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9141. Final Progress Report: Improving ED Quality and Safety by Enhancing Operations and Quality Management (pdf file)
      www.ahrq.gov/sites/default/files/2024-09/khare-report.pdf
      January 01, 2024 - Final Progress Report: Improving ED Quality and Safety by Enhancing Operations and Quality Management FINAL PROGRESS REPORT Improving ED Quality and Safety by Enhancing Operations and Quality Management Principal Investigator: Rahul K. Khare, MD, formerly Assistant Professor of Emergency Medicine, Feinberg School o…

9142. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/861738/psn-pdf
      January 31, 2024 - A Laceration that Needed a Proper Exam, Not an X-Ray January 31, 2024 Wander J, Barnes DK. A Laceration that Needed a Proper Exam, Not an X-Ray. PSNet [internet]. 2024. https://psnet.ahrq.gov/web-mm/laceration-needed-proper-exam-not-x-ray Disclosure of Relevant Financial Relationships: As a provider accredited by t…

9143. Step 3: Planning the Infrastructure Support | Agency for Healthcare Research and Quality
      www.ahrq.gov/funding/training-grants/hsrguide/hsrguide3.html
      October 01, 2014 - An Organizational Guide to Building Health Services Research Capacity Step 3: Planning the Infrastructure Support Previous Page Next Page Table of Contents An Organizational Guide to Building Health Services Research Capacity Introduction Step 1: Assessing Your Organization's Needs and Capabilit…

9144. Final Progress Report: Reducing Risks by Engineering Resilience Into HIT for EDs (pdf file)
      www.ahrq.gov/sites/default/files/2024-07/wears-report.pdf
      January 01, 2024 - Final Progress Report: Reducing Risks by Engineering Resilience Into HIT for EDs Reducing Risks by Engineering Resilience into HIT for EDs Principal Investigator: Robert L. Wears, MD, MS, PhD Team Members: John Wreathall Rollin (Terry) Fairbanks, MD, MS Ann M. Bisantz, PhD Shawna J Perry, MD Chris Johnson,…

9145. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/849679/psn-pdf
      June 28, 2023 - Under Pressure: Tracheostomy Cuff Over Inflation Leading to Tissue Necrosis and Cuff Rupture June 28, 2023 Gould E, Carlsen K, Trask J, et al. Under Pressure: Tracheostomy Cuff Over Inflation Leading to Tissue Necrosis and Cuff Rupture. PSNet [internet]. 2023. https://psnet.ahrq.gov/web-mm/under-pressure-tracheost…

9146. 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…

9147. How the CHIPRA quality demonstration elevated children on State health policy agendas (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/highlight04.pdf
      September 08, 2015 - How the CHIPRA quality demonstration elevated children on State health policy agendas The CHIPRA Quality Demonstration Grant Program In February 2010, the Centers for Medicare & Medicaid Services (CMS) awarded 10 grants, funding 18 States, to improve the quality of health care for children enrolled in Medicaid …

9148. Lessons from the Field: Measuring Intermediate Progress (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/lessons/lessons-intermediate-progress.pdf
      November 04, 2018 - Lessons from the Field: Measuring Intermediate Progress Lessons from the Field: Measuring Intermediate Progress Prepared for the Agency for Healthcare Research and Quality by L&M Policy Research, LLC with guidance from the Pediatric Quality Measure Program (PQMP) Grantees i Table of Contents List of Acrony…

9149. Learn From Defects in Care of Mechanically Ventilated Patients: Facilitator Guide | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/mvp/modules/cusp/learn-from-defects-fac-guide.html
      February 01, 2017 - Learn From Defects in Care of Mechanically Ventilated Patients: Facilitator Guide AHRQ Safety Program for Mechanically Ventilated Patients Slide 1: Learn From Defects in Care of Mechanically Ventilated Patients Say: In this module, we will discuss the Learning From Defects tool. It is a very useful proc…

9150. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60856/psn-pdf
      August 26, 2020 - Too Many Cooks in the Kitchen August 26, 2020 Dutton RP. Too Many Cooks in the Kitchen. PSNet [internet]. 2020. https://psnet.ahrq.gov/web-mm/too-many-cooks-kitchen Disclosure of Relevant Financial Relationships: As a provider accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Un…

