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  1. Medication Reconciliation With a Twist (or Dare We Say, a Patch?) | PSNet

    psnet.ahrq.gov/web-mm/medication-reconciliation-twist-or-dare-we-say-patch
    April 03, 2024 - SPOTLIGHT CASE Medication Reconciliation With a Twist (or Dare We Say, a Patch?) Citation Text: Kwan JL. Medication Reconciliation With a Twist (or Dare We Say, a Patch?). PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 201…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865309/psn-pdf
    May 29, 2024 - A Stable Airway? Fatal Airway Occlusion After Inadequate Post-Tracheostomy Care May 29, 2024 Gould E, Craddock K, Le Tellier T, et al. A Stable Airway? Fatal Airway Occlusion After Inadequate Post- Tracheostomy Care. PSNet [internet]. 2024. https://psnet.ahrq.gov/web-mm/stable-airway-fatal-airway-occlusion-after-i…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33855/psn-pdf
    April 01, 2018 - In Conversation With… Harlan Krumholz, MD, SM April 1, 2018 In Conversation With… Harlan Krumholz, MD, SM. PSNet [internet]. 2018. https://psnet.ahrq.gov/perspective/conversation-harlan-krumholz-md-sm Editor's note: Dr. Krumholz, Harold H. Hines, Jr. Professor of Medicine at the Yale School of Medicine and Directo…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/861760/psn-pdf
    January 31, 2024 - Syringe Swap During Regional Block: A Case of Medication Error and Recovery January 31, 2024 Beres K, Gutierrez MC. Syringe Swap During Regional Block: A Case of Medication Error and Recovery. PSNet [internet]. 2024. https://psnet.ahrq.gov/web-mm/syringe-swap-during-regional-block-case-medication-error-and-recover…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49723/psn-pdf
    January 01, 2015 - Monitoring Fetal Health January 1, 2015 Scerbo MW, Abuhamad AZ. Monitoring Fetal Health . PSNet [internet]. 2015. https://psnet.ahrq.gov/web-mm/monitoring-fetal-health Case Objectives Define fetal heart rate monitoring. Describe the current state of evidence regarding fetal heart rate monitoring. List the known …

  6. Program-Dev-Facilitator-Guide (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/program-dev-facilitator-guide.docx
    June 01, 2021 - AHRQ Safety Program for Improving Antibiotic Use 1 Developing an Antibiotic Stewardship Program Long-Term Care Slide Title and Commentary Slide Number and Slide Developing an Antibiotic Stewardship Program Long-Term Care SAY: Hello and welcome to the presentation, “Developing an Antibiotic Stewardship Prog…

  7. 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/module4/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 4: Trabajo en equipo y comunicaciónPREVENIR HAIs Infeccones relacionadas con los cuidados de salud Transcripc…

  8. Reducing Preventable Patient Harm Due to Retained Surgical Items: The RSI Bundle | PSNet

    psnet.ahrq.gov/innovation/reducing-preventable-patient-harm-due-retained-surgical-items-rsi-bundle
    July 23, 2024 - Reducing Preventable Patient Harm Due to Retained Surgical Items: The RSI Bundle Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL May 29, 2024 View more articles from the same authors. Inno…

  9. Delayed Breast Cancer Diagnosis: A False Sense of Security. | PSNet

    psnet.ahrq.gov/web-mm/delayed-breast-cancer-diagnosis-false-sense-security
    May 01, 2005 - Delayed Breast Cancer Diagnosis: A False Sense of Security. Citation Text: Weingart SN, James TA, Schiff G. Delayed Breast Cancer Diagnosis: A False Sense of Security.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2020. Copy Cita…

  10. Implementation of Patient Safety Projects | PSNet

    psnet.ahrq.gov/curated-library/implementation-patient-safety-projects
    September 15, 2025 - Breadcrumb Home The PSNet Collection Curated Libraries Subscribed Implementation of Patient Safety Projects  Download  Share Facebook Twitter Linkedin Copy URL Subscribe Created By: Lorri Zipperer, Cybraria…

