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5581. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50931/psn-pdf
      February 26, 2020 - Timely diagnosis of esophageal perforation February 26, 2020 Utter GH, Cooke DT. Timely diagnosis of esophageal perforation. PSNet [internet]. 2020. https://psnet.ahrq.gov/web-mm/timely-diagnosis-esophageal-perforation The Case  A man with mixed connective tissue disease on low-dose prednisone and methotrexate pre…

5582. Enhancing Care Coordination for CR Resource Guide (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/care-coordination-resource-guide.pdf
      November 17, 2022 - Enhancing Care Coordination for CR Resource Guide 1 Enhancing Care Coordination for CR Resource Guide Care Coordination 1. International Council of Cardiovascular Prevention and Rehabilitation-CR Utilization This online course is intended to train inpatient CR care coordinators/liaisons on how to encourage…

5583. Presentation: Program Overview
      www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/assess-resident-RTI-slides.pptx
      June 01, 2021 - Presentation: Program Overview Assessment of the Resident With a Suspected Respiratory Tract Infection Long-Term Care AHRQ Safety Program for Improving Antibiotic Use AHRQ Pub. No. 17(21)-0029 June 2021 Assessment of RTI 1 Objectives Recognize the signs and symptoms of a suspected respiratory tract infection Ident…

5584. Tool 1: Overview | Agency for Healthcare Research and Quality
      www.ahrq.gov/es/patient-safety/settings/hospital/red/toolkit/redtool1.html
      March 01, 2013 - Re-Engineered Discharge (RED) Toolkit Tool 1: Overview Previous Page Next Page Table of Contents Re-Engineered Discharge (RED) Toolkit Tool 1: Overview Tool 2: How To Begin the Re-engineered Discharge Implementation at Your Hospital How CMS Measures the "30-Day All Cause Rehospitalization Rate…

5585. CMV_27_M3_CUSP_SSA_Premortem
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/overview-cuspmvp-slides.pptx
      January 01, 2017 - CMV_27_M3_CUSP_SSA_Premortem Overview of the Comprehensive Unit-based Safety Program for Application to Mechanically Ventilated Patients AHRQ Safety Program for Mechanically Ventilated Patients AHRQ Pub. No. 16(17)-0018-27-EF January 2017 Overview of CUSP for MVP ‹#› AHRQ Safety Program for Mechanically Ventilat…

5586. Leveraging Cultural Change to Reduce Urinary Catheter Use | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cauti-tools/archived-webinars/leveraging-cultural-change-slides.html
      December 01, 2017 - Leveraging Cultural Change to Reduce Urinary Catheter Use Slide Presentation Slide 1 Leveraging Cultural Change to Reduce Urinary Catheter Use Linda Greene, RN,MPS,CIC Manager Infection Prevention Highland Hospital Jennifer Tuttle, RN, MSNEd Adult Critical Care Unit Tucson Medical Center Images:…

5587. C1 Prioritization Worksheet (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/c1_combo_prioritizationworksheet.pdf
      June 02, 2025 - C1 Prioritization Worksheet AHRQ Quality Indicators Toolkit Prepared by RAND and UHC for AHRQ Tool C.1 Volume of Cases at Risk Cost of Single Event Total Cost Cost To Implement Penalities and Incentives Proxies for Cost Strategic Alignment External Mandates Public Perception Executive- Level Supp…

5588. Tool 1: Overview | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/red/toolkit/redtool1.html
      March 01, 2013 - Re-Engineered Discharge (RED) Toolkit Tool 1: Overview Previous Page Next Page Table of Contents Re-Engineered Discharge (RED) Toolkit Tool 1: Overview Tool 2: How To Begin the Re-engineered Discharge Implementation at Your Hospital How CMS Measures the "30-Day All Cause Rehospitalization Rate…

5589. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33608/psn-pdf
      February 01, 2024 - Maternal Safety January 31, 2024 Shauer M, Nichols A, Lyndon A. Maternal Safety. PSNet [internet]. 2024. https://psnet.ahrq.gov/primer/maternal-safety Originally published in 2018 by researchers at the University of California, San Francisco. Updated in February 2024 by Marla Shauer, PhD(c), MSN, CNM, Amy Nichols,…

5590. Statistical Brief #145
      hcup-us.ahrq.gov/reports/statbriefs/sb145.jsp
      December 01, 2012 - Statistical Brief #145 An official website of the Department of Health & Human Services Search All AHRQ Websites Careers Contact Us Espanol FAQs Email Updates …

5591. In Conversation With… Andrew Gettinger, MD | PSNet
      psnet.ahrq.gov/perspective/conversation-andrew-gettinger-md
      September 01, 2017 - system-to-system interface changes, staff vacations or retirements, organizational leadership changes, CDS failures … ( 14 ), and hardware failures ( 15 ), to name just a few.

5592. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/74706/psn-pdf
      January 26, 2022 - Incorporating harms into the weighting of the Revised AHRQ Patient Safety for Selected Indicators Composite (PSI 90). January 26, 2022 Zrelak PA, Utter GH, McDonald KM, et al. Incorporating harms into the weighting of the revised Agency for Healthcare Research and Quality Patient Safety for Selected Indicators Com…

5593. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44850/psn-pdf
      September 06, 2016 - Impact of a drug shortage on medication errors and clinical outcomes in the pediatric intensive care unit. September 6, 2016 Hughes KM, Goswami ES, Morris JL. Impact of a Drug Shortage on Medication Errors and Clinical Outcomes in the Pediatric Intensive Care Unit. J Pediatr Pharmacol Ther. 2015;20(6):453-61. doi:…

5594. New practices reduce childbirth risks. | PSNet
      psnet.ahrq.gov/issue/new-practices-reduce-childbirth-risks
      July 16, 2019 - Newspaper/Magazine Article New practices reduce childbirth risks. Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL July 26, 2006 This article reports on efforts to reduce use of…

5595. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/48044/psn-pdf
      June 12, 2019 - What has an Airbus A380 captain got to do with OMFS? Lessons from aviation to improve patient safety. June 12, 2019 Davidson M, Brennan PA. Leading article: What has an Airbus A380 Captain got to do with OMFS? Lessons from aviation to improve patient safety. Br J Oral Maxillofac Surg. 2019;57(5):407-411. doi:10.10…

5596. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42742/psn-pdf
      August 02, 2015 - Impact of rapid response system implementation on critical deterioration events in children. August 2, 2015 Bonafide CP, Localio R, Roberts KE, et al. Impact of rapid response system implementation on critical deterioration events in children. JAMA Pediatr. 2014;168(1):25-33. doi:10.1001/jamapediatrics.2013.3266. …

5597. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41030/psn-pdf
      March 04, 2015 - A systematic review to evaluate the accuracy of electronic adverse drug event detection. March 4, 2015 Forster AJ, Jennings A, Chow C, et al. A systematic review to evaluate the accuracy of electronic adverse drug event detection. J Am Med Inform Assoc. 2012;19(1):31-8. doi:10.1136/amiajnl-2011-000454. https://psn…

5598. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36753/psn-pdf
      April 30, 2014 - Medication errors in the outpatient setting: classification and root cause analysis. April 30, 2014 Friedman AL, Geoghegan SR, Sowers NM, et al. Medication errors in the outpatient setting: classification and root cause analysis. Arch Surg. 2007;142(3):278-83; discussion 284. https://psnet.ahrq.gov/issue/medicatio…

5599. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73289/psn-pdf
      May 19, 2021 - Clinical characteristics and short-term outcomes of acute kidney injury missed diagnosis in older patients with severe COVID-19 in intensive care unit. May 19, 2021 Li Q, Hu P, Kang H, et al. Clinical characteristics and short-term outcomes of acute kidney injury missed diagnosis in older patients with severe COVI…

5600. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47340/psn-pdf
      February 22, 2019 - Understanding test results follow-up in the ambulatory setting: analysis of multiple perspectives. February 22, 2019 Ai A, Desai S, Shellman A, et al. Understanding Test Results Follow-Up in the Ambulatory Setting: Analysis of Multiple Perspectives. Jt Comm J Qual Patient Saf. 2018;44(11):674-682. doi:10.1016/j.jc…