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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49785/psn-pdf
    February 01, 2017 - Refused Medication Error February 1, 2017 Foley M. Refused Medication Error. PSNet [internet]. 2017. https://psnet.ahrq.gov/web-mm/refused-medication-error The Case A 59-year-old man was admitted to the hospital with acute renal failure and mental status changes. He was alert to self and place only. The patient h…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49680/psn-pdf
    March 01, 2013 - Pathologic Mistake March 1, 2013 Alaghehbandan R, Raab SS. Pathologic Mistake. PSNet [internet]. 2013. https://psnet.ahrq.gov/web-mm/pathologic-mistake The Case A 32-year-old previously healthy woman experienced abdominal pain and bloating for 6 months. The discomfort worsened with eating. After losing 15 pounds …

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853772/psn-pdf
    September 27, 2023 - Insulin Administration: Pen vs Vial – Similar, but Not Interchangeable September 27, 2023 Camarillo H. Insulin Administration: Pen vs Vial – Similar, but Not Interchangeable. PSNet [internet]. 2023. https://psnet.ahrq.gov/web-mm/insulin-administration-pen-vs-vial-similar-not-interchangeable The Case A fourteen-ye…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49851/psn-pdf
    January 01, 2019 - One Bronchoscopy, Two Errors January 1, 2019 Leiten E, Nielsen R. One Bronchoscopy, Two Errors. PSNet [internet]. 2019. https://psnet.ahrq.gov/web-mm/one-bronchoscopy-two-errors The Case A 67-year-old man with a history of hypertension was admitted to the intensive care unit (ICU) with hypoxic respiratory failure…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49704/psn-pdf
    March 01, 2014 - Late Anemia Following Rh Disease in a Newborn March 1, 2014 Newman TB, Maisels JM. Late Anemia Following Rh Disease in a Newborn. PSNet [internet]. 2014. https://psnet.ahrq.gov/web-mm/late-anemia-following-rh-disease-newborn The Case A full-term neonate was delivered uneventfully to an Rh-negative woman who had re…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49494/psn-pdf
    January 01, 2006 - One Dose, Fifty Pills November 1, 2005 Smith L. One Dose, Fifty Pills . PSNet [internet]. 2005. https://psnet.ahrq.gov/web-mm/one-dose-fifty-pills The Case A middle-aged man was admitted to the medical service of a teaching hospital with suspected vasculitis. When the initial diagnostic studies failed to provide …

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49572/psn-pdf
    October 01, 2008 - Mistaken Identity October 1, 2008 Hall LW. Mistaken Identity. PSNet [internet]. 2008. https://psnet.ahrq.gov/web-mm/mistaken-identity The Case An 85-year-old Cantonese-speaking woman was admitted to the medical service with altered mental status and a reported fall. After finding tenderness in her left hip, the p…

  8. Central, not Epidural | PSNet

    psnet.ahrq.gov/web-mm/central-not-epidural
    August 28, 2024 - Central, not Epidural Citation Text: Simmons D. Central, not Epidural. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2011. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedI…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49502/psn-pdf
    February 01, 2006 - Deciphering the Code February 1, 2006 Goldstein MK. Deciphering the Code. PSNet [internet]. 2006. https://psnet.ahrq.gov/web-mm/deciphering-code The Case An 85-year-old man with advanced oxygen-dependent chronic obstructive pulmonary disease (COPD) presented to the emergency department (ED) with increasing shortn…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33677/psn-pdf
    November 01, 2008 - Health Care–Acquired Urinary Tract Infection: The Problem and Solutions November 1, 2008 Nicolle LE. Health Care–Acquired Urinary Tract Infection: The Problem and Solutions. PSNet [internet]. 2008. https://psnet.ahrq.gov/perspective/health-care-acquired-urinary-tract-infection-problem-and-solutions Perspective U…

  11. Information to Help Hospitals Get Started (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/howtogetstarted/Ways_To_Learn_More_508.docx
    June 02, 2025 - Information to Help Hospitals Get Started Ways to Learn More Information to Help Hospitals Get Started [Type text] [Type text] [Type text] Information to Help Hospitals Get Started Guide to Patient and Family Engagement :: 1 Guide to Patient and Family Engagement :: 2 This document contains links to resources on t…

