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psnet.ahrq.gov/node/866621/psn-pdf
August 28, 2024 - Application of Safety-II Principles
August 28, 2024
Venkatesan C, Helak K, Sousane Z, et al. Application of Safety-II Principles. PSNet [internet]. 2024.
https://psnet.ahrq.gov/perspective/application-safety-ii-principles
Traditional approaches to patient safety have often been reactive rather than proactive, seeki…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.203_slideshow.ppt
August 01, 2009 - Spotlight Case July 2008
Spotlight Case
Nurse Staffing Ratios:
The Crucible of Money, Policy, Research, and Patient Care
*
Source and Credits
This presentation is based on the August 2009 AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME/CEU credit is available
Commentary by: …
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www.ahrq.gov/research/findings/final-reports/haidesign/haidesign-summary.html
April 01, 2018 - Understanding the Role of Health Care Facility Design in the Acquisition and Prevention of HAIs
This report summarizes the role of the built environment in the transmission of pathogens and discusses the impact that design features could have in mitigating transmission in health care facilities.
…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/overview-cuspmvp-slides.pptx
January 01, 2017 - CMV_27_M3_CUSP_SSA_Premortem
Overview of the Comprehensive Unit-based Safety Program for Application to Mechanically Ventilated Patients
AHRQ Safety Program for Mechanically Ventilated Patients
AHRQ Pub. No. 16(17)-0018-27-EF
January 2017
Overview of CUSP for MVP ‹#›
AHRQ Safety Program for Mechanically Ventilat…
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www.ahrq.gov/hai/cauti-tools/archived-webinars/patient-family-centered-care-slides.html
December 01, 2017 - Patient and Family-Centered Care
Slide Presentation
Slide 1
Patient and Family-Centered Care
Christine Goeschel ScD, MPA, MPS, RN, FAAN
Assistant Professor, Johns Hopkins School of Medicine
Joint Appointment, Schools of Public Health and Nursing
And
Gail Panoff
Chair, Patient and Community Engage…
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www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module6/mod6-slides.html
March 01, 2017 - Module 6: Sustainability
AHRQ Safety Program for Long-Term Care: HAIs/CAUTI
Slide 1: Module 6: Sustainability
Slide 2: Objectives
Define sustainability and understand the importance of maintaining positive change.
Describe the link between sustainability and spread.
Develop a plan for sustainabi…
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psnet.ahrq.gov/node/49841/psn-pdf
September 01, 2018 - Chemotherapy Administration Safety Standards
September 1, 2018
Bergsbaken J. Chemotherapy Administration Safety Standards. PSNet [internet]. 2018.
https://psnet.ahrq.gov/web-mm/chemotherapy-administration-safety-standards
The Case
A 67-year-old woman with cancer was admitted to the hospital to begin a chemotherapy…
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/statesummaries/chipra-750-alaska-state-snapshot.pdf
January 01, 2018 - Spotlight on Alaska -- The National Evaluation of the CHIPRA Quality Demonstration Grant Program
January 2018
This brief highlights the major strategies, lessons learned,
and outcomes from Alaska’s experience in the quality
demonstration funded by the Centers for Medicare &
Medicaid Services (CMS) through the Chi…
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/manage-resident-UTI-slides.PPT
June 01, 2021 - PowerPoint Presentation
Management of the Resident With a Suspected Urinary Tract Infection
Long-Term Care
AHRQ Safety Program for Improving Antibiotic Use
AHRQ Pub. No. 17(21)-0029
June 2021
UTI Management
1
Objectives
Describe empiric treatment options for urinary tract infections (UTIs).
