-
psnet.ahrq.gov/node/49581/psn-pdf
March 21, 2009 - Double Dosing, by the Rules
March 21, 2009
Cohen H. Double Dosing, by the Rules. PSNet [internet]. 2009.
https://psnet.ahrq.gov/web-mm/double-dosing-rules
The Case
A 65-year-old woman with rheumatoid arthritis and chronic obstructive pulmonary disease (COPD) was
admitted to a medical unit during the night with wo…
-
psnet.ahrq.gov/node/33827/psn-pdf
February 01, 2017 - New Insights About Team Training From a Decade of
TeamSTEPPS
February 1, 2017
Baker DP, King HB, Battles J. New Insights About Team Training From a Decade of TeamSTEPPS. PSNet
[internet]. 2017.
https://psnet.ahrq.gov/perspective/new-insights-about-team-training-decade-teamstepps
Perspective
Ten years ago, the Ag…
-
psnet.ahrq.gov/node/49467/psn-pdf
December 01, 2004 - A "Weak" Response
December 1, 2004
Reisman AB. A "Weak" Response. PSNet [internet]. 2004.
https://psnet.ahrq.gov/web-mm/weak-response
The Case
A primary care physician on call for his group received a call at 9:00PM from a 68-year-old man. He said,
"They started me on a new pill for my blood pressure and now I fe…
-
effectivehealthcare.ahrq.gov/sites/default/files/lessons-transcript.pdf
October 08, 2025 - Community-Based Participatory Research: Lessons for Stakeholder Engagement in Patient-Centered Outcomes Research
…
-
www.ahrq.gov/sites/default/files/2024-01/fernandez-rosenman-report.pdf
January 01, 2024 - Furthermore, they believe
that they are teaching others to perform trained leadership behaviors. … Simulation-based education improves
quality of care during cardiac arrest team responses at an academic teaching
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Woolever.pdf
January 01, 2001 - The Impact of a Patient Safety Program on Medical Error Reporting
307
The Impact of a Patient Safety Program
on Medical Error Reporting
Donald R. Woolever
Abstract
Background: In response to the occurrence of a sentinel event—a medical error
with serious consequences—Eglin U.S. Air Force (USAF) Regional Hos…
-
www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module2/mod2-facguide.html
March 01, 2017 - Module 2: Senior Leader Engagement: Facilitator Notes
AHRQ Safety Program for Long-Term Care: HAIs/CAUTI
Slide 1: Module 2: Senior Leader Engagement
Say:
The Senior Leader Engagement module focuses on the role and responsibilities of the senior leader within the facility safety team. Engaging a senior l…
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_1-introduction-speaker-notes.pdf
July 01, 2023 - Introduction to the SPPC‐II Teamwork Toolkit for Severe Hypertension
Hospital AIM
Team
Leads
SPPC‐II
Introduction
to the SPPC‐II Teamwork Toolkit
for Severe Hypertension
Module 1 of 8
SPPC‐II
Toolkit
SCRIPT
Thank you for participating in the Safety Program for Perinatal Care II (also known as SPPC‐
II) …
-
digital.ahrq.gov/sites/default/files/docs/impact-pcc-slides-032317.pdf
March 23, 2017 - A National Web Conference on Effective Design and Use of Patient Portals and Their Impact on Patient-Centered Care - Slides
A National Web Conference
on Effective Design and Use of
Patient Portals and Their Impact on
Patient-Centered Care
Presented by:
Ruth Masterson Creber, Ph.D., M.Sc., RN
…
-
www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/nursing-home-resource-list-2.0.pdf
April 01, 2025 - Each module includes teaching
tools and resources to support change at the unit level, presented through … guidance/curriculum-
guide-tools
The World Health Organization developed this guide to assist in the teaching
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/booklets/colorectal-booklet.pdf
November 01, 2023 - Preparing for and Recovering After Colorectal Surgery
Preparing for and Recovering
After Colorectal Surgery
e
Colorectal Surgery Patient Education Guide 1
Preparing for and Recovering
After Colorectal Surgery
Patient Name ___________________________________________________________________
Surgeon Name __…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Shaha.pdf
May 01, 2004 - medications involved and the complexity of accomplishing
this goal in the pediatric unit of a tertiary care, teaching … Medication-
prescribing errors in a teaching hospital. A 9-year
experience.
-
www.ahrq.gov/patient-safety/settings/hospital/vtguide/appa.html
July 01, 2018 - Academic teaching/university
Community teaching
Community, nonteaching, no residency programs
Critical
-
www.ahrq.gov/research/findings/final-reports/crcscreeningrpt/crcscreen4a.html
April 01, 2018 - The original study was based in a medical school-run teaching clinic that is very different than community … likely that offering screening to patients is taught as a recommended behavior in the medical school teaching
-
www.ahrq.gov/es/patient-safety/settings/hospital/vtguide/appa.html
July 01, 2018 - Academic teaching/university
Community teaching
Community, nonteaching, no residency programs
Critical
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/049-dec-implementation-slides.pptx
October 01, 2024 - Patient Showering with CHG 9:00 – 10:23
Scenario: Talking to a Patient about CHG 5:38 - 7:37
Scenario: Teaching … Facilitated by strong staff engagement
Training emphasizes hands-on demonstrations, effective for teaching
-
www.ahrq.gov/prevention/guidelines/tobacco/clinicians/references/meta/meta02.html
October 01, 2014 - Limited effects of outpatient teaching and counseling after myocardial infarction: a controlled study … Limited effects of outpatient teaching and counseling after myocardial infarction: a controlled study
-
www.ahrq.gov/sites/default/files/2024-09/czeisler-report.pdf
January 01, 2024 - and
patient safety in the intensive care unit (ICU) and Cardiac Care Unit (CCU) at a
tertiary care teaching … As such, extended work shifts may contribute to medical errors in teaching
14
hospitals.
-
www.ahrq.gov/sites/default/files/2024-01/anumba-report_0.pdf
January 01, 2024 - limited to empirical investigations at the Hershey
Medical Center – Penn State College of Medicine’s teaching … Context and Setting: The research site was the Hershey Medical Center, which is the teaching hospital
-
www.ahrq.gov/research/findings/nhqrdr/chartbooks/access/access-slides.html
June 01, 2018 - Government
36.2
36
Private, Nonprofit
24.5
24.8
Private, For Profit
28.5
28.4
Teaching … Also in 2013, teaching hospitals (28.5%) had a larger percentage of Medicaid or uninsured patients compared