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9481. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/865540/psn-pdf
      April 11, 2024 - Misplaced Nasogastric Tube Resulting in Aspiration April 11, 2024 Singh A, Huang C. Misplaced Nasogastric Tube Resulting in Aspiration. PSNet [internet]. 2024. https://psnet.ahrq.gov/web-mm/misplaced-nasogastric-tube-resulting-aspiration The Case An 82-year-old woman presented to the Emergency Department (ED) for …

9482. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/863308/psn-pdf
      February 28, 2024 - When Vomit Gets in the Way: Aspiration Resulting in Death During Endoscopy February 28, 2024 Do T, Scott FJ. When Vomit Gets in the Way: Aspiration Resulting in Death During Endoscopy. PSNet [internet]. 2024. https://psnet.ahrq.gov/web-mm/when-vomit-gets-way-aspiration-resulting-death-during-endoscopy The Case A…

9483. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49624/psn-pdf
      May 01, 2011 - Duty to Disclose Someone Else's Error? May 1, 2011 Gallagher TH. Duty to Disclose Someone Else's Error? PSNet [internet]. 2011. https://psnet.ahrq.gov/web-mm/duty-disclose-someone-elses-error Case Objectives State the rationale for disclosing medical errors. Describe key principles in effective error disclosure. …

9484. Final Progress Report: Regional Approach for THQIT in Rural Settings - Planning (pdf file)
      www.ahrq.gov/sites/default/files/2024-07/walker-report.pdf
      January 01, 2024 - Final Progress Report: Regional Approach for THQIT in Rural Settings - Planning FINAL PROGRESS REPORT Regional Approach for THQIT in Rural Settings AHRQ Grant: 1 P20 HS015457-01 Project Title: “Regional Approach for THQIT in Rural Settings – Planning” Principal Investigator: James M. Walker, MD Team Members: M…

9485. Verification Screen That Includes Prominent Patient Photograph Significantly Reduces Errors Caused by Orders Placed in Wrong Chart | PSNet
      psnet.ahrq.gov/innovation/verification-screen-includes-prominent-patient-photograph-significantly-reduces-errors
      October 30, 2024 - Verification Screen That Includes Prominent Patient Photograph Significantly Reduces Errors Caused by Orders Placed in Wrong Chart Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL June 12, 2020 …

9486. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/865411/psn-pdf
      March 27, 2024 - Uterine Artery Injury during Cesarean Delivery Leads to Cardiac Arrests and Emergency Hysterectomy March 27, 2024 Lopez C, Tache V. Uterine Artery Injury during Cesarean Delivery Leads to Cardiac Arrests and Emergency Hysterectomy. PSNet [internet]. 2024. https://psnet.ahrq.gov/web-mm/uterine-artery-injury-during-…

9487. Microsoft PowerPoint - Spotlight Case_Postop Cervical Hematomas_12.15.2022 FINAL.pptx (pdf file)
      psnet.ahrq.gov/sites/default/files/2023-01/spotlight_respiratory_distress_after_neck_surgery_two_cases_of_postoperative_cervical_hematoma.pdf
      January 01, 2023 - Microsoft PowerPoint - Spotlight Case_Postop Cervical Hematomas_12.15.2022 FINAL.pptx Spotlight Respiratory Distress after Neck Surgery: Two Cases of Post-Operative Cervical Hematoma Source and Credits • This presentation is based on the January 2023 AHRQ WebM&M Spotlight Case o See the full article at https://…

9488. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49388/psn-pdf
      February 01, 2003 - Unexplained Apnea Under Anesthesia February 1, 2003 Barach P. Unexplained Apnea Under Anesthesia. PSNet [internet]. 2003. https://psnet.ahrq.gov/web-mm/unexplained-apnea-under-anesthesia Case Objectives Clinical Objectives List the causes of prolonged apnea in the operating room Describe the steps in management …

9489. Slide 1 (ppt file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/contentcalls/zero_clabsis-slides/Sustaining-Zero-CLABSIs-May-8-2012-508.ppt
      January 01, 2012 - Slide 1 Getting to Zero and Sustaining Success: The Virginia Experience Barbara Brown, Vice President Virginia Hospital and Healthcare Association May 8, 2012 * Learning Objectives To understand the challenges and successes the Commonwealth of Virginia experienced during the national collaborative in Reduci…

9490. Patient Experience Measures from the CAHPS Clinician & Group Survey (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/cg/about/measures-cg30-2309.pdf
      June 01, 2017 - Patient Experience Measures from the CAHPS Clinician & Group Survey Patient Experience Measures from the CAHPS Clinician & Group Survey CAHPS® Clinician & Group Survey and Instructions Patient Experience Measures from the CAHPS® Clinician & Group Survey Introduction ...................................…

