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5121. Implications for the Guide | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/ptfamilyscan/ptfamily5.html
      July 01, 2018 - Guide to Patient and Family Engagement Implications for the Guide Previous Page Next Page Table of Contents Guide to Patient and Family Engagement Executive Summary Introduction Methods Findings Implications for the Guide Summary and Discussion Next Steps References Appendix A: Dra…

5122. Breakout Session: Use of Data and Measurement in Improving Diagnostic Safety (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/news/events/ahrq-research-summit/brady-summit2016-breakout.pdf
      September 28, 2016 - Breakout Session: Use of Data and Measurement in Improving Diagnostic Safety Breakout Session: Use of Data and Measurement in Improving Diagnostic Safety Jeffrey Brady, MD, MPH Director, Center for Quality Improvement and Patient Safety AHRQ Research Summit on Diagnostic Safety September 28, 2016 Discussant…

5123. Prologue—Volume 1—Five Years Later—Are We Any Safer? (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/James.pdf
      January 01, 2004 - Prologue—Volume 1—Five Years Later—Are We Any Safer? 1 Prologue Five Years Later—Are We Any Safer? Brent C. James The Institute of Medicine (IOM) released To Err Is Human: Building a Safer Health System,1 its seminal summary of preventable patient injuries suffered within American hospitals, on November 29,…

5124. Chapter 2. Analyze Care Delivery | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/vtguide/guide2.html
      February 01, 2016 - Preventing Hospital-Associated Venous Thromboembolism Chapter 2. Analyze Care Delivery Previous Page Next Page Table of Contents Preventing Hospital-Associated Venous Thromboembolism Preface Executive Summary Chapter 1. The Framework for Improvement Chapter 2. Analyze Care Delivery Chapter…

5125. Too Hot For Comfort | PSNet
      psnet.ahrq.gov/web-mm/too-hot-comfort
      May 19, 2015 - Too Hot For Comfort Citation Text: Cleland H, Wasiak J. Too Hot For Comfort. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2007. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged P…

5126. Session 1 | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/mod2sess1.html
      October 01, 2014 - Module 2: Communicating Change in a Resident's Condition Session 1 Previous Page Next Page Table of Contents Module 2: Communicating Change in a Resident's Condition Learning and Performance Objectives Session 1 Session 2 Conclusion Additional Tools and Resources Appendix. Example of the…

5127. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49536/psn-pdf
      May 01, 2007 - On the Other Hand May 1, 2007 Henneman EA. On the Other Hand. PSNet [internet]. 2007. https://psnet.ahrq.gov/web-mm/other-hand The Case A young woman with Takayasu's arteritis presented to the hospital with severe abdominal pain. The patient had been diagnosed with Takayasu's a decade earlier. The disease results…

5128. Surprise Wire | PSNet
      psnet.ahrq.gov/web-mm/surprise-wire
      July 15, 2020 - Surprise Wire Citation Text: Pearl JM, Donaldson NE. Surprise Wire. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2005. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId R…

5129. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49820/psn-pdf
      February 01, 2018 - Returning Home Safely February 1, 2018 Toles M. Returning Home Safely. PSNet [internet]. 2018. https://psnet.ahrq.gov/web-mm/returning-home-safely The Case A 72-year-old man was admitted to the hospital after a fall at home resulting in a right humerus fracture and shoulder dislocation, as well as other injuries …

5130. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/846125/psn-pdf
      March 15, 2023 - The I-READI Quality and Safety Framework: Strong Communications Channels and Effective Practices to Rapidly Update and Implement Clinical Protocols During a Time of Crisis March 15, 2023 https://psnet.ahrq.gov/innovation/i-readi-quality-and-safety-framework-strong-communications-channels- and-effective Summary …

5131. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49517/psn-pdf
      August 01, 2006 - Miscalculated Risk August 1, 2006 Strassels SA. Miscalculated Risk. PSNet [internet]. 2006. https://psnet.ahrq.gov/web-mm/miscalculated-risk The Case A healthy 36-year-old man was admitted to a teaching hospital for acute low back strain after lifting his 2- week-old infant. He received Vicodin (hydrocodone and a…

