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9041. Measure: Developmental Screening Follow-up: Follow-up with Patient Family After Developmental Screening (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/chipra_16-p001-1-ef.pdf
      April 01, 2016 - Measure: Developmental Screening Follow-up: Follow-up with Patient Family After Developmental Screening Measure: Developmental Screening Follow-up: Follow-up with Patient Family After Developmental Screening Measure Developer: Pediatric Measurement Center of Excellence (PMCoE) Numerator Denominator Exclusions Dat…

9042. Executive Summary | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/reports/engage/summary.html
      March 01, 2017 - Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families Executive Summary Previous Page Next Page Table of Contents Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families Executive Summary Introduction Limitations of …

9043. Central Venous Catheter Maintenance
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/central-catheter-maintenance.pptx
      April 01, 2022 - Central Venous Catheter Maintenance Central Venous Catheter Maintenance Maintaining Awareness and Proper Care of Catheters in Place AHRQ Safety Program for Intensive Care Units: Preventing CLABSI and CAUTI AHRQ Pub. No. 17(22)-0019 April 2022 1 Step 2. Maintenance Disrupting the Life Cycle of a Catheter Device1…

9044. Part One: Traditional Practice and Recommendations for Change | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cauti-tools/ena-slides/part1.html
      October 01, 2020 - The Emergency Nurses Association Presents CAUTI Slides and Transcript Part One: Traditional Practice and Recommendations for Change Previous Page Next Page Table of Contents The Emergency Nurses Association Presents CAUTI Slides and Transcript Opening Materials: Attribution, Objectives, Introducti…

9045. PowerPoint Presentation (ppt file)
      psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.314_slideshow.ppt
      February 01, 2014 - PowerPoint Presentation Spotlight Case Multifactorial Medication Mishap 1 This presentation is based on the February 2014 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available Commentary by: Annie Yang, PharmD, BCPS NYU Langone Medical Center Editor, AHRQ WebM&M: Robe…

9046. Appendix B1: The FMP Self-Assessment Tool (Text Description) | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapb1txt.html
      December 01, 2017 - The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities Appendix B1: The FMP Self-Assessment Tool (Text Description) Previous Page Next Page Table of Contents The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities Chapter 1. Introduction…

9047. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49390/psn-pdf
      February 01, 2003 - Flying Object Hits MRI February 1, 2003 Gosbee JW, Gosbee LL. Flying Object Hits MRI. PSNet [internet]. 2003. https://psnet.ahrq.gov/web-mm/flying-object-hits-mri The Case A child was brought to the Magnetic Resonance Imaging (MRI) room for a brain scan. Accompanied by an anesthesiologist, the child was receiving…

9048. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33615/psn-pdf
      June 01, 2005 - In Conversation with…Peter J. Pronovost, MD, PhD June 1, 2005 In Conversation with…Peter J. Pronovost, MD, PhD. PSNet [internet]. 2005. https://psnet.ahrq.gov/perspective/conversation-withpeter-j-pronovost-md-phd Editor's Note: Peter J. Pronovost, MD, PhD, is Medical Director of the Johns Hopkins Center for Innova…

9049. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49469/psn-pdf
      December 01, 2004 - Overriding Considerations December 1, 2004 Holtzman NA. Overriding Considerations. PSNet [internet]. 2004. https://psnet.ahrq.gov/web-mm/overriding-considerations The Case Mrs. G visited her obstetrician for first trimester routine prenatal care. The obstetrician offered genetic testing for a variety of condition…

9050. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49839/psn-pdf
      August 01, 2018 - Mixup Beyond the Medication Label August 1, 2018 Pervanas H, VanValkenburgh D. Mixup Beyond the Medication Label. PSNet [internet]. 2018. https://psnet.ahrq.gov/web-mm/mixup-beyond-medication-label The Case An 80-year-old man was admitted to a hospital for recurrent hypoglycemia. He had been seen at another hospi…

