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8441. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40885/psn-pdf
      November 26, 2014 - Hospital do-not-resuscitate orders: why they have failed and how to fix them. November 26, 2014 Yuen JK, Reid C, Fetters MD. Hospital do-not-resuscitate orders: why they have failed and how to fix them. J Gen Intern Med. 2011;26(7):791-7. doi:10.1007/s11606-011-1632-x. https://psnet.ahrq.gov/issue/hospital-do-not-…

8442. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45311/psn-pdf
      May 20, 2019 - The Joint Commission Big Book of Checklists. 2nd Edition. May 20, 2019 Oakbrook Terrance, IL: Joint Commission; 2018. ISBN: 9781635850598. https://psnet.ahrq.gov/issue/joint-commission-big-book-checklists-2nd-edition Checklists are a widely accepted strategy to improve communication and standardize processes to su…

8443. Trauma-Informed Organizational Change Manual | Agency for Healthcare Research and Quality
      www.ahrq.gov/nursing-home/resources/trauma-informed.html
      May 01, 2021 - Trauma-Informed Organizational Change Manual Resource: Trauma-Informed Organizational Change Manual This manual guides organizations and systems in planning for, implementing and sustaining a trauma-informed organizational change. This manual provides a step-by-step guide with tools intended for anyone inte…

8444. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41916/psn-pdf
      December 12, 2012 - Process indicators of quality clinical pharmacy services during transitions of care. December 12, 2012 Pharmacy AC of C, Kirwin J, Canales AE, et al. Process indicators of quality clinical pharmacy services during transitions of care. Pharmacotherapy. 2012;32(11):e338-e347. doi:10.1002/phar.1214. https://psnet.ahr…

8445. USA, MS, Jackson | Digital Healthcare Research
      digital.ahrq.gov/location/usa-ms-jackson
      January 01, 2023 - USA, MS, Jackson The Bettering Lives Utilizing Electronic Systems (BLUES) Project: Improving Diabetes Outcomes in Mississippi with Health Information Technology Description This project looked at the ability of EHRs to facilitate patient outcomes tracking, improve provider com…

8446. Future Research Needs Document (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pdf/breast-cancer-risk-reduction_research.pdf
      October 25, 2010 - Future Research Needs Document Future Research Needs To Reduce the Risk of Primary Breast Cancer in Women was available for public comment from September 29, 2010, to October 25, 2010. In response to questions and suggestions received, revisions were made in this version to clarify that no incentives were offere…

8447. Impact of Meaningful Use on Clinical Workflow in Emergency Departments - Final Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/citation/r21hs022670-patel-final-report-2019.pdf
      January 01, 2019 - characterized by team communication, where patient cases were discussed with residents and students and the communications

8448. In Conversation With… Kaveh Shojania, MD | PSNet
      psnet.ahrq.gov/perspective/conversation-kaveh-shojania-md
      February 26, 2025 - In Conversation With… Kaveh Shojania, MD November 1, 2015  Citation Text: In Conversation With… Kaveh Shojania, MD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2015. Copy Citation For…

8449. Multifactorial Medication Mishap | PSNet
      psnet.ahrq.gov/web-mm/multifactorial-medication-mishap
      September 01, 2016 - SPOTLIGHT CASE Multifactorial Medication Mishap Citation Text: Yang A. Multifactorial Medication Mishap. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2014. Copy Citation Format: Google Scholar BibTeX EndNot…

8450. Delay in Treatment: Failure to Contact Patient Leads to Significant Complications | PSNet
      psnet.ahrq.gov/web-mm/delay-treatment-failure-contact-patient-leads-significant-complications
      February 01, 2004 - SPOTLIGHT CASE Delay in Treatment: Failure to Contact Patient Leads to Significant Complications Citation Text: Shapiro DS. Delay in Treatment: Failure to Contact Patient Leads to Significant Complications. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Departmen…

8451. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/837215/psn-pdf
      July 08, 2022 - Missing a Large Vessel Occlusion Stroke in a Patient with a History of Seizures. July 8, 2022 Keenan KJ, Nishijima DK. Missing a Large Vessel Occlusion Stroke in a Patient with a History of Seizures. PSNet [internet]. 2022. https://psnet.ahrq.gov/web-mm/missing-large-vessel-occlusion-stroke-patient-history-seizure…

