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9921. References | Agency for Healthcare Research and Quality
      www.ahrq.gov/diagnostic-safety/resources/issue-briefs/maternal-mortality-6.html
      September 01, 2021 - The Contribution of Diagnostic Errors to Maternal Morbidity and Mortality During and Immediately After Childbirth: State of the Science References Previous Page   Table of Contents The Contribution of Diagnostic Errors to Maternal Morbidity and Mortality During and Immediately After Childbirth: Stat…

9922. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/72693/psn-pdf
      January 29, 2021 - Unintentional Ketamine Overdose in the Operating Room – Mixing Up the Ampules January 29, 2021 Bohringer C. Unintentional Ketamine Overdose in the Operating Room – Mixing Up the Ampules. PSNet [internet]. 2021. https://psnet.ahrq.gov/web-mm/unintentional-ketamine-overdose-operating-room-mixing-ampules The Case A…

9923. Critical Opportunity Lost | PSNet
      psnet.ahrq.gov/web-mm/critical-opportunity-lost
      February 17, 2017 - Critical Opportunity Lost Citation Text: Genzen JR, Signorelli HN. Critical Opportunity Lost. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2015. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML…

9924. Patient and Family Engagement in the Surgical Environment Module | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/training-tools/pf-engagement-slides.html
      May 01, 2017 - Patient and Family Engagement in the Surgical Environment Module Slide 1: Patient and Family Engagement in the Surgical Environment Module Slide 2: Learning Objectives Image: Learning objectives are presented in a series of steps: Define patient and family engagement. Explain the importance of engagin…

9925. PowerPoint Presentation
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/026-why-choose-cusp.pptx
      April 01, 2025 - PowerPoint Presentation Why Choose a CUSP Approach? Surgical Services AHRQ Pub. No. 25-0029 April 2025 AHRQ Safety Program for MRSA Prevention: Targeting SSI AHRQ Safety Program for MRSA Prevention | Surgical Services AHRQ Safety Program for MRSA Prevention | Why Choose a CUSP Approach? 1 Educational Objectives D…

9926. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49718/psn-pdf
      January 01, 2015 - Too Much, Too Fast September 1, 2014 Tuot D. Too Much, Too Fast. PSNet [internet]. 2014. https://psnet.ahrq.gov/web-mm/too-much-too-fast The Case A 68-year-old man with amyotrophic lateral sclerosis (ALS) was admitted to the intensive care unit (ICU) for fever, tachycardia, and increased respiratory secretions. H…

9927. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33816/psn-pdf
      October 01, 2016 - In Conversation With… Richard Platt, MD, MSc October 1, 2016 In Conversation With… Richard Platt, MD, MSc. PSNet [internet]. 2016. https://psnet.ahrq.gov/perspective/conversation-richard-platt-md-msc Editor's note: Dr. Platt is Professor and Chair of the Harvard Medical School Department of Population Medicine. He…

9928. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49739/psn-pdf
      August 21, 2015 - Breathe Easy: Safe Tracheostomy Management August 21, 2015 Russell MS, Russell MD. Breathe Easy: Safe Tracheostomy Management. PSNet [internet]. 2015. https://psnet.ahrq.gov/web-mm/breathe-easy-safe-tracheostomy-management The Case A 75-year-old man was admitted to the hospital with sepsis due to multilobar pneumo…

9929. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49407/psn-pdf
      July 01, 2003 - Bleeding Risk July 1, 2003 Crowther MA. Bleeding Risk. PSNet [internet]. 2003. https://psnet.ahrq.gov/web-mm/bleeding-risk The Case A frail 78-year-old woman fell at home and fractured her left hip. Her past medical history included atrial fibrillation, hypertension, coronary artery disease, and stroke. The surgi…

9930. Resident Physicians as Safety Champions | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cauti-tools/phys-championsgd/section5.html
      October 01, 2015 - Resident Physicians as Champions in Preventing Device-Associated Infections Resident Physicians as Safety Champions Previous Page Next Page Table of Contents Resident Physicians as Champions in Preventing Device-Associated Infections Preamble and Summary Epidemiology of Invasive Devices and Comp…

