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www.ahrq.gov/patient-safety/settings/hospital/candor/grand-rounds.html
August 01, 2022 - Grand Rounds Presentation
AHRQ Communication and Optimal Resolution Toolkit
Say:
This presentation will introduce you to Communication and Optimal Resolution, or the CANDOR process. Some organizations struggle to improve the way they and their care teams respond to medical harm. The CANDOR process a…
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs024553-bardach-final-report-2018.pdf
January 01, 2018 - Novel IT to Create Patient-Integrated Quality Improvement - Final Report
Title:
Novel IT to Create Patient-Integrated Quality Improvement
Principal Investigator:
Naomi S. Bardach, MD MAS
Team Members:
Glenn Rosenbluth, MD
James A. Wile…
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psnet.ahrq.gov/web-mm/physical-diagnosis-lost-art
January 17, 2018 - SPOTLIGHT CASE
Physical Diagnosis: A Lost Art?
Citation Text:
Thompson GR, Verghese A. Physical Diagnosis: A Lost Art?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2006.
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Format:
Google Schola…
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digital.ahrq.gov/ahrq-funded-projects/harnessing-health-information-technology-self-management-support-and-medication
January 01, 2023 - Harnessing Health Information Technology for Self-Management Support and Medication Activation in a Medicaid Health Plan
Project Final Report ( PDF , 325.41 KB) Disclaimer
Disclaimer
The findings and conclusions in this document are those of the author(s), who are responsible f…
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psnet.ahrq.gov/web-mm/false-assumptions-result-missed-pneumothorax-after-bronchoscopy-transbronchial-biopsy
March 15, 2023 - SPOTLIGHT CASE
False Assumptions Result in a Missed Pneumothorax after Bronchoscopy with Transbronchial Biopsy.
Citation Text:
Kuhn BT, Chau-Etchepare F. False Assumptions Result in a Missed Pneumothorax after Bronchoscopy with Transbronchial Biopsy.. PSNet [internet]. Rockville (MD): Agency for …
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psnet.ahrq.gov/web-mm/when-vomit-gets-way-aspiration-resulting-death-during-endoscopy
March 18, 2020 - When Vomit Gets in the Way: Aspiration Resulting in Death During Endoscopy
Citation Text:
Do T, Scott FJ. When Vomit Gets in the Way: Aspiration Resulting in Death During Endoscopy. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2024…
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psnet.ahrq.gov/web-mm/unexplained-apnea-under-anesthesia
December 01, 2005 - SPOTLIGHT CASE
Unexplained Apnea Under Anesthesia
Citation Text:
Barach P. Unexplained Apnea Under Anesthesia. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2003.
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www.ahrq.gov/patient-safety/quality-measures/21st-century/challenges.html
June 01, 2018 - The Challenge and Potential for Assuring Quality Health Care for the 21st Century
From Quality Measures to Quality Care: Examples of Quality Improvement at Work
Previous Page Next Page
Table of Contents
The Challenge and Potential for Assuring Quality Health Care for the 21st Century
From Quality …
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www.ahrq.gov/hai/tools/mvp/modules/vae/overview-off-ventilator-fac-guide.html
February 01, 2017 - Overview: Getting Patients Off the Ventilator Faster: Facilitator Guide
AHRQ Safety Program for Mechanically Ventilated Patients
Slide 1: Overview: Getting Patients Off the Ventilator Faster
Say:
In this module, we will introduce strategies and interventions, as well as adaptive and technical measures, …
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digital.ahrq.gov/sites/default/files/docs/publication/p20hs014908-bergner-final-report-2005.pdf
January 01, 2005 - El Dorado County Safety Net Technology Project
Grant Final Report
Grant ID: 1 P20 HS014908-01
El Dorado County Safety Net Technology Project
Inclusive dates: 09/30/04 - 09/29/05
Principal Investigator:
Dr. Greg Bergner
Team members:
Jon Lehrman
Sandra Dunn
Chris Weston
Mike Weiher
Pat …
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psnet.ahrq.gov/perspective/role-patient-improving-patient-safety
March 01, 2007 - The Role of the Patient in Improving Patient Safety
Rosemary Gibson, MSc | March 1, 2007
Also Read a Conversation
View more articles from the same authors.
