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3921. Selected Best Practices and Suggestions for Improvement (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4q_combo_pdi03-foreignbody-bestpractices.pdf
      November 01, 2012 - Selected Best Practices and Suggestions for Improvement Toolkit for Using the AHRQ Quality Indicators How To Improve Hospital Quality and Safety 1 Tool D.4q Selected Best Practices and Suggestions for Improvement PDI 03: Retained Surgical Item or Unretrieved Device Fragment Count Why focus on retained forei…

3922. 110-Ss-Lfd-Sample (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/110-ss-lfd-sample.docx
      April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI Learning From Defects Tool—Sample Surgical Services For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries What Is a Defect? A defect is any clinical or operational event or situation that you would not want to happen again. This could include i…

3923. 6 Tk1 T2-Talking With Residents Family Members Final (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/nhguide/6_TK1_T2-Talking_with_Residents_Family_Members_Final.docx
      October 01, 2016 - Tool 2. Talking With Residents’ Family Members These talking points are presented in Q&A format to encourage an open and respectful dialogue between nurses or prescribing clinicians and residents’ family members about antibiotics and the risks involved with taking antibiotics. The talking points are designed to: (1) ed…

3924. 6 Tk1 T1-Talking With Residents Final (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/nhguide/6_TK1_T1-Talking_with_Residents_Final.pdf
      October 01, 2016 - Nursing Home Antimicrobial Stewardship Guide Educate & Engage Residents, Family Toolkit To Educate and Engage Residents and Family Members Tool 1. Talking With Residents These talking points are presented in Q&A format to encourage an open and respectful dialogue between nurses or prescribing clinicians and res…

3925. Selected Best Practices and Suggestions for Improvement (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4b_combo_psi05-foreignbody-bestpractices.pdf
      November 01, 2012 - Selected Best Practices and Suggestions for Improvement Toolkit for Using the AHRQ Quality Indicators How To Improve Hospital Quality and Safety 1 Tool D.4b Selected Best Practices and Suggestions for Improvement PSI 05: Retained Surgical Item or Unretrieved Device Fragment Count Why Focus on Retained Fore…

3926. Six Building Blocks How-To-Implement Toolkit: Monitor and Sustain Guide (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/ambulatory/6bb-toolkit-monitor.pdf
      April 20, 2021 - Six Building Blocks How-To-Implement Toolkit: Monitor and Sustain Guide Table of Contents Introduction ......................................................................................................................................1 What Is the Monitor and Sustain Guide?....................................…

3927. Cardiac Arrest in a Woman with UTI: A Case of QT Prolongation | PSNet
      psnet.ahrq.gov/web-mm/cardiac-arrest-woman-uti-case-qt-prolongation
      March 27, 2024 - Cardiac Arrest in a Woman with UTI: A Case of QT Prolongation Citation Text: Kulig CE, Ebong IA. Cardiac Arrest in a Woman with UTI: A Case of QT Prolongation. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. Copy Citation …

3928. ACGME's 2017 Revision of Common Program Requirements | PSNet
      psnet.ahrq.gov/perspective/acgmes-2017-revision-common-program-requirements
      January 31, 2018 - ACGME's 2017 Revision of Common Program Requirements Kathy Malloy; Timothy P. Brigham, PhD; Thomas J. Nasca, MD | August 1, 2017  View more articles from the same authors. Citation Text: Malloy K, Brigham TP, Nasca TJ. ACGME's 2017 Revision of Common Program Requir…

3929. Miscommunication in the OR Leads to Anticoagulation Mishap | PSNet
      psnet.ahrq.gov/web-mm/miscommunication-or-leads-anticoagulation-mishap
      May 08, 2019 - Miscommunication in the OR Leads to Anticoagulation Mishap Citation Text: Solsky I, Haynes AB. Miscommunication in the OR Leads to Anticoagulation Mishap. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017. Copy Citation Forma…

3930. Air on the Side of Caution | PSNet
      psnet.ahrq.gov/web-mm/air-side-caution
      April 21, 2015 - Air on the Side of Caution Citation Text: Robertson JM, Pozner CN. Air on the Side of Caution. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2018. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XM…

3931. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49736/psn-pdf
      June 01, 2015 - Inflicting Confusion June 1, 2015 Scott FI, Lichtenstein GR. Inflicting Confusion. PSNet [internet]. 2015. https://psnet.ahrq.gov/web-mm/inflicting-confusion The Case A 26-year-old man with recently diagnosed Crohn disease presented to the emergency department with acute-onset abdominal pain, nausea, vomiting, an…

3932. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33666/psn-pdf
      October 01, 2008 - Methicillin-Resistant Staphylococcus aureus April 1, 2008 Noskin GA. Methicillin-Resistant Staphylococcus aureus. PSNet [internet]. 2008. https://psnet.ahrq.gov/perspective/methicillin-resistant-staphylococcus-aureus Perspective Methicillin-resistant Staphylococcus aureus (MRSA) has received a great deal of media …

3933. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49815/psn-pdf
      December 01, 2017 - Over-the-Counter Oversight December 1, 2017 Janamanchi V, Modha K, Whinney C. Over-the-Counter Oversight. PSNet [internet]. 2017. https://psnet.ahrq.gov/web-mm/over-counter-oversight The Case A 56-year-old man was evaluated in the burn clinic for a second-degree burn on his chest. Although portions of his skin we…

3934. Evaluation of Stage 3 Meaningful Use Objectives: Pennsylvania and Utah (pdf file)
      digital.ahrq.gov/sites/default/files/docs/citation/evaluation-stage-3-meaningful-use-pa-ut-final-report.pdf
      February 01, 2015 - and response integrate patient • Ability to create and requested amendments, deploy various modes ensuring … Partner organizations also raised the issue of ensuring compliance with privacy regulations when sharing … The evaluation also addressed ensuring compliance with privacy regulations. … The objective does not address accountability for ensuring patients understand the educational materials … receiving patient-reported data, the medium by which information is received is not as important as ensuring

3935. Physician and Physician Practice Research Database Feasibility Report (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/data/3P-RD-Feasibility-Report.pdf
      February 01, 2024 - Claims data coming from disparate sources—state APCD and CMS Medicare FFS—present a challenge for ensuring … of these processes include automating how variable names and formats are harmonized across files, ensuring … • Documentation can be streamlined using programming code, ensuring that the information accurately

3936. Editorial Team | PSNet
      psnet.ahrq.gov/Information/Editor
      May 23, 2025 - The team brings a wealth of experience and deep subject matter expertise in the field, ensuring that

3937. Chapter 4. Results and Key Findings | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/patients-families/consumer-exp/reporting/chapter4.html
      August 01, 2022 - will allow anonymous reporting, but the system should be designed to discourage anonymous reporting by ensuring

3938. 4. How Do We Implement Best Practices in Our Organization? (continued) | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/pu4a.html
      October 01, 2014 - Help reduce resistance to change by ensuring that staff understand the reasons for change and agree that

3939. 4. How Do We Implement Best Practices in Our Organization? (continued) | Agency for Healthcare Research and Quality
      www.ahrq.gov/es/patient-safety/settings/hospital/resource/pressureulcer/tool/pu4a.html
      October 01, 2014 - Help reduce resistance to change by ensuring that staff understand the reasons for change and agree that

3940. Teamworknotes (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/implement/teamworknotes.docx
      June 02, 2025 - responsibility are transferred from one team member to the next, making the handoff a crucial component of ensuring