9931. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49466/psn-pdf
      October 14, 2004 - Hard to Swallow October 1, 2004 Driver J. Hard to Swallow. PSNet [internet]. 2004. https://psnet.ahrq.gov/web-mm/hard-swallow The Case An elderly man underwent hernia surgery. Postoperatively, the patient developed a transient ischemic attack (TIA) and respiratory difficulties. The nurses noted that the patient, …

9932. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/838220/psn-pdf
      September 27, 2019 - A Closer Focus on Access and its Impact on Patient Safety In addition to enhancing diagnostic safety

9933. Pathways to Quality through Health Information Technology | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/pathways-quality-through-health-information-technology
      January 01, 2023 - Pathways to Quality through Health Information Technology Project Final Report ( PDF , 3.94 MB) × Disclaimer Disclaimer details Close Project Description Annual Summaries Publications Project Details - Comple…

9934. Hollingworth W et al. 2007 "The impact of e-prescribing on prescriber and staff time in ambulatory care clinics: a time-motion study." | Digital Healthcare Research
      digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/hollingworth
      January 01, 2023 - Hollingworth W et al. 2007 "The impact of e-prescribing on prescriber and staff time in ambulatory care clinics: a time-motion study." Reference Hollingworth W, Devine EB, Hansen RN, et al. The impact of e-prescribing on prescriber and staff time in ambulatory care clinics: a time-motion study. J Am M…

9935. Individuals with Special Health Care Needs | Digital Healthcare Research
      digital.ahrq.gov/population/individuals-special-health-care-needs
      January 01, 2024 - Individuals with Special Health Care Needs School-Based Tele-Physiatry Assistance for Rehabilitative and Therapeutic Services (STARS) for Children with Special Health Care Needs Living in Rural and Underserved Communities - Final Report Citation Marcin J. School-Based Tele-Phy…

9936. Natural Language Processing To Identify and Rank Clinically Relevant Information for EHRs in the Emergency Department | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/natural-language-processing-identify-and-rank-clinically-relevant-information
      January 01, 2023 - Natural Language Processing To Identify and Rank Clinically Relevant Information for EHRs in the Emergency Department Project Final Report ( PDF , 1.07 MB) Disclaimer Disclaimer The findings and conclusions in this document are those of the author(s), who are responsible for its …

9937. An Evolving Statewide Indiana Information Infrastructure State and Regional - 2010 | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/evolving-statewide-indiana-information-infrastructure-state-and-regional/annual-summary/2010
      January 01, 2010 - An Evolving Statewide Indiana Information Infrastructure State and Regional - 2010 Project Name State and Regional Demonstration in Health Information Technology: Indiana Principal Investigator Overhage, Marc Organization Regenstrief Institute, Inc. Contract Number …

9938. Improving Adolescent Primary Care Through An Interactive Behavioral Health Module | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/improving-adolescent-primary-care-through-interactive-behavioral-health-module
      January 01, 2023 - Improving Adolescent Primary Care Through An Interactive Behavioral Health Module Project Final Report ( PDF , 191.52 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 …

9939. Patient Readiness to Use Internet Health Resources - 2010 | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/patient-readiness-use-internet-health-resources/annual-summary/2010
      January 01, 2010 - Patient Readiness to Use Internet Health Resources - 2010 Project Name Patient Readiness to Use Internet Health Resources Principal Investigator Koopman, Richelle J. Organization University of Missouri at Columbia Funding Mechanism PAR: HS09-085: Mentored Clinical S…

9940. Optimizing Medication History Value in Clinical Encounters with Elderly Patients - 2010 | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/optimizing-medication-history-value-clinical-encounters-elderly-patients/annual-summary/2010
      January 01, 2010 - Optimizing Medication History Value in Clinical Encounters with Elderly Patients - 2010 Project Name Optimizing Medication History Value in Clinical Encounters with Elderly Patients Principal Investigator Lapane, Kate Organization Virginia Commonwealth University Fund…