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5041. Getting the (Right) Doctor, Right Away | PSNet
      psnet.ahrq.gov/web-mm/getting-right-doctor-right-away
      July 01, 2011 - Getting the (Right) Doctor, Right Away Citation Text: Gupta K, Khanna R. Getting the (Right) Doctor, Right Away. 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 X…

5042. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/867652/psn-pdf
      February 26, 2025 - The Evolution of Root Cause Analysis February 26, 2025 Behrhorst J, Gale B, Van CM. The Evolution of Root Cause Analysis. PSNet [internet]. 2025. https://psnet.ahrq.gov/perspective/evolution-root-cause-analysis Introduction Root Cause Analysis (RCA) is a structured approach designed to uncover the direct causes of…

5043. Templates for using HL7 v2.5 messages
      hcup-us.ahrq.gov/datainnovations/clinicaldata/TemplatesforusingHL7v2.jsp
      December 02, 2007 - Templates for using HL7 v2.5 messages An official website of the Department of Health & Human Services Search All AHRQ Websites Careers Contact Us Espanol FAQs Email Upd…

5044. Slide 1 (ppt file)
      digital.ahrq.gov/sites/default/files/docs/page/Grannis.ppt
      January 01, 2004 - Slide 1 Patient Matching in the Indiana Network for Patient Care Shaun Grannis, M.D. M.S. The Regenstrief Institute and Indiana University School of Medicine Regenstrief Beginnings Endowed by Sam Regenstrief - inventor of the low cost dishwasher Obsessed with process improvement Supported the creation of the…

5045. Medication/Drug Errors | PSNet
      psnet.ahrq.gov/curated-library/medicationdrug-errors
      March 12, 2021 - Breadcrumb Home The PSNet Collection Curated Libraries Subscribed Medication/Drug Errors  Download  Share Facebook Twitter Linkedin Copy URL Subscribe Created By: Dr. Yan Xiao, AHRQ TEP Member Date…

5046. Patient Self Monitoring to Transfer Physical Therapy Exercise from Clinic to Home - Final Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/citation/r21hs021733-sheehan-final-report-2014.pdf
      January 01, 2014 - Patient Self Monitoring to Transfer Physical Therapy Exercise from Clinic to Home - Final Report Exploratory and Developmental Grant to Improve Health Care Quality through Health Information Technology (IT) (R21) Project Title: Patient Self Monitoring to Transfer Physical Therapy Exercise from Clinic t…

5047. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/865698/psn-pdf
      April 24, 2024 - Patient Safety Amid Nursing Workforce Challenges April 24, 2024 Leary KB, Lee M, Mossburg S. Patient Safety Amid Nursing Workforce Challenges . PSNet [internet]. 2024. https://psnet.ahrq.gov/perspective/patient-safety-amid-nursing-workforce-challenges Introduction Nurses are essential to patient care, and having a…

5048. A Picture Speaks 1000 Words | PSNet
      psnet.ahrq.gov/web-mm/picture-speaks-1000-words
      July 16, 2015 - A Picture Speaks 1000 Words Citation Text: Hemphill RR. A Picture Speaks 1000 Words. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2013. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote …

5049. Microsoft PowerPoint - FINAL June-Spotlight Case Slides_06.12.2020.pptx (pdf file)
      psnet.ahrq.gov/sites/default/files/2020-06/final_june-spotlight_case_slides_06.12.2020.pdf
      January 01, 2020 - Microsoft PowerPoint - FINAL June-Spotlight Case Slides_06.12.2020.pptx Spotlight When the Indications for Drug Administration Blur Source and Credits • This presentation is based on the June 2020 AHRQ WebM&M Spotlight Case o See the full article at https://psnet.ahrq.gov/webmm • Commentary by: Julia Munsch,…

5050. Mixup Beyond the Medication Label | PSNet
      psnet.ahrq.gov/web-mm/mixup-beyond-medication-label
      June 01, 2014 - Mixup Beyond the Medication Label Citation Text: Pervanas H, VanValkenburgh D. Mixup Beyond the Medication Label. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2018. Copy Citation Format: Google Scholar BibTeX EndNote …

5051. Spotlight Case [MONTH] 2003 (ppt file)
      psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.161_slideshow.ppt
      October 01, 2007 - Spotlight Case [MONTH] 2003 Spotlight Case October 2007 Do Not Disturb! Source and Credits This presentation is based on the October 2007 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available online Commentary by: F. Daniel Duffy, MD, University of Oklahoma, and…

5052. Final Progress Report: The Institute for the Design of Environments Aligned for Patient Safety (IDEA4PS) (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/mcalearney-report.pdf
      January 01, 2024 - Perspectives in Health Information Management. 2019 Fall;16(Fall):1i. eCollection 2019 Fall. 56.

5053. Enhancing an EMR-Based Real-Time Sepsis Alert System Performance through Machine Learning - Final Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/citation/r21hs024750-sherwin-final-report-2019.pdf
      January 01, 2019 - This is the primary reason for including Schimdt’s Fall Risk (SFR), a routine nursing assessment, in … The kappa statistic between the Schmidt’s Fall Risk and nursing home status (from manual chart review … Mentation’ = ‘Comatose, unresponsive’ OR ‘Confusion at all times’] on the nursing evaluation, Schmidt’s Fall

5054. The Effectiveness and Risks of Long-Term Opioid Treatment of Chronic Pain (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/chronic-pain-opioid-treatment_executive.pdf
      September 19, 2014 - The Effectiveness and Risks of Long-Term Opioid Treatment of Chronic Pain Evidence-Based Practice Evidence-based Practice Program The Agency for Healthcare Research and Quality (AHRQ), through its Evidence- based Practice Centers (EPCs), sponsors the development of evidence reports and technology assessments …

5055. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33670/psn-pdf
      July 01, 2008 - on whether those solutions were adopted and whether or not they were effective, that's where things fall

5056. Transfusion Thresholds in Gastrointestinal Bleeding | PSNet
      psnet.ahrq.gov/web-mm/transfusion-thresholds-gastrointestinal-bleeding
      November 26, 2014 - In such cases, the hemoglobin tends to fall precipitously and waiting can result in delayed and insufficient

5057. Minding the Gaps: Creating Resilience in Health Care (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Nemeth_116.pdf
      April 27, 2008 - all but life-threatening illness is an example of what some practitioners have described as a “free fall … recognize and anticipate the trend and reorganize 7 described this situation as a feeling of “free fall

5058. Health Equity and Maternal Health | PSNet
      psnet.ahrq.gov/perspective/health-equity-and-maternal-health
      October 06, 2021 - devices], and to be provided instructions for their follow-up care, and then we see that they can't fall … - July 27, 2023 ‘I felt like I was dying’: how women with postpartum depression fall

5059. COVID-19 and the Built Environment | PSNet
      psnet.ahrq.gov/perspective/covid-19-and-built-environment
      June 30, 2021 - In healthcare design, sometimes we can fall into a routine that we think we know the answer, but we have … patient getting up to go to the bathroom without calling a nurse and putting themselves at risk for a fall

5060. In Conversation With….Alison Stuebe, MD, MSc and Kristin Tully, PhD | PSNet
      psnet.ahrq.gov/perspective/conversation-withalison-stuebe-md-msc-and-kristin-tully-phd
      October 06, 2021 - devices], and to be provided instructions for their follow-up care, and then we see that they can't fall … - July 27, 2023 ‘I felt like I was dying’: how women with postpartum depression fall