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9321. 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-…

9322. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/865429/psn-pdf
      April 24, 2024 - Missed Connection: A Case of Inadequate ECG Oversight in Cardiac Surgery April 24, 2024 Bohringer C, Fierro M, Venugopal S. Missed Connection: A Case of Inadequate ECG Oversight in Cardiac Surgery. PSNet [internet]. 2024. https://psnet.ahrq.gov/web-mm/missed-connection-case-inadequate-ecg-oversight-cardiac-surgery…

9323. Too Many Cooks in the Kitchen | PSNet
      psnet.ahrq.gov/web-mm/too-many-cooks-kitchen
      March 07, 2018 - SPOTLIGHT CASE Too Many Cooks in the Kitchen Citation Text: Dutton RP. Too Many Cooks in the Kitchen. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2020. Copy Citation Format: Google Scholar BibTeX EndNote X…

9324. Microsoft PowerPoint - Spotlight Case_A Missed Bowel Perforation - SLIDES_FINAL.pptx (pdf file)
      psnet.ahrq.gov/sites/default/files/2023-09/a_missed_bowel_perforation_-_the_importance_of_diagnostic_reasoning.pdf
      January 01, 2023 - Microsoft PowerPoint - Spotlight Case_A Missed Bowel Perforation - SLIDES_FINAL.pptx Spotlight A Missed Bowel Perforation – the Importance of Diagnostic Reasoning Source and Credits • This presentation is based on the September 2023 AHRQ WebM&M Spotlight Case o See the full article at https://psnet.ahrq.gov/web…

9325. In Conversation With… Maureen Bisognano | PSNet
      psnet.ahrq.gov/perspective/conversation-maureen-bisognano
      February 26, 2025 - In Conversation With… Maureen Bisognano June 1, 2015  Citation Text: In Conversation With… Maureen Bisognano. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2015. Copy Citation Format: …

9326. Implement Teamwork and Communication for Perinatal Safety (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/implement/implement-facilitator-guide.pdf
      May 01, 2017 - Implement Teamwork and Communication for Perinatal Safety AHRQ Safety Program for Perinatal Care Implement Teamwork and Communication for Perinatal Safety AHRQ Publication No. 17-0003-3-EF May 2017 SAY: The Implement Teamwork and Communication module of the AHRQ Safety Program for Perinatal Care will help yo…

9327. Chipra202-Materials Viiia (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/CHIPRA202-Materials_VIIIA.pdf
      June 02, 2025 - EHR Data Feasibility Tool copyright 2011 American Medical Association. All Rights Reserved. This tool and the information contained therein may not be reproduced or distributed and may only be used for collecting data in connection with an agreement with the American Medical Association. THIS TOOL IS PROVIDED …

9328. Chipra204-Materials Viiia (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/CHIPRA204-Materials_VIIIA.pdf
      June 02, 2025 - EHR Data Feasibility Tool copyright 2011 American Medical Association. All Rights Reserved. This tool and the information contained therein may not be reproduced or distributed and may only be used for collecting data in connection with an agreement with the American Medical Association. THIS TOOL IS PROVIDED …

9329. Chipra205-Materials Viiia (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/CHIPRA205-Materials_VIIIA.pdf
      June 02, 2025 - EHR Data Feasibility Tool copyright 2011 American Medical Association. All Rights Reserved. This tool and the information contained therein may not be reproduced or distributed and may only be used for collecting data in connection with an agreement with the American Medical Association. THIS TOOL IS PROVIDED …

9330. Microsoft PowerPoint - Spotlight Case_Gabapentin Overdose_12.21.2022 FINAL.pptx (pdf file)
      psnet.ahrq.gov/sites/default/files/2023-01/spotlight_overdose_of_gabapentin_and_oxycodone_in_a_patient_with_end-stage_renal_disease.pdf
      January 01, 2023 - Microsoft PowerPoint - Spotlight Case_Gabapentin Overdose_12.21.2022 FINAL.pptx Spotlight Overdose of Gabapentin and Oxycodone in a Patient with End-Stage Renal Disease: A Case for Appropriate Interruptive Drug-Disease Alerts  Source and Credits • This presentation is based on the January 2023 AHRQ WebM&M Spotl…

9331. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33804/psn-pdf
      March 03, 2016 - In Conversation With… Paul McGann, MD March 1, 2016 In Conversation With… Paul McGann, MD. PSNet [internet]. 2016. https://psnet.ahrq.gov/perspective/conversation-paul-mcgann-md Editor's note: Dr. McGann is the Chief Medical Officer for Quality Improvement at the Centers for Medicare & Medicaid Services (CMS). He…

