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Showing results for "barrier".

7461. Baylor Scott & White Health: Building a Foundation for Continuous Improvement (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/lhs/lhs_case_studies_bsw.pdf
      April 01, 2019 - Baylor Scott & White Health: Building a Foundation for Continuous Improvement Baylor Scott & White Health: Building a Foundation for Continuous Improvement The Agency for Healthcare Research and Quality (AHRQ) has developed a series of case studies to help health system chief executive officers and other C-sui…

7462. Webmm Spotlight Suicide Risk Assessment (pdf file)
      psnet.ahrq.gov/sites/default/files/2019-11/webmm_spotlight_suicide_risk_assessment.pdf
      January 01, 2019 - Spotlight Missed Opportunities for Suicide Risk Assessment Source and Credits • This presentation is based on the November 2019 AHRQ WebM&M Spotlight Case ○ See the full article at https://psnet.ahrq.gov/webmm ○ CME credit is available • Commentary by: Glen Xiong, MD & Debra Kahn, MD ○ Editors in Chief, AHRQ We…

7463. Medication Safety in Primary Care Practice Translating Research into Practice (MS-TRIP) (pdf file)
      digital.ahrq.gov/sites/default/files/docs/publication/r18hs017037-ornstein-final-report-2010.pdf
      January 01, 2010 - Medication Safety in Primary Care Practice Translating Research into Practice (MS-TRIP) Grant Final Report Grant ID: 5R18HS017037 Medication Safety in Primary Care Practice Translating Research into Practice (MS-TRIP) Inclusive Dates: 09/30/07 – 09/29/10 Principal Investigator: Ste…

7464. Establishing a Business Case for Health Information Exchange (HIE) (pdf file)
      digital.ahrq.gov/sites/default/files/docs/page/UHIN_BusinessCaseReport.pdf
      November 01, 2005 - Establishing a Business Case for Health Information Exchange (HIE)                                                                                                                                                                                                                                                      …

7465. Methicillin-Resistant Staphylococcus aureus | PSNet
      psnet.ahrq.gov/perspective/methicillin-resistant-staphylococcus-aureus
      June 24, 2010 - Methicillin-Resistant Staphylococcus aureus Gary A. Noskin, MD | April 1, 2008  View more articles from the same authors. Citation Text: Noskin GA. Methicillin-Resistant Staphylococcus aureus. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Qua…

7466. Inadequate Preanesthetic Evaluation, Airway Trouble | PSNet
      psnet.ahrq.gov/web-mm/inadequate-preanesthetic-evaluation-airway-trouble
      November 01, 2023 - Inadequate Preanesthetic Evaluation, Airway Trouble Citation Text: Blitz J. Inadequate Preanesthetic Evaluation, Airway Trouble. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2018. Copy Citation Format: Google Scholar …

7467. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/857259/psn-pdf
      November 30, 2023 - Medication Mix-Up Leads to Patient Death November 30, 2023 Sanchez L, Romano PS. Medication Mix-Up Leads to Patient Death. PSNet [internet]. 2023. https://psnet.ahrq.gov/web-mm/medication-mix-leads-patient-death The Case  An 81-year-old man was transferred from an outside hospital and admitted to the intensive car…

7468. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/865656/psn-pdf
      April 24, 2024 - Verbal Orders and Medication Overrides: A Dangerous Combination April 24, 2024 Mueller C, MacDowell P, Bourgeois JA. Verbal Orders and Medication Overrides: A Dangerous Combination. PSNet [internet]. 2024. https://psnet.ahrq.gov/web-mm/verbal-orders-and-medication-overrides-dangerous-combination The Case A 26-ye…

7469. Evaluation of Medications Removed from Automated Dispensing Machines Using the Override Function Leading to Multiple System Changes (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Miller_93.pdf
      March 12, 2008 - Evaluation of Medications Removed from Automated Dispensing Machines Using the Override Function Leading to Multiple System Changes Evaluation of Medications Removed from Automated Dispensing Machines Using the Override Function Leading to Multiple System Changes Karla Miller, PharmD; Manisha Shah, MBA, RT; Lau…

7470. To Transfer or Not to Transfer | PSNet
      psnet.ahrq.gov/web-mm/transfer-or-not-transfer
      November 23, 2016 - SPOTLIGHT CASE To Transfer or Not to Transfer Citation Text: Pines JM. To Transfer or Not to Transfer. 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 …

7471. Implementing Team Approaches for Improving Diabetes Care in Health Centers | Agency for Healthcare Research and Quality
      www.ahrq.gov/practiceimprovement/delivery-initiative/rodriguez/index.html
      December 01, 2020 - Implementing Team Approaches for Improving Diabetes Care in Health Centers Slide Presentation by Hector P. Rodriguez Text version of a slide presentation made by Hector P. Rodriguez, PhD, MPH. Sign up: Quality Measure Tools Email updates Slide 1 Implementing Team Approaches for Improving Diabetes Ca…