9151. 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…

9152. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/857258/psn-pdf
      November 30, 2023 - Always Check the Muscle Twitch: Residual Neuromuscular Block After Removal of a Gastric Balloon November 30, 2023 Bohringer C, Ashley S. Always Check the Muscle Twitch: Residual Neuromuscular Block After Removal of a Gastric Balloon. PSNet [internet]. 2023. https://psnet.ahrq.gov/web-mm/always-check-muscle-twitch-…

9153. Final Progress Report: Challenges and Innovations in Evaluation of Quality of Care (pdf file)
      www.ahrq.gov/sites/default/files/2024-11/williams-galimbertti-report.pdf
      January 01, 2024 - Final Progress Report: Challenges and Innovations in Evaluation of Quality of Care AHRQ Grant Final Progress Report Title of Project: Challenges and Innovations in Evaluation of Quality of Care Measures Based on Small Counts “National Conference on Small Numbers” Principal Investigators and Team Members: …

9154. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/838900/psn-pdf
      October 27, 2022 - Fecal Contamination of the Peritoneum from Laparoscopic Trocar Injury: A Routine Operation Goes Wrong. October 27, 2022 Ahmed SM, Ali M. Fecal Contamination of the Peritoneum from Laparoscopic Trocar Injury: A Routine Operation Goes Wrong. PSNet [internet]. 2022. https://psnet.ahrq.gov/web-mm/fecal-contamination-…

9155. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49750/psn-pdf
      January 01, 2016 - A Room Without Orders January 1, 2016 Vogelsmeier A, Despins L. A Room Without Orders. PSNet [internet]. 2016. https://psnet.ahrq.gov/web-mm/room-without-orders Case Objectives Review a common process for planned direct hospital admissions. Describe challenges of prioritizing day-to-day patient care activities wi…

9156. Implement-Facilitator-Guide (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/implement/implement-facilitator-guide.docx
      May 01, 2017 - AHRQ Safety Program for Perinatal Care Implement Teamwork and Communication for Perinatal Safety Implement Teamwork and Communication for Perinatal Safety SAY: The Implement Teamwork and Communication module of the AHRQ Safety Program for Perinatal Care will help you understand the importance of effective communicatio…

9157. Implement Teamwork and Communication for Perinatal Safety: Facilitator Guide | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/implement-fac-guide.html
      July 01, 2023 - Implement Teamwork and Communication for Perinatal Safety: Facilitator Guide AHRQ Safety Program for Perinatal Care Slide 1: Implement Teamwork and Communication for Perinatal Safety Say: The Implement Teamwork and Communication module of the AHRQ Safety Program for Perinatal Care will help you understa…

9158. AHRQ Safety Program for Perinatal Care: Labor and Delivery Unit Safety Safe Cesarean Section (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/labor-delivery-unit/tool_safe-csection.docx
      May 01, 2017 - AHRQ Safety Program for Perinatal Care: Labor and Delivery Unit Safety Safe Cesarean Section SAMPLE: Safe Cesarean Checklist for Planned/Routine Cesarean Section Purpose of the tool: This tool describes the key perinatal safety elements related to safe cesarean section. The key elements are presented within the frame…

9159. Labor and Delivery Unit Safety: Safe Cesarean Section | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/labor-delivery-unit/tool-safe-csection.html
      July 01, 2023 - Labor and Delivery Unit Safety: Safe Cesarean Section AHRQ Safety Program for Perinatal Care Purpose of the tool: This tool describes the key perinatal safety elements related to safe cesarean section. The key elements are presented within the framework of the Comprehensive Unit-based Safety Prog…

9160. Manage-Resident-Uti-Facilitator-Guide (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/manage-resident-UTI-facilitator-guide.docx
      June 01, 2021 - AHRQ Safety Program for Improving Antibiotic Use 1 Management of the Resident With a Suspected Urinary Tract Infection Long-Term Care Slide Title and Commentary Slide Number and Slide Management of the Resident With a Suspected Urinary Tract Infection Long-Term Care SAY: Welcome to the presentation titled “Man…