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  1. psnet.ahrq.gov/perspective/reducing-safety-hazards-monitor-alert-and-alarm-fatigue
    May 01, 2016 - Reducing the Safety Hazards of Monitor Alert and Alarm Fatigue Samantha Jacques, PhD, and Eric Williams, MD, MS, MMM | May 1, 2016  Also Read a Conversation View more articles from the same authors. Citation Text: Jacques S, Williams E. Reducing the Safety Hazar…
  2. Layout 1 (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/related_files/ace-inhibitor-arb-update_executive.pdf
    June 01, 2011 - Layout 1 Background Almost 75 million American adults— approximately one-third—have hypertension. The prevalence of hypertension increases with advancing age such that more than half of people 55 to 74 years old and approximately three-fourths of those age 75 years and older are affected. In addition to being the pr…
  3. digital.ahrq.gov/sites/default/files/docs/citation/r21hs023994-tubb-final-report-2018.pdf
    January 01, 2018 - A Mobile App to Enhance Smoking Cessation Shared Decision Making in Primary Care - Final Report Title of Project: A Mobile App to Enhance Smoking Cessation Shared Decision Making in Primary Care Principal Investigator: Matthew Tubb MD PhD Team Members: Nancy Elder MD MSPH, Saundra Regan PhD, Sha…
  4. www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/slides-healthcare-safer-by-design.pdf
    August 20, 2024 - NAA National Webinar July 2024 Making Healthcare Safer by Design: Redesigning for Safety, Efficiency, and Burden Reduction NATIONAL WEBINAR SERIES July 16, 2024 Housekeeping Instructions • This webinar will be recorded and available for viewing on the NAA website. • Please use the ‘Chat’ function to engage wit…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866618/psn-pdf
    December 31, 2024 - A Fatal Twist in Pseudohyperkalemia December 31, 2024 Devera JL, Barnes DK, Lewis WR. A Fatal Twist in Pseudohyperkalemia. PSNet [internet]. 2024. https://psnet.ahrq.gov/web-mm/fatal-twist-pseudohyperkalemia Disclosure of Relevant Financial Relationships: As a provider accredited by the Accreditation Council for C…
  6. psnet.ahrq.gov/web-mm/anchoring-bias-critical-implications
    June 15, 2022 - SPOTLIGHT CASE Anchoring Bias With Critical Implications Citation Text: Etchells E. Anchoring Bias With Critical Implications. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2015. Copy Citation Format: Google…
  7. psnet.ahrq.gov/web-mm/missed-pneumonia
    June 01, 2005 - Missed Pneumonia Citation Text: Rohde JM, Flanders S. Missed Pneumonia. 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 tagged PubMed…
  8. psnet.ahrq.gov/perspective/what-does-simulation-add-teamwork-training
    October 01, 2004 - What Does Simulation Add to Teamwork Training? David M. Gaba, MD | March 1, 2006  View more articles from the same authors. Citation Text: Gaba DM. What Does Simulation Add to Teamwork Training?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and …
  9. www.ahrq.gov/ncepcr/care/coordination/atlas/chapter6p.html
    June 01, 2014 - Care Coordination Measures Atlas Update Chapter 6. Measure Maps and Profiles (continued, 17) Previous Page Next Page Table of Contents Care Coordination Measures Atlas Update Chapter 1: Background Chapter 2. What is Care Coordination? Chapter 3. Care Coordination Measurement Framework Chapte…
  10. psnet.ahrq.gov/periodic-issue/periodic-issue-470
    December 31, 2024 - January 15, 2025 Weekly Issue PSNet highlights the latest patient safety literature, news, and expert commentary, including Weekly Updates, WebM&M, and Perspectives on Safety. The current issue highlights what's new this week in patient safety literature, news, conferences, report…
  11. www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/case.html
    December 01, 2017 - AHRQ's Safety Program for Nursing Homes Case Studies These case studies follow three nursing home facilities that implemented the On-Time Pressure Ulcer Prevention Program. Select for more AHRQ Impact Case Studies . Contents New York Nursing Facility Sees 56 Percent Drop in Pressure Ulcers with AHRQ-Fu…
  12. hcup-us.ahrq.gov/datainnovations/clinicalcontentenhancementtoolkit/hi31.jsp
    September 01, 2014 - Incorporation of Laboratory Results into Statewide Hospital Data An official website of the Department of Health & Human Services Search All AHRQ Websites Careers Contact Us Espanol …
  13. digital.ahrq.gov/sites/default/files/docs/page/Frisse.ppt
    June 08, 2005 - Community Connectivity: Healing Takes Time - Information Shouldn't Volunteer eHealth Initiative a regional demonstration project Mark Frisse, MD June 8, 2005 Washington, DC Funding: AHRQ Contract 290-04-0006; State of Tennessee; Vanderbilt University This presentation has not been approved by the Agency for Healthc…
  14. digital.ahrq.gov/ahrq-funded-projects/bringing-measurement-point-care
    January 01, 2023 - Bringing Measurement to the Point of Care Project Final Report ( PDF , 345.54 KB) Disclaimer Disclaimer The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessarily represent the views of AHRQ. No statemen…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49505/psn-pdf
    March 01, 2006 - Collegiality vs. Competence March 1, 2006 Sagin T. Collegiality vs. Competence. PSNet [internet]. 2006. https://psnet.ahrq.gov/web-mm/collegiality-vs-competence The Case A 91-year-old man with coronary artery disease was taken to the operating room (OR) for semi-elective repair of a 10-cm abdominal aortic aneurys…
  16. digital.ahrq.gov/sites/default/files/docs/page/2006King_051611comp.pdf
    June 16, 2021 - The Challenges of Aggregating Patient Data from Multiple Sites Volunteer eHealth Initiative The Challenges of Aggregating Patient Data from Multiple Sites Janet King Technical Project Manager Regional Health Initiatives Vanderbilt Center for Better Health Funding: AHRQ Contract 290-04-0006; State of Tennessee;…
  17. www.ahrq.gov/hai/cauti-tools/ena-slides/part1a.html
    October 01, 2015 - The Emergency Nurses Association Presents CAUTI Slides and Transcript Part One: Traditional Practice and Recommendations for Change (continued) Previous Page Next Page Table of Contents The Emergency Nurses Association Presents CAUTI Slides and Transcript Opening Materials: Attribution, Objectives…
  18. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/cusp-team-slides.pptx
    April 01, 2022 - Building an Engaged CUSP Team Slides Building an Engaged Comprehensive Unit-based Safety Program Team AHRQ Safety Program for Intensive Care Units: Preventing CLABSI and CAUTI AHRQ Pub. No. 17(22)-0019 April 2022 1 Objectives Identify tools and resources available to support your CLABSI and/or CAUTI improvemen…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49477/psn-pdf
    April 01, 2005 - Hold the tPA April 1, 2005 Fagan SC. Hold the tPA. PSNet [internet]. 2005. https://psnet.ahrq.gov/web-mm/hold-tpa The Case A 74-year-old woman with a history of atrial fibrillation on warfarin therapy came to the emergency department (ED) 1 hour after the sudden onset of aphasia and right-sided weakness. A non-co…
  20. psnet.ahrq.gov/innovation/combined-proactive-risk-assessment-cpra-4-step-technique-innovation-summary
    February 26, 2025 - Combined Proactive Risk Assessment (CPRA) – 4-Step Technique Innovation Summary Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL February 26, 2025 Innovation Contact …