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psnet.ahrq.gov/node/41855/psn-pdf
August 01, 2016 - Safety and Reliability in Pediatrics.
August 1, 2016
Jacobs BR, Coppes MJ, eds. Pediatr Clin North Am. 2012;59(6):1233-1388.
https://psnet.ahrq.gov/issue/safety-and-reliability-pediatrics
Articles in this special issue explore strategies to improve safety in pediatric care, including computerized
provider order en…
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digital.ahrq.gov/sites/default/files/docs/workflowtoolkit/PatientCheckOut.pdf
December 18, 2021 - Patient Check Out
Patient Check Out
Fr
on
t D
es
k/
C
he
ck
O
ut
P
at
ie
nt Patient completes clinic
visit and appears at
checkout desk
Does patient
need to pick up
Rx at in-clinic
pharmacy?
Patient obtains
meds and returns
to checkout
counter
Select patient from
database …
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www.ahrq.gov/practiceimprovement/delivery-initiative/execsumm.html
June 01, 2017 - Spreading Lean: Taking Efficiency Interventions in Health Services Delivery to Scale
Executive Summary
This executive summary provides details on a project to study the implementation, spread, and sustainability of Lean-based redesigns in primary care departments at the Palo Alto Medical Foundati…
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digital.ahrq.gov/sites/default/files/docs/patient-centered-care-slides-033011.pdf
March 30, 2011 - National Web-Based Teleconference on Health IT: Putting the Patient Back in Patient-Centered Care
National Web-Based Teleconference
on Health IT: Putting the Patient Back
in Patient-Centered Care
March 30, 2011
Moderator:
Angela Lavanderos
Agency for Healthcare Research and Quality
Presenters:
Paul C. Tang
…
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www.ahrq.gov/sites/default/files/publications/files/execsumm-lean-redesign.docx
March 01, 2017 - Executive Summary
Spreading Lean: Taking Efficiency Interventions in Health Services Delivery to Scale
Prepared for:
Agency for Healthcare Research and Quality
5600 Fishers Lane
Rockville, MD 20857
www.ahrq.gov
Accelerating Change and Transformation in Organizations and Networks II
Contract No. HHSA2902010…
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psnet.ahrq.gov/node/72589/psn-pdf
December 23, 2020 - Delayed Breast Cancer Diagnosis: A False Sense of
Security.
December 23, 2020
Weingart SN, James TA, Schiff G. Delayed Breast Cancer Diagnosis: A False Sense of Security. PSNet
[internet]. 2020.
https://psnet.ahrq.gov/web-mm/delayed-breast-cancer-diagnosis-false-sense-security
The Case
A 60-year-old woman was se…
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psnet.ahrq.gov/web-mm/not-so-therapeutic-tap
December 01, 2014 - SPOTLIGHT CASE
Not-So-Therapeutic Tap
Citation Text:
Barsuk JH. Not-So-Therapeutic Tap. 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 XML EndNote …
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psnet.ahrq.gov/node/33869/psn-pdf
November 01, 2018 - In Conversation With… David Meltzer, MD, PhD
November 1, 2018
In Conversation With… David Meltzer, MD, PhD. PSNet [internet]. 2018.
https://psnet.ahrq.gov/perspective/conversation-david-meltzer-md-phd
Editor's note: Dr. Meltzer is the Fanny L. Pritzker Professor of Medicine, Chief of the Section of Hospital
Medici…
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www.ahrq.gov/hai/cusp/modules/nursing/nursing-notes.html
December 01, 2012 - CUSP Toolkit, The Role of the Nurse Manager, Facilitator Notes
The Role of the Nurse Manager module of the CUSP Toolkit addresses the role of nursing leaders for your quality improvement initiative.
Contents
Slide 1. Cover Slide.
Slide 2. Learning Objectives
Slide 3. What is a Nurse Manager?
Slide 4…
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www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/highlight05.html
November 01, 2013 - How are CHIPRA Quality Demonstration States encouraging health care providers to put quality measures to work?