5132. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/72587/psn-pdf
      December 23, 2020 - Mitigating the Risk of Intrahospital Transport for Pediatric Patients at Risk of Physiologic Instability December 23, 2020 Semkiw K, Anderson D, Natale JA. Mitigating the Risk of Intrahospital Transport for Pediatric Patients at Risk of Physiologic Instability. PSNet [internet]. 2020. https://psnet.ahrq.gov/web-mm…

5133. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49711/psn-pdf
      June 01, 2014 - Wandering Off the Floors: Safety and Security Risks of Patient Wandering June 1, 2014 Smith TA. Wandering Off the Floors: Safety and Security Risks of Patient Wandering. PSNet [internet]. 2014. https://psnet.ahrq.gov/web-mm/wandering-floors-safety-and-security-risks-patient-wandering Case Objectives Define patie…

5134. 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…

5135. E-Fetal-Monitoring Facguide (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/safe-electronic/e-fetal-monitoring_facguide.docx
      May 01, 2017 - AHRQ Safety Program for Perinatal Care Monitoring for Perinatal Safety: Electronic Fetal Monitoring Monitoring for Perinatal Safety—Electronic Fetal Monitoring SAY: The Monitoring for Perinatal Safety bundle provides information on the use of electronic fetal monitoring (EFM). This bundle offers an approach to the us…

5136. Monitoring for Perinatal Safety: Electronic Fetal Monitoring: Facilitator Guide | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/safe-electronic-fac-guide.html
      July 01, 2023 - Monitoring for Perinatal Safety: Electronic Fetal Monitoring: Facilitator Guide AHRQ Safety Program for Perinatal Care Slide 1: Monitoring for Perinatal Safety: Electronic Fetal Monitoring Say: The Monitoring for Perinatal Safety bundle provides information on the use of electronic fetal monitoring (EFM…

5137. Infections Avoided, Excess Costs Averted, and Changes in Mortality Rate | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cusp/clabsi-final-companion/clabsicomp4c.html
      January 01, 2013 - Eliminating CLABSI, A National Patient Safety Imperative: Final Report Companion Guide Infections Avoided, Excess Costs Averted, and Changes in Mortality Rate Previous Page Next Page Table of Contents Eliminating CLABSI, A National Patient Safety Imperative: Final Report Companion Guide Preface …

5138. How Patient-Centered Clinical Decision Support Can Strengthen Shared Decision Making (pdf file)
      digital.ahrq.gov/sites/default/files/CDSiC%20Topic%20Highlight_PC%20CDS%20and%20SDM_508_0.pdf
      June 01, 2025 - How Patient-Centered Clinical Decision Support Can Strengthen Shared Decision Making AHRQ Pub. No. 25-0058 June 2025 How Patient-Centered Clinical Decision Support Can Strengthen Shared Decision Making This resource describes shared decision making, patient-centered clinical decision support (PC…

5139. How Patient-Centered Clinical Decision Support Can Strengthen Shared Decision Making (pdf file)
      cdsic.ahrq.gov/sites/default/files/2025-07/CDSiC%20Topic%20Highlight_PC%20CDS%20and%20SDM_508_0.pdf
      January 01, 2025 - How Patient-Centered Clinical Decision Support Can Strengthen Shared Decision Making AHRQ Pub. No. 25-0058 June 2025 How Patient-Centered Clinical Decision Support Can Strengthen Shared Decision Making This resource describes shared decision making, patient-centered clinical decision support (PC…

5140. Evaluating the Impact of an ACPOE/CDS System on Outcomes | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/evaluating-impact-acpoecds-system-outcomes
      January 01, 2023 - Evaluating the Impact of an ACPOE/CDS System on Outcomes Project Final Report ( PDF , 806.9 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 represent the views of AHR…