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  1. One Bronchoscopy, Two Errors | PSNet

    psnet.ahrq.gov/web-mm/one-bronchoscopy-two-errors
    December 09, 2020 - One Bronchoscopy, Two Errors Citation Text: Leiten E, Nielsen R. One Bronchoscopy, Two Errors. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XM…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73650/psn-pdf
    August 25, 2021 - Coming up for Err: Missed Diagnosis in a Patient with Recurrent Pneumothorax August 25, 2021 Carlile N, El-Chemaly S, Schiff G. Coming up for Err – Missed Diagnosis in a Patient with Recurrent Pneumothorax. PSNet [internet]. 2021. https://psnet.ahrq.gov/web-mm/coming-err-missed-diagnosis-patient-recurrent-pneumoth…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49612/psn-pdf
    November 01, 2010 - Treatment Challenges After Discharge November 1, 2010 Coffey C. Treatment Challenges After Discharge. PSNet [internet]. 2010. https://psnet.ahrq.gov/web-mm/treatment-challenges-after-discharge Case Objectives Understand types and frequencies of adverse events occurring between patient discharge from the hospital …

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49568/psn-pdf
    September 01, 2008 - Failure to Latch September 1, 2008 Rodriguez M, Mannel R, Frye DR. Failure to Latch. PSNet [internet]. 2008. https://psnet.ahrq.gov/web-mm/failure-latch The Case The patient is a full-term, 8.5-pound, healthy infant whose parents were strongly committed to breastfeeding exclusively for 6 months. However, early br…

  5. Appendix V (continued) | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/report/apv1b.html
    June 01, 2010 - Environmental Scan of Measures for Medicaid Title XIX Home and Community-Based Services Appendix V (continued) Previous Page Next Page Table of Contents Environmental Scan of Measures for Medicaid Title XIX Home and Community-Based Services Executive Summary Introduction and Scan Methodology E…

  6. Danger in Disruption | PSNet

    psnet.ahrq.gov/web-mm/danger-disruption
    July 29, 2020 - Danger in Disruption Citation Text: Fontaine DK. Danger in Disruption. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2009. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedI…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60952/psn-pdf
    September 30, 2020 - When the Lytes Go Out: A Case of Inpatient Cardiac Arrest September 30, 2020 Stripe B, Zuidema D. When the Lytes Go Out: A Case of Inpatient Cardiac Arrest . PSNet [internet]. 2020. https://psnet.ahrq.gov/web-mm/when-lytes-go-out-case-inpatient-cardiac-arrest Disclosure of Relevant Financial Relationships: As a pr…

  8. Gap Analysis for MRSA Prevention (Hospital-Level) (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/167-hospital-level-gap-analysis.pdf
    June 02, 2025 - Gap Analysis for MRSA Prevention (Hospital-Level) hospital? AHRQ Safety Program for MRSA Prevention Gap Analysis for MRSA Prevention (Hospital-Level) ICU & Non-ICU Please answer the following questions related to methicillin-resistant Staphylococcus aure…

  9. Guidelines for Ensuring the Quality of Information Disseminated to the Public | Agency for Healthcare Research and Quality

    www.ahrq.gov/research/publications/ahrq-info-quality-gdlns.html
    September 01, 2019 - Guidelines for Ensuring the Quality of Information Disseminated to the Public C. Agency for Healthcare Research and Quality Note: Last revised in 2006, these Guidelines also appear on the HHS Web site. AHRQ presents them here with a 2015 Update . Contents Agency Mission . Scope and Applicability …

  10. Urinary Retention Dilemma | PSNet

    psnet.ahrq.gov/web-mm/urinary-retention-dilemma
    March 01, 2013 - Urinary Retention Dilemma Citation Text: Joseph AC. Urinary Retention Dilemma. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2006. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged…

  11. Engage Patients and Families for Perinatal Safety (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/engage/pf-engagement-facilitator-guide.pdf
    May 01, 2017 - Engage Patients and Families for Perinatal Safety AHRQ Safety Program for Perinatal Care Engage Patients and Families for Perinatal Safety AHRQ Publication No. 17-0003-6-EF May 2017 SAY: The Patient and Family Engagement module focuses on an important topic: making sure patients and their family members un…

