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5921. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60746/psn-pdf
      July 29, 2020 - Misdiagnosis of a Pelvic Mass versus Pregnancy July 29, 2020 Leiserowitz GS, Herding H. Misdiagnosis of a Pelvic Mass versus Pregnancy. PSNet [internet]. 2020. https://psnet.ahrq.gov/web-mm/misdiagnosis-pelvic-mass-versus-pregnancy The Case A 28-year-old woman arrived at the Emergency Department (ED) complaining o…

5922. XL or Smaller? | PSNet
      psnet.ahrq.gov/web-mm/xl-or-smaller
      September 13, 2017 - XL or Smaller? Citation Text: Kozer E. XL or Smaller?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2003. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

5923. Section4 (pdf file)
      hcup-us.ahrq.gov/reports/factsandfigures/2007/pdfs/section4.pdf
      January 01, 2007 - HCUP Facts and Figures: Statistics on Hospital-Based Care in the United States, 2007 41 SECTION 4 COSTS FOR INPATIENT HOSPITAL STAYS EXHIBIT 4.1 Cost by Body System .......................................................................... 42 EXHIBIT 4.2 Cost by Diagnosis .........................…

5924. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49851/psn-pdf
      January 01, 2019 - One Bronchoscopy, Two Errors January 1, 2019 Leiten E, Nielsen R. One Bronchoscopy, Two Errors. PSNet [internet]. 2019. https://psnet.ahrq.gov/web-mm/one-bronchoscopy-two-errors The Case A 67-year-old man with a history of hypertension was admitted to the intensive care unit (ICU) with hypoxic respiratory failure…

5925. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49724/psn-pdf
      January 01, 2015 - Bowel Injury After Laparoscopic Surgery January 1, 2015 Moorthy K. Bowel Injury After Laparoscopic Surgery. PSNet [internet]. 2015. https://psnet.ahrq.gov/web-mm/bowel-injury-after-laparoscopic-surgery The Case A 30-year-old man presented to the hospital for a scheduled laparoscopic inguinal hernia repair with mes…

5926. Teaching Implementation Change Management | Agency for Healthcare Research and Quality
      www.ahrq.gov/teamstepps-program/curriculum/team/implement/teach-change.html
      February 01, 2024 - Teaching Implementation Change Management Change Management Overview and Objectives Display Slide 63, “Change Management,” as the class reassembles before discussing the last implementation topic. In discussing Slide 64, “Objectives,” as you transition from coaching to change management, note that succe…

5927. Introduction and Evidence for Early Mobility: A Protocol To Get Patients Out of Bed Faster: Slide Presentation | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/mvp/modules/technical/intro-early-mobility-slides.html
      February 01, 2017 - Introduction and Evidence for Early Mobility: A Protocol To Get Patients Out of Bed Faster: Slide Presentation AHRQ Safety Program for Mechanically Ventilated Patients Slide 1: AHRQ Safety Program for Mechanically Ventilated Patients Introduction and Evidence for Early Mobility: A Protocol To Get Patients…

5928. Clinical Content Enhancement Toolkit
      hcup-us.ahrq.gov/datainnovations/clinicalcontentenhancementtoolkit/data_collection.jsp
      February 01, 2025 - Clinical Content Enhancement Toolkit An official website of the Department of Health & Human Services Search All AHRQ Websites Careers Contact Us Espanol FAQs Email Updates …

5929. Archived: Final Research Plan: High Blood Pressure in Adults: Screening | United States Preventive Services Taskforce
      www.uspreventiveservicestaskforce.org/uspstf/document/final-research-plan6/high-blood-pressure-in-adults-screening-monitoring-october-2015
      September 15, 2013 - Share to Facebook Share to X Share to WhatsApp Share to Email Print archived Final Research Plan High Blood Pressure in Adults: Screening September 15, 2013 Recommendations made by the USPSTF are independent of the U.S. government. They shoul…