8452. In Conversation With… David Urbach, MD, MSc | PSNet
      psnet.ahrq.gov/perspective/conversation-david-urbach-md-msc
      June 12, 2019 - In Conversation With… David Urbach, MD, MSc April 1, 2015  Citation Text: In Conversation With… David Urbach, MD, MSc. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2015. Copy Citation …

8453. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33793/psn-pdf
      November 01, 2015 - In Conversation With… Kaveh Shojania, MD November 1, 2015 In Conversation With… Kaveh Shojania, MD. PSNet [internet]. 2015. https://psnet.ahrq.gov/perspective/conversation-kaveh-shojania-md Editor's note: Kaveh Shojania, MD, is Editor-in-Chief of BMJ Quality and Safety and Director of the Centre for Quality Impro…

8454. Microsoft PowerPoint - Spotlight Case_Agitated Delirium_FINAL.pptx (pdf file)
      psnet.ahrq.gov/sites/default/files/2023-03/march_2023_spotlight_agitated_delirium.pdf
      January 01, 2023 - Microsoft PowerPoint - Spotlight Case_Agitated Delirium_FINAL.pptx Spotlight Agitated Delirium Contributes to Missed Testing and Delayed Diagnosis of Gastric Perforation Source and Credits • This presentation is based on the March 2023 AHRQ WebM&M Spotlight Case o See the full article at https://psnet.ahrq.gov/…

8455. National Web-Based Teleconference on Utilizing Health IT to Improve Medication Management for the Care of Elderly Patients (pdf file)
      digital.ahrq.gov/sites/default/files/docs/medication-management-elderly-slides-081811.pdf
      August 18, 2011 - National Web-Based Teleconference on Utilizing Health IT to Improve Medication Management for the Care of Elderly Patients National Web-Based Teleconference on Utilizing Health IT to Improve Medication Management for the Care of Elderly Patients August 18, 2011 Moderator: Angela Lavanderos Agency for Healthcare…

8456. Tool 2: How To Begin the Re-engineered Discharge Implementation at Your Hospital | Agency for Healthcare Research and Quality
      www.ahrq.gov/es/patient-safety/settings/hospital/red/toolkit/redtool2.html
      March 01, 2013 - Re-Engineered Discharge (RED) Toolkit Tool 2: How To Begin the Re-engineered Discharge Implementation at Your Hospital Previous Page Next Page Table of Contents Re-Engineered Discharge (RED) Toolkit Tool 1: Overview Tool 2: How To Begin the Re-engineered Discharge Implementation at Your Hospital…

8457. CDSiC Innovation Center: Quarterly Report (pdf file)
      cdsic.ahrq.gov/sites/default/files/2024-02/Innovation%20Center%20Q4%202023%20Progress%20Report_508_01052024.pdf
      January 01, 2024 - CDSiC Innovation Center: Quarterly Report INNOVATION CENTER PROGRESS REPORT D E C E M B E R 2 0 2 3 CDSiC Innovation Center: Quarterly Report Agency for Healthcare Research and Quality 5600 Fishers Lane Rockville, MD 20857 www.ahrq.gov Contract No: 75Q80120D00018 Prepared by: NORC at the …

8458. CDSiC Innovation Center: Quarterly Report (pdf file)
      digital.ahrq.gov/sites/default/files/Innovation%20Center%20Q4%202023%20Progress%20Report_508_01052024.pdf
      February 07, 2024 - CDSiC Innovation Center: Quarterly Report INNOVATION CENTER PROGRESS REPORT D E C E M B E R 2 0 2 3 CDSiC Innovation Center: Quarterly Report Agency for Healthcare Research and Quality 5600 Fishers Lane Rockville, MD 20857 www.ahrq.gov Contract No: 75Q80120D00018 Prepared by: NORC at the …

8459. Classics and Emerging Classics | PSNet
      psnet.ahrq.gov/classics
      August 01, 2023 - Classics and Emerging Classics To help our readers navigate the tremendous breadth of the PSNet Collection, AHRQ PSNet editors and advisors have given the designation of “Classic” to review articles, empirical studies, government and stakeholder reports, commentaries, and books of lasting importance to the patient sa…

8460. Final Progress Report: Addressing methodological and ethical issues in pediatric medication safety research (pdf file)
      www.ahrq.gov/sites/default/files/2024-02/carpenter-report.pdf
      January 01, 2024 - Final Progress Report: Addressing methodological and ethical issues in pediatric medication safety research TITLE PAGE Project Title: Addressing methodological and ethical issues in pediatric medication safety research Principal Investigator: Delesha M. Carpenter Organization: University of North Carolina at Chapel …