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  1. Spotlight (pdf file)

    psnet.ahrq.gov/sites/default/files/2022-04/final_spotlight_case_and_commentatry_io_line_extravasation-04.08.2022.pdf
    January 01, 2022 - Spotlight Spotlight Intraosseous Line Extravasation in a Pediatric Trauma Patient Source and Credits • This presentation is based on the April 2022 AHRQ WebM&M Spotlight Case o See the full article at https://psnet.ahrq.gov/webmm o CME credit is available o Commentary by: David Barnes, MD and Joseph Yoon, MD o…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/843051/psn-pdf
    February 01, 2023 - Respiratory Distress after Neck Surgery: Two Cases of Postoperative Cervical Hematoma. February 1, 2023 Graves CE, Kuhn MA. Respiratory Distress after Neck Surgery: Two Cases of Postoperative Cervical Hematoma. PSNet [internet]. 2023. https://psnet.ahrq.gov/web-mm/respiratory-distress-after-neck-surgery-two-cases-…

  3. "Do You Want Everything Done?": Clarifying Code Status | PSNet

    psnet.ahrq.gov/web-mm/do-you-want-everything-done-clarifying-code-status
    March 27, 2024 - SPOTLIGHT CASE "Do You Want Everything Done?": Clarifying Code Status Citation Text: Steinberg K, Mason Pope T. "Do You Want Everything Done?": Clarifying Code Status. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. …

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33857/psn-pdf
    July 01, 2012 - In Conversation With… David Blumenthal, MD, MPP July 1, 2012 In Conversation With… David Blumenthal, MD, MPP. PSNet [internet]. 2012. https://psnet.ahrq.gov/perspective/conversation-david-blumenthal-md-mpp-0 Editor's note: Dr. Blumenthal is President of the Commonwealth Fund and served as the National Coordinator …

  5. Low Tidal Volume Ventilation: Introduction, Evidence, and Implementation: Slide Presentation | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/tools/mvp/modules/technical/ltvv-intro-slides.html
    February 01, 2025 - Low Tidal Volume Ventilation: Introduction, Evidence, and Implementation: Slide Presentation AHRQ Safety Program for Mechanically Ventilated Patients Slide 1: AHRQ Safety Program for Mechanically Ventilated Patients Low Tidal Volume Ventilation: Introduction, Evidence, and Implementation Slide 2: Learning Obj…

  6. 4. How Do We Implement Best Practices in Our Organization? (continued) | Agency for Healthcare Research and Quality

    www.ahrq.gov/es/patient-safety/settings/hospital/resource/pressureulcer/tool/pu4a.html
    October 01, 2014 - Preventing Pressure Ulcers in Hospitals 4. How Do We Implement Best Practices in Our Organization? (continued) Previous Page Next Page Table of Contents Preventing Pressure Ulcers in Hospitals Overview Key Subject Area Index 1. Are we ready for this change? 2. How will we manage change? 3.…

  7. Communication Strategies to Promote Resident Safety

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/educational-bundles/communication-and-teamwork/communication-strategies.pptx
    September 01, 2016 - Communication Strategies to Promote Resident Safety Communication Strategies To Promote Resident Safety AHRQ Pub. No. 16-0003-13-EF September 2016 AHRQ Safety Program for Long-Term Care: CAUTI 1 Objectives After participating in the session, attendees will be able to— Identify possible barriers to effective com…

  8. In Conversation With… Brian Jarman, PhD | PSNet

    psnet.ahrq.gov/perspective/conversation-brian-jarman-phd
    March 01, 2015 - In Conversation With… Brian Jarman, PhD March 1, 2015  Also Read an Essay Citation Text: In Conversation With… Brian Jarman, PhD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2015. Copy…

  9. Eliciting Patients’ Diagnostic Experiences Using Rigorous Methods | Agency for Healthcare Research and Quality

    www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-patients-source-understanding-dx-error-vol2-3.html
    June 01, 2023 - Patient Experience as a Source for Understanding the Origins, Impact, and Remediation of Diagnostic Errors Eliciting Patients’ Diagnostic Experiences Using Rigorous Methods Previous Page Next Page Table of Contents Patient Experience as a Source for Understanding the Origins, Impact, and Remediation…

  10. Plan Your Reporting Checklist (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/talkingquality/resources/checklist/checklist-plan-report.pdf
    December 26, 2018 - Plan Your Reporting Checklist 1 TalkingQuality Your Project Checklist: Plan Your Reporting Project This document contains checklists for the following sections of Plan Your Reporting Project: • Identify the Audience • Identify Objectives • Know the Reporting Environment • Find Potential Partners • I…