  12. Involving Patients and Families in Safety: Slide Presentation (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/involving-patients-families-in-safety-slides.pdf
    July 25, 2023 - Involving Patients and Families in Safety: Slide Presentation The National Action Alliance to Advance Patient Safety Summer Webinar Series Involving Patients and Families in Safety July 25, 2023 2:00-3:00 PM ET Special Guest Speakers Sue Sheridan, MIM, MBA, DHL Founding Member, Patients For Patient Safety U…

  13. Section 5. Preparing to Launch | Agency for Healthcare Research and Quality

    www.ahrq.gov/research/findings/final-reports/ptflow/section5.html
    July 01, 2018 - Improving Patient Flow and Reducing Emergency Department Crowding: A Guide for Hospitals Section 5. Preparing to Launch Previous Page Next Page Table of Contents Improving Patient Flow and Reducing Emergency Department Crowding: A Guide for Hospitals Acknowledgments Executive Summary Section 1…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49446/psn-pdf
    August 30, 2021 - Too Tight Control May 1, 2004 Rubin HR, Fajtova VT. Too Tight Control. PSNet [internet]. 2004. https://psnet.ahrq.gov/web-mm/too-tight-control Case Objectives Appreciate the advantages and potential complications of intensive insulin therapy in the hospitalized patient List hospital-based safeguards available to…

  15. Facilitator Guide: Build Your SSI Prevention Bundle (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/measuredesc-dailyearlymobility-facguide.docx
    January 01, 2017 - Facilitator Guide: Build Your SSI Prevention Bundle Slide Title and Commentary Slide Number and Slide Title Slide Measure Descriptions for Daily Early Mobility SAY: In this module, you will learn about the data measures you will use to evaluate early mobility process and outcome measures in your unit. Slide 1 …

  16. PowerPoint Presentation (ppt file)

    psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.407_slideshow.ppt
    May 01, 2017 - PowerPoint Presentation Spotlight Diagnostic Delay in the Emergency Department 1 Source and Credits This presentation is based on the May 2017 AHRQ WebM&M Spotlight Case See the full article at https://psnet.ahrq.gov/webmm CME credit is available Commentary by: Kyle Marshall, MD, Geisinger Medical Center, Danv…

  17. A Mistaken Dose of Naloxone  | PSNet

    psnet.ahrq.gov/web-mm/mistaken-dose-naloxone
    March 21, 2009 - A Mistaken Dose of Naloxone  Citation Text: Cutler E, Gunawardena D. A Mistaken Dose of Naloxone . PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote …

  18. Established Child Health Care Quality Measures: AHRQ Quality Indicators | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/quality-resources/tools/chtoolbx/measures/measure-3.html
    November 01, 2017 - Established Child Health Care Quality Measures: AHRQ Quality Indicators Child Health Care Quality Toolbox The Child Health Toolbox contains concepts, tips, and tools for evaluating the quality of health care for children. Contents Pediatric Quality Indicators Child-Specific Quality Indicators Availa…

  19. Updates in the Role of Health IT in Patient Safety | PSNet

    psnet.ahrq.gov/perspective/updates-role-health-it-patient-safety
    January 31, 2020 - Annual Perspective Updates in the Role of Health IT in Patient Safety February 21, 2020  View more articles from the same authors. Citation Text: Hall KK, Fitall E, Hettinger AZ. Updates in the Role of Health IT in Patient Safety. PSNet [internet]. Rockville …

  20. Chapter 5 | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/patients-families/consumer-exp/reporting/chapter5.html
    August 01, 2022 - Designing Consumer Reporting Systems for Patient Safety Events Chapter 5 Previous Page Next Page Table of Contents Designing Consumer Reporting Systems for Patient Safety Events Executive Summary Chapter 1. Background Chapter 2. Conceptual Framework and Design Chapter 3. Description of Metho…
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