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3841. A Room Without Orders | PSNet
      psnet.ahrq.gov/web-mm/room-without-orders
      September 01, 2011 - SPOTLIGHT CASE A Room Without Orders Citation Text: Vogelsmeier A, Despins L. A Room Without Orders. 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…

3842. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/836879/psn-pdf
      April 27, 2022 - In Conversation With... Michael L. Millenson April 27, 2022 In Conversation With.. Michael L. Millenson. PSNet [internet]. 2022. https://psnet.ahrq.gov/perspective/conversation-michael-l-millenson December 16, 2021 Editor’s note: Michael L. Millenson is the President of Health Quality Advisors LLC, author of the c…

3843. Developing an Effective Care Coordination System Implementation Guide
      www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/care-coordination-slides.pptx
      January 01, 2018 - Developing an Effective Care Coordination System Implementation Guide Enhancing Care Coordination for Cardiac Rehabilitation 1 The PowerPoint presentation (PPT) is designed to serve as a roadmap, along with the Implementation Guide (IG), for enhancing care coordination processes for facilitating enrollment a…

3844. Misconnection Leading to Arterial Thrombosis | PSNet
      psnet.ahrq.gov/web-mm/misconnection-leading-arterial-thrombosis
      January 29, 2021 - Misconnection Leading to Arterial Thrombosis Citation Text: Bohringer C, Lee G. Misconnection Leading to Arterial Thrombosis. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2023. Copy Citation Format: Google Scholar Bib…

3845. Annual Perspective: Topics in Medication Safety | PSNet
      psnet.ahrq.gov/perspective/annual-perspective-topics-medication-safety
      April 27, 2022 - Annual Perspective Annual Perspective: Topics in Medication Safety March 31, 2022  View more articles from the same authors. Citation Text: Harris IB, Dowell P, Mossburg SE. Annual Perspective: Topics in Medication Safety. PSNet [internet]. Rockville (MD): Ag…

3846. Comparative Effectiveness of Adjunctive Devices to Remove Thrombi or Protect Against Distal Embolization in Patients with Acute Coronary Syndrome Undergoing Percutaneous Coronary Intervention of Native Vessels (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/acs-pci-adjunctive-devices_disposition-comments.pdf
      March 01, 2012 - Comparative Effectiveness of Adjunctive Devices to Remove Thrombi or Protect Against Distal Embolization in Patients with Acute Coronary Syndrome Undergoing Percutaneous Coronary Intervention of Native Vessels Source: http://www.effectivehealthcare.ahrq.gov/index.cfm/search-for-guides-reviews-and- reports/?pageact…

3847. Always Check the Muscle Twitch: Residual Neuromuscular Block After Removal of a Gastric Balloon | PSNet
      psnet.ahrq.gov/web-mm/always-check-muscle-twitch-residual-neuromuscular-block-after-removal-gastric-balloon
      January 29, 2021 - Always Check the Muscle Twitch: Residual Neuromuscular Block After Removal of a Gastric Balloon Citation Text: Bohringer C, Ashley S. Always Check the Muscle Twitch: Residual Neuromuscular Block After Removal of a Gastric Balloon. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality,…

3848. Physician Event Reporting: Training the Next Generation of Physicians (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Nguyen.pdf
      May 01, 2003 - Physician Event Reporting: Training the Next Generation of Physicians 353 Physician Event Reporting: Training the Next Generation of Physicians Quang-Tuyen Nguyen, Joanna Weinberg, Lee H. Hilborne Abstract Physician reporting of adverse events and unsafe situations remains extremely low, despite the increa…

3849. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/866261/psn-pdf
      July 10, 2024 - Missed Compartment Syndrome after Steep Lithotomy Position for Laparoscopic Gynecological Surgery July 10, 2024 Bohringer C, Chavez G. Missed Compartment Syndrome after Steep Lithotomy Position for Laparoscopic Gynecological Surgery. PSNet [internet]. 2024. https://psnet.ahrq.gov/web-mm/missed-compartment-syndrome…

3850. EHC Protocol: Addressing Social Isolation To Improve Health of Older Adults: A Rapid Evidence Review (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/mhs4-infection-prevention-mdro-protocol.pdf
      July 01, 2023 - EHC Protocol: Addressing Social Isolation To Improve Health of Older Adults: A Rapid Evidence Review 1 Evidence-based Practice Center Rapid Review Protocol Project Title: Making Healthcare Safer IV: Prevention of Transmission of Infection with Multi-Drug Resistant Organisms (MDROs) Review Questions…

