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9781. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60547/psn-pdf
      May 28, 2020 - The Role of the FDA in Ensuring Device Safety May 28, 2020 Fitall E, Hall KK, Gale B. The Role of the FDA in Ensuring Device Safety . PSNet [internet]. 2020. https://psnet.ahrq.gov/perspective/role-fda-ensuring-device-safety Introduction The Food and Drug Administration (FDA) plays a critical role in ensuring the …

9782. Ventilator-Associated Event Surveillance: Slide Presentation | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/mvp/modules/vae/surveillance-slides.html
      February 01, 2017 - Ventilator-Associated Event Surveillance: Slide Presentation AHRQ Safety Program for Mechanically Ventilated Patients Slide 1: AHRQ Safety Program for Mechanically Ventilated Patients Ventilator-Associated Event Surveillance Slide 2: Learning Objectives After this session, you will be able to— D…

9783. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49832/psn-pdf
      June 01, 2018 - Febrile Neutropenia and an Almost Fatal Medication Error June 1, 2018 Faig J, Zerillo JA. Febrile Neutropenia and an Almost Fatal Medication Error. PSNet [internet]. 2018. https://psnet.ahrq.gov/web-mm/febrile-neutropenia-and-almost-fatal-medication-error The Case A 33-year-old woman with recently diagnosed acute …

9784. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49438/psn-pdf
      March 05, 2004 - OR Peeping March 1, 2004 Mackenzie CF. OR Peeping. PSNet [internet]. 2004. https://psnet.ahrq.gov/web-mm/or-peeping The Case A healthy unmarried woman was undergoing a dilation and curettage (D&C) following an incomplete spontaneous abortion (miscarriage). At this community hospital, a new operating room (OR) su…

9785. Part 2: Trends in Priorities of the Heckler Report—Care for Diabetes | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/nhqrdr/2014chartbooks/hispanichealth/part2-diabetes.html
      May 01, 2018 - Chartbook for Hispanic Health Care Part 2: Trends in Priorities of the Heckler Report—Care for Diabetes Previous Page Next Page Table of Contents Chartbook for Hispanic Health Care Acknowledgments Health Care For Hispanics National Quality Strategy Priorities: Patient Safety National Quality…

9786. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/836942/psn-pdf
      April 27, 2022 - Saline Flush Leads to Acute Paralysis of an Awake Patient: Risks of Improper Medication Labeling in an Operating Room April 27, 2022 Kriss RS. Saline Flush Leads to Acute Paralysis of an Awake Patient: Risks of Improper Medication Labeling in an Operating Room. PSNet [internet]. 2022. https://psnet.ahrq.gov/web-m…

9787. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49659/psn-pdf
      July 01, 2012 - Sloppy and Paste July 1, 2012 Hirschtick RE. Sloppy and Paste. PSNet [internet]. 2012. https://psnet.ahrq.gov/web-mm/sloppy-and-paste The Case A 78-year-old man with hypertension and diabetes presented to an emergency department (ED) with new onset chest pain. The ED physician reviewed the patient's electronic me…

9788. Presentation: Designing a Scorecard for Sustainability
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/sustainability/sustainability_sustscorecard.pptx
      December 01, 2017 - Presentation: Designing a Scorecard for Sustainability Designing a Scorecard for Sustainability AHRQ Safety Program for Surgery Sustainability AHRQ Pub. No. 16(18)-0004-15-EF December 2017 AHRQ Safety Program for Surgery – Sustainability SAY: The module covers how to design a scorecard for sustaining your surgical…

9789. SOPS Bibliography | Agency for Healthcare Research and Quality
      www.ahrq.gov/sops/bibliography/index.html?page=0
      January 01, 2025 - SOPS Bibliography Browse or search for publications about the development and use of SOPS surveys and other topics related to assessing patient safety culture. Results 1-50 of 505 Bibliography Items displayed Pagination 1 2 3 4 5 6 7 8 9 next …

9790. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49805/psn-pdf
      September 01, 2017 - The Forgotten Radiographic Read September 1, 2017 Coil CJ, Witt MD. The Forgotten Radiographic Read. PSNet [internet]. 2017. https://psnet.ahrq.gov/web-mm/forgotten-radiographic-read The Case A 60-year-old woman with peripheral artery disease and chronic mesenteric ischemia was admitted for management of inferior…

9791. Spotlight Case (ppt file)
      psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.275_slideshow.ppt
      August 01, 2012 - Spotlight Case Spotlight Case No News May Not Be Good News 1 2 Source and Credits This presentation is based on the August 2012 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available Commentary by: Carlton R. Moore, MD, MS; University of North Carolina, School of Medicin…

9792. New AHRQ SOPS® Workplace Safety Supplemental Items for Hospitals - Zebrak (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/new-sops-workplace-safety-zebrak.pdf
      July 22, 2022 - New AHRQ SOPS® Workplace Safety Supplemental Items for Hospitals - Zebrak Workplace Safety Supplemental Items for the SOPS Hospital Survey Katarzyna Zebrak, PhD Senior Study Director Westat ► ► ► Workplace Safety Supplemental Items • Designed as a supplemental item set that can be added toward the end of th…

9793. 7 Things You Should Know About Urinary Leg Bags (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/resources/tools/prevent/7-things.pdf
      March 01, 2017 - 7 Things You Should Know About Urinary Leg Bags AHRQ Safety Program for Long-Term Care: HAIs/CAUTI Infographic: 7 Things You Should Know About Urinary Leg Bags The infographic flier on page 5 of this PDF can be printed and posted in patient care areas, meeting rooms, or nurse stations, to educate clinicians, …

9794. Discussing Infectious Concerns About Residents With Family Members and Caregivers
      www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/family-slides.pptx
      June 01, 2021 - Discussing Infectious Concerns About Residents With Family Members and Caregivers Discussing Infectious Concerns About Residents With Family Members and Caregivers Long-Term Care AHRQ Safety Program for Improving Antibiotic Use AHRQ Pub. No. 17(21)-0029 June 2021 Discussing Concerns With Family 1 Objectives Review…

9795. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49487/psn-pdf
      August 21, 2005 - Surprise Wire August 21, 2005 Pearl JM, Donaldson NE. Surprise Wire. PSNet [internet]. 2005. https://psnet.ahrq.gov/web-mm/surprise-wire The Case A 39-year-old man with a history of liver disease presented to the emergency department (ED) with gastrointestinal bleeding and altered mental status. Due to his clinic…

9796. Central Venous Catheter Indications Facilitator Notes (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/central-catheter-indications-notes.docx
      April 01, 2022 - Central Venous Catheter Indications Facilitator Notes CLABSI Module: Central Venous Catheter Indications and Alternatives Facilitator Guide Slide Number and Image This module, titled “Central Venous Catheter Indications and Alternatives,” is part of the Agency for Healthcare Research and Quality’s Safety Progra…

9797. PowerPoint Presentation
      www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/prescribers-slides.pptx
      June 01, 2021 - PowerPoint Presentation Communicating Infectious Concerns With Antibiotic Prescribers Long-Term Care AHRQ Safety Program for Improving Antibiotic Use AHRQ Pub. No. 17(21)-0029 June 2021 Communicating With Prescribers 1 Objectives Describe the components of, and when to use SBAR: Situation Background Assessment …

9798. Module-6-Slides (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/module-6-slides.pdf
      October 28, 2021 - Laying the Groundwork for Effective Care Coordination Module 6 Rachel Jarvis, MA, ACSM-RCEP, CEP Tammy Garwick, MA, MBA ACSM RCEP, ACSM CEP, FAACVPR PURPOSE TAKEheart Training and Technical Assistance Components Training sessions guided by the Million Hear…

9799. Implementing the Surgical Safety Checklist | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/implementation-guide/guide-implement.html
      November 01, 2017 - Creating a Culture of Safety in the Ambulatory Surgery Environment: Implementation Guide Implementing the Surgical Safety Checklist Previous Page Next Page Table of Contents Creating a Culture of Safety in the Ambulatory Surgery Environment: Implementation Guide Overview The Comprehensive Unit-b…

9800. Module 1- Component Kit (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/management/overview/component-kit.docx
      May 01, 2017 - Module 1- Component Kit AHRQ Safety Program for Ambulatory Surgery Management Practices for Sustainability Module 1: Overview A Frontline Management System To Sustain Improvement in Safety Practices Contents 1. Why a Frontline Management System? 2 2. Components of the Frontline Management System 3 3. Interactions of …