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Showing results for "failures".

  1. Spotlight (pdf file)

    psnet.ahrq.gov/sites/default/files/2020-05/final_may-spotlight-fatal_pca_slides_05.01.2020_cme_review-revised.pdf
    January 01, 2020 - Spotlight Spotlight Fatal PCA Opioid-Induced Respiratory Depression Source and Credits • This presentation is based on the May 2020 AHRQ WebM&M Spotlight Case o See the full article at https://psnet.ahrq.gov/webmm • Commentary by: Sarina Fazio, PhD, RN and Rachelle Firestone, PharmD, BCCCP o Editors in Chie…
  2. psnet.ahrq.gov/web-mm/updates-management-high-risk-pulmonary-embolism
    December 02, 2020 - Updates in the Management of High-Risk Pulmonary Embolism Citation Text: Kabrhel C, Aaronson E. Updates in the Management of High-Risk Pulmonary Embolism. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. Copy Citation Forma…
  3. psnet.ahrq.gov/web-mm/challenging-case-multiple-suicide-attempts-complex-patient-psychiatric-comorbidities
    September 27, 2023 - SPOTLIGHT CASE Challenging Case of Multiple Suicide Attempts in a Complex Patient with Psychiatric Comorbidities. Citation Text: Bourgeois JA, Xiong G. Challenging Case of Multiple Suicide Attempts in a Complex Patient with Psychiatric Comorbidities.. PSNet [internet]. Rockville (MD): Agency for …
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33855/psn-pdf
    April 01, 2018 - In Conversation With… Harlan Krumholz, MD, SM April 1, 2018 In Conversation With… Harlan Krumholz, MD, SM. PSNet [internet]. 2018. https://psnet.ahrq.gov/perspective/conversation-harlan-krumholz-md-sm Editor's note: Dr. Krumholz, Harold H. Hines, Jr. Professor of Medicine at the Yale School of Medicine and Directo…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49553/psn-pdf
    January 01, 2008 - Contaminated or Not? Guidelines for Interpretation of Positive Blood Cultures January 1, 2008 Weinstein MP. Contaminated or Not? Guidelines for Interpretation of Positive Blood Cultures. PSNet [internet]. 2008. https://psnet.ahrq.gov/web-mm/contaminated-or-not-guidelines-interpretation-positive-blood-cultures The…
  6. psnet.ahrq.gov/web-mm/not-so-therapeutic-tap
    December 01, 2014 - SPOTLIGHT CASE Not-So-Therapeutic Tap Citation Text: Barsuk JH. Not-So-Therapeutic Tap. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2012. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote …
  7. www.ahrq.gov/hai/cusp/clabsi-final-companion/clabsicompapc.html
    January 01, 2013 - Eliminating CLABSI, A National Patient Safety Imperative: Final Report Companion Guide Appendix C. Article Exclusion List with Reason for Exclusion Previous Page Next Page Table of Contents Eliminating CLABSI, A National Patient Safety Imperative: Final Report Companion Guide Preface Methods P…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33862/psn-pdf
    July 01, 2018 - In Conversation With… Shantanu Nundy, MD July 1, 2018 In Conversation With… Shantanu Nundy, MD. PSNet [internet]. 2018. https://psnet.ahrq.gov/perspective/conversation-shantanu-nundy-md Editor's note: Dr. Nundy is the Director of the nonprofit organization called the Human Diagnosis Project, a unique effort to cro…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49534/psn-pdf
    May 01, 2007 - Antiseizure Medication Disorder May 1, 2007 Alldredge BK. Antiseizure Medication Disorder. PSNet [internet]. 2007. https://psnet.ahrq.gov/web-mm/antiseizure-medication-disorder Case Objectives Appreciate the challenges of safe use of antiepileptic medications. Identify phenytoin toxicity. Understand the pharmaco…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49750/psn-pdf
    January 01, 2016 - A Room Without Orders January 1, 2016 Vogelsmeier A, Despins L. A Room Without Orders. PSNet [internet]. 2016. https://psnet.ahrq.gov/web-mm/room-without-orders Case Objectives Review a common process for planned direct hospital admissions. Describe challenges of prioritizing day-to-day patient care activities wi…
