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  1. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/a3_pdi_selfassessment.pdf
    May 12, 2016 - Getting Ready for Change Self-Assessment Pediatric Toolkit for Using the AHRQ Quality Indicators How To Improve Hospital Quality and Safety i Tool A.3 Getting Ready for Change Self-Assessment What is the purpose of this tool? This tool can be used to assess your hospital’s organizational infrastructure and it…
  2. 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…
  3. www.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/pu6.html
    October 01, 2014 - Preventing Pressure Ulcers in Hospitals 6. How do we sustain the redesigned prevention practices? Previous Page Next Page Table of Contents Preventing Pressure Ulcers in Hospitals Overview Key Subject Area Index 1. Are we ready for this change? 2. How will we manage change? 3. What are the…
  4. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/a3_combo_selfassessment.docx
    June 27, 2014 - AHRQ Quality Indicators Toolkit Getting Ready for Change Self-Assessment What is the purpose of this tool? This tool can be used to assess your hospital’s organizational infrastructure and its readiness to support effective implementation efforts. Using this checklist, you can highlight capabilities that should be in p…
  5. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/a3_combo_selfassessment.pdf
    May 12, 2016 - Getting Ready for Change Self-Assessment Toolkit for Using the AHRQ Quality Indicators How To Improve Hospital Quality and Safety i Tool A.3 Getting Ready for Change Self-Assessment What is the purpose of this tool? This tool can be used to assess your hospital’s organizational infrastructure and its readines…
  6. psnet.ahrq.gov/topics-0
    March 03, 2025 - Topics Guides for key topics in patient safety through context, epidemiology, and relevant AHRQ PSNet content. The Patient Safety 101 Primer provides an overview of the patient safety field and covers key definitions and concepts. Featured Topics in Patient Safety Updated Date: March 3, 2025 …
  7. 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:…
  8. effectivehealthcare.ahrq.gov/sites/default/files/pdf/heart-failure-transition-care_clinician.pdf
    October 01, 2015 - Transitional Care Interventions To Prevent Readmissions for People With Heart Failure Focus of This Summary This is a summary of a systematic review evaluating the evidence regarding the efficacy, comparative effectiveness, and harms of transitional care interventions (defined in Table 1) that aim to reduce readmiss…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49435/psn-pdf
    February 01, 2004 - X-ray Flip February 1, 2004 Shapiro MJ. X-ray Flip. PSNet [internet]. 2004. https://psnet.ahrq.gov/web-mm/x-ray-flip The Case A 19-year-old man presented to the emergency department with respiratory distress after blunt chest trauma. A digital chest radiograph was labeled backwards; a "left" marker was mistakenly…
  10. www.ahrq.gov/patient-safety/reports/liability/baker.html
    August 01, 2017 - Advances in Patient Safety and Medical Liability Patient, Family Member, and Clinician Perceptions of Disclosure of Adverse Events in Labor and Delivery Previous Page Next Page Table of Contents Advances in Patient Safety and Medical Liability Preface Acknowledgments Prologue Silence A Comme…
  11. www.ahrq.gov/topics/emergency-preparedness.html
    Topic: Emergency Preparedness AHRQ has research, tools, and resources related to emergency preparedness. Emergency preparedness responses are preventive emergency measures and programs designed to protect the individual or community. AHRQ COVID-19 Resources Allocation…
  12. www.ahrq.gov/nursing-home/resources/vaccination-reporting-data-systems.html
    August 01, 2022 - COVID-19 Vaccination Reporting Data Systems Resource: COVID-19 Vaccination Reporting Data Systems This page outlines the data systems that have been integrated to ensure successful tracking and reporting of COVID-19 vaccine distribution and administration data. Each section includes an overview and informat…
  13. www.ahrq.gov/nursing-home/resources/how-to-prepare-for-surge.html
    June 01, 2022 - How To Prepare Your Facility for a Surge Resource: How To Prepare Your Facility for a Surge ​This course is free and is designed to meet the critical staff shortages occurring as a result of COVID-19. Completion of this training is intended to prepare facilities to develop, manage, and maintain a surge plan…
  14. www.ahrq.gov/action-alliance/webinars/empowering-frontline-staff.html
    August 01, 2024 - Webinar: Empowering Frontline Staff with Competencies for Patient Safety In this webinar, patient safety and quality improvement experts including Ms. Jenn Schreiber (Ripple Effect) and Dr. Lillee Gelinas (University of North Texas Health Science Center) discussed the importance of safety competency and trainin…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36492/psn-pdf
    June 09, 2011 - When surgery goes wrong: weighing up the risks. June 9, 2011 Feinmann J. The Independent. November 14, 2006. https://psnet.ahrq.gov/issue/when-surgery-goes-wrong-weighing-risks This article reports on a husband's investigation into his wife's death following a routine surgery and his subsequent efforts to bring hu…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39238/psn-pdf
    January 20, 2010 - Distractions and surgical proficiency: an educational perspective. January 20, 2010 Szafranski C, Kahol K, Ghaemmaghami V, et al. Distractions and surgical proficiency: an educational perspective. Am J Surg. 2009;198(6):804-10. doi:10.1016/j.amjsurg.2009.04.027. https://psnet.ahrq.gov/issue/distractions-and-surgic…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38093/psn-pdf
    September 24, 2008 - Beth Israel cited for residents' long hours—facing review for accreditation. September 24, 2008 Kowalczyk L. https://psnet.ahrq.gov/issue/beth-israel-cited-residents-long-hours-facing-review-accreditation This article reports on violations of ACGME work hour restrictions in some Boston hospitals. Approximately 9%…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39677/psn-pdf
    April 12, 2011 - Pharmacy student knowledge and communication of medication errors. April 12, 2011 Rickles NM, Noland CM, Tramontozzi A, et al. Pharmacy student knowledge and communication of medication errors. Am J Pharm Educ. 2010;74(4):60. https://psnet.ahrq.gov/issue/pharmacy-student-knowledge-and-communication-medication-erro…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38167/psn-pdf
    December 17, 2008 - Toward a definition of teamwork in emergency medicine. December 17, 2008 Fernandez R, Kozlowski SWJ, Shapiro MJ, et al. Toward a definition of teamwork in emergency medicine. Acad Emerg Med. 2008;15(11):1104-12. doi:10.1111/j.1553-2712.2008.00250.x. https://psnet.ahrq.gov/issue/toward-definition-teamwork-emergency-…
  20. cds.ahrq.gov/sites/default/files/cds/artifact/476/CDS%20Connect%20Pilot%20Site%20Training%20Plan_Final_0.docx
    July 23, 2024 - . · Clinical Champions will be identified in advance of the training but trained with the rest of the