3851. Slide 1 (ppt file)
      effectivehealthcare.ahrq.gov/sites/default/files/module_i1.ppt
      May 29, 2025 - Slide 1 Engaging Stakeholders in the Effective Health Care Program Information and tools for researchers and investigators Numeric

3852. References | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/pfp/hacrate2013-refs.html
      October 01, 2015 - 2013 Annual Hospital-Acquired Condition Rate and Estimates of Cost Savings and Deaths Averted From 2010 to 2013 References Previous Page   Table of Contents 2013 Annual Hospital-Acquired Condition Rate and Estimates of Cost Savings and Deaths Averted From 2010 to 2013 Appendix References …

3853. EHC Protocol: Addressing Social Isolation To Improve Health of Older Adults: A Rapid Evidence Review (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/patient-monitoring-systems-protocol.pdf
      July 01, 2023 - EHC Protocol: Addressing Social Isolation To Improve Health of Older Adults: A Rapid Evidence Review Evidence-based Practice Center Rapid Review Protocol Project Title: Making Healthcare Safer (MHS) IV: Patient Monitoring Systems to Prevent Failure to Rescue Review Questions Review Question: Based on t…

3854. Be Picky about your PICCs—Fragmented Care and Poor Communication at Discharge Leads to a PICC without a Plan. | PSNet
      psnet.ahrq.gov/web-mm/be-picky-about-your-piccs-fragmented-care-and-poor-communication-discharge-leads-picc
      July 19, 2023 - Be Picky about your PICCs—Fragmented Care and Poor Communication at Discharge Leads to a PICC without a Plan. Citation Text: Marti CS, Reese SK, Brown-McManus M. Be Picky about your PICCs—Fragmented Care and Poor Communication at Discharge Leads to a PICC without a Plan.. PSNet [internet]. Rockville (MD): A…

3855. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/867653/psn-pdf
      February 26, 2025 - In Conversation with Jessica Behrhorst about The Evolution of Root Cause Analysis February 26, 2025 Behrhorst J, Gale B, Van CM. In Conversation with Jessica Behrhorst about The Evolution of Root Cause Analysis. PSNet [internet]. 2025. https://psnet.ahrq.gov/perspective/conversation-jessica-behrhorst-about-evoluti…

3856. How are States and evaluators measuring medical homeness in the CHIPRA Quality Demonstration Grant Program? | Agency for Healthcare Research and Quality
      www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/highlight02.html
      May 01, 2013 - How are States and evaluators measuring medical homeness in the CHIPRA Quality Demonstration Grant Program? Evaluation Highlight No. 2 Authors: Stacey McMorrow, Anna Christensen, Brenda Natzke, Kelly Devers, and Rebecca Peters Contents Key Messages Background Findings Conclusions Implications …

3857. How are CHIPRA demonstration States approaching practice-level quality measurement and what are they learning? | Agency for Healthcare Research and Quality
      www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/highlight01.html
      March 01, 2019 - How are CHIPRA demonstration States approaching practice-level quality measurement and what are they learning? Evaluation Highlight No. 1 The National Evaluation of the CHIPRA Quality Demonstration Grant Program Authors: Grace A. Ferry, Henry T. Ireys, Leslie Foster, Kelly J. Devers, and Lauren Smith This…

3858. How are CHIPRA quality demonstration States using quality reports to drive health care improvements for children? | Agency for Healthcare Research and Quality
      www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/highlight11.html
      April 01, 2015 - How are CHIPRA quality demonstration States using quality reports to drive health care improvements for children? Evaluation Highlight No. 11 Authors: Grace Anglin and Mynti Hossain Contents Key Messages Background Findings Conclusion Implications Learn More Endnotes The CHIPRA Qua…

3859. Chapter 2 | Agency for Healthcare Research and Quality
      www.ahrq.gov/prevention/resources/vision/resources/vision2.html
      October 01, 2002 - Chapter 2 Vision Rehabilitation: Care and Benefit Plan Models: Literature Review Applying the Framework to Vision Rehabilitation The American Occupational Therapy Association (AOTA) 28 describes two national systems that exist to serve people with visual impairments—the blindness system and the health ca…

3860. References | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/pfp/interimhac2013-ref.html
      December 01, 2014 - Efforts To Improve Patient Safety Result in 1.3 Million Fewer Patient Harms References Previous Page   Table of Contents Efforts To Improve Patient Safety Result in 1.3 Million Fewer Patient Harms Appendix References Adverse Drug Events Aspden P, Wolcott J, Bootman JL, et al. P…