  11. psnet.ahrq.gov/web-mm/ca-mrsa-skin-infections-ounce-prevention-worth-pound-cure
    March 01, 2005 - SPOTLIGHT CASE CA-MRSA Skin Infections: An Ounce of Prevention is Worth a Pound of Cure Citation Text: Liu C. CA-MRSA Skin Infections: An Ounce of Prevention is Worth a Pound of Cure. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human S…
  12. psnet.ahrq.gov/web-mm/crushing-chest-pain-missed-opportunity
    February 01, 2007 - SPOTLIGHT CASE Crushing Chest Pain: A Missed Opportunity Citation Text: Graber ML. Crushing Chest Pain: A Missed Opportunity. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2004. Copy Citation Format: Google …
  13. psnet.ahrq.gov/web-mm/dont-wait-collect-accurate-weight-case-subtherapeutic-insulin-therapy
    July 01, 2008 - Don’t Wait to Collect an Accurate Weight: A Case of Subtherapeutic Insulin Therapy Citation Text: Newton B, Seitz R. Don’t Wait to Collect an Accurate Weight: A Case of Subtherapeutic Insulin Therapy. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and H…
  14. www.ahrq.gov/patient-safety/quality-measures/21st-century/index.html
    June 01, 2018 - The Challenge and Potential for Assuring Quality Health Care for the 21st Century Next Page Table of Contents The Challenge and Potential for Assuring Quality Health Care for the 21st Century From Quality Measures to Quality Care: Examples of Quality Improvement at Work Private Sector Efforts in V…
  15. psnet.ahrq.gov/web-mm/delayed-diagnosis-setting-virtual-care-remembering-physical-examination
    April 29, 2020 - Delayed Diagnosis in the Setting of Virtual Care: Remembering the Physical Examination Citation Text: Valdes W, Utter GH. Delayed Diagnosis in the Setting of Virtual Care: Remembering the Physical Examination. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Hea…
  16. psnet.ahrq.gov/web-mm/copy-and-paste-notes-and-autopopulated-text-electronic-health-record
    May 26, 2021 - “Copy and Paste” Notes and Autopopulated Text in the Electronic Health Records Citation Text: MacDonald S. “Copy and Paste” Notes and Autopopulated Text in the Electronic Health Records. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services.…
  17. www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/cellulitis-facilitator-guide.pdf
    November 01, 2019 - Best Practices in the Diagnosis and Treatment of Cellulitis and Skin and Soft Tissue Infections AHRQ Safety Program for Improving Antibiotic Use 1 AHRQ Pub. No. 17(20)-0028-EF November 2019 Best Practices in the Diagnosis and Treatment of Cellulitis and Skin and Soft Tissue Infections Acute…
  18. psnet.ahrq.gov/sites/default/files/2023-03/march_2023_spotlight_agitated_delirium.pdf
    January 01, 2023 - Microsoft PowerPoint - Spotlight Case_Agitated Delirium_FINAL.pptx Spotlight Agitated Delirium Contributes to Missed Testing and Delayed Diagnosis of Gastric Perforation Source and Credits • This presentation is based on the March 2023 AHRQ WebM&M Spotlight Case o See the full article at https://psnet.ahrq.gov/…
  19. www.ahrq.gov/sites/default/files/wysiwyg/takeheart/assessing/takeheart-summary-presentation.pptx
    April 26, 2023 - AHRQ Slide Template-Regular TAKEheart: AHRQ’s Initiative to Increase Patient Participation in Cardiac Rehabilitation What We Planned, What Happened, and What We Learned Michael Harrison and Dina Moss April 26, 2023 (Edited 5-25-23) Dina was COR and implementation lead; Michael was co-COR and evaluation/disseminati…
  20. hcup-us.ahrq.gov/toolssoftware/ccs/ccs.jsp
    July 01, 2025 - Clinical Classifications Software (CCS) for ICD-9-CM An official website of the Department of Health & Human Services Search All AHRQ Websites Careers Contact Us Espanol FAQs …