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2781. Building Systems Citizenship in Health Professions Education: The Continued Call for Health Systems Science Curricula | PSNet
      psnet.ahrq.gov/perspective/building-systems-citizenship-health-professions-education-continued-call-health-systems
      February 01, 2019 - Building Systems Citizenship in Health Professions Education: The Continued Call for Health Systems Science Curricula Jed D. Gonzalo, MD, MSc, and Mamta K. Singh, MD, MSc | February 1, 2019  Also Read a Conversation View more articles from the same authors. Citati…

2782. Disposition of Comments for Technical Brief 25 Disparities within Serious Mental Illness (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/mental-illness-disparities_disposition-comments.pdf
      May 26, 2016 - Disposition of Comments for Technical Brief 25 Disparities within Serious Mental Illness Source: https://effectivehealthcare.ahrq.gov/search-for-guides-reviews-and- reports/?pageaction=displayproduct&productID=2236 Published Online: May 26, 2016 Technical Brief Disposition of Comments Report Research Review Titl…

2783. Disposition of Comments for Evidence Report 220 Health Information Exchange (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/health-information-exchange-disposition-160504.pdf
      December 15, 2015 - Disposition of Comments for Evidence Report 220 Health Information Exchange Evidence Report Disposition of Comments Report Research Review Title: Health Information Exchange Draft review available for public comment from March 12 to April 8, 2015. Research Review Citation: Hersh W, Totten A, Eden …

2784. Final Progress Report: Cultural Competency and African Women’s Health Services (pdf file)
      www.ahrq.gov/sites/default/files/2024-07/carroll-report.pdf
      January 01, 2024 - not seek medical care until they are very ill, often due to fear of the unknown (i.e., what would happen … They are afraid of what’s going to happen. They don’t know about health.

2785. Evidence-based Practice Center Systematic Review Protocol (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/head-neck-cancer_disposition-comments.pdf
      May 27, 2010 - This is not likely to happen; one may argue that merely increasing the certainty of radiation delivery … This is not likely to happen; one may argue that merely increasing the certainty of radiation delivery

2786. Information to Help Hospitals Get Started
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/howtogetstarted/How_to_Use_Guide_Ldr_Slide_508.pptx
      July 23, 2010 - But, sustained change does not happen without a clear mandate and ongoing support from leadership – you

2787. Building Your SSI Prevention Bundle: Facilitator Notes | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/surgery/modules/on-boarding/build-ssi-bundle-fac-notes.html
      December 01, 2017 - If you improve your skin prep, it is likely that this will not happen.

2788. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/846170/psn-pdf
      March 15, 2023 - Communications with the pharmacy and between providers may not happen consistently due to time constraints

2789. Delayed Management of Necrotizing Soft Tissue Infection – Who does the Patient Belong To? | PSNet
      psnet.ahrq.gov/web-mm/delayed-management-necrotizing-soft-tissue-infection-who-does-patient-belong
      March 31, 2021 - How could this happen, especially in regard to a life-threatening diagnosis?

2790. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/849679/psn-pdf
      June 28, 2023 - Before this could happen, the patient developed increasing hypoxemia and respiratory distress, ultimately

2791. Hand Hygiene
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/educational-bundles/infection-prevention/hand-hygiene/hand-hygiene.pptx
      March 01, 2017 - completely removed the use of alcohol-based hand products, even in situations where C. diff may occasionally happen

2792. Introduction to Synthetic Healthcare Database for Research (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/data/SyH-DR-Introduction-2023Dec.pdf
      December 01, 2023 - • Age is provided only in bins, so researchers cannot use SyH-DR to analyze events that happen at

2793. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/72589/psn-pdf
      December 23, 2020 - In addition, delayed diagnosis due to access barriers continues to happen frequently.

2794. Microsoft PowerPoint - Spotlight Case_Anesthesia Error During Cesarean_06.22.2023 - Final.pptx (pdf file)
      psnet.ahrq.gov/sites/default/files/2023-06/hurried_huddle_0.pdf
      January 01, 2023 - standard preoperative huddle and pre-incision checklist likely contributed to this near miss, which may happen

2795. Nothing Called Small Surgery | PSNet
      psnet.ahrq.gov/web-mm/nothing-called-small-surgery
      February 01, 2023 - are in place exceeds the permissible ischemia time for the tissue under tourniquet control, as may happen

2796. Quantitative Synthesis: Chapter 4. Quantifying, Testing, and Exploring Statistical Heterogeneity (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pdf/ehc-presentation-quantitative-synthesis-chapter-4.pdf
      July 01, 2019 - chance):14 𝐼𝐼2 = 𝑄𝑄 − (𝑘𝑘 − 1) 𝑄𝑄 ∗ 100 • Heterogeneity will always exist whether or not we happen

2797. Daily Care Processes Guide for Reducing Ventilator-Associated Events in Mechanically Ventilated Patients (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/daily-care-processes-guide.pdf
      January 01, 2017 - A defect is anything you don’t want to happen again–an unsafe condition, a patient fall, a venous thromboembolism … Set a target level and make sure staff members understand what needs to happen to help the patient … Care Processes Data Collection Tool lists mechanically ventilated patient care activities that should happen

2798. Implementation and Dissemination of 'Gabby,' a Health Information Technology (HIT) System for Young Women, into Community-Based Clinical Sites - Final Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/citation/r18hs025131-jack-final-report-2022.pdf
      January 01, 2022 - And that’s gonna probably happen. How do we introduce them to it?

2799. TeamSTEPPS for Improving Diagnosis Participant Workbook (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/dxsafety-particpant-workbook.pdf
      February 04, 2022 - These examples can be from actual experience or situations that you imagine could happen. 3. … � How could that happen in your setting? … These examples can be from actual experience or situations that you imagine could happen.

2800. Resource List - AHRQ Medical Office Survey (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/medoffice-resourcelist.pdf
      April 01, 2023 - Resource List - AHRQ Medical Office Survey SOPS Medical Office Survey Resource List 1 Improving Patient Safety in Medical Offices: A Resource List for Users of the AHRQ Medical Office Survey on Patient Safety Culture I. Purpose This document provides a list of references to websites and other publicly availab…