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www.ahrq.gov/sites/default/files/2025-03/trowbridge-report.pdfJanuary 01, 2025 - Final Progress Report: Diagnostic Error in Medicine Annual Conference AHRQ Grant Final Progress Report Title of Project: Diagnostic Error in Medicine Annual Conference Principal Investigator: Robert Trowbridge, MD Team Members: • Paul L. Epner, MEd, MBA, Executive Vice President, Society to Improve Diagnosis in …
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psnet.ahrq.gov/web-mm/navigating-chaos-fatal-iatrogenic-liver-injury-patient-admitted-leg-fracturesNovember 27, 2019 - Navigating Chaos: Fatal Iatrogenic Liver Injury in a Patient Admitted for Leg Fractures Citation Text: Loseth C. Navigating Chaos: Fatal Iatrogenic Liver Injury in a Patient Admitted for Leg Fractures. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and …
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psnet.ahrq.gov/web-mm/when-lytes-go-out-case-inpatient-cardiac-arrestFebruary 01, 2023 - SPOTLIGHT CASE When the Lytes Go Out: A Case of Inpatient Cardiac Arrest Citation Text: Stripe B, Zuidema D. When the Lytes Go Out: A Case of Inpatient Cardiac Arrest . PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2020.…
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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73642/psn-pdfAugust 25, 2021 - Sudden Collapse During Upper Gastrointestinal Endoscopy: Expect the Unexpected August 25, 2021 Wieck M. Sudden Collapse During Upper Gastrointestinal Endoscopy: Expect the Unexpected. PSNet [internet]. 2021. https://psnet.ahrq.gov/web-mm/sudden-collapse-during-upper-gastrointestinal-endoscopy-expect- unexpected … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/49648/psn-pdfMarch 01, 2012 - Postdischarge Follow-Up Phone Call March 1, 2012 Mourad M, Rennke S. Postdischarge Follow-Up Phone Call. PSNet [internet]. 2012. https://psnet.ahrq.gov/web-mm/postdischarge-follow-phone-call Case Objectives Understand why preventing readmissions through postdischarge phone calls is important. Describe evidence su… -
www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/module4-leadership.pptxJanuary 05, 2022 - Module 4: Leadership Module 4 Leadership To Improve Diagnosis TeamSTEPPS® for Diagnosis Improvement Welcome to the TeamSTEPPS for Diagnosis Improvement course. This presentation will cover Module 4, Leadership To Improve Diagnosis, that you will review as the course facilitator. Individuals who plan to take the…
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www.ahrq.gov/hai/pfp/haccost2017-ref.htmlMay 01, 2023 - Estimating the Additional Hospital Inpatient Cost and Mortality Associated With Selected Hospital-Acquired Conditions References Previous Page Next Page Table of Contents Estimating the Additional Hospital Inpatient Cost and Mortality Associated With Selected Hospital-Acquired Conditions Discussio…
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Spotlight (pdf file)
psnet.ahrq.gov/sites/default/files/2022-08/final_spotlight_case_mesenteric_ischemia_08.05.2022.pdfJanuary 01, 2022 - Spotlight Spotlight Delayed Diagnosis of Mesenteric Ischemia Source and Credits • This presentation is based on the August 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: Anamaria Robles, MD, and Garth Utter, MD, MSc o AHRQ WebM&M… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/49454/psn-pdfJuly 01, 2004 - Novel Drug Misuse July 1, 2004 Angus DC, Milbrandt EB. Novel Drug Misuse. PSNet [internet]. 2004. https://psnet.ahrq.gov/web-mm/novel-drug-misuse Case Objectives Define the inclusion and exclusion criteria for patients in PROWESS. Understand why the FDA included APACHE score as an indication criterion for drotrec… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/49527/psn-pdfDecember 01, 2006 - Right Patient, Wrong Sample December 1, 2006 Astion ML. Right Patient, Wrong Sample. PSNet [internet]. 2006. https://psnet.ahrq.gov/web-mm/right-patient-wrong-sample The Case A 54-year-old man was admitted to the hospital for preoperative evaluation and elective knee surgery. On the morning of surgery, the patien… -
Tool 11: Community Resource Guide (doc file)
