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  1. 26,000 Close Call Reports: Lessons from the University of Texas Close Call Reporting System (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Simmons_66.pdf
    April 03, 2008 - 26,000 Close Call Reports: Lessons from the University of Texas Close Call Reporting System 26,000 Close Call Reports: Lessons from the University of Texas Close Call Reporting System Debora Simmons, RN, MSN, CCRN, CCNS; JoAnn Mick, PhD, RN, MBA, AOCN, CNAA, BC; Krisanne Graves, RN, BSN, CPHQ; Sharon K. Martin, ME…

  2. In Conversation With… … Jennifer Schulz Moore, LLB, MA, PhD | PSNet

    psnet.ahrq.gov/perspective/conversation-jennifer-schulz-moore-llb-ma-phd
    February 26, 2025 - In Conversation With… … Jennifer Schulz Moore, LLB, MA, PhD April 1, 2019  Citation Text: In Conversation With… … Jennifer Schulz Moore, LLB, MA, PhD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Serv…

  3. Fecal Contamination of the Peritoneum from Laparoscopic Trocar Injury: A Routine Operation Goes Wrong. | PSNet

    psnet.ahrq.gov/web-mm/fecal-contamination-peritoneum-laparoscopic-trocar-injury-routine-operation-goes-wrong
    March 03, 2021 - SPOTLIGHT CASE Fecal Contamination of the Peritoneum from Laparoscopic Trocar Injury: A Routine Operation Goes Wrong. Citation Text: Ahmed SM, Ali M. Fecal Contamination of the Peritoneum from Laparoscopic Trocar Injury: A Routine Operation Goes Wrong.. PSNet [internet]. Rockville (MD): Agency fo…

  4. 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,…

  5. Failure to Ensure Patient Safety Leads to Patient Falls in Nursing Homes. | PSNet

    psnet.ahrq.gov/web-mm/failure-ensure-patient-safety-leads-patient-falls-nursing-homes
    August 14, 2024 - SPOTLIGHT CASE Failure to Ensure Patient Safety Leads to Patient Falls in Nursing Homes. Citation Text: Failure to Ensure Patient Safety Leads to Patient Falls in Nursing Homes.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Servic…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867022/psn-pdf
    October 30, 2024 - Delayed Symptomatic Subdural Hematoma Following an Initially Normal CT Head October 30, 2024 Martin R, Shahlaie K. Delayed Symptomatic Subdural Hematoma Following an Initially Normal CT Head. PSNet [internet]. 2024. https://psnet.ahrq.gov/web-mm/delayed-symptomatic-subdural-hematoma-following-initially-normal-ct-h…

  7. Diabetes-Foot-Ulcer-Amputation-Incidence Research (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/pdf/diabetes-foot-ulcer-amputation-incidence_research.pdf
    January 01, 2011 - Incidence of diabetic foot ulcer and lower extremity amputation among Medicare beneficiaries, 2006 to 2008 Diabetic Foot Ulcers Data Points #2 In Medicare Parts A and B fee-for- service beneficiaries with diabetes, the incidence of diabetic foot ulcer is about 6.0% and lower extremity amputation about 0.5%. Am…

  8. What Was in Those Platelets? | PSNet

    psnet.ahrq.gov/web-mm/what-was-those-platelets
    August 28, 2024 - What Was in Those Platelets? Citation Text: Yomtovian R. What Was in Those Platelets? . PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2008. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endn…

  9. Patients as Safeguards: Understanding the Information Needs of Hospitalized Patients in Voicing Safety Concerns - Final Report (pdf file)

    digital.ahrq.gov/sites/default/files/docs/citation/r01hs022894-pratt-final-report-2020.pdf
    January 01, 2020 - Patients as Safeguards: Understanding the Information Needs of Hospitalized Patients in Voicing Safety Concerns - Final Report AHRQ Final Report Patients as Safeguards: Understanding the Information Needs of Hospitalized Patients in Voicing Safety Concerns Principal I…

  10. Screening for Lung Cancer With Low-Dose Computed Tomography: Updated Evidence Report and Systematic Review for the USPSTF (pdf file)

    www.uspreventiveservicestaskforce.org/home/getfilebytoken/ghbfx9e3A6jQEqVW26y8Jv
    March 09, 2021 - Obtained funding: Jonas. … Funding/Support: This research was funded under contract HHSA-290-2015-00011-I, Task Order 11, from the

  11. Bringing Quality Measurement to the Point of Care - Final Report (pdf file)

    digital.ahrq.gov/sites/default/files/docs/citation/r18hs017059-wu-final-report-2010.pdf
    January 01, 2010 - Bringing Quality Measurement to the Point of Care - Final Report Grant Final Report Grant ID: R18HS17059 Bringing Quality Measurement to the Point of Care Inclusive Dates: 09/30/07 – 09/29/10 Princip…

  12. Strategy 4: IDEA Discharge Planning (Implementation Handbook) (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Implement_Hndbook_508_v2.docx
    April 01, 2011 - Strategy 4: IDEA Discharge Planning (Implementation Handbook) Strategy 4: IDEAL Discharge Planning (Implementation Handbook) Care Transitions from Hospital to Home: IDEAL Discharge Planning Implementation Handbook Strategy 3: Bedside Shift Report (Implementation Handbook) Strategy 4: IDEAL Discharge Planning (Implem…

  13. Leveraging Health System Telehealth and Informatics Infrastructure to Create a Continuum of Services for COVID-19 Screening, Testing, and Treatment: A Learning Health System Approach – Final Report (pdf file)

    digital.ahrq.gov/sites/default/files/docs/citation/r01hs28284-simpson-final-report-2023.pdf
    January 01, 2023 - Leveraging Health System Telehealth and Informatics Infrastructure to Create a Continuum of Services for COVID-19 Screening, Testing, and Treatment: A Learning Health System Approach – Final Report 1 Title Page AHRQ Final Progress Report Title of Project: Leveraging Health System Telehealth and Informatics In…

  14. Final Progress Report: Reduction of Nephrotoxic Medication-Associated Acute Kidney Injury in Children (pdf file)

    www.ahrq.gov/sites/default/files/2024-02/goldstein-report.pdf
    January 01, 2024 - Final Progress Report: Reduction of Nephrotoxic Medication-Associated Acute Kidney Injury in Children Reduction of Nephrotoxic Medication-Associated Acute Kidney Injury in Children PI: Stuart L. Goldstein, M.D. Team Members David Askenazi M.D., University of Alabama-Birmingham Patrick Brophy, M.D., University of…

  15. Final Progress Report: Teamwork and Error in Neonatal Intensive Care (pdf file)

    www.ahrq.gov/sites/default/files/2024-01/thomas2-report.pdf
    January 01, 2024 - Final Progress Report: Teamwork and Error in Neonatal Intensive Care Teamwork and Error in Neonatal Intensive Care Eric J. Thomas, MD, MPH Robert L. Helmreich, PhD J. Bryan Sexton, PhD Gwen Sherwood, RN, PhD, FAAN Robert Lasky, PhD Thomas Kallarackal Sharon Crandell, MD Jennipher Mulhollem Dates:…

  16. Final Progress Report: The PeaceHealth Community-wide Electronic Shared Medication List (pdf file)

    www.ahrq.gov/sites/default/files/2024-07/stock-easton-report.pdf
    January 01, 2024 - Final Progress Report: The PeaceHealth Community-wide Electronic Shared Medication List AHRQ Safe Practices Implementation Challenge Grants Program Final Progress Report Title Page Project Title: The PeaceHealth Community-wide Electronic Shared Medication List Principal Investigator: Ronald D. Stock, MD (Peace…

  17. Final Progress Report: Ambulatory Patient Safety of Clients in Treatment for Substance Abuse (pdf file)

    www.ahrq.gov/sites/default/files/2025-03/mcfarland-report.pdf
    January 01, 2025 - Final Progress Report: Ambulatory Patient Safety of Clients in Treatment for Substance Abuse TITLE PAGE Title of Project: Ambulatory patient safety of clients in treatment for substance abuse Principal Investigator: Bentson McFarland, MD, PhD Team Members: Colleen Lewy, PhD Christina Nicolaidis, MD Patri…

  18. Health Literacy and Patient and Family Engagement: Strategic Tools to Prevent CAUTI (July 9, 2013) | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/cauti-tools/archived-webinars/health-literacy-transcript.html
    December 01, 2017 - Health Literacy and Patient and Family Engagement: Strategic Tools to Prevent CAUTI (July 9, 2013) Webinar Transcript Paul Tedrick American Hospital Association – Chicago July National Content Call July 9, 2013 11:00 AM CT Operator: The following is the July National Content Call for Paul Tedrick, …

  19. Paul Tedrick (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/health-literacy-pfe-transcript.doc
    July 09, 2013 - Paul Tedrick Paul Tedrick American Hospital Association – Chicago July National Content Call July 9, 2013 11:00AM CT Operator: The following is the July National Content Call for Paul Tedrick, with the American Hospital Association of Chicago on Tuesday, July 9, 2013 at 11:00 a.m. Central Time. Excuse me, everyone…

  20. Patient Experience as a Source for Understanding the Origins, Impact, and Remediation of Diagnostic Errors, Volume 2: Eliciting Patient Narratives (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/topics/dxsafety-patient-experience-vol2.pdf
    July 01, 2023 - Patient Experience as a Source for Understanding the Origins, Impact, and Remediation of Diagnostic Errors, Volume 2: Eliciting Patient Narratives PATIENT SAFETY e Issue Brief 12 Patient Experience as a Source for Understanding the Origins, Impact, and Remediation of Diagnostic Errors Volume 2: Eliciting Patie…
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