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psnet.ahrq.gov/node/49390/psn-pdf
February 01, 2003 - Flying Object Hits MRI
February 1, 2003
Gosbee JW, Gosbee LL. Flying Object Hits MRI. PSNet [internet]. 2003.
https://psnet.ahrq.gov/web-mm/flying-object-hits-mri
The Case
A child was brought to the Magnetic Resonance Imaging (MRI) room for a brain scan. Accompanied by an
anesthesiologist, the child was receiving…
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/manage-resident-RTI-slides.pptx
June 01, 2021 - PowerPoint Presentation
Management of a Resident With a Suspected Respiratory Tract Infection
Long-Term Care
AHRQ Safety Program for Improving Antibiotic Use
AHRQ Pub. No. 17(21)-0029
June 2021
Management RTI
1
Objectives
Review testing and empiric treatment options for pneumonia
Discuss opportunities for de-escal…
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psnet.ahrq.gov/node/49839/psn-pdf
August 01, 2018 - Mixup Beyond the Medication Label
August 1, 2018
Pervanas H, VanValkenburgh D. Mixup Beyond the Medication Label. PSNet [internet]. 2018.
https://psnet.ahrq.gov/web-mm/mixup-beyond-medication-label
The Case
An 80-year-old man was admitted to a hospital for recurrent hypoglycemia. He had been seen at another
hospi…
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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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psnet.ahrq.gov/node/866395/psn-pdf
July 23, 2024 - Rescue Improvement Conference Innovation Summary
July 23, 2024
https://psnet.ahrq.gov/innovation/rescue-improvement-conference-innovation-summary
Summary
The Rescue Improvement Conference (RIC)1 was designed at the University of Michigan to address failure
to rescue with a particular focus on communication and com…
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psnet.ahrq.gov/node/49697/psn-pdf
December 01, 2013 - Check the Anesthesia Machine
December 1, 2013
Saddawi-Konefka D, Cooper JB. Check the Anesthesia Machine. PSNet [internet]. 2013.
https://psnet.ahrq.gov/web-mm/check-anesthesia-machine
The Case
A 62-year-old man with weight of 134 kg (body mass index [BMI] of 40) and history of hypertension,
diabetes, sleep apnea…
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www.ahrq.gov/sites/default/files/wysiwyg/chsp/data/chsp-brief8-nursinghomes.pdf
January 01, 2021 - Nursing Homes Affiliated With U.S. Health Systems, 2018
1
Nursing Homes Affiliated with
U.S. Health Systems, 2018
This analysis is based on AHRQ’s Compendium of U.S. Health Systems, 2018. Developed as part of the Comparative Health System Performance
(CHSP) Initiative, the Compendium is a resource for data and r…
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psnet.ahrq.gov/primer/national-patient-safety-goals
January 16, 2025 - National Patient Safety Goals
Citation Text:
Shaikh U. National Patient Safety Goals. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2024.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote…
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www.ahrq.gov/news/newsletters/e-newsletter/925.html
August 01, 2024 - New Data Files Provide Comprehensive View of U.S. Healthcare
Issue Number
925
AHRQ News Now is a weekly newsletter that highlights agency research and program activities.
August 13, 2024
AHRQ Stats: Sepsis-Related Mortality Before and During COVID-19 Between 2016 and 2019, the in-hospital mortality rate…
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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…
-
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…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/a3_pdi_selfassessment.docx
May 12, 2016 - Getting Ready for Change Self-Assessment
Pediatric Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
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 suppo…
-
digital.ahrq.gov/sites/default/files/docs/page/2006ConinEganLoonsk_052411comp.pdf
January 17, 2006 - Office of the National Coordinator for Health Information Technology - Panel Discussion
Office of the National Coordinator
for Health Information Technology
Panel Discussion:
Kelly Cronin
John Loonsk, MD
Lynn Egan, JD
Visit our website at:
http://www.hhs.gov/healthit/
Overview
• ONC overview
• ONC Major Initi…
-
www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-psychological-safety-ref.html
September 01, 2023 - Strategies for Improving Clinician Psychological Safety in Reporting and Discussing Diagnostic Error
References
Previous Page
Table of Contents
Strategies for Improving Clinician Psychological Safety in Reporting and Discussing Diagnostic Error
Learning From Diagnostic Errors
The Potential of …
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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/03-ASC-webcast-2023-0509-hare.pdf
January 01, 2023 - SOPS Ambulatory Surgery Center Webcast - HARE
SOPS ASC Survey, Database and Resources
Ryan Hare, MPP
Lead Research Associate
User Network for the AHRQ Surveys on Patient Safety Culture (SOPS)
Westat
13
SOPS ASC Survey
• Designed specifically for ASC staff and asks for their opinions
about the culture of patie…
-
www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/03-sops-overview-webcast-tyler.pdf
January 01, 2025 - AHRQ’s Surveys on Patient Safety Culture® for New Users - Rose Tyler
AHRQ’s SOPS Program
www.ahrq.gov/sops
Rose Tyler
User Network for AHRQ’s Surveys on Patient Safety Culture, Westat
http://www.ahrq.gov/sops
SOPS Surveys and Databases
• Surveys of providers and staff about the extent to which their
organizatio…
-
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…
-
hcup-us.ahrq.gov/datainnovations/icd10_resources.jsp
April 01, 2022 - Data Innovations - ICD-10-CM/PCS Resources
An official website of the Department of Health & Human Services
Search All AHRQ Websites
Careers
Contact Us
Espanol
FAQs
Email Up…
-
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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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4c_combo_psi06-pneumothorax-bestpractices.pdf
May 20, 2016 - Selected Best Practices and Suggestions for Improvement
Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
1 Tool D.4c
Selected Best Practices and Suggestions for Improvement
PSI 06: Iatrogenic Pneumothorax
Why Focus on Iatrogenic Pneumothorax?
• Iatrogenic pneumothora…