9491. SOPS® Workplace Safety Supplemental Items for the SOPS Hospital Survey - Spanish (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/workplace-safety/Workplace-Safety-Hospitals-2022-1215-SPANISH-508.pdf
      January 01, 2022 - SOPS® Workplace Safety Supplemental Items for the SOPS Hospital Survey - Spanish 1 SOPS® Workplace Safety Supplemental Item Set for the SOPS Hospital Survey Language: Spanish Purpose: This supplemental item set was designed for use with the core SOPS® Hospital Survey Version 2.0 to help hospitals assess the e…

9492. Optimize Briefings and Debriefings: Slide Presentation | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/surgery/modules/implementation/opt-briefings-slides.html
      December 01, 2017 - Optimize Briefings and Debriefings: Slide Presentation AHRQ Safety Program for Surgery Slide 1: AHRQ Safety Program for Surgery—Implementation Optimize Briefings and Debriefings Slide 2: Learning Objectives Describe characteristics of effective briefings and debriefings. Present the evidence bas…

9493. Best Practices in the Management of Patients With Antibiotic Allergies – Facilitator Guide (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/allergies-guide.docx
      September 01, 2022 - Best Practices in the Management of Patients With Antibiotic Allergies – Facilitator Guide AHRQ Safety Program for Improving Antibiotic Use 1 Best Practices in the Management of Patients with Antibiotic Allergies Ambulatory Care Slide Title and Commentary Slide Number and Slide Best Practices in the Managemen…

9494. Engage the Team and Applying CUSP in the ICU Setting Slides (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/cusp-icu-notes.docx
      April 01, 2022 - Engage the Team and Applying CUSP in the ICU Setting Slides CUSP Module: Engaging the Team and Applying CUSP in the ICU Setting Facilitator Guide Slide Number and Image This module, titled “Engaging the Team and Applying CUSP in the ICU Setting” is part of the Agency for Healthcare Research and Quality, or AHRQ…

9495. Video-Transcript-Spanish (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/long-term-modules/module2/video-transcript-spanish.docx
      June 02, 2025 - ( PREVENIR HAIs Infeccones relacionadas con los cuidados de salud )Programa de seguridad de la AHRQ para cuidados a largo plazo: HAI/CAUTI Kit de herramientas de seguridad para cuidados a largo plazo ( PREVENIR HAIs Infeccones relacionadas con los cuidados de salud )Módulo 2: Participación de los directivos Progra…

9496. Appendix B: Risk Assessment Models, Protocols, and Order Sets (continued) | Agency for Healthcare Research and Quality
      www.ahrq.gov/es/patient-safety/settings/hospital/vtguide/appb2.html
      January 01, 2020 - Preventing Hospital-Associated Venous Thromboembolism Appendix B: Risk Assessment Models, Protocols, and Order Sets (continued) Previous Page Next Page Table of Contents Preventing Hospital-Associated Venous Thromboembolism Preface Executive Summary Chapter 1. The Framework for Improvement C…

9497. Section 3: Selecting and Targeting Populations for a Care Management Program | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/medicaidmgmt/mm3.html
      October 01, 2014 - Designing and Implementing Medicaid Disease and Care Management Programs Section 3: Selecting and Targeting Populations for a Care Management Program Previous Page Next Page Table of Contents Designing and Implementing Medicaid Disease and Care Management Programs Introduction Section 1: Plannin…

9498. Making Effective Changes in Antibiotic Decision Making (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/safety/changes-facilitator-guide.pdf
      November 01, 2019 - Making Effective Changes in Antibiotic Decision Making AHRQ Safety Program for Improving Antibiotic Use 1 AHRQ Pub. No. 17(20)-0028-EF November 2019 Making Effective Changes in Antibiotic Decision Making Acute Care Slide Title and Commentary Slide Number and Slide Making Effect…

9499. Best Practices in the Diagnosis and Treatment of Asymptomatic Bacteriuria and Urinary Tract Infections – Facilitator Guide (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/uti-guide.docx
      September 01, 2022 - Best Practices in the Diagnosis and Treatment of Asymptomatic Bacteriuria and Urinary Tract Infections – Facilitator Guide AHRQ Safety Program for Improving Antibiotic Use 1 Best Practices in the Diagnosis and Treatment of Asymptomatic Bacteriuria and Urinary Tract Infections Ambulatory Care Slide Title …

9500. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73336/psn-pdf
      May 26, 2021 - The “Great Pretender” (Syphilis) is Still Stumping Healthcare Providers May 26, 2021 Glaser K, Vongspanich-Dray J. The “Great Pretender” (Syphilis) is Still Stumping Healthcare Providers. PSNet [internet]. 2021. https://psnet.ahrq.gov/web-mm/great-pretender-syphilis-still-stumping-healthcare-providers The Case  …