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2321. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/72689/psn-pdf
      January 29, 2021 - But See the Patient First January 29, 2021 Sinigayan VR. But See the Patient First. PSNet [internet]. 2021. https://psnet.ahrq.gov/web-mm/see-patient-first The Case   A 55-year-old man with acute myeloid leukemia presented to the emergency department (ED) with a chief complaint of fever. Five days previously, he …

2322. Retained Surgical Items: Definition and Epidemiology. | PSNet
      psnet.ahrq.gov/primer/retained-surgical-items-definition-and-epidemiology
      September 15, 2024 - Retained Surgical Items: Definition and Epidemiology. Citation Text: Romano PS, Gibbs VC. Retained Surgical Items: Definition and Epidemiology.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2024. Copy Citation Format: …

2323. Improving the Value of Patient Safety Reporting Systems (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Pronovost_95.pdf
      June 12, 2008 - Improving the Value of Patient Safety Reporting Systems Improving the Value of Patient Safety Reporting Systems Peter J. Pronovost, MD, PhD; Laura L. Morlock, PhD; J. Bryan Sexton, PhD; Marlene R. Miller, MD, MSc; Christine G. Holzmueller, BLA; David A. Thompson, DNSc, MS; Lisa H. Lubomski, PhD; Albert W. Wu, M…

2324. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/836976/psn-pdf
      April 27, 2022 - Intraosseous Line Extravasation in a Pediatric Trauma Patient April 27, 2022 Yoon J, Barnes DK. Intraosseous Line Extravasation in a Pediatric Trauma Patient. PSNet [internet]. 2022. https://psnet.ahrq.gov/web-mm/intraosseous-line-extravasation-pediatric-trauma-patient Disclosure of Relevant Financial Relationship…

2325. Safe Practices for Better Health Care (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Kizer1.pdf
      April 01, 2004 - Safe Practices for Better Health Care 23 Safe Practices for Better Health Care Kenneth W. Kizer, Laura N. Blum Abstract Modern health care is highly complex, high risk, and error prone. Not surprisingly, health care errors and consequent adverse events are a leading cause of death and injury, even though wel…

2326. Case 4. Suntown Hospital | Agency for Healthcare Research and Quality
      www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-case4.html
      November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies Case 4. Suntown Hospital Previous Page Next Page Table of Contents Improving Care Delivery Through Lean: Implementation Case Studies Introduction to the Case Studies Case 1. Lakeview Healthcare Case 2. Central Hospital Case 3.…

2327. Neds 2006 Maskedstats Ed (pdf file)
      hcup-us.ahrq.gov/db/nation/neds/stats/NEDS_2006_MaskedStats_ED.PDF
      January 01, 2006 - please refer to the section on Description of Data Elements. For more information about the coding of HCUP data elements, HCUP Summary Statistics Report: NEDS 2006 - ED File 12:13 Friday, June 19, 2009 1 Means of Continuous Data Elements please refer to the section on Description of Data Elements. For more informat…

2328. Neds 2007 Maskedstats Ed (pdf file)
      hcup-us.ahrq.gov/db/nation/neds/stats/NEDS_2007_MaskedStats_ED.PDF
      January 01, 2007 - please refer to the section on Description of Data Elements. For more information about the coding of HCUP data elements, HCUP Summary Statistics Report: NEDS 2007 - ED File 15:47 Monday, December 28, 2009 1 Means of Continuous Data Elements please refer to the section on Description of Data Elements. For more info…

2329. Neds 2007V2 Maskedstats Ed (pdf file)
      hcup-us.ahrq.gov/db/nation/neds/stats/NEDS_2007v2_MaskedStats_ED.PDF
      April 09, 2010 - please refer to the section on Description of Data Elements. For more information about the coding of HCUP data elements, HCUP Summary Statistics Report: NEDS 2007 - ED File 02:09 Friday, April 9, 2010 1 Means of Continuous Data Elements please refer to the section on Description of Data Elements. For more informat…

2330. PowerPoint Presentation
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/long-term-modules/module1/safety-modules.pptx
      March 01, 2017 - PowerPoint Presentation Module 1: Using the Comprehensive Long-Term Care Safety Modules: Applying Safety Principles AHRQ Safety Program for Long-Term Care: HAIs/CAUTI Long-Term Care Safety Modules AHRQ Pub. No. 16(17)-0003-03-EF March 2017 1 Objectives Describe the purpose of the Long-Term Care Safety Modules…

