics: toward safer and more effective medication management. Pediatrics. 2…

  16. Adoption of patient-centered care practices by physicians: results from a national survey. | PSNet

    psnet.ahrq.gov/issue/adoption-patient-centered-care-practices-physicians-results-national-survey
    August 28, 2019 - Study Adoption of patient-centered care practices by physicians: results from a national survey. Citation Text: Audet A-M, Davis K, Schoenbaum S. Adoption of patient-centered care practices by physicians: results from a national survey. Arch Intern Med. 2006;166(7):754-9. Copy Citati…

  17. A handoff is not a telegram: an understanding of the patient is co-constructed. | PSNet

    psnet.ahrq.gov/issue/handoff-not-telegram-understanding-patient-co-constructed
    September 03, 2014 - Commentary A handoff is not a telegram: an understanding of the patient is co-constructed. Citation Text: Cohen MD, Hilligoss B, Amaral ACK-B. A handoff is not a telegram: an understanding of the patient is co-constructed. Crit Care. 2012;16(1):303. doi:10.1186/cc10536. Copy Citation…

  18. Aseptic Catheter Insertion Practices in the ED: A Focus on Engagement | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/cauti-tools/archived-webinars/aseptic-catheter-insertion-practices-ed-slides.html
    December 01, 2017 - Aseptic Catheter Insertion Practices in the ED: A Focus on Engagement Slide Presentation Slide 1 Aseptic Catheter Insertion Practices in the ED: A Focus on Engagement Milisa Manojlovich PhD, RN, CCRN Associate Professor University of Michigan, School of Nursing Slide 2 Learning Objectives Di…

  19. PowerPoint Presentation

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/aseptic-catheter-insertion-practices-ed.pptx
    June 02, 2025 - PowerPoint Presentation Aseptic catheter insertion practices in the ED: A Focus on Engagement Milisa Manojlovich PhD, RN, CCRN Associate Professor University of Michigan, School of Nursing 1 1 Learning Objectives Discuss barriers to ED staff engagement Describe strategies to engage ED staff in aseptic ins…

  20. Prompting physicians to address a daily checklist for antibiotics: do we need a co-pilot in the ICU? | PSNet

    psnet.ahrq.gov/issue/prompting-physicians-address-daily-checklist-antibiotics-do-we-need-co-pilot-icu
    September 23, 2020 - Review Prompting physicians to address a daily checklist for antibiotics: do we need a co-pilot in the ICU? Citation Text: Weiss CH, Wunderink RG. Prompting physicians to address a daily checklist for antibiotics: do we need a co-pilot in the ICU? Curr Opin Crit Care. 2013;19(5):448-52.…
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