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6581. Final Progress Report: Development and Validation of a Tool to Evaluate Handoff Quality (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/arora-report.pdf
      January 01, 2024 - Final Progress Report: Development and Validation of a Tool to Evaluate Handoff Quality Final Progress Report 1. Title Page Title: Development and Validation of a Tool to Evaluate Handoff Quality Principal Investigator and Team Members: Vineet Arora, MD, MAPP (Principal Investigator); Jeanne Farnan, MD, MHPE (Co…

6582. Executive Summary | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/candor/demo-program/grants/summary.html
      August 01, 2022 - Demonstration Grants Final Evaluation Report Executive Summary Previous Page Next Page Table of Contents Demonstration Grants Final Evaluation Report Executive Summary Detailed Findings Evaluation Issues Contributions to Patient Safety and Medical Liability Lessons Learned From Implement…

6583. AHRQ_Brand_NameOnly (xls file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/sustainability/sustainability-assesment-tool.xlsx
      March 01, 2017 - Sheet1 The purpose of this tool is to support the maintenance of your AHRQ Safety Program for Long-Term Care: CAUTI program efforts and its benefits to the improvement of resident safety culture overtime. This tool will help your team identify their current state, including what’s working and what’s not working, outl…

6584. Cardiovascular Disease | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/nhqrdr/chartbooks/effectivetreatment/cvd.html
      June 01, 2018 - Chartbook on Effective Treatment Cardiovascular Disease Previous Page Next Page Table of Contents Chartbook on Effective Treatment Acknowledgments Effective Treatment Effective Treatment Trends and Measures Cardiovascular Disease Cancer Chronic Kidney Disease Diabetes HIV and AIDS …

6585. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/865411/psn-pdf
      March 27, 2024 - Uterine Artery Injury during Cesarean Delivery Leads to Cardiac Arrests and Emergency Hysterectomy March 27, 2024 Lopez C, Tache V. Uterine Artery Injury during Cesarean Delivery Leads to Cardiac Arrests and Emergency Hysterectomy. PSNet [internet]. 2024. https://psnet.ahrq.gov/web-mm/uterine-artery-injury-during-…

6586. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49388/psn-pdf
      February 01, 2003 - Unexplained Apnea Under Anesthesia February 1, 2003 Barach P. Unexplained Apnea Under Anesthesia. PSNet [internet]. 2003. https://psnet.ahrq.gov/web-mm/unexplained-apnea-under-anesthesia Case Objectives Clinical Objectives List the causes of prolonged apnea in the operating room Describe the steps in management …

6587. Final Progress Report: Rural Healthcare Quality Network (RHQN) – AHRQ Grant Pre-Intervention Study Results (pdf file)
      www.ahrq.gov/sites/default/files/2024-07/huck-report.pdf
      January 01, 2024 - Final Progress Report: Rural Healthcare Quality Network (RHQN) – AHRQ Grant Pre-Intervention Study Results Rural Healthcare Quality Network (RHQN) – Agency for Healthcare Research and Quality Grant FINAL REPORT BACKGROUND Purpose of the Study The purpose of the study was to examine clinician’s attitudes and p…

6588. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/865412/psn-pdf
      March 27, 2024 - Delayed Diagnosis and Treatment of Systemic Lupus Erythematosus with a Psychiatric Presentation March 27, 2024 Bourgeois JA, Xiong G. Delayed Diagnosis and Treatment of Systemic Lupus Erythematosus with a Psychiatric Presentation. PSNet [internet]. 2024. https://psnet.ahrq.gov/web-mm/delayed-diagnosis-and-treatmen…

6589. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49684/psn-pdf
      May 01, 2013 - Right Regimen, Wrong Cancer: Patient Catches Medical Error May 1, 2013 Weingart SN, Jacobson J. Right Regimen, Wrong Cancer: Patient Catches Medical Error. PSNet [internet]. 2013. https://psnet.ahrq.gov/web-mm/right-regimen-wrong-cancer-patient-catches-medical-error Case Objectives Appreciate that chemotherapy a…

6590. Radiology Missed an Intracranial Bleed in a Lethargic Infant. | PSNet
      psnet.ahrq.gov/web-mm/radiology-missed-intracranial-bleed-lethargic-infant
      August 21, 2016 - Radiology Missed an Intracranial Bleed in a Lethargic Infant. Citation Text: Yuk J, Magana J. Radiology Missed an Intracranial Bleed in a Lethargic Infant.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2024. Copy Citation For…

6591. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/72689/psn-pdf
      January 29, 2021 - But See the Patient First January 29, 2021 Sinigayan VR. But See the Patient First. PSNet [internet]. 2021. https://psnet.ahrq.gov/web-mm/see-patient-first The Case   A 55-year-old man with acute myeloid leukemia presented to the emergency department (ED) with a chief complaint of fever. Five days previously, he …