  11. Plan Complete Checklist (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/talkingquality/resources/checklist/checklist-plan-report.doc
    December 26, 2018 - Plan Complete Checklist TalkingQuality Note: You must use the UP and DOWN ARROW instead of TAB or SHIFT + TAB to fill out this form. This document contains thirty-seven links. Your Project Checklist: Plan Your Reporting Project This document contains checklists for the following sections of Plan Your Reporting Pr…

  12. 4. How Do We Implement Best Practices in Our Organization? (continued) | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/pu4a.html
    October 01, 2014 - Preventing Pressure Ulcers in Hospitals 4. How Do We Implement Best Practices in Our Organization? (continued) Previous Page Next Page Table of Contents Preventing Pressure Ulcers in Hospitals Overview Key Subject Area Index 1. Are we ready for this change? 2. How will we manage change? 3.…

  13. A Fatal Twist in Pseudohyperkalemia | PSNet

    psnet.ahrq.gov/web-mm/fatal-twist-pseudohyperkalemia
    February 10, 2021 - SPOTLIGHT CASE A Fatal Twist in Pseudohyperkalemia Citation Text: Devera JL, Barnes DK, Lewis WR. A Fatal Twist in Pseudohyperkalemia. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2024. Copy Citation Format: …

  14. 2013 Annual Hospital-Acquired Condition Rate and Estimates of Cost Savings and Deaths Averted From 2010 to 2013 | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/pfp/hacrate2013.html
    January 01, 2018 - 2013 Annual Hospital-Acquired Condition Rate and Estimates of Cost Savings and Deaths Averted From 2010 to 2013 Next Page Table of Contents 2013 Annual Hospital-Acquired Condition Rate and Estimates of Cost Savings and Deaths Averted From 2010 to 2013 Appendix References Summary …

  15. The Role of the FDA in Ensuring Device Safety | PSNet

    psnet.ahrq.gov/perspective/role-fda-ensuring-device-safety
    May 28, 2020 - The Role of the FDA in Ensuring Device Safety May 28, 2020  Also Read the Conversation View more articles from the same authors. Citation Text: Fitall E, Hall KK, Gale B. The Role of the FDA in Ensuring Device Safety . PSNet [internet]. Rockville (MD): Agency f…

  16. TeamSTEPPS® Diagnosis Improvement: Module 7: Putting It All Together (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/module7-presenters-notes.pdf
    January 01, 2008 - TeamSTEPPS® Diagnosis Improvement: Module 7: Putting It All Together Slide 1 TeamSTEPPS® for Diagnosis Improvement                                                                                                                                                                                                   …

  17. Module 7: Putting It All Together

    www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/module7-all-together.pptx
    January 01, 2008 - Module 7: Putting It All Together Module 7 Putting It All Together TeamSTEPPS® for Diagnosis Improvement Welcome to the TeamSTEPPS for Diagnosis Improvement Course. This presentation will cover Module 7, Putting It All Together, that you will review as the course facilitator. The purpose of this summary module is…

  18. Most Frequent Procedures Performed in U.S. Hospitals, 2010 (pdf file)

    hcup-us.ahrq.gov/reports/statbriefs/sb149.pdf
    March 01, 2012 - Most Frequent Procedures Performed in U.S. Hospitals, 2010 1 February 2013 Most Frequent Procedures Performed in U.S. Hospitals, 2010 Anne Pfuntner, Lauren M. Wier, M.P.H., and Carol Stocks, R.N., M.H.S.A. Introduction Most hospitalizations involve one or more procedures, which can ran…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/850361/psn-pdf
    June 14, 2023 - Critical Echocardiogram Result Lost to Follow-up June 14, 2023 Boctor N, Molla M. Critical Echocardiogram Result Lost to Follow-up. PSNet [internet]. 2023. https://psnet.ahrq.gov/web-mm/critical-echocardiogram-result-lost-follow The Case A 63-year-old man with history of stroke, systolic heart failure, and ventric…

  20. Respiratory Distress after Neck Surgery: Two Cases of Postoperative Cervical Hematoma. | PSNet

    psnet.ahrq.gov/web-mm/respiratory-distress-after-neck-surgery-two-cases-postoperative-cervical-hematoma
    August 14, 2024 - SPOTLIGHT CASE Respiratory Distress after Neck Surgery: Two Cases of Postoperative Cervical Hematoma. Citation Text: Graves CE, Kuhn MA. Respiratory Distress after Neck Surgery: Two Cases of Postoperative Cervical Hematoma.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Qua…
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