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  1. Final Progress Report: A Multiyear Grant To Support the Diagnostic Error in Medicine (DEM) Annual Conference (pdf file)

    www.ahrq.gov/sites/default/files/2025-03/newman-toker-report.pdf
    January 01, 2025 - Final Progress Report: A Multiyear Grant To Support the Diagnostic Error in Medicine (DEM) Annual Conference FINAL PROGRESS REPORT TITLE PAGE (R13HS019252, PI Newman-Toker) Title: A Multiyear Grant to Support the Diagnostic Error in Medicine (DEM) Annual Conference Principal Investigator: David E. Newman-Toker Tea…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853773/psn-pdf
    September 27, 2023 - A Double “Never Event”: Wrong Patient and Wrong Side. September 27, 2023 Bellini A, Salcedo ES. A Double “Never Event”: Wrong Patient and Wrong Side. PSNet [internet]. 2023. https://psnet.ahrq.gov/web-mm/double-never-event-wrong-patient-and-wrong-side The Case A first-year orthopedic surgery resident was consulted…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33668/psn-pdf
    May 01, 2008 - In Conversation with…David W. Bates, MD, MSc May 1, 2008 In Conversation with…David W. Bates, MD, MSc. PSNet [internet]. 2008. https://psnet.ahrq.gov/perspective/conversation-withdavid-w-bates-md-msc Editor's note: Dr. David Bates is a Professor at Harvard Medical School, Medical Director of Clinical and Quality …

  4. Safeguarding Diagnostic Testing at the Point of Care | PSNet

    psnet.ahrq.gov/web-mm/safeguarding-diagnostic-testing-point-care
    September 30, 2011 - Safeguarding Diagnostic Testing at the Point of Care Citation Text: Kost GJ, Ehrmeyer SS. Safeguarding Diagnostic Testing at the Point of Care. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017. Copy Citation Format: …

  5. Nursing Protocol Training_Bed Bathing With 2% No-Rinse Chlorhexidine (CHG) Cloths and Showering With 4% Rinse-Off CHG Liquid Soap (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/training/cbt-bed-bathing.pdf
    March 01, 2022 - Nursing Protocol Training_Bed Bathing With 2% No-Rinse Chlorhexidine (CHG) Cloths and Showering With 4% Rinse-Off CHG Liquid Soap Decolonization of Non-ICU Patients With Devices Section 11-5 Nursing Protocol Training Bed Bathing With 2% No-Rinse Chlorhexidine (CHG) Cloths and Showering With 4% Rinse-Off CHG Liq…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/854848/psn-pdf
    October 31, 2023 - Delay in Malignancy Diagnosis Reflects Systemic Failures October 31, 2023 Mieu H, Olson KA. Delay in Malignancy Diagnosis Reflects Systemic Failures. PSNