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5281. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50841/psn-pdf
      January 29, 2020 - “This is the wrong patient's blood!”: Evaluating a Near- Miss Wrong Transfusion Event January 29, 2020 Barnhard S. “This is the wrong patient's blood!”: Evaluating a Near-Miss Wrong Transfusion Event. PSNet [internet]. 2020. https://psnet.ahrq.gov/web-mm/wrong-patients-blood-evaluating-near-miss-wrong-transfusion-…

5282. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49611/psn-pdf
      October 01, 2010 - The Deadly Duo October 1, 2010 Maldonado JR. The Deadly Duo. PSNet [internet]. 2010. https://psnet.ahrq.gov/web-mm/deadly-duo The Case A 29-year-old man with a history of depression and possible psychosis was found unconscious and unresponsive at home and was brought to the emergency department. He was tachycardi…

5283. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/837963/psn-pdf
      August 31, 2022 - Delayed Diagnosis of Mesenteric Ischemia August 31, 2022 Robles A, Utter GH. Delayed Diagnosis of Mesenteric Ischemia. PSNet [internet]. 2022. https://psnet.ahrq.gov/web-mm/delayed-diagnosis-mesenteric-ischemia Disclosure of Relevant Financial Relationships: As a provider accredited by the Accreditation Council for…

5284. Interim Update on 2013 Annual Hospital-Acquired Condition Rate (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/2014finalhacreport-cx.pdf
      December 01, 2016 - Interim Update on 2013 Annual Hospital-Acquired Condition Rate December 2016 Saving Lives and Saving Money: Hospital-Acquired Conditions Update Final Data From National Efforts To Make Care Safer, 2010-2014 Summary Final estimates for 2014 show a sustained 17 percent decline in hospital-acquired conditions…

5285. How are CHIPRA quality demonstration States testing the Children's Electronic Health Record Format? | Agency for Healthcare Research and Quality
      www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/highlight10.html
      August 01, 2014 - How are CHIPRA quality demonstration States testing the Children's Electronic Health Record Format? Evaluation Highlight No. 10 Author: Leslie Foster Contents Key Messages Background Findings Conclusion Implications Learn More Endnotes The CHIPRA Quality Demonstration Grant Program…

5286. Evaluation Highlight No.10, August 2014 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/highlight10.pdf
      September 08, 2015 - Evaluation Highlight No.10, August 2014 The CHIPRA Quality Demonstration Grant Program In February 2010, the Centers for Medicare & Medicaid Services (CMS) awarded 10 grants, funding 18 States, to improve the quality of health care for children enrolled in Medicaid and the Children’s Health Insurance Program …

5287. Preventing CAUTI in Specialized Patient Populations: The ICU | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cauti-tools/archived-webinars/preventing-cauti-specialized-populations-icu-slides.html
      December 01, 2017 - Preventing CAUTI in Specialized Patient Populations: The ICU Slide Presentation Slide 1 Preventing CAUTI in Specialized Patient Populations: The ICU Hannah Wunsch, MD, MSc Herbert Irving Assistant Professor of Anesthesiology and Epidemiology Columbia University Eugene Chu, MD, FHM Director of Hospi…

5288. Tools for Sustainability: Premortem and Scorecard: Facilitator Guide | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/mvp/modules/sustainability/premortem-scorecard-fac-guide.html
      February 01, 2017 - Tools for Sustainability: Premortem and Scorecard: Facilitator Guide AHRQ Safety Program for Mechanically Ventilated Patients Slide 1: Tools for Sustainability: Premortem and Scorecard Say: This module will cover sustaining and spreading safety improvements. To preface the sustainability discussions, th…

5289. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/861760/psn-pdf
      January 31, 2024 - Syringe Swap During Regional Block: A Case of Medication Error and Recovery January 31, 2024 Beres K, Gutierrez MC. Syringe Swap During Regional Block: A Case of Medication Error and Recovery. PSNet [internet]. 2024. https://psnet.ahrq.gov/web-mm/syringe-swap-during-regional-block-case-medication-error-and-recover…

5290. CA-MRSA Skin Infections: An Ounce of Prevention is Worth a Pound of Cure | PSNet
      psnet.ahrq.gov/web-mm/ca-mrsa-skin-infections-ounce-prevention-worth-pound-cure
      March 01, 2005 - SPOTLIGHT CASE CA-MRSA Skin Infections: An Ounce of Prevention is Worth a Pound of Cure Citation Text: Liu C. CA-MRSA Skin Infections: An Ounce of Prevention is Worth a Pound of Cure. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human S…

