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psnet.ahrq.gov/primer/retained-surgical-items-causation-and-prevention
January 04, 2024 - goal here is not to know “how many” instruments are involved but to determine with visual and tactile skills
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/system/systemredesignsafetynet/systemredesign.pdf
June 01, 2015 - take as givens both the continued commitment to vulnerable populations and
these special roles and skills … However, the other sites, accustomed to obtaining the necessary
funding through political skills, had … Thus, young clinicians increasingly join the organization already
having the needed skills. … Green Belts returning to the organization did not have
the skills to deploy what they had learned and … Organizational building blocks, on the bottom right, portrays the structures, resources,
and skills
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psnet.ahrq.gov/node/33872/psn-pdf
January 01, 2018 - Update: Patient Engagement in Safety
January 1, 2018
Stern RJ, Sarkar U. Update: Patient Engagement in Safety. PSNet [internet]. 2018.
https://psnet.ahrq.gov/perspective/update-patient-engagement-safety
Annual Perspective 2018
Background
Patient engagement has become a cornerstone of patient safety. A Patient Saf…
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www.ahrq.gov/patient-safety/resources/learning-lab/failure-rescue-long-desc.html
April 01, 2021 - Failure to Rescue Patient Safety Learning Lab (FTR PSLL)
Principal Investigator: George Blike, M.D., Dartmouth-Hitchcock, Lebanon, NH
AHRQ Grant No.: HS024403
Project Period: 09/30/15-03/31/20
Description: The overall goal of this project was to create the ideal hospital rescue system. Minimizing fai…
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www.ahrq.gov/patient-safety/settings/hospital/vtguide/preface.html
March 01, 2016 - Preventing Hospital-Associated Venous Thromboembolism
Preface
Previous Page Next Page
Table of Contents
Preventing Hospital-Associated Venous Thromboembolism
Preface
Executive Summary
Chapter 1. The Framework for Improvement
Chapter 2. Analyze Care Delivery
Chapter 3. Outline the Evidence …
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www.ahrq.gov/nursing-home/materials/staffing.html
June 01, 2021 - Staffing During the COVID-19 Pandemic: A Guide for Nursing Home Leaders
This resource guide from the Project ECHO and IHI Teams was written by and for directors of nursing, administrators, and other nursing home leaders. It outlines steps to reduce or eliminate urgent staff shortages, particularly shortages of …
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psnet.ahrq.gov/node/49410/psn-pdf
July 01, 2003 - A Little Shuteye
July 1, 2003
Farion KJ. A Little Shuteye. PSNet [internet]. 2003.
https://psnet.ahrq.gov/web-mm/little-shuteye
The Case
A 3-year-old boy was seen in urgent care for a superficial laceration above the left eyebrow. The
pediatrician had heard of the availability of topical skin adhesive that can be…
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www.ahrq.gov/hai/tools/mvp/modules/cusp/daily-goals-rounds-fac-guide.html
February 01, 2017 - Daily Goals During Interdisciplinary Rounds: Facilitator Guide
AHRQ Safety Program for Mechanically Ventilated Patients
Slide 1: Daily Goals During Interdisciplinary Rounds
Say:
In this session, we will discuss Daily Goals during interdisciplinary rounds.
Slide 2: Learning Objectives
Say:
After …
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psnet.ahrq.gov/node/49524/psn-pdf
November 01, 2006 - Secured But Not Always Safe
November 1, 2006
Jahr JS, Hosseini P. Secured But Not Always Safe. PSNet [internet]. 2006.
https://psnet.ahrq.gov/web-mm/secured-not-always-safe
The Case
An 84-year-old healthy woman underwent an elective left total knee replacement for degenerative
osteoarthritis. She received spinal …
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/man2.html
December 01, 2017 - The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities
Chapter 2. Fall Response
Previous Page Next Page
Table of Contents
The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities
Chapter 1. Introduction and Program Overview
Chapter 2. F…
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psnet.ahrq.gov/node/33854/psn-pdf
March 01, 2018 - Missed Nursing Care: A Key Measure for Patient Safety
March 1, 2018
Ball JE, Griffiths P. Missed Nursing Care: A Key Measure for Patient Safety. PSNet [internet]. 2018.
https://psnet.ahrq.gov/perspective/missed-nursing-care-key-measure-patient-safety
Perspective
Errors in hospitals remain a major cause of death.(1…
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www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-17-introducing-a-practice-to-pf.pdf
September 01, 2015 - Module 17: Introducing a Practice to Facilitation
Primary Care
Practice Facilitation
Curriculum
Module 17: Introducing a Practice to Facilitation
Agency for Healthcare Research and Quality
Advancing Excellence in Health Care www.ahrq.gov
…
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psnet.ahrq.gov/node/49511/psn-pdf
May 01, 2006 - Citrate Mix-Up
May 1, 2006
Weber RJ. Citrate Mix-Up. PSNet [internet]. 2006.
https://psnet.ahrq.gov/web-mm/citrate-mix
The Case
A 36-year-old woman with multiple sclerosis, diabetes, and chronic renal failure was transferred from a
skilled nursing facility (SNF) to the hospital for treatment of an infection. On a…
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www.ahrq.gov/es/patient-safety/settings/hospital/vtguide/preface.html
March 01, 2016 - Preventing Hospital-Associated Venous Thromboembolism
Preface
Previous Page Next Page
Table of Contents
Preventing Hospital-Associated Venous Thromboembolism
Preface
Executive Summary
Chapter 1. The Framework for Improvement
Chapter 2. Analyze Care Delivery
Chapter 3. Outline the Evidence …
-
psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.251_slideshow.ppt
October 01, 2011 - Spotlight Case [MONTH] 2003
Spotlight Case
Mobility Lost in the ICU
*
*
Source and Credits
This presentation is based on the October 2011
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available
Commentary by: Jim Smith, PT, DPT, MA; Associate Professor of Physical …
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/CHIPRA_1415-P010-1-EF.pdf
March 01, 2015 - Measure: Child HCAHPS–Hospital Consumer Assessment of Healthcare Providers and Systems
Measure Fact Sheet – The AHRQ-CMS CHIPRA Pediatric Quality Measures Program (PQMP)
Measure: Child HCAHPS–Hospital Consumer
Assessment of Healthcare Providers
and Systems
Measure Developer: Center of Excellence for Pediatric Q…
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psnet.ahrq.gov/perspective/update-patient-engagement-safety
January 01, 2017 - Annual Perspective
Update: Patient Engagement in Safety
Rachel J. Stern, MD, and Urmimala Sarkar, MD | January 1, 2018
View more articles from the same authors.
Citation Text:
Stern RJ, Sarkar U. Update: Patient Engagement in Safety. PSNet [internet]. Rockvi…
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psnet.ahrq.gov/primer/human-factors-engineering
December 15, 2024 - Human Factors Engineering
Citation Text:
Human Factors Engineering. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId R…
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digital.ahrq.gov/2020-year-review/research-summary/improving-delivery-health-services-health-systems-level-emerging-research
January 01, 2020 - Improving the Delivery of Health Services at the Health Systems Level - Emerging Research
Facilitating Long-Distance Care, Education, and Monitoring with Telehealth and Telemedicine
Clinicians have used telehealth and telemedicine in rural settings and for hard-to-access specialties …
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digital.ahrq.gov/2020-year-review/executive-summary
January 01, 2020 - Executive Summary
In early 2020, the burdens of the global COVID-19 pandemic forced society to shut down and disrupted our healthcare system within the span of a few weeks. Fortunately, the application of digital healthcare technologies and digital practices in healthcare—such as artificial …