  12. Appendix O. Part 2—Disinfection/Sterilization Record Keeping: Facilitator Notes | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/implementation-guide/app-o-fac-notes.html
    May 01, 2017 - Appendix O. Part 2—Disinfection/Sterilization Record Keeping: Facilitator Notes Implementation Guide Slide 1: Appendix O. Part 2: A Clear View of Flexible Endoscope Processing: Disinfection/Sterilization Record Keeping Hi, and welcome to Part 2 of A Clear View on Flexible Endoscope Processing . In this p…

  13. Strategy 2: Communicating to Improve Quality (Tool 3) (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/implementation-guide/appendix-o-part2-transcript.docx
    June 02, 2025 - Strategy 2: Communicating to Improve Quality (Tool 3) AHRQ Safety Program for Ambulatory Surgery Implementation Guide Appendix O. A Clear View on Flexible Endoscope Processing – Part 2, Disinfection/Sterilization Record Keeping Transcript/Facilitator Notes Sue Klacik: (Slide 1) Hi, and welcome to Part 2 of A Clea…

  14. 065-Dec-Staff-Faqs-Decolonization (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/065-dec-staff-faqs-decolonization.docx
    October 01, 2024 - AHRQ Safety Program for MRSA Prevention Decolonization: Staff Frequently Asked Questions CHG, Nasal, & Wound Care This document provides questions and answers to commonly asked questions. Some questions and answers may not be relevant to your unit. You should remove or edit information to match your unit’s protocols. …

  15. Section 2, Technical Specifications (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-139-section-2.pdf
    January 01, 2014 - Section 2, Technical Specifications                                                 Q‐METRIC Sickle Cell Disease Measure 13 Transcranial Doppler Ultrasonography Screening for Children with Sickle Cell Disease Technical specifications for Secti…

  16. Enhancing Patient Matching in Support of Operational Health Information Exchange | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/enhancing-patient-matching-support-operational-health-information-exchange
    April 29, 2023 - Enhancing Patient Matching in Support of Operational Health Information Exchange Project Final Report ( PDF , 3.12 MB) 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 repr…

  17. Stakeholder Community and Outreach Center: Charter – Option Year 2 (pdf file)

    digital.ahrq.gov/sites/default/files/OY2_Final_Stakeholder%20Center%20Charter.pdf
    November 01, 2024 - Stakeholder Community and Outreach Center: Charter – Option Year 2 Stakeholder Community and Outreach Center: Charter – Option Year 2 Agency for Healthcare Research and Quality 5600 Fishers Lane Rockville, MD 20857 www.ahrq.gov Contract No: 75Q80120D00018 Prepared by…

  18. Stakeholder Community and Outreach Center: Charter – Option Year 1 (pdf file)

    cdsic.ahrq.gov/sites/default/files/2024-02/OY1%20Stakeholder%20Center%20Charter%2011.22.23.pdf
    January 01, 2024 - Stakeholder Community and Outreach Center: Charter – Option Year 1 Stakeholder Community and Outreach Center: Charter – Option Year 1 Agency for Healthcare Research and Quality 5600 Fishers Lane Rockville, MD 20857 www.ahrq.gov Contract No: 75Q80120D00018 Prepared by: NORC…

  19. Final Stakeholder Community and Outreach Center Charter (pdf file)

    cdsic.ahrq.gov/sites/default/files/2022-05/Final%20Stakeholder%20Center%20Charter_508.pdf
    January 01, 2022 - Final Stakeholder Community and Outreach Center Charter FINAL STAKEHOLDER COMMUNITY AND OUTREACH CENTER CHARTER A P R I L 2 0 2 2 Agency for Healthcare Research and Quality: Clinical Decision Support Innovation Collaborative (CDSiC) Presented by: NORC at the University of Chicago Presente…

  20. Stakeholder Community and Outreach Center: Charter – Option Year 1 (pdf file)

    digital.ahrq.gov/sites/default/files/OY1%20Stakeholder%20Center%20Charter%2011.22.23.pdf
    January 01, 2011 - Stakeholder Community and Outreach Center: Charter – Option Year 1 Stakeholder Community and Outreach Center: Charter – Option Year 1 Agency for Healthcare Research and Quality 5600 Fishers Lane Rockville, MD 20857 www.ahrq.gov Contract No: 75Q80120D00018 Prepared by: NORC…
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