7472. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/848109/psn-pdf
      April 26, 2023 - The Danger of 10% Intravenous Calcium Chloride Extravasation. April 26, 2023 The Danger of 10% Intravenous Calcium Chloride Extravasation. PSNet [internet]. 2023. https://psnet.ahrq.gov/web-mm/danger-10-intravenous-calcium-chloride-extravasation The Case A 52-year-old man with a history of lymphoplasmacytic lymph…

7473. Scisafetynotes (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/understand/scisafetynotes.docx
      June 02, 2025 - SAY: The “Understand the Science of Safety” module of the Comprehensive Unit-based Safety Program (or CUSP) Toolkit discusses the importance of understanding system design, safe design principles, and valuing diverse input from team members. By analyzing patient safety as a science, frontline providers will provide a h…

7474. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49516/psn-pdf
      August 01, 2006 - Physical Diagnosis: A Lost Art? August 1, 2006 Thompson GR, Verghese A. Physical Diagnosis: A Lost Art? PSNet [internet]. 2006. https://psnet.ahrq.gov/web-mm/physical-diagnosis-lost-art Case Objectives Appreciate the decline in proficiency and reliance on physical examination skills among health care providers. …

7475. Communication and Optimal Resolution (CANDOR) Toolkit Module 3: Preparing for Implementation: Change Readiness and Gap Analysis
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module3/module3-assessment-change-readiness-gap-analysis.pptx
      August 25, 2015 - Communication and Optimal Resolution (CANDOR) Toolkit Module 3: Preparing for Implementation: Change Readiness and Gap Analysis Communication and Optimal Resolution (CANDOR) Toolkit Module 3 – Preparing for Implementation: Change Readiness and Gap Analysis Module 3 of the CANDOR Toolkit describes the critical ste…

7476. QDR 2014: Chartbook for Hispanic Health Care, Part 1 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2014chartbooks/hispanichealth/2014nhqdr-hispanichealth-pt1.pdf
      October 01, 2015 - QDR 2014: Chartbook for Hispanic Health Care, Part 1 Agency for Healthcare Research and Quality Advancing Excellence in Health Care www.ahrq.gov 2014 National Healthcare Quality and Disparities Report CHARTBOOK ON HEALTH CARE FOR HISPANICS This document is in the public domain and may be used and reprinte…

7477. Final Progress Report: Improving Quality in Medication Management in Schools (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/grahamlear-report.pdf
      January 01, 2024 - Final Progress Report: Improving Quality in Medication Management in Schools Project Title: Improving Quality in Medication Management in Schools Principal Investigator: Julia Graham Lear, PhD Team Members: Annette Ferebee, MPH, Project Director Nancy Eichner, MUP, Senior Program Manager Theresa Chapman, Executive …

7478. Microsoft PowerPoint - Spotlight Case_Uterine Artery Injury during Cesarean Delivery - FINAL.pptx (pdf file)
      psnet.ahrq.gov/sites/default/files/2024-03/uterine_artery_injury.pdf
      January 01, 2024 - Microsoft PowerPoint - Spotlight Case_Uterine Artery Injury during Cesarean Delivery - FINAL.pptx Spotlight Uterine Artery Injury during Cesarean Delivery Leads to Cardiac Arrests and Emergency Hysterectomy Source and Credits • This presentation is based on the March 2024 AHRQ WebM&M Spotlight Case o See the ful…

7479. Final Progress Report: Medication Safety in Primary Care Practice Translating Research Into Practice (MS-TRIP) (pdf file)
      www.ahrq.gov/sites/default/files/2024-02/ornstein-report.pdf
      January 01, 2024 - Final Progress Report: Medication Safety in Primary Care Practice Translating Research Into Practice (MS-TRIP) Grant Final Report Grant ID: 5R18HS017037 Medication Safety in Primary Care Practice Translating Research into Practice (MS-TRIP) Inclusive Dates: 09/30/07 – 09/29/10 Principal Investigator: Steven Ornst…

7480. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/843151/psn-pdf
      February 01, 2023 - Patient Safety Concerns and the LGBTQ+ Population February 1, 2023 Wesley C, Van CM, Mossburg S. Patient Safety Concerns and the LGBTQ+ Population. PSNet [internet]. 2023. https://psnet.ahrq.gov/perspective/patient-safety-concerns-and-lgbtq-population Challenges to Obtaining Needed Patient-Centered and Safe Health…