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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73335/psn-pdf
    May 26, 2021 - Hyponatremia Secondary to Home Parenteral Nutrition Error May 26, 2021 Haas K, Lee A. Hyponatremia Secondary to Home Parenteral Nutrition Error. PSNet [internet]. 2021. https://psnet.ahrq.gov/web-mm/hyponatremia-secondary-home-parenteral-nutrition-error The Case A 4-year-old (former 33-week premature) boy with a …
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49739/psn-pdf
    August 21, 2015 - Breathe Easy: Safe Tracheostomy Management August 21, 2015 Russell MS, Russell MD. Breathe Easy: Safe Tracheostomy Management. PSNet [internet]. 2015. https://psnet.ahrq.gov/web-mm/breathe-easy-safe-tracheostomy-management The Case A 75-year-old man was admitted to the hospital with sepsis due to multilobar pneumo…
  3. www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/item-sets/HP/supplemental-health-literacy-hpcahps-adult-2157-3a.docx
    June 02, 2025 - CAHPS® Health Plan Survey 5.0 Supplemental Items: Health Literacy Population Version: Adult Supplemental Items for the CAHPS® Health Plan Survey 5.0 Topic: Health Literacy Population Version: Adult Language: English Users of the CAHPS® Health Plan Survey are free to incorporate supplemental items in order to mee…
  4. www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/common-cold-guide.docx
    September 01, 2022 - The “Never Antibiotics” Diagnoses: ​Viral Acute Upper Respiratory Infection: ​the Common Cold – Facilitator Guide AHRQ Safety Program for Improving Antibiotic Use The “Never Antibiotics” Diagnosis: Acute Viral Upper Respiratory Infection: the Common Cold Slide Title and Commentary Slide Number and Slide The “N…
  5. www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/pf-engagement-fac-guide.html
    July 01, 2023 - Patient and Family Engagement for Perinatal Safety: Facilitator Guide AHRQ Safety Program for Perinatal Care Slide 1: Patient and Family Engagement for Perinatal Safety Say: The Patient and Family Engagement module focuses on an important topic: making sure patients and their family members understand w…
  6. www.ahrq.gov/hai/cusp/clabsi-final-companion/clabsicomp4c.html
    January 01, 2013 - Eliminating CLABSI, A National Patient Safety Imperative: Final Report Companion Guide Infections Avoided, Excess Costs Averted, and Changes in Mortality Rate Previous Page Next Page Table of Contents Eliminating CLABSI, A National Patient Safety Imperative: Final Report Companion Guide Preface …
  7. www.ahrq.gov/sites/default/files/wysiwyg/CHIPRA_15-P002-EF-revised.pdf
    March 01, 2015 - Measures: Family Experiences With Care Coordination Measure Set (FECC) Measures: Family Experiences with Care Coordination Measure Set (FECC) Measure Developer: Center of Excellence on Quality of Care Measures for Children with Complex Needs (COE4CCN) Numerator Denominator Exclusions Data Source(s) The FECC Surv…
  8. www.ahrq.gov/sites/default/files/2024-01/lipsitz-report.pdf
    January 01, 2024 - Final Progress Report: Improving Safety of Transitions to Skilled Nursing Care Using Video Conferencing 1. Title Page Title: Improving Safety of Transitions to Skilled Nursing Care Using Video Conferencing PI: Lewis Lipsitz, MD Team Members: Amber Moore, MD, MPHa,b; Julie C. Lima, MPH, PhDc; Sweta Patel, BD…
  9. www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/statesummaries/chipra-750-north-carolina-state-snapshot.pdf
    January 01, 2018 - Spotlight on North Carolina -- The National Evaluation of the CHIPRA Quality Demonstration Grant Program January 2018 This brief highlights the major strategies, lessons learned, and outcomes from North Carolina’s experience during the quality demonstration funded by the Centers for Medicare & Medicaid Services (…
  10. www.ahrq.gov/ncepcr/research-transform-primary-care/transform/cost/app-b.html
    October 01, 2015 - Estimating the Costs of Primary Care Transformation: A Practical Guide and Synthesis Report Appendix B. Example Data Collection Tools Previous Page Next Page Table of Contents Estimating the Costs of Primary Care Transformation: A Practical Guide and Synthesis Report Background A Practical Guide…