2331. 6-Gap-Analysis-Goal (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/6-gap-analysis-goal.docx
      June 01, 2023 - AHRQ Safety Program for Improving Surgical Care and Recovery Gap Analysis and Goal-Setting Form Creating a sense of urgency is an important strategy to gather institutional support and provide engagement in quality improvement work. One of the best approaches is to evaluate current performance and identify deficiencie…

2332. PowerPoint Presentation
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/10-frontline-provider.pptx
      June 01, 2023 - PowerPoint Presentation Frontline Provider Education Presentation Template AHRQ Safety Program for Improving Surgical Care and Recovery AHRQ Pub. No. 23-0052 June 2023 Purpose and Use of This Frontline Provider Education Tool Purpose of tool: An important first step to gain buy-in for change is to educate teams abo…

2333. Diagnostic Stewardship Interventions To Reduce Diagnostic Error | Agency for Healthcare Research and Quality
      www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-dx-stewardship5.html
      August 01, 2024 - Diagnostic Stewardship as a Model To Improve the Quality and Safety of Diagnosis Diagnostic Stewardship Interventions To Reduce Diagnostic Error Previous Page Next Page Table of Contents Diagnostic Stewardship as a Model To Improve the Quality and Safety of Diagnosis Introduction Background …

2334. Appendix E | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/environmental-scan-programs/envscan-program-ape.html
      April 01, 2018 - Environmental Scan of Patient Safety Education and Training Programs Appendix E Previous Page   Table of Contents Environmental Scan of Patient Safety Education and Training Programs Introduction Chapter 1. Environmental Scan Chapter 2. Electronic Searchable Catalog Chapter 3. Qualitative An…

2335. Toolkits | PSNet
      psnet.ahrq.gov/toolkits
      March 01, 2025 - Toolkits Patient safety toolkits provide practical applications of PSNet research and concepts for front line providers to use in their day to day work. These toolkits contain resources necessary to implement patient safety systems and protocols. Want to submit a Toolkit? Has your organization deve…

2336. 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/module1/video-transcript-spanish.docx
      June 02, 2025 - Programa de seguridad de la AHRQ para cuidados a largo plazo: HAI/CAUTIPREVENIR HAIs Infeccones relacionadas con los cuidados de salud Kit de herramientas de seguridad para cuidados a largo plazo Módulo 1: Usar el kit de herramientas de seguridad integral para cuidados a largo plazo: Aplicar principios de seguridad.…

2337. 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/4es-early-mobility-facguide.docx
      January 01, 2017 - Facilitator Guide: Build Your SSI Prevention Bundle Slide Title and Commentary Slide Number and Slide Title Slide The Four Es of Early Mobility SAY: This module explains how to apply the Four Es of the TRIP framework to Early Mobility: engage, educate, execute, and evaluate. Slide 1 Learning Objectives SAY: A…

2338. Hospital Differences in Adult Inpatient Stays with Healthcare-Associated Infections, 2019 and 2021 (pdf file)
      hcup-us.ahrq.gov/reports/statbriefs//sb314-hospital-differences-HAIs-2019-2021.pdf
      January 01, 2021 - Hospital Differences in Adult Inpatient Stays with Healthcare-Associated Infections, 2019 and 2021 1 Does Responded to UCD team Hospital Differences in Adult Inpatient Stays with Healthcare-Associated Infections, 2019 and 2021 Statistical Brief #314 | October 2024 Melissa A. Miller, M.D., M.S., Leyi…

2339. Hospital Differences in Adult Inpatient Stays with Healthcare-Associated Infections, 2019 and 2021 (pdf file)
      hcup-us.ahrq.gov/reports/statbriefs/sb314-hospital-differences-HAIs-2019-2021.pdf
      January 01, 2021 - Hospital Differences in Adult Inpatient Stays with Healthcare-Associated Infections, 2019 and 2021 1 Does Responded to UCD team Hospital Differences in Adult Inpatient Stays with Healthcare-Associated Infections, 2019 and 2021 Statistical Brief #314 | October 2024 Melissa A. Miller, M.D., M.S., Leyi…

2340. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49765/psn-pdf
      August 21, 2016 - Cognitive Overload in the ICU August 21, 2016 Patel VL, Buchman TG. Cognitive Overload in the ICU. PSNet [internet]. 2016. https://psnet.ahrq.gov/web-mm/cognitive-overload-icu Case Objectives Identify the role of cognitive overload—especially interruptions—in compromising quality of care and patient safety. List…