Discuss reasonable dur…
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/improve/program-part2-slides.pptx
November 01, 2019 - Acute Care ASP Development
Antibiotic Stewardship Program Development: Part 2
Acute Care
AHRQ Safety Program for Improving
Antibiotic Use
AHRQ Pub. No. 17(20)-0028-EF
November 2019
ASP Development – Part 2
AHRQ Safety Program for Improving Antibiotic Use – Acute Care
1
Objectives
By the end of this module, parti…
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psnet.ahrq.gov/node/60548/psn-pdf
May 28, 2020 - In Conversation With... Jeffrey Shuren, MD, JD
May 28, 2020
In Conversation With.. Jeffrey Shuren, MD, JD. PSNet [internet]. 2020.
https://psnet.ahrq.gov/perspective/conversation-jeffrey-shuren-md-jd
Editor’s note: Jeffrey Shuren, MD, JD is the Director of the Center for Devices and Radiological Health at
the Food…
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digital.ahrq.gov/sites/default/files/docs/page/ImpactHealthITPrimaryCareWorkflow.pdf
September 19, 2011 - Impact of Health IT on Primary Care Workflow and Financial Measures
Impact of Health IT on
Primary Care Workflow and
Financial Measures
Neil S. Fleming, PhD, CQE;
Funded by AHRQ (R03HS018220-01)
Track F: Economic Analysis of Health IT
AHRQ 2011 Annual Conference
September 19, 2011
Contact: Neil.Fle…
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www.ahrq.gov/news/newsletters/e-newsletter/956.html
May 01, 2025 - Kaiser Permanente School of Anesthesia Uses AHRQ’s Surveys on Patient Safety Culture, TeamSTEPPS®
Issue Number
956
AHRQ News Now is a weekly newsletter that highlights agency research and program activities.
May 6, 2025
AHRQ Stats: Proportionate Healthcare Expenditures Among High Spenders Between 2018 a…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/d4d_pdi05-nqi01-pneumothorax-bestpractices.pdf
May 16, 2016 - Selected Best Practices and Suggestions for Improvement
Pediatric Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
1 Tool D.4d
Selected Best Practices and Suggestions for Improvement
NQI 01/PDI 05: Iatrogenic Pneumothorax
Why focus on iatrogenic pneumothorax in neonat…
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www.ahrq.gov/sites/default/files/publications/files/haidesign-summary.pdf
September 01, 2013 - Understanding the Role of Health Care Facility Design in the Acquisition and Prevention of HAIs: Summary
1
Contract Final Report
Understanding the Role of Health Care Facility Design
in the Acquisition and Prevention of HAIs
Executive Summary
Prepared for:
Agency for Healthcare Research…
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digital.ahrq.gov/sites/default/files/docs/page/percentage-of-alerts-quick-reference-guide.pdf
March 01, 2009 - Percentage of Alerts or Reminders That Resulted in Desired Action
Percentage of Alerts or
Reminders That Resulted
in Desired Action
Determining the frequency in which a given alert or
reminder is executed may help assess its effectiveness.
This measure might be implemented in the
following instances:
• For e…
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psnet.ahrq.gov/primer/strategies-and-approaches-investigating-patient-safety-events
March 15, 2025 - Strategies and Approaches for Investigating Patient Safety Events
Citation Text:
Shaikh U. Strategies and Approaches for Investigating Patient Safety Events. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2022.
Copy Citation
Fo…
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effectivehealthcare.ahrq.gov/sites/default/files/cer-231-dementia-interventions-evidence-summary_0.pdf
August 01, 2020 - Evidence Summary: CER 231 Care Interventions for People Living With Dementia and Their Caregivers
Comparative Effectiveness Review
Number 231
Care Interventions for People Living
With Dementia and Their Caregivers
Evidence Summary
Main Points
Background and Purpose
The aging of the U.S. population and the co…
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integrationacademy.ahrq.gov/sites/default/files/2020-12/Grantee%20Profile%20Virginia.pdf
January 01, 2020 - EvidenceNOW Managing Unhealthy Alcohol Use: Practice Facilitation to Promote Evidence-based Screening and Management of Unhealthy Alcohol Use in Primary Care
Virginia
Program Name:
Practice Facilitation to Promote
Evidence-based Screening and
Management of Unhealthy Alcohol
Use in Primary Care
Lead Organization:…
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integrationacademy.ahrq.gov/sites/default/files/2020-12/Grantee%20Profile%20Colorado.pdf
January 01, 2020 - EvidenceNOW Managing Unhealthy Alcohol Use: Facilitating Alcohol Screening and Treatment (FAST), Colorado
Colorado
Program Name:
Facilitating Alcohol Screening and
Treatment (FAST), Colorado
Lead Organization:
University of Colorado, College of
Medicine, Department of Family
Medicine
Aurora, CO
Partner Organiza…