  11. www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/introduction/prelaunch-activities.pdf
    March 01, 2022 - Toolkit Prelaunch Activities Decolonization of Non-ICU Patients With Devices Section 8 – Toolkit Prelaunch Activities We recommend that you follow the prelaunch checklist below (Table 8-1) for successful implementation. As is the case with many infection prevention programs, it will take time to achie…
  12. www.ahrq.gov/sites/default/files/wysiwyg/professionals/prevention-chronic-care/improve/coordination/webinar05/mixed_methods.pptx
    December 03, 2013 - Advanced Methods in Delivery System Research – Planning, Executing, Analyzing, and Reporting Research on Delivery System Improvement Webinar #1: Fuzzy Set Analysis Advanced Methods Webinars: Integrating Mixed Methods in Health Services and Delivery System Research Presenters: Benjamin Crabtree, PhD Michael K. Magi…
  13. Spreadnotes (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/spread/spreadnotes.docx
    June 02, 2025 - SAY: The Spread module of the Comprehensive Unit-based Safety Program (or CUSP) Toolkit helps all or part of an organization share, tailor, and use the components of a process that have worked well at the unit level. The other CUSP Toolkit modules focus on quality improvement projects at the unit level, where culture i…
  14. www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/HAP-slides.pptx
    November 01, 2019 - PowerPoint Presentation: Best Practices in the Diagnosis and Treatment of Hospital-Acquired Pneumonia Best Practices in the Diagnosis and Treatment of Hospital-Acquired Pneumonia AHRQ Safety Program for Improving Antibiotic Use Acute Care AHRQ Pub. No. 17(20)-0028-EF November 2019 HAP AHRQ Safety Program for Improv…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33847/psn-pdf
    August 01, 2017 - In Conversation With… Karl Bilimoria, MD, MS August 1, 2017 In Conversation With… Karl Bilimoria, MD, MS. PSNet [internet]. 2017. https://psnet.ahrq.gov/perspective/conversation-karl-bilimoria-md-ms-0 Editor's note: Dr. Bilimoria is the Director of the Surgical Outcomes and Quality Improvement Center of Northwest…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49523/psn-pdf
    November 01, 2006 - Urinary Retention Dilemma November 1, 2006 Joseph AC. Urinary Retention Dilemma. PSNet [internet]. 2006. https://psnet.ahrq.gov/web-mm/urinary-retention-dilemma The Case Following an elective thyroidectomy, a 56-year-old man with a history of benign prostatic hypertrophy (BPH) and urinary hesitancy returned to th…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50391/psn-pdf
    September 25, 2019 - Think Like a Surgeon September 25, 2019 Cooper Z. Think Like a Surgeon. PSNet [internet]. 2019. https://psnet.ahrq.gov/web-mm/think-surgeon The Case A patient with a history of T6 paraplegia due to a motor vehicle accident was brought to the emergency department due to delirium. He was found to be hypotensive and…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33624/psn-pdf
    December 01, 2005 - In Conversation with…Troyen A. Brennan, MD, JD, MPH December 1, 2005 In Conversation with…Troyen A. Brennan, MD, JD, MPH. PSNet [internet]. 2005. https://psnet.ahrq.gov/perspective/conversation-withtroyen-brennan-md-jd-mph Dr. Robert Wachter, Editor, AHRQ WebM&M: What got you interested in the law and its interface…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49711/psn-pdf
    June 01, 2014 - Wandering Off the Floors: Safety and Security Risks of Patient Wandering June 1, 2014 Smith TA. Wandering Off the Floors: Safety and Security Risks of Patient Wandering. PSNet [internet]. 2014. https://psnet.ahrq.gov/web-mm/wandering-floors-safety-and-security-risks-patient-wandering Case Objectives Define patie…
  20. JAMA (pdf file)

    www.uspreventiveservicestaskforce.org/home/getfilebytoken/eko8Cp28pZ3SHHfyvTXJW5
    May 13, 2025 - JAMA Letters RESEARCH LETTER EVIDENCE REPORT Screening for Syphilis Infection During Pregnancy: Updated Evidence Report and Systematic Review for the US Preventive Services Task Force Prior evidence has demonstrated that screening in preg- nancy is effective at detecting syphilis and that treatment is effective at…