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Showing results for "failures".

9241. Who Nose Where the Airway Is? | PSNet
      psnet.ahrq.gov/web-mm/who-nose-where-airway
      May 01, 2016 - Who Nose Where the Airway Is? Citation Text: Lee CR. Who Nose Where the Airway Is?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2009. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote t…

9242. July Syndrome | PSNet
      psnet.ahrq.gov/web-mm/july-syndrome
      July 01, 2011 - July Syndrome Citation Text: Young JQ. July Syndrome. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2016. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS D…

9243. Medication Safety in Primary Care Practice Translating Research into Practice (MS-TRIP) (pdf file)
      digital.ahrq.gov/sites/default/files/docs/publication/r18hs017037-ornstein-final-report-2010.pdf
      January 01, 2010 - Medication Safety in Primary Care Practice Translating Research into Practice (MS-TRIP) Grant Final Report Grant ID: 5R18HS017037 Medication Safety in Primary Care Practice Translating Research into Practice (MS-TRIP) Inclusive Dates: 09/30/07 – 09/29/10 Principal Investigator: Ste…

9244. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73434/psn-pdf
      June 30, 2021 - The Consequences of Miscommunication Regarding a Possible Artifact June 30, 2021 Gwal K. The Consequences of Miscommunication Regarding a Possible Artifact. PSNet [internet]. 2021. https://psnet.ahrq.gov/web-mm/consequences-miscommunication-regarding-possible-artifact Disclosure of Relevant Financial Relationships…

9245. To Transfer or Not to Transfer | PSNet
      psnet.ahrq.gov/web-mm/transfer-or-not-transfer
      November 23, 2016 - SPOTLIGHT CASE To Transfer or Not to Transfer Citation Text: Pines JM. To Transfer or Not to Transfer. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2009. Copy Citation Format: Google Scholar BibTeX EndNote …

9246. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49705/psn-pdf
      January 01, 2020 - A "Reflexive" Diagnosis in Primary Care April 1, 2014 Betjemann J, Josephson AS. A "Reflexive" Diagnosis in Primary Care. PSNet [internet]. 2014. https://psnet.ahrq.gov/web-mm/reflexive-diagnosis-primary-care Case Objectives Appreciate that primary care doctors may be caring for an increasing number of patients wi…

9247. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49676/psn-pdf
      February 01, 2013 - Death by PCA February 1, 2013 Hicks RW. Death by PCA. PSNet [internet]. 2013. https://psnet.ahrq.gov/web-mm/death-pca The Case A healthy 21-year-old pregnant woman delivered a healthy baby via Caesarean section after an uncomplicated pregnancy. Two hours after delivery, the post-anesthesia care unit (PACU) nurse …

9248. Integrating Teamwork Tools into CUSP Efforts | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cauti-tools/archived-webinars/integrating-teamwork-tools-cusp-efforts-transcript.html
      December 01, 2017 - Integrating Teamwork Tools into CUSP Efforts Webinar Transcript On the CUSP: Stop CAUTI in the ED ED Mini-Presentation to Accompany April 7, 2015 ED Coaching Call Sarah:  Hello, everyone, and thank you for listening today. My name is Sarah Dalton and I am a research specialist with the Health Research and…

9249. Integrating-Teamwork-Tools-Into-Cusp-Efforts-Transcript (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/integrating-teamwork-tools-into-cusp-efforts-transcript.docx
      April 07, 2015 - On the CUSP: Stop CAUTI in the ED ED Mini-Presentation to Accompany April 7, 2015 ED Coaching Call Sarah: Hello, everyone, and thank you for listening today. My name is Sarah Dalton and I am a research specialist with the Health Research and Educational Trust. Welcome to the second mini-presentation in the CAUTI ED …

9250. Spotlight Case [MONTH] 2003 (ppt file)
      psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.113_slideshow.ppt
      January 01, 2006 - Spotlight Case [MONTH] 2003 Spotlight Case January 2006 An Ounce of Prevention Source and Credits This presentation is based on the Jan. 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: Nils Kucher, MD; University Ho…

9251. Respiratory Diseases | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/nhqrdr/chartbooks/effectivetreatment/respiratory.html
      June 01, 2018 - Chartbook on Effective Treatment Respiratory Diseases Previous 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 Mental Hea…