5291. Family-Facilitator-Guide (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/family-facilitator-guide.docx
      June 01, 2021 - AHRQ Safety Program for Improving Antibiotic Use 1 Discussing Infection Concerns About Residents With Family Members and Caregivers Long-Term Care Long-Term Care Slide Title and Commentary Slide Number and Slide Discussing Infectious Concerns About Residents With Family Members and Caregivers Long-Term Care SAY…

5292. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33759/psn-pdf
      October 01, 2012 - Promising Areas for Patient Safety Research December 1, 2003 Brady JP, Munier WB, Azam I. Promising Areas for Patient Safety Research. PSNet [internet]. 2003. https://psnet.ahrq.gov/perspective/promising-areas-patient-safety-research Perspective Setting a Course for Patient Safety Research Although patient safety…

5293. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33706/psn-pdf
      February 01, 2011 - In Conversation with...Brent C. James, MD, MStat February 1, 2011 In Conversation with..Brent C. James, MD, MStat. PSNet [internet]. 2011. https://psnet.ahrq.gov/perspective/conversation-withbrent-c-james-md-mstat Editor's note: Brent C. James, MD, MStat, is Chief Quality Officer and Executive Director of the Insti…

5294. The Challenge and Potential for Assuring Quality Health Care for the 21st Century | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/quality-measures/21st-century/index.html
      June 01, 2018 - The Challenge and Potential for Assuring Quality Health Care for the 21st Century Next Page Table of Contents The Challenge and Potential for Assuring Quality Health Care for the 21st Century From Quality Measures to Quality Care: Examples of Quality Improvement at Work Private Sector Efforts in V…

5295. Selected Best Practices and Suggestions for Improvement (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/d4j_pdi12-crbsi-bestpractices.pdf
      May 17, 2016 - Selected Best Practices and Suggestions for Improvement Pediatric Toolkit for Using the AHRQ Quality Indicators How To Improve Hospital Quality and Safety 1 Tool D.4j Selected Best Practices and Suggestions for Improvement PDI 12: Central Venous Catheter (CVC)-Related Bloodstream Infection Rate (BSIs) Why …

5296. Key Themes Across Grants | Agency for Healthcare Research and Quality
      www.ahrq.gov/ncepcr/research-transform-primary-care/transform/synthesis-report/themes.html
      October 01, 2015 - Findings From the AHRQ Transforming Primary Care Grant Initiative: A Synthesis Report Key Themes Across Grants Previous Page Next Page Table of Contents Findings From the AHRQ Transforming Primary Care Grant Initiative: A Synthesis Report Executive Summary Introduction Methods Overview of th…

5297. Appendix A. Key Characteristics of Estimating Costs Grants | Agency for Healthcare Research and Quality
      www.ahrq.gov/ncepcr/research-transform-primary-care/transform/cost/app-a.html
      July 01, 2015 - Estimating the Costs of Primary Care Transformation: A Practical Guide and Synthesis Report Appendix A. Key Characteristics of Estimating Costs Grants Previous Page Next Page Table of Contents Estimating the Costs of Primary Care Transformation: A Practical Guide and Synthesis Report Background …

5298. How Social Media Can Draw Visitors to a Quality Report (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/talkingquality/resources/podcasts_webinars/Using_Social_Media_2011_09_01_Transcript.pdf
      January 01, 2011 - How Social Media Can Draw Visitors to a Quality Report Transcript release date 9/1/11 How Social Media Can Draw Visitors to a Quality Report Moderator: Lise Rybowski, Consultant, TalkingQuality; President, The Severyn Group Speakers: Barbara Lambiaso, Project Manager, Massachusetts Health Quality Part…

5299. Archived: Final Evidence Review: Asymptomatic Bacteriuria in Adults: Screening | United States Preventive Services Taskforce
      www.uspreventiveservicestaskforce.org/uspstf/document/final-evidence-review11/asymptomatic-bacteriuria-in-adults-screening-2008
      July 15, 2008 - Share to Facebook Share to X Share to WhatsApp Share to Email Print archived Final Evidence Review Asymptomatic Bacteriuria in Adults: Screening July 15, 2008 Recommendations made by the USPSTF are independent of the U.S. government. The…

5300. Anemia and Delayed Colon Cancer Diagnosis | PSNet
      psnet.ahrq.gov/web-mm/anemia-and-delayed-colon-cancer-diagnosis
      July 21, 2020 - SPOTLIGHT CASE Anemia and Delayed Colon Cancer Diagnosis Citation Text: Pathipati MP, Richter JM. Anemia and Delayed Colon Cancer Diagnosis. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. Copy Citation Format: …