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digital.ahrq.gov/ahrq-funded-projects/anesthesiology-control-tower-feedback-alerts-supplement-treatment-actfast
January 01, 2023 - the nearby airplanes and helping them to coordinate their activity, and prioritizing what needs to happen
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psnet.ahrq.gov/web-mm/saved-ecmo
May 05, 2017 - was appropriate and was likely the safest option, the anesthesia team failed to plan for what would happen
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www.ahrq.gov/sites/default/files/publications/files/pocketguide.pdf
January 01, 2020 - Ownership
Identify who is responsible
(person/team), including
patient/family members
N Next
What will happen
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psnet.ahrq.gov/node/33849/psn-pdf
January 01, 2018 - We are testifying to things
that didn't actually happen, physical exam findings that we didn't do, or
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digital.ahrq.gov/sites/default/files/docs/medication-management-elderly-slides-081811.pdf
August 18, 2011 - National Web-Based Teleconference on Utilizing Health IT to Improve Medication Management for the Care of Elderly Patients
National Web-Based Teleconference on
Utilizing Health IT to Improve Medication
Management for the Care of Elderly Patients
August 18, 2011
Moderator:
Angela Lavanderos
Agency for Healthcare…
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psnet.ahrq.gov/perspective/conversation-paul-aylin-mbchb
June 01, 2017 - I happen to think it is a real effect and it's not accounted for by case mix or other biases or confounders
-
psnet.ahrq.gov/perspective/conversation-john-d-birkmeyer-md
January 31, 2024 - In Conversation With… John D. Birkmeyer, MD
May 1, 2015
Citation Text:
In Conversation With… John D. Birkmeyer, MD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2015.
Copy Citation
Fo…
-
psnet.ahrq.gov/node/33873/psn-pdf
February 01, 2019 - In Conversation With… Susan E. Skochelak, MD, PhD
February 1, 2019
In Conversation With… Susan E. Skochelak, MD, PhD. PSNet [internet]. 2019.
https://psnet.ahrq.gov/perspective/conversation-susan-e-skochelak-md-phd
Editor's note: Dr. Skochelak is the Group Vice President for Medical Education at the American Medica…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/training-tools/training-tools-slideset.pptx
May 01, 2017 - When might this happen?
45 Million Lives Campaign.
-
psnet.ahrq.gov/node/49591/psn-pdf
October 01, 2009 - Difficult Encounters: A CMO and CNO Respond
October 1, 2009
Ring EJ, Hirsch JE. Difficult Encounters: A CMO and CNO Respond. PSNet [internet]. 2009.
https://psnet.ahrq.gov/web-mm/difficult-encounters-cmo-and-cno-respond
Case Objectives
Appreciate the risk of disruptive behavior and understand institutional respons…
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www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module3/mod3-facguide.html
March 01, 2017 - because they will fear punishment, and processes may not change and the same mistakes will continue to happen
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/clabsi-event-reporting_revised.docx
April 01, 2022 - CAUTI Event Reporting Tool
CLABSI Event Report Tool: Data for Event Analysis
This event report template is designed to be used as a guide through the initial investigation for a defects analysis where the primary goal is to learn what happened and factors that may have contributed to the central line-associated blo…
-
www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/module-5-implementation-guide.pdf
June 02, 2025 - TAKEheart Automatic Referral Implementation Guide - Module 5
Module 5 Implementation Guide:
Building and Implementing a Successful Automatic Cardiac Rehab Referral System
Purpose and Overview
This implementation guide is designed to help you think through the steps you will need to address in
designing and i…
-
www.ahrq.gov/research/findings/final-reports/stpra/stpraapd2.html
April 01, 2018 - Proactive Risk Assessment of Surgical Site Infection in Ambulatory Surgery Centers
Appendix D, Table D2
Previous Page Next Page
Table of Contents
Proactive Risk Assessment of Surgical Site Infection in Ambulatory Surgery Centers
Executive Summary
Chapter 1. Introduction
Chapter 2. ST-PRA Devel…
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/program-dev-facilitator-guide.docx
June 01, 2021 - AHRQ Safety Program for Improving Antibiotic Use
1
Developing an Antibiotic Stewardship Program
Long-Term Care
Slide Title and Commentary
Slide Number and Slide
Developing an Antibiotic Stewardship Program
Long-Term Care
SAY:
Hello and welcome to the presentation, “Developing an Antibiotic Stewardship Prog…
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psnet.ahrq.gov/node/49813/psn-pdf
January 01, 2018 - How did this
happen?
-
psnet.ahrq.gov/web-mm/hypoxemia-after-emergency-intubation
March 24, 2019 - Hypoxemia after Emergency Intubation
Citation Text:
Bohringer C, Liu H. Hypoxemia after Emergency Intubation. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2024.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 X…
-
psnet.ahrq.gov/innovation/reducing-preventable-patient-harm-due-retained-surgical-items-rsi-bundle
July 23, 2024 - They should never happen in the provision of health care. 4 Per the Centers for Medicare and Medicaid
-
psnet.ahrq.gov/node/33791/psn-pdf
September 01, 2015 - have
this great EHR, you should be harnessing it for safety, but these transcription errors still happen
-
psnet.ahrq.gov/node/33855/psn-pdf
April 01, 2018 - Every patient
is different and things happen in the hospitalization, so to get the acute situation under