Citation Text:
Gibson R. The Role of the Patient in Improving Patient Safety. PSNet [internet]. Rockville…
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www.ahrq.gov/sites/default/files/wysiwyg/npsd/npsd-portfolios-summary-profile-2014.pdf
January 01, 2014 - Patient Safety Organizations: A Summary of 2014 Profiles
Patient Safety Organizations:
A Summary of 2014 Profiles
The safety of patients in health care settings remains
a national priority and an important challenge. The
Patient Safety Organization (PSO) program, which
was authorized by the Patient Safety and Qu…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/patient-safety-technology-resources.pdf
May 01, 2023 - Improving Health Information Technology (IT) Patient Safety: A Resource List for Users of the AHRQ Health Information Technology Supplemental Item Set
SOPS Health IT Patient Safety Supplemental Item Set Resource List 1
Improving Health Information Technology (IT) Patient
Safety: A Resource List for Users of the A…
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digital.ahrq.gov/sites/default/files/docs/page/Tennessee%204-VI.ppt
August 18, 2004 - Emergency Department Project
AHRQ State and Regional Demonstration Project Evaluation:
Kevin B. Johnson, MD, MS
Associate Professor, Biomedical Informatics,
Vanderbilt University Medical Center
Nashville, Tennessee
Barbeque,
Blues,
Beneficial Technology
AHRQ State Regional Demonstration Project
Global replace tool…
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digital.ahrq.gov/sites/default/files/docs/page/Johnson%205-V.ppt
August 18, 2004 - Emergency Department Project
AHRQ State and Regional Demonstration Project Evaluation:
Kevin B. Johnson, MD, MS
Associate Professor, Biomedical Informatics,
Vanderbilt University Medical Center
Nashville, Tennessee
Barbeque,
Blues,
Beneficial Technology
AHRQ State Regional Demonstration Project
Global replace tool…
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cdsic.ahrq.gov/sites/default/files/2024-09/CDSiC%20Chart%20Book%202024_508.pdf
January 01, 2024 - Involving End-Users in Co-Design of Patient-Centered Clinical Decision Support
Involving End-Users in Co-Design
of Patient-Centered Clinical
Decision Support
This chartbook provides an overview of key takeaways from Trust and Patient-Centeredness
Workgroup: Methods for Involving End-Users in PC CDS Co-Design, …
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psnet.ahrq.gov/web-mm/hemorrhagic-shock-after-elective-spine-surgery-failure-rescue-after-limited-response-nursing
April 27, 2022 - SPOTLIGHT CASE
Hemorrhagic Shock after Elective Spine Surgery: Failure to Rescue after Limited Response to Nursing Concerns.
Citation Text:
Zakaluzny S. Hemorrhagic Shock after Elective Spine Surgery: Failure to Rescue after Limited Response to Nursing Concerns.. PSNet [internet]. Rockville (MD):…
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psnet.ahrq.gov/curated-library/artificial-intelligence-system-level-considerations
March 27, 2024 - Breadcrumb
Home
The PSNet Collection
Curated Libraries
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Artificial Intelligence: System-Level Considerations
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Created By: Lorri Zipper…
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psnet.ahrq.gov/curated-library/nurse-wellbeing-and-patient-safety
August 30, 2023 - Breadcrumb
Home
The PSNet Collection
Curated Libraries
Subscribed
Nurse Wellbeing and Patient Safety
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Created By: Lorri Zipperer, Cybrarian, AHRQ…
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psnet.ahrq.gov/web-mm/verbal-orders-and-medication-overrides-dangerous-combination
September 27, 2023 - Verbal Orders and Medication Overrides: A Dangerous Combination
Citation Text:
Mueller C, MacDowell P, Bourgeois JA. Verbal Orders and Medication Overrides: A Dangerous Combination. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2024…