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  1. Hospital Inpatient Statistics, Table 2 (pdf file)

    hcup-us.ahrq.gov/reports/natstats/his95/table2.pdf
    February 11, 2011 - Hospital Inpatient Statistics, Table 2 40 Table 2 Statistics for 1995 HCUP-3 Nationwide Inpatient Sample, by expanded CCHPR procedure (principal procedure only) Expanded Clinical Classifications for Health Policy Research (CCHPR) category1 Number of discharges2 Percent of discharges Mean charges 25 %tile charge…

  2. Fostering a Culture of Safety | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/settings/esrd/resource/fostersafety.html
    April 01, 2014 - Fostering a Culture of Safety This video vignette shows a fictional scenario in which a positive culture of safety overcomes multiple commonly seen barriers to infection prevention in dialysis facilities. Fostering a Culture of Safety YouTube embedded video: https://www.youtube-nocookie.com/embed/TLeHkU34_…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49662/psn-pdf
    August 01, 2012 - Wrong Turn through Colon: Misplaced PEG August 1, 2012 Sorokin R, Conn M. Wrong Turn through Colon: Misplaced PEG. PSNet [internet]. 2012. https://psnet.ahrq.gov/web-mm/wrong-turn-through-colon-misplaced-peg The Case An 87-year-old man was admitted for congestive heart failure (CHF) exacerbation. In addition, a pa…

  4. Bloody BP Cuff | PSNet

    psnet.ahrq.gov/web-mm/bloody-bp-cuff
    June 21, 2016 - Bloody BP Cuff Citation Text: Madan AK. Bloody BP Cuff. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2003. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50612/psn-pdf
    October 30, 2019 - The Safety Challenges of Supervision and Night Coverage in Academic Residency October 30, 2019 Raffel K. The Safety Challenges of Supervision and Night Coverage in Academic Residency. PSNet [internet]. 2019. https://psnet.ahrq.gov/web-mm/safety-challenges-supervision-and-night-coverage-academic-residency The Case…

  6. Adverse Event During Intrahospital Transport | PSNet

    psnet.ahrq.gov/web-mm/adverse-event-during-intrahospital-transport
    June 16, 2021 - Adverse Event During Intrahospital Transport Citation Text: Bergman L, Chaboyer W. Adverse Event During Intrahospital Transport. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. Copy Citation Format: Google Scholar …

  7. Remote Response Team and Customized Alert Settings Help Improve Management of Sepsis | PSNet

    psnet.ahrq.gov/innovation/remote-response-team-and-customized-alert-settings-help-improve-management-sepsis
    February 26, 2025 - Remote Response Team and Customized Alert Settings Help Improve Management of Sepsis Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL May 31, 2023 Innovation Contact …

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/849592/psn-pdf
    May 31, 2023 - Preventing Falls Through Patient and Family Engagement to Create Customized Prevention Plans May 31, 2023 https://psnet.ahrq.gov/innovation/preventing-falls-through-patient-and-family-engagement-create- customized-prevention Summary Patient falls in hospitals are common and debilitating adverse events that persis…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50389/psn-pdf
    September 25, 2019 - Getting the Diagnosis Both Right and Wrong September 25, 2019 Olson AP. Getting the Diagnosis Both Right and Wrong. PSNet [internet]. 2019. https://psnet.ahrq.gov/web-mm/getting-diagnosis-both-right-and-wrong The Case A 27-year-old woman with a history of acute myeloid leukemia was sent to the emergency department…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/840175/psn-pdf
    November 16, 2022 - Mechanical Prosthetic Valve Thrombosis with Thromboembolism. November 16, 2022 Hedayati N, White RO. Mechanical Prosthetic Valve Thrombosis with Thromboembolism. PSNet [internet]. 2022. https://psnet.ahrq.gov/web-mm/mechanical-prosthetic-valve-thrombosis-thromboembolism The Case A 61-year-old woman presented to …