9252. Clinical Preventive Services | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/nhqrdr/chartbooks/healthyliving/cps-measures.html
      June 01, 2018 - Chartbook on Healthy Living Clinical Preventive Services Previous Page Next Page Table of Contents Chartbook on Healthy Living Acknowledgments Healthy Living Summary Healthy Living Measures Maternal and Child Health Care Maternal and Child Health Care: Effectiveness Measures Maternal…

9253. Final Progress Report: A Study of Narrative as the Cognitive Process Underlying Diagnostic Reasoning (pdf file)
      www.ahrq.gov/sites/default/files/2025-03/smith2-report.pdf
      January 01, 2025 - Final Progress Report: A Study of Narrative as the Cognitive Process Underlying Diagnostic Reasoning A Study of Narrative as the Cognitive Process Underlying Diagnostic Reasoning PI: Curtis Scott Smith, MD Team: Chris Francovich, EdD Magdalena Morris, RN, MSN Andrew Turner, PhD Bruce Robbins, PhD Lynne Robins, …

9254. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49552/psn-pdf
      January 01, 2008 - How Do Providers Recover From Errors? January 1, 2008 West CP. How Do Providers Recover From Errors? PSNet [internet]. 2008. https://psnet.ahrq.gov/web-mm/how-do-providers-recover-errors Case Objectives Describe the provider-specific prevalence of medical errors. Appreciate the impact of medical errors on care pr…

9255. Final Progress Report: Medication Safety in Primary Care Practice Translating Research Into Practice (MS-TRIP) (pdf file)
      www.ahrq.gov/sites/default/files/2024-02/ornstein-report.pdf
      January 01, 2024 - Final Progress Report: Medication Safety in Primary Care Practice Translating Research Into Practice (MS-TRIP) Grant Final Report Grant ID: 5R18HS017037 Medication Safety in Primary Care Practice Translating Research into Practice (MS-TRIP) Inclusive Dates: 09/30/07 – 09/29/10 Principal Investigator: Steven Ornst…

9256. Learn About the Comprehensive Unit-Based Safety Program for Perinatal Safety (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/learn/learn-about-cusp-facilitator-guide.pdf
      May 01, 2017 - Learn About the Comprehensive Unit-Based Safety Program for Perinatal Safety AHRQ Safety Program for Perinatal Care Learn About the Comprehensive Unit-Based Safety Program for Perinatal Safety AHRQ Publication No. 17-0003-1-EF May 2017 SAY: This module introduces the comprehensive unit-based safety program, …

9257. AHRQ Safety Program for Perinatal Care: Rapid Response for Perinatal Safety (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/rapid-response/rapidresponse_facguide.pdf
      May 01, 2017 - AHRQ Safety Program for Perinatal Care: Rapid Response for Perinatal Safety AHRQ Safety Program for Perinatal Care Rapid Response for Perinatal Safety AHRQ Publication No. 17-0003-20-EF May 2017 SAY: The Rapid Response for Perinatal Safety bundle provides information establishing a unitwide approach, also …

9258. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49798/psn-pdf
      July 01, 2017 - Pseudo-obstruction But a Real Perforation July 1, 2017 Paski SC, Dominitz JA. Pseudo-obstruction But a Real Perforation. PSNet [internet]. 2017. https://psnet.ahrq.gov/web-mm/pseudo-obstruction-real-perforation Case Objectives Recognize acute colonic pseudo-obstruction and implement a medical management plan. Ide…

9259. Rapid Response for Perinatal Safety: Rapid Response Systems | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/rapid-response/tool-rapid-response-systems.html
      July 01, 2023 - Rapid Response for Perinatal Safety: Rapid Response Systems AHRQ Safety Program for Perinatal Care Purpose of the tool: This tool describes the key perinatal safety elements that support rapid response systems. The key safety elements are presented within the framework of the Comprehensive Unit-b…

9260. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50949/psn-pdf
      February 26, 2020 - Pre-analytical pitfalls: Missing and mislabeled specimens February 26, 2020 Tran NK, Liu Y. Pre-analytical pitfalls: Missing and mislabeled specimens . PSNet [internet]. 2020. https://psnet.ahrq.gov/web-mm/pre-analytical-pitfalls-missing-and-mislabeled-specimens The Case Case #1: A 56-year-old man was admitted to…