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  1. “This is the wrong patient's blood!”: Evaluating a Near-Miss Wrong Transfusion Event | PSNet

    psnet.ahrq.gov/web-mm/wrong-patients-blood-evaluating-near-miss-wrong-transfusion-event
    July 01, 2017 - SPOTLIGHT CASE “This is the wrong patient's blood!”: Evaluating a Near-Miss Wrong Transfusion Event Citation Text: Barnhard S. “This is the wrong patient's blood!”: Evaluating a Near-Miss Wrong Transfusion Event. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Dep…

  2. Importance of Following Safe Practices for Infant Feeding and Handling Expressed Breast Milk | PSNet

    psnet.ahrq.gov/web-mm/importance-following-safe-practices-infant-feeding-and-handling-expressed-breast-milk
    January 31, 2024 - Importance of Following Safe Practices for Infant Feeding and Handling Expressed Breast Milk Citation Text: Shauer M, Perez DG, Chagolla B. Importance of Following Safe Practices for Infant Feeding and Handling Expressed Breast Milk. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quali…

  3. Ambulatory Safety Nets to Reduce Missed and Delayed Diagnoses of Cancer | PSNet

    psnet.ahrq.gov/innovation/ambulatory-safety-nets-reduce-missed-and-delayed-diagnoses-cancer
    February 26, 2025 - Ambulatory Safety Nets to Reduce Missed and Delayed Diagnoses of Cancer Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL July 31, 2023 Innovation Contact …

  4. Operations Center: Operational Framework – Option Year 2 (pdf file)

    cdsic.ahrq.gov/sites/default/files/2025-03/Operations%20Center%20OY2%20Operational%20Framework_508.pdf
    January 01, 2025 - Operations Center: Operational Framework – Option Year 2 Operations Center: Operational Framework – Option Year 2 Agency for Healthcare Research and Quality 5600 Fishers Lane Rockville, MD 20857 www.ahrq.gov Contract No: 75Q80120D00018 Prepared by: NORC…

  5. Robotic Surgery: Risks vs. Rewards | PSNet

    psnet.ahrq.gov/web-mm/robotic-surgery-risks-vs-rewards
    October 31, 2023 - SPOTLIGHT CASE Robotic Surgery: Risks vs. Rewards Citation Text: Kirkpatrick T, LaGrange C. Robotic Surgery: Risks vs. Rewards. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2016. Copy Citation Format: Googl…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867359/psn-pdf
    December 18, 2024 - Importance of Following Safe Practices for Infant Feeding and Handling Expressed Breast Milk December 18, 2024 Shauer M, Perez DG, Chagolla B. Importance of Following Safe Practices for Infant Feeding and Handling Expressed Breast Milk. PSNet [internet]. 2024. https://psnet.ahrq.gov/web-mm/importance-following-saf…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851389/psn-pdf
    July 31, 2023 - Ambulatory Safety Nets to Reduce Missed and Delayed Diagnoses of Cancer July 31, 2023 https://psnet.ahrq.gov/innovation/ambulatory-safety-nets-reduce-missed-and-delayed-diagnoses-cancer Summary Concern over patient safety issues associated with inadequate tracking of test results has grown over the last decade, a…

  8. AHRQ Safety Program for MRSA Prevention: Targeting SSI

    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/014-ss-cleaning.pptx
    April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI AHRQ Safety Program for MRSA Prevention: Targeting SSI Optimizing Environmental Cleaning Surgical Services For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries AHRQ Pub. No. 25-0029 April 2025 AHRQ Safety Program for MRSA Prevention | Surgic…

  9. Risk Reduction and Systematic Error Management: Standardization of the Pediatric Chemotherapy Process (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-David_13.pdf
    March 19, 2008 - Risk Reduction and Systematic Error Management: Standardization of the Pediatric Chemotherapy Process Risk Reduction and Systematic Error Management: Standardization of the Pediatric Chemotherapy Process Beverly Ann David, PhD; Ana Rodriguez, PharmD; Stanley W. Marks, MD Abstract There is an urgent need to m…

  10. July Teleconference Transcript (pdf file)

    digital.ahrq.gov/sites/default/files/docs/July%20Teleconference%20Transcript.pdf
    June 16, 2021 - at any time, just click on the Q&A tab and then click on submit a question and you’ll be able to send

  11. Health Literacy and Patient and Family Engagement: Strategic Tools to Prevent CAUTI (July 9, 2013) | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/cauti-tools/archived-webinars/health-literacy-transcript.html
    December 01, 2017 - issues, infections, prolonged hospital stays, and it does increase patient and family anxiety, as we send

  12. Paul Tedrick (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/health-literacy-pfe-transcript.doc
    July 09, 2013 - issues, infections, prolonged hospital stays, and it does increase patient and family anxiety, as we send

  13. Preventing CAUTI in Specialized Patient Populations: The ICU | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/cauti-tools/archived-webinars/preventing-cauti-specialized-populations-icu.html
    December 01, 2017 - You can also email us at onthecuspstophai@aha.org and we can send those questions out to our presenters

  14. Paul Tedrick (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/preventing-cauti-icu-transcript.doc
    May 13, 2014 - You can also email us at onthecuspstophai@aha.org and we can send those questions out to our presenters

  15. Using-Health-It-To-Support-Qi (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/using-health-it-to-support-qi.pdf
    March 01, 2015 - UMHS launched a system-wide intervention to send automated telephone reminders to patients with upcoming

  16. Public Reporting of Patients’ Comments with Quality Measures: How Can We Make It Work? (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20140603_QI/reporting-patients-comments-transcript.pdf
    June 01, 2014 - So please do feel free to send your questions in at any time during the presentations, and we will address … Shaller (closing), Slide 53 If you would like to send your question to us again, we'll definitely want

  17. HCUP Overview Presentation

    hcup-us.ahrq.gov/news/exhibit_booth/hcup_90_min_pres.jsp
    December 01, 2022 - Healthcare Cost and Utilization Project (HCUP): Overview of the HCUP Databases and Resources Select to access the presentation in PDF format (PDF file, 4 MB). Slide 1 The Healthcare Cost and Utilization Project (HCUP) HCUP Overview Presentation Agency fo…

  18. Addressing Chronic Pain Through Patient- and Clinician-Facing Clinical Decision Support: Technical Implementation Guide (pdf file)

    digital.ahrq.gov/sites/default/files/docs/citation/ahrq-cdspain-technical-implementation-guide.pdf
    March 01, 2024 - Addressing Chronic Pain Through Patient- and Clinician-Facing Clinical Decision Support: Technical Implementation Guide Addressing Chronic Pain Through Patient- and Clinician-Facing Clinical Decision Support: Technical Implementation Guide Prepared for Agency for Healthcare Research and Quality 5600 Fishers…

  19. National Evaluation of the CHIPRA Quality Demonstration Grant Program: Final Project Report (pdf file)

    www.ahrq.gov/sites/default/files/publications/files/chipra-final-report_0.pdf
    February 21, 2016 - For a crosswalk with the complete set of CHIPRA research questions as they relate to NET products, send … These materials are available on request from AHRQ; send an email to CHIPRADemoEval@ahrq.hhs.gov. … . 3 For a complete listing of these products and their relevance to the research questions, please send … Available on request; send an email to CHIPRADemoEval@ahrq.hhs.gov.

  20. Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation (pdf file)

    www.ahrq.gov/sites/default/files/publications/files/match.pdf
    August 01, 2012 - For email announcements, consider having departmental or discipline leaders send prepared messages directly
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