6592. Strongyloides: A Hidden Traveler and Potentially Lethal Missed Diagnosis. | PSNet
      psnet.ahrq.gov/web-mm/strongyloides-hidden-traveler-and-potentially-lethal-missed-diagnosis
      August 25, 2021 - SPOTLIGHT CASE Strongyloides: A Hidden Traveler and Potentially Lethal Missed Diagnosis. Citation Text: Carlile N, Smith CL, Maguire JH, et al. Strongyloides: A Hidden Traveler and Potentially Lethal Missed Diagnosis.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, …

6593. Unexplained Apnea Under Anesthesia | PSNet
      psnet.ahrq.gov/web-mm/unexplained-apnea-under-anesthesia
      December 01, 2005 - SPOTLIGHT CASE Unexplained Apnea Under Anesthesia Citation Text: Barach P. Unexplained Apnea Under Anesthesia. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2003. Copy Citation Format: Google Scholar BibTeX …

6594. Nurse Wellbeing and Patient Safety | PSNet
      psnet.ahrq.gov/curated-library/nurse-wellbeing-and-patient-safety
      August 30, 2023 - Breadcrumb Home The PSNet Collection Curated Libraries Subscribed Nurse Wellbeing and Patient Safety  Download  Share Facebook Twitter Linkedin Copy URL Subscribe Created By: Lorri Zipperer, Cybrarian, AHRQ…

6595. Addressing Chronic Pain Through Patient- and Clinician-Facing Clinical Decision Support: Practice Implementation Guide (pdf file)
      digital.ahrq.gov/sites/default/files/docs/citation/ahrq-cdspain-practice-implemenation-guide-overview-and-appendix-a.pdf
      March 01, 2024 - Addressing Chronic Pain Through Patient- and Clinician-Facing Clinical Decision Support: Practice Implementation Guide Addressing Chronic Pain Through Patient- and Clinician-Facing Clinical Decision Support: Practice Implementation Guide Prepared for Agency for Healthcare Research and Quality 5600 Fishers La…

6596. Improving the Safety and Quality of Health Care: The Impact of the National Academy of Medicine on Research and Collaboration (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/news/events/ahrq-research-summit/dzau-summit2016.pdf
      September 28, 2016 - Improving the Safety and Quality of Health Care: The Impact of the National Academy of Medicine on Research and Collaboration Improving the Safety and Quality of Health Care: The Impact of the National Academy of Medicine on Research and Collaboration Victor J Dzau, MD President, National Academy of Medicine AH…

6597. Meeting Minutes, May 2022 | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/events/nac/2022-05-nac/nacmtg051222-minutes.html
      August 01, 2022 - Meeting Minutes, May 2022 Minutes from the May 12, 2022, virtual meeting of the Agency for Healthcare Research and Quality's National Advisory Council. Contents Summary Call to Order and Approval of November 17, 2021, Meeting Summary Discussion of New Opportunities for AHRQ Patient-Centered Outcomes R…

6598. National Advisory Council (NAC) Virtual Meeting Minutes: May 12, 2022 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/news/events/nac/2022-05-nac/nacmtg051222-minutes.pdf
      January 01, 2022 - National Advisory Council (NAC) Virtual Meeting Minutes: May 12, 2022 National Advisory Council, May 12, 2022 Page 1 Agency for Healthcare Research and Quality (AHRQ) National Advisory Council (NAC) Virtual Meeting May 12, 2022 SUMMARY NAC Members Present Asaf Bitton, M.D., M.P.H., Ariadne Labs, Bri…

6599. Speaking Up for Patient Safety: What They Don't Tell You in Training About Feedback and Burnout | PSNet
      psnet.ahrq.gov/web-mm/speaking-patient-safety-what-they-dont-tell-you-training-about-feedback-and-burnout
      January 22, 2020 - Speaking Up for Patient Safety: What They Don't Tell You in Training About Feedback and Burnout Citation Text: Adair KC, Frankel A, Sexton B. Speaking Up for Patient Safety: What They Don't Tell You in Training About Feedback and Burnout. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and …

6600. Open wider: Failure to use an interpreter results in fractured teeth and hypoxia during a simple elective operation. | PSNet
      psnet.ahrq.gov/web-mm/open-wider-failure-use-interpreter-results-fractured-teeth-and-hypoxia-during-simple
      January 29, 2021 - Open wider: Failure to use an interpreter results in fractured teeth and hypoxia during a simple elective operation. Citation Text: Bohringer C, Godoy L. Open wider: Failure to use an interpreter results in fractured teeth and hypoxia during a simple elective operation.. PSNet [internet]. Rockville (MD): Ag…