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9421. Delayed Diagnosis and Treatment of Systemic Lupus Erythematosus with a Psychiatric Presentation | PSNet
      psnet.ahrq.gov/web-mm/delayed-diagnosis-and-treatment-systemic-lupus-erythematosus-psychiatric-presentation
      September 27, 2023 - SPOTLIGHT CASE Delayed Diagnosis and Treatment of Systemic Lupus Erythematosus with a Psychiatric Presentation Citation Text: Bourgeois JA, Xiong G. Delayed Diagnosis and Treatment of Systemic Lupus Erythematosus with a Psychiatric Presentation. PSNet [internet]. Rockville (MD): Agency for Health…

9422. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50698/psn-pdf
      November 27, 2019 - Missed Opportunities for Suicide Risk Assessment November 27, 2019 Xiong G, Kahn D. Missed Opportunities for Suicide Risk Assessment. PSNet [internet]. 2019. https://psnet.ahrq.gov/web-mm/missed-opportunities-suicide-risk-assessment Disclosure of Relevant Financial Relationships: As a provider accredited by the Acc…

9423. Pressure Injury Prevention Program Phases | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/guide/phases.html
      September 01, 2017 - Pressure Injury Prevention Program Implementation Guide Pressure Injury Prevention Program Phases Previous Page Next Page Table of Contents Pressure Injury Prevention Program Implementation Guide Overview Get Ready Pressure Injury Prevention Program Phases Appendix A. RACI Chart Appendix B…

9424. Palliative Care: Comfort vs. Harm | PSNet
      psnet.ahrq.gov/web-mm/palliative-care-comfort-vs-harm
      December 04, 2016 - SPOTLIGHT CASE Palliative Care: Comfort vs. Harm Citation Text: Jox RJ. Palliative Care: Comfort vs. Harm. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017. Copy Citation Format: Google Scholar BibTeX EndN…

9425. Rural Community Partnerships—EMR Implementation Project (pdf file)
      digital.ahrq.gov/sites/default/files/docs/publication/uc1hs015302-mullen-final-report-2008.pdf
      January 01, 2008 - Rural Community Partnerships—EMR Implementation Project Grant Final Report Grant ID: 5UC1HS015302-03 Rural Community Partnerships— EMR Implementation Project Inclusive dates: 09/20/04 - 08/31/07 Principal Investigator: R’Nee Mullen Performing Organization: Magic Valley Regio…

9426. Evidence-based Practice Center Systematic Review Protocol (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pdf/hepatitis-c-screening_research-protocol.pdf
      October 20, 2011 - Evidence-based Practice Center Systematic Review Protocol Source: www.effectivehealthcare.ahrq.gov Published Online: October 20, 2011 1 Evidence-based Practice Center Systematic Review Protocol Project Title: Screening for Hepatitis C I. Background and Objectives Objective The stated…

9427. The Long Term Effectiveness of Telephone Intervention Problem Solving (TIPS) - Final Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/publication/r21hs022166-beebe-final-report-2016.pdf
      January 01, 2016 - The Long Term Effectiveness of Telephone Intervention Problem Solving (TIPS) - Final Report The long term effectiveness of Telephone Intervention Problem Solving (TIPS). PI Lora Humphrey Beebe, PhD, PMHNP-BC Team members: Kathleen D Smith, PhD, interventionist; Abbas Tavakoli, PhD…

9428. Translating From Normal to Abnormal | PSNet
      psnet.ahrq.gov/web-mm/translating-normal-abnormal
      October 02, 2019 - SPOTLIGHT CASE Translating From Normal to Abnormal Citation Text: Turner AM. Translating From Normal to Abnormal. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017. Copy Citation Format: Google Scholar BibT…

9429. 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…

9430. Microsoft PowerPoint - Spotlight Case_Anesthesia Error During Cesarean_06.22.2023 - Final.pptx (pdf file)
      psnet.ahrq.gov/sites/default/files/2023-06/hurried_huddle_0.pdf
      January 01, 2023 - Microsoft PowerPoint - Spotlight Case_Anesthesia Error During Cesarean_06.22.2023 - Final.pptx Spotlight Hurried Team Huddle and Poor Communication: Unsafe Practice During Anesthesia for Emergency Cesarean Delivery Source and Credits • This presentation is based on the June 2023 AHRQ WebM&M Spotlight Case o See…

9431. 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,…

9432. 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…

9433. Mod03-Gap-Analysis-Guide (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module3/mod03-gap-analysis-guide.pdf
      April 01, 2016 - Purpose: To evaluate the extent to which current processes align with the Communication and Optimal Resolution (CANDOR) process and includes; ■ Identifying the existing process ■ Identifying the existing outcome(s) ■ Identifying the desired outcome(s) ■ Identifying and documenting the gap(s) Who should use t…

9434. Module 2: How To Manage Change (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module2/module2_managingchange.docx
      June 02, 2025 - Module 2: How To Manage Change Module 2: How To Manage Change Module Aim The aim of this module is to support change in your organization to maximize the possibility of successful implementation of the Pressure Injury Prevention Program. Module Goals The goals of Module 2 are to identify necessary actions to improve …

9435. 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…

9436. 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 …

9437. 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…

9438. How are CHIPRA Quality Demonstration States encouraging health care providers to put quality measures to work? | Agency for Healthcare Research and Quality
      www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/highlight05.html
      November 01, 2013 - How are CHIPRA Quality Demonstration States encouraging health care providers to put quality measures to work? Evaluation Highlight No. 5 Author: Leslie Foster Contents Key Messages Background Findings Conclusions Implications Learn More Endnotes The CHIPRA Quality Demonstration …

9439. 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…

9440. 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…