9051. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/867980/psn-pdf
      March 25, 2025 - Not All Headaches are Due to Migraine: Red Flags, Don’t Miss Diagnoses, and Diagnostic Pitfalls March 25, 2025 Olson APJ. Not All Headaches are Due to Migraine: Red Flags, Don’t Miss Diagnoses, and Diagnostic Pitfalls. PSNet [internet]. 2025. https://psnet.ahrq.gov/web-mm/not-all-headaches-are-due-migraine-red-fla…

9052. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/866395/psn-pdf
      July 23, 2024 - Rescue Improvement Conference Innovation Summary July 23, 2024 https://psnet.ahrq.gov/innovation/rescue-improvement-conference-innovation-summary Summary The Rescue Improvement Conference (RIC)1 was designed at the University of Michigan to address failure to rescue with a particular focus on communication and com…

9053. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49697/psn-pdf
      December 01, 2013 - Check the Anesthesia Machine December 1, 2013 Saddawi-Konefka D, Cooper JB. Check the Anesthesia Machine. PSNet [internet]. 2013. https://psnet.ahrq.gov/web-mm/check-anesthesia-machine The Case A 62-year-old man with weight of 134 kg (body mass index [BMI] of 40) and history of hypertension, diabetes, sleep apnea…

9054. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49428/psn-pdf
      January 01, 2004 - To Resuscitate or Not? January 1, 2004 Wu AW, Pronovost P. To Resuscitate or Not? PSNet [internet]. 2004. https://psnet.ahrq.gov/web-mm/resuscitate-or-not The Case A critically ill end-stage AIDS patient was hospitalized for end-of-life care. Given the state of his disease, his code status was Do Not Resuscitate/…

9055. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49387/psn-pdf
      February 01, 2003 - Patient Mix-Up February 1, 2003 Shojania KG. Patient Mix-Up. PSNet [internet]. 2003. https://psnet.ahrq.gov/web-mm/patient-mix The Case Joe Smith [not his real name], a 42-year-old man with nausea and vomiting for 4 days, was on the general medical service at an academic medical center. Overnight, another man wit…

9056. Patient Outcome Survey (phone version) | Agency for Healthcare Research and Quality
      www.ahrq.gov/es/patient-safety/settings/hospital/red/toolkit/ptoutcome-phone.html
      March 01, 2025 - Re-Engineered Discharge (RED) Toolkit Patient Outcome Survey (phone version) Previous Page Next Page Table of Contents Re-Engineered Discharge (RED) Toolkit Tool 1: Overview Tool 2: How To Begin the Re-engineered Discharge Implementation at Your Hospital How CMS Measures the "30-Day All Cause …

9057. Strategy 6Q: Standards for Customer Service | Agency for Healthcare Research and Quality
      www.ahrq.gov/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/customer-service/strategy6q-custservice-standards.html
      March 01, 2020 - Strategy 6Q: Standards for Customer Service Contents 6.Q.1. The Problem 6.Q.2. The Intervention 6.Q.3. Case Study References    Download Strategy 6Q:   Standards for Customer Service  (PDF, 708 KB)         6.Q.1. The Problem Achieving high levels of member satisfaction requires two …

9058. Clinical Decision Support (CDS) | Digital Healthcare Research
      digital.ahrq.gov/health-it-tools-and-resources/clinical-decision-support-cds
      January 01, 2023 - Clinical Decision Support (CDS) Below is an introduction to AHRQ’s CDS program and useful links to AHRQ CDS resources. What is CDS, and why is it important? CDS is a digital tool that provides timely information to help inform decisions about a patient's care, improve patient outcomes, and l…

9059. Electronic Exchange of Poisoning Information | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/electronic-exchange-poisoning-information
      January 01, 2023 - Electronic Exchange of Poisoning Information Project Final Report ( PDF , 688.55 KB) Disclaimer Disclaimer The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessarily represent the views of AHRQ. No stateme…

9060. New Data Files Provide Comprehensive View of U.S. Healthcare | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/newsletters/e-newsletter/925.html
      August 01, 2024 - New Data Files Provide Comprehensive View of U.S. Healthcare Issue Number 925 AHRQ News Now is a weekly newsletter that highlights agency research and program activities. August 13, 2024 AHRQ Stats: Sepsis-Related Mortality Before and During COVID-19 Between 2016 and 2019, the in-hospital mortality rate…