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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…
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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/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…
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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…
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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…
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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
…
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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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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…
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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…
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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…
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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…
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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…
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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…
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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…
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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…
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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…
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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%…
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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…
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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-…
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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