5930. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49453/psn-pdf
      July 01, 2004 - Bowel Prep July 1, 2004 Nelson D. Bowel Prep. PSNet [internet]. 2004. https://psnet.ahrq.gov/web-mm/bowel-prep The Case The patient is a 73-year-old woman who 20 years ago underwent treatment for breast cancer. At her daughter's suggestion, the patient requested referral for colonoscopy, as she understood there w…

5931. Module 1: Overview - Facilitator's Notes | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cauti-tools/facil-guide/preventing-cauti-icu-setting-module1-speaker-notes.html
      February 01, 2023 - Module 1: Overview - Facilitator's Notes Preventing CAUTI in the ICU Setting Slide 1. Preventing CAUTI in the ICU Setting Say: "Preventing CAUTI in the ICU Setting" is a four-module program designed for intensive care unit, or ICU, nurses to gain a sense of confidence and demonstrate competence in cathe…

5932. Preventing-Cauti-Icu-Setting-Module 1-Speaker-Notes (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/cauti-tools/cauti-icu/preventing-cauti-icu-setting-module_1-speaker-notes.docx
      September 01, 2015 - AHRQ Safety Program for Reducing CAUTI in Hospitals Preventing CAUTI in the ICU Setting Module 1: Overview SAY: “Preventing CAUTI in the ICU Setting” is a four-module program designed for intensive care unit, or ICU, nurses to gain a sense of confidence and demonstrate competence in catheter-associated urinary tra…

5933. Which End Is Which? | PSNet
      psnet.ahrq.gov/web-mm/which-end-which
      February 09, 2011 - Which End Is Which? Citation Text: Campbell AR. Which End Is Which?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2003. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId …

5934. Root Cause Analysis | Digital Healthcare Research
      digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/root-cause-analysis
      January 01, 2023 - Root Cause Analysis Acronym RCA Examples Latino RJ. The "5 PS" concept. Patient safety: the PROACT root cause analysis approach. Boca Raton, FL: CRC Press; 2009. p. 77-86. Latino RJ. Case studies. Patient safety: the PROACT root cause analysis approach. Boca Raton, FL: CRC Press; 2009. p. …

5935. Patient Safety. | PSNet
      psnet.ahrq.gov/issue/patient-safety-2
      August 31, 2005 - Special or Theme Issue Patient Safety. Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL October 4, 2006 View more articles from the same authors. This special issue includes 1…

5936. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43928/psn-pdf
      April 08, 2018 - Missed diagnoses of acute myocardial infarction in the emergency department: variation by patient and facility characteristics. April 8, 2018 Moy E, Barrett M, Coffey R, et al. Missed diagnoses of acute myocardial infarction in the emergency department: variation by patient and facility characteristics. Diagnosis …

5937. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43802/psn-pdf
      August 02, 2015 - Association of the 2011 ACGME resident duty hour reforms with mortality and readmissions among hospitalized Medicare patients. August 2, 2015 Patel MS, Volpp KG, Small DS, et al. Association of the 2011 ACGME resident duty hour reforms with mortality and readmissions among hospitalized Medicare patients. JAMA. 201…

5938. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38612/psn-pdf
      May 06, 2009 - Assessing controlled substance prescribing errors in a pediatric teaching hospital: an analysis of the safety of analgesic prescription practice in the transition from the hospital to home. May 6, 2009 Lee BH, Lehmann CU, Jackson E, et al. Assessing controlled substance prescribing errors in a pediatric teaching …

5939. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41748/psn-pdf
      April 05, 2013 - Factors contributing to all-cause 30-day readmissions: a structured case series across 18 hospitals. April 5, 2013 Feigenbaum P, Neuwirth E, Trowbridge L, et al. Factors contributing to all-cause 30-day readmissions: a structured case series across 18 hospitals. Med Care. 2012;50(7):599-605. doi:10.1097/MLR.0b013e…

5940. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45892/psn-pdf
      October 31, 2017 - Relationship between state malpractice environment and quality of health care in the United States. October 31, 2017 Bilimoria KY, Chung JW, Minami CA, et al. Relationship Between State Malpractice Environment and Quality of Health Care in the United States. Jt Comm J Qual Patient Saf. 2017;43(5):241-250. doi:10.1…