9332. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/846126/psn-pdf
      March 09, 2023 - Medication Handling and Compounding Errors in the Operating Room. March 15, 2023 Chaudhry J, Manning C, Dakwa D, et al. Medication Handling and Compounding Errors in the Operating Room. PSNet [internet]. 2023. https://psnet.ahrq.gov/web-mm/medication-handling-and-compounding-errors-operating-room The Case A 62-y…

9333. Equity in Patient Safety | PSNet
      psnet.ahrq.gov/perspective/equity-patient-safety
      September 24, 2024 - Annual Perspective Equity in Patient Safety Angela D. Thomas, DrPH, MPH, MBA; Merton Lee, PhD, PharmD; Sarah Mossburg, RN, PhD | March 27, 2024  View more articles from the same authors. Citation Text: Thomas A, Lee M, Mossburg S. Equity in Patient Safety. …

9334. Despite Clues, Failed to Rescue | PSNet
      psnet.ahrq.gov/web-mm/despite-clues-failed-rescue
      August 02, 2015 - SPOTLIGHT CASE Despite Clues, Failed to Rescue Citation Text: Ghaferi AA. Despite Clues, Failed to Rescue. 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…

9335. A Stable Airway? Fatal Airway Occlusion After Inadequate Post-Tracheostomy Care | PSNet
      psnet.ahrq.gov/web-mm/stable-airway-fatal-airway-occlusion-after-inadequate-post-tracheostomy-care
      June 28, 2023 - SPOTLIGHT CASE A Stable Airway? Fatal Airway Occlusion After Inadequate Post-Tracheostomy Care Citation Text: Gould E, Craddock K, Le Tellier T, et al. A Stable Airway? Fatal Airway Occlusion After Inadequate Post-Tracheostomy Care. PSNet [internet]. Rockville (MD): Agency for Healthcare Research…

9336. Pitfalls in Diagnosing Necrotizing Fasciitis | PSNet
      psnet.ahrq.gov/web-mm/pitfalls-diagnosing-necrotizing-fasciitis
      March 24, 2021 - SPOTLIGHT CASE Pitfalls in Diagnosing Necrotizing Fasciitis Citation Text: Goh T, Goh LG. Pitfalls in Diagnosing Necrotizing Fasciitis. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2014. Copy Citation Format: …

9337. Executive summary_Systematic Review: Fiber Intake and Laxation in People With Normal Bowel Function (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/fiber-intake-final-executive-summary.pdf
      July 01, 2025 - Executive summary_Systematic Review: Fiber Intake and Laxation in People With Normal Bowel Function Systematic Review Fiber Intake and Laxation in People With Normal Bowel Function Executive Summary Main Points • Association of increasing dietary fiber intake and laxation outcomes (all …

9338. Screening for Iron Deficiency Anemia--Including Iron Supplementation for Children and Pregnant Women (pdf file)
      www.uspreventiveservicestaskforce.org/home/getfilebytoken/c7NQCTUxonKVCR_B8nGq9y
      May 01, 2006 - Screening for Iron Deficiency Anemia--Including Iron Supplementation for Children and Pregnant Women Recommendation Statement Screening for Iron Deficiency Anemia--Including Iron Supplementation for Children and Pregnant Women U.S. Preventive Services Task Force The U.S. Preventive Services Task Force (USP…

9339. Statistical Brief #72: Nationwide Frequency and Costs of Potentially Preventable Hospitalizations, 2006 (pdf file)
      hcup-us.ahrq.gov/reports/statbriefs/sb72.pdf
      April 01, 2009 - Statistical Brief #72: Nationwide Frequency and Costs of Potentially Preventable Hospitalizations, 2006 HEALTHCARE COST AND UTILIZATION PROJECT Agency for Healthcare Research and Quality STATISTICAL BRIEF #72 April 2009 Highlights In 2006, hospital costs for potentially preventable cond…

9340. HCUP Statistical Brief #10: Racial and Ethnic Disparities in Potentially Preventable Hospitalizations, 2003 (pdf file)
      hcup-us.ahrq.gov/reports/statbriefs/sb10.pdf
      July 01, 2006 - HCUP Statistical Brief #10: Racial and Ethnic Disparities in Potentially Preventable Hospitalizations, 2003 HEALTHCARE COST AND UTILIZATION PROJECT Agen Res July 2006 In 200 paritie preven with b highes secon The di hospit condit hypert Comp whites these to 5 tim blacks times Comp w…