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/medicaidreadmitguide/mcaidread_tool11_comm_resource.docxJune 02, 2025 - Tool 11: Community Resource Guide Tool 11: community resource guide Purpose Many hospital readmission reduction teams perceive that no community resources are available, even though community behavioral health and social service providers state they rarely receive referrals from hospitals. The purpose of this commu… -
www.ahrq.gov/prevention/resources/depression/depsum2.htmlApril 01, 2013 - Screening for Depression in Adults (continued) The summaries of the evidence briefly present evidence of effectiveness for preventive health services used in primary care clinical settings, including screening tests, counseling, and chemoprevention. They summarize the more detailed Systematic Evidence Reviews, …
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www.ahrq.gov/ncepcr/tools/confid-report/system-design.htmlFebruary 01, 2016 - Confidential Physician Feedback Reports: Designing for Optimal Impact on Performance Part Two: Design of Physician Feedback Reporting Systems Previous Page Next Page Table of Contents Confidential Physician Feedback Reports: Designing for Optimal Impact on Performance Foreword Introduction Par…
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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/33740/psn-pdfNovember 01, 2012 - In Conversation With… Abraham Verghese, MD November 1, 2012 In Conversation With… Abraham Verghese, MD. PSNet [internet]. 2012. https://psnet.ahrq.gov/perspective/conversation-abraham-verghese-md Editor's note: Abraham Verghese, MD, is Professor for the Theory and Practice of Medicine at the Stanford University S… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/49624/psn-pdfMay 01, 2011 - Duty to Disclose Someone Else's Error? May 1, 2011 Gallagher TH. Duty to Disclose Someone Else's Error? PSNet [internet]. 2011. https://psnet.ahrq.gov/web-mm/duty-disclose-someone-elses-error Case Objectives State the rationale for disclosing medical errors. Describe key principles in effective error disclosure. … -
psnet.ahrq.gov/sites/default/files/2023-01/spotlight_respiratory_distress_after_neck_surgery_two_cases_of_postoperative_cervical_hematoma.pdfJanuary 01, 2023 - Microsoft PowerPoint - Spotlight Case_Postop Cervical Hematomas_12.15.2022 FINAL.pptx Spotlight Respiratory Distress after Neck Surgery: Two Cases of Post-Operative Cervical Hematoma Source and Credits • This presentation is based on the January 2023 AHRQ WebM&M Spotlight Case o See the full article at https://…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/cg/about/measures-cg30-2309.pdfJune 01, 2017 - Patient Experience Measures from the CAHPS Clinician & Group Survey Patient Experience Measures from the CAHPS Clinician & Group Survey CAHPS® Clinician & Group Survey and Instructions Patient Experience Measures from the CAHPS® Clinician & Group Survey Introduction ...................................…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/urine-culturing-notes.docxApril 01, 2022 - Urine Culturing Stewardship in the ICU Setting Facilitator Notes CAUTI Module: Urine Culturing Stewardship in the ICU Setting Facilitator Guide Slide Number and Image This module, titled “Urine Culturing Stewardship in the ICU Setting” is part of the Agency for Healthcare Research and Quality’s Safety Program …
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/data-change-notes.docxApril 01, 2022 - Using Data To Drive Change and Improve Patient Safety Facilitator Notes CUSP Module: Using Data To Drive Change and Improve Patient Safety Facilitator Guide Slide Number and Image This module, “Using Data To Drive Change and Improve Patient Safety” is part of the Agency for Healthcare Research and Quality, or A…
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Video-Transcript-Spanish (doc file)
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/long-term-modules/module2/video-transcript-spanish.docxJune 02, 2025 - ( PREVENIR HAIs Infeccones relacionadas con los cuidados de salud )Programa de seguridad de la AHRQ para cuidados a largo plazo: HAI/CAUTI Kit de herramientas de seguridad para cuidados a largo plazo ( PREVENIR HAIs Infeccones relacionadas con los cuidados de salud )Módulo 2: Participación de los directivos Progra…
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