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8861. Is It Safe to Be Direct? | PSNet
      psnet.ahrq.gov/web-mm/it-safe-be-direct
      September 30, 2015 - Is It Safe to Be Direct? Citation Text: Kulkarni NS, Williams M. Is It Safe to Be Direct?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2008. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML En…

8862. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/865697/psn-pdf
      April 24, 2024 - In Conversation with...Katie Boston-Leary about Patient Safety Amid Nursing Workforce Challenges April 24, 2024 Leary KB. In Conversation with..Katie Boston-Leary about Patient Safety Amid Nursing Workforce Challenges. PSNet [internet]. 2024. https://psnet.ahrq.gov/perspective/conversation-withkatie-boston-leary-a…

8863. Spotlight Case September 2006 (ppt file)
      psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.134_slideshow.ppt
      September 01, 2006 - Spotlight Case September 2006 Spotlight Case September 2006 Triple Handoff Source and Credits This presentation is based on the September 2006 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available through the Web site Commentary by: Arpana Vidyarthi, MD, UCSF Sc…

8864. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49465/psn-pdf
      December 22, 2021 - Electronic Err October 1, 2004 Tang PC. Electronic Err. PSNet [internet]. 2004. https://psnet.ahrq.gov/web-mm/electronic-err The Case A 75-year-old woman with coronary artery disease presented to the emergency department (ED) with chest pain that that had not responded to three sublingual nitroglycerin tablets at…

8865. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73549/psn-pdf
      July 28, 2021 - Local Anesthesia-Induced Coma During Total Knee Arthroplasty. July 28, 2021 Aldwinckle R. Local Anesthesia-Induced Coma During Total Knee Arthroplasty. PSNet [internet]. 2021. https://psnet.ahrq.gov/web-mm/local-anesthesia-induced-coma-during-total-knee-arthroplasty The Case A 61-year-old male patient weighing 57…

8866. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50843/psn-pdf
      January 29, 2020 - Incomplete Orders for Hypertonic Saline to Treat Hyponatremia January 29, 2020 Wiegley N, Morfín JA. Incomplete Orders for Hypertonic Saline to Treat Hyponatremia. PSNet [internet]. 2020. https://psnet.ahrq.gov/web-mm/incomplete-orders-hypertonic-saline-treat-hyponatremia The Case A 54-year-old man was brought t…

8867. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49844/psn-pdf
      October 01, 2018 - Diffusion of Responsibility Leads to Danger October 1, 2018 Balcezak TJ, Deshpande O. Diffusion of Responsibility Leads to Danger. PSNet [internet]. 2018. https://psnet.ahrq.gov/web-mm/diffusion-responsibility-leads-danger The Case A 70-year-old man was sent to the emergency department (ED) from a nursing facility…

8868. Fielding the CAHPS Child Hospital Survey (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/day-of-discharge.pdf
      June 02, 2025 - Fielding the CAHPS Child Hospital Survey Page 1 Fielding the CAHPS® Child Hospital Survey Day-of-Discharge Survey Administration Introduction This document explains how to field the CAHPS Child Hospital Survey (Child HCAHPS) via electronic tablet on the day of discharge and gather the data needed for analysi…

8869. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49756/psn-pdf
      April 01, 2016 - Lost in Sign Out and Documentation April 1, 2016 Detsky ME. Lost in Sign Out and Documentation. PSNet [internet]. 2016. https://psnet.ahrq.gov/web-mm/lost-sign-out-and-documentation The Case A 71-year-old man presented to the emergency department with chest pain. While being evaluated by the emergency physician, …

8870. Standardized Nursing Protocol: Basin Bed Bathing With 2% Liquid Chlorhexidine (CHG) and Showering With 4% CHG Liquid Soap (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/nursing-protocols/nursing-chg-basin-bathing.pdf
      March 01, 2022 - Standardized Nursing Protocol: Basin Bed Bathing With 2% Liquid Chlorhexidine (CHG) and Showering With 4% CHG Liquid Soap Decolonization of Non-ICU Patients With Devices Section 9-2 – Standardized Nursing Protocol: Basin Bed Bathing With 2% Liquid Chlorhexidine (CHG) and Showering With 4% CHG Liquid Soap …

8871. Standardized Nursing Protocol: Bed Bathing With 2% Chlorhexidine (CHG) No-Rinse Bathing Cloths and Showering With 4% CHG Liquid Soap (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/nursing-protocols/nursing-chg-bed-bathing.pdf
      March 01, 2022 - Standardized Nursing Protocol: Bed Bathing With 2% Chlorhexidine (CHG) No-Rinse Bathing Cloths and Showering With 4% CHG Liquid Soap Decolonization of Non-ICU Patients With Devices Section 9-1 – Standardized Nursing Protocol: Bed Bathing With 2% Chlorhexidine (CHG) No-Rinse Bathing Cloths and Showering …

8872. Facilitator Guide: Build Your SSI Prevention Bundle (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/dailygoals-rounds-facguide.docx
      January 01, 2017 - Facilitator Guide: Build Your SSI Prevention Bundle Slide Title and Commentary Slide Number and Slide Title Slide Daily Goals During Interdisciplinary Rounds SAY: In this session, we will discuss Daily Goals during interdisciplinary rounds. Slide 1 Learning Objectives SAY: After this module, will be able to …

8873. Guide to Sustaining a Program To Reduce Catheter-Associated Urinary Tract Infections in Long-Term Care | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/sustainability/guide.html
      March 01, 2017 - Guide to Sustaining a Program To Reduce Catheter-Associated Urinary Tract Infections in Long-Term Care AHRQ Safety Program for Long-Term Care: HAIs/CAUTI Contents Overview      How To Use This Guide          LTC Safety Toolkit Modules Sustainability Essentials      Leadership Commitment   …

8874. Part 3: Trends in Access and Priorities of the National Quality Strategy | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/nhqrdr/2014chartbooks/hispanichealth/part3.html
      March 01, 2020 - Chartbook for Hispanic Health Care Part 3: Trends in Access and Priorities of the National Quality Strategy Previous Page Next Page Table of Contents Chartbook for Hispanic Health Care Acknowledgments Health Care For Hispanics National Quality Strategy Priorities: Patient Safety National Qua…

8875. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49854/psn-pdf
      February 01, 2019 - Diagnostic Failure: The Growing Deficit February 1, 2019 Chang R, Flanders S. Diagnostic Failure: The Growing Deficit. PSNet [internet]. 2019. https://psnet.ahrq.gov/web-mm/diagnostic-failure-growing-deficit The Case A 65-year-old woman with a history of diabetes and hypertension was admitted to a hospital's telem…

8876. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49447/psn-pdf
      June 01, 2004 - Dangerous Dapsone June 1, 2004 Bookwalter T. Dangerous Dapsone. PSNet [internet]. 2004. https://psnet.ahrq.gov/web-mm/dangerous-dapsone The Case A 78-year-old woman with newly diagnosed multiple myeloma on corticosteroids presented to the emergency department with dyspnea. Upon admission, she was found to be hypo…

8877. Geisinger’s Outpatient Addiction Medicine Specialty Program Uses Data-Driven Decision Making and MAT to Reduce Mortality Rates | PSNet
      psnet.ahrq.gov/innovation/geisingers-outpatient-addiction-medicine-specialty-program-uses-data-driven-decision
      October 30, 2024 - Geisinger’s Outpatient Addiction Medicine Specialty Program Uses Data-Driven Decision Making and MAT to Reduce Mortality Rates Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL February 9, 2021 …

8878. Spotlight on Florida -- The National Evaluation of the CHIPRA Quality Demonstraiton Grant Program (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/statesummaries/chipra-750-florida-state-snapshot.pdf
      January 01, 2018 - Spotlight on Florida -- The National Evaluation of the CHIPRA Quality Demonstraiton Grant Program January 2018 This brief highlights the major strategies, lessons learned, and outcomes from Florida’s experience from February 2010 to February 2016 with the quality demonstration funded by the Centers for Medicare &…

8879. CHIPRA 119 Section 2, Detailed Measure Specifications (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-119-section-2.pdf
      June 02, 2025 - CHIPRA 119 Section 2, Detailed Measure Specifications CAPQuaM PQMP Perinatal MEASURE 4 Detailed Measure Specifications A. Description Divides low birthweight neonates who are admitted to a Level 2 or higher nursery into five strata based upon their admission temperature and calculates the proportion of infants in…

8880. The “Sometimes Antibiotics” Diagnoses: Pharyngitis – Facilitator Guide (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/pharyngitis-guide.docx
      September 01, 2022 - The “Sometimes Antibiotics” Diagnoses: Pharyngitis – Facilitator Guide AHRQ Safety Program for Improving Antibiotic Use 1 The “Sometimes Antibiotics” Diagnoses: Pharyngitis Ambulatory Care Slide Title and Commentary Slide Number and Slide The Sometimes Antibiotics Diagnoses: Pharyngitis Ambulatory Care SAY:   …