  11. Debriefing for Clinical Learning | PSNet

    psnet.ahrq.gov/primer/debriefing-clinical-learning
    September 15, 2024 - Debriefing for Clinical Learning Citation Text: Edwards JJ, Wexner S, Nichols A. Debriefing for Clinical Learning. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2021. Copy Citation Format: Google Scholar BibTeX EndNote…

  12. Tools for Sustainability: Premortem and Scorecard: Facilitator Guide | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/tools/mvp/modules/sustainability/premortem-scorecard-fac-guide.html
    February 01, 2017 - Tools for Sustainability: Premortem and Scorecard: Facilitator Guide AHRQ Safety Program for Mechanically Ventilated Patients Slide 1: Tools for Sustainability: Premortem and Scorecard Say: This module will cover sustaining and spreading safety improvements. To preface the sustainability discussions, th…

  13. How are CHIPRA quality demonstration States designing and implementing caregiver peer support programs? | Agency for Healthcare Research and Quality

    www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/highlight07.html
    February 01, 2014 - How are CHIPRA quality demonstration States designing and implementing caregiver peer support programs? Evaluation Highlight No. 7 Authors: Grace A. Ferry, Henry Ireys, Dana Petersen, and Joseph Zickafoose Contents Key Messages Background Findings Conclusions Implications Learn More Endnotes…

  14. Primary Care Practice Facilitation Curriculum Module 29: Implementing Care Teams (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-29-implementing-care-teams.pdf
    September 01, 2015 - Primary Care Practice Facilitation Curriculum Module 29: Implementing Care Teams Primary Care Practice Facilitation Curriculum Module 29: Implementing Care Teams Agency for Healthcare Research and Quality Advancing Excellence in Health Care www.ahrq.gov …

  15. Patient Safety Culture and Medical Liability—Recommendations for Measurement, Analysis, and Interpretation: A Commentary | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/reports/liability/waever.html
    August 01, 2017 - Advances in Patient Safety and Medical Liability Patient Safety Culture and Medical Liability—Recommendations for Measurement, Analysis, and Interpretation: A Commentary Previous Page Next Page Table of Contents Advances in Patient Safety and Medical Liability Preface Acknowledgments Prologue …

  16. Slide 1 (ppt file)

    effectivehealthcare.ahrq.gov/sites/default/files/module_ii1.ppt
    June 01, 2011 - Slide 1 Engaging Stakeholders in the Effective Health Care Program Information and tools for researchers and investigators Numeric

  17. Personal Health Records and Elder Medication Use Quality - 2010 | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/personal-health-records-and-elder-medication-use-quality/annual-summary/2010
    January 01, 2010 - Personal Health Records and Elder Medication Use Quality - 2010 Project Name Personal Health Records and Elder Medication Use Quality Principal Investigator Chrischilles, Elizabeth Organization University of Iowa Funding Mechanism RFA: HS07-007: Ambulatory Safety an…

  18. Randomized Controlled Trial Embedded in an Electronic Health Record | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/randomized-controlled-trial-embedded-electronic-health-record
    January 01, 2023 - Randomized Controlled Trial Embedded in an Electronic Health Record Project Description Annual Summaries Publications Project Details - Completed Grant Number R18 HS017784 Funding Mechanism(s) Ambulatory Safety and Quality P…

  19. Improving Sickle Cell Transitions of Care Through Health Information Technology | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/improving-sickle-cell-transitions-care-through-health-information-technology
    January 01, 2023 - Improving Sickle Cell Transitions of Care Through Health Information Technology Project Final Report ( PDF , 1.93 MB) × Disclaimer Disclaimer details Close Project Description Annual Summaries Publications Surveys Pr…

  20. Physician Office (pdf file)

    digital.ahrq.gov/sites/default/files/docs/workflowtoolkit/Workflow_Assessment_Checklist.pdf
    June 01, 2005 - Physician Office Originated: April 2005 Page 1 of 9 Revised: June 2005 Work Flow Assessment Checklist Scheduling How are appointments made? Phone in advance Phone for same day appointment Previous visit Does anything happen between the time an appointment is made and the patient ar…
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