  11. Is the "Surgical Personality" a Threat to Patient Safety? | PSNet

    psnet.ahrq.gov/web-mm/surgical-personality-threat-patient-safety
    February 24, 2021 - SPOTLIGHT CASE Is the "Surgical Personality" a Threat to Patient Safety? Citation Text: Bosk CL. Is the "Surgical Personality" a Threat to Patient Safety?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2006. Copy Citati…

  12. Diagnostic Failure: The Growing Deficit | PSNet

    psnet.ahrq.gov/web-mm/diagnostic-failure-growing-deficit
    June 01, 2005 - Diagnostic Failure: The Growing Deficit Citation Text: Chang R, Flanders S. Diagnostic Failure: The Growing Deficit. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. Copy Citation Format: Google Scholar BibTeX EndNo…

  13. AHRQ Safety Program for MRSA Prevention: Targeting SSI

    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/004-ss-antimicrobial-prophylaxis-part-2.pptx
    April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI AHRQ Safety Program for MRSA Prevention: Targeting SSI Antimicrobial Perioperative Prophylaxis: Part 2 Beyond the Basics Surgical Services For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries AHRQ Pub. No. 25-0029 April 2025 AHRQ Safety Pro…

  14. Evidence-based Practice Center Systematic Review Protocol (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/related_files/preterm-birth-terbutaline-pump_disposition-comments.pdf
    September 01, 2011 - Evidence-based Practice Center Systematic Review Protocol Source: www.effectivehealthcare.ahrq.gov Comparative Effectiveness Research Review Disposition of Comments Report Research Review Title: Terbutaline Pump for the Prevention of Preterm Birth Draft review available for public comment f…

  15. Disposition of Comments: Peripheral Nerve Blocks for Postoperative Pain Management in Cardiothoracic Surgery: A Systematic Review (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/related_files/peripheral-nerve-blocks-disposition-comments.pdf
    August 15, 2025 - Disposition of Comments: Peripheral Nerve Blocks for Postoperative Pain Management in Cardiothoracic Surgery: A Systematic Review Systematic Review Disposition of Comments Report Title: Peripheral Nerve Blocks for Postoperative Pain Management in Cardiothoracic Surgery: A Systematic Review Dr…

  16. Surgeries in Hospital-Owned Outpatient Facilities, 2012 (pdf file)

    hcup-us.ahrq.gov/reports/statbriefs/sb188-Surgeries-Hospital-Outpatient-Facilities-2012.pdf
    January 01, 2012 - Surgeries in Hospital-Owned Outpatient Facilities, 2012 1 February 2015 Surgeries in Hospital-Owned Outpatient Facilities, 2012 Lauren M. Wier, M.P.H., Claudia A. Steiner, M.D., M.P.H., and Pamela L. Owens, Ph.D. Introduction From 1992 to 2012, the total number of surgeries at com…

  17. Transcript: How To Create Team Buy-In and Motivation To Get to Zero Infections (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/team-buy-in-transcript.pdf
    April 01, 2022 - Transcript: How To Create Team Buy-In and Motivation To Get to Zero Infections AHRQ Safety Program for Intensive Care Units: Preventing CLABSI and CAUTI AHRQ Safety Program for Intensive Care Units: Preventing CLABSI and CAUTI Transcript How To Create Team Buy-In and Motivation To Get to Zero Infections…

  18. Poorly Advanced Directives | PSNet

    psnet.ahrq.gov/web-mm/poorly-advanced-directives
    August 01, 2018 - Poorly Advanced Directives Citation Text: Anderson WG. Poorly Advanced Directives. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2012. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote ta…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49819/psn-pdf
    February 01, 2018 - Signout Fallout February 1, 2018 Starmer AJ, Landrigan CP. Signout Fallout. PSNet [internet]. 2018. https://psnet.ahrq.gov/web-mm/signout-fallout Case Objectives Understand the role of communication failures in medical errors and preventable adverse events. Review the evidence in support of handoff improvement pr…

  20. The Wrong Channel | PSNet

    psnet.ahrq.gov/web-mm/wrong-channel
    February 01, 2003 - The Wrong Channel Citation Text: Gosbee JW. The Wrong Channel . PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2005. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RI…
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