Evaluation Highlight No. 5
Author: Leslie Foster
Contents
Key Messages
Background
Findings
Conclusions
Implications
Learn More
Endnotes
The CHIPRA Quality Demonstration …
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www.ahrq.gov/hai/tools/mvp/modules/sustainability/premortem-scorecard-fac-guide.html
February 01, 2017 - Tools for Sustainability: Premortem and Scorecard: Facilitator Guide
AHRQ Safety Program for Mechanically Ventilated Patients
Slide 1: Tools for Sustainability: Premortem and Scorecard
Say:
This module will cover sustaining and spreading safety improvements. To preface the sustainability discussions, th…
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psnet.ahrq.gov/node/49657/psn-pdf
July 01, 2012 - Not-So-Therapeutic Tap
July 1, 2012
Barsuk JH. Not-So-Therapeutic Tap. PSNet [internet]. 2012.
https://psnet.ahrq.gov/web-mm/not-so-therapeutic-tap
Case Objectives
Describe current issues with training clinicians to perform procedures.
Understand how simulation can be used to ensure trainees are competent in proc…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/engage/engageexecnotes.docx
June 02, 2025 - SAY:
The “Engage the Senior Executive” module of the Comprehensive Unit-based Safety Program (or CUSP) Toolkit focuses on the role and responsibilities of the senior executive within the CUSP team. Engaging a senior executive to partner with a unit will bridge the gap between senior management and frontline providers …
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www.ahrq.gov/research/findings/final-reports/stpra/stpraapd2.html
April 01, 2018 - Proactive Risk Assessment of Surgical Site Infection in Ambulatory Surgery Centers
Appendix D, Table D2
Previous Page Next Page
Table of Contents
Proactive Risk Assessment of Surgical Site Infection in Ambulatory Surgery Centers
Executive Summary
Chapter 1. Introduction
Chapter 2. ST-PRA Devel…
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psnet.ahrq.gov/web-mm/do-not-disturb
February 03, 2011 - SPOTLIGHT CASE
Do Not Disturb!
Citation Text:
Duffy DF, Cassel C. Do Not Disturb!. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2007.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML…
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digital.ahrq.gov/sites/default/files/docs/workflowtoolkit/Workflow_Assessment_Checklist.pdf
June 01, 2005 - Physician Office
Originated: April 2005 Page 1 of 9
Revised: June 2005
Work Flow Assessment Checklist
Scheduling
How are appointments made?
Phone in advance
Phone for same day appointment
Previous visit
Does anything happen between the time an appointment is made and
the patient ar…
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psnet.ahrq.gov/node/43577/psn-pdf
October 01, 2014 - The State of VA Health Care.
October 1, 2014
Hearing Before the Committee on Veterans' Affairs United States Senate. 113th Cong (September 9,
2014).
https://psnet.ahrq.gov/issue/state-va-health-care
In this hearing Veterans Affairs leadership provide an update on the current investigation into data and
scheduling…
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psnet.ahrq.gov/node/46076/psn-pdf
September 24, 2017 - The evolving story of overlapping surgery.
September 24, 2017
Mello MM, Livingston EH. The Evolving Story of Overlapping Surgery. JAMA. 2017;318(3):233-234.
doi:10.1001/jama.2017.8061.
https://psnet.ahrq.gov/issue/evolving-story-overlapping-surgery
Scheduling overlapping procedures is perceived as risky, despite l…
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cds.ahrq.gov/sites/default/files/cds/artifact/136331/Monthly%20Tapering%20Calendar.pdf
July 18, 2023 - Updated Handouts
Monthly Tapering Calendar: 10-15% of dose every month
Adapted from “Tapering-off Program”, Cara Tennenbaum and Institut Universitaire de Gériatrie de Montréal.
Medication:________________________________________
Current dose:_______________________________________
We recommend that you follow this…
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cds.ahrq.gov/sites/default/files/cds/artifact/136331/Weekly%20Tapering%20Calendar.pdf
July 18, 2023 - Updated Handouts
Weekly Tapering Calendar: 10-15% of dose every week
Adapted from “Tapering-off Program”, Cara Tennenbaum and Institut Universitaire de Gériatrie de Montréal.
Medication:________________________________________
Current dose:_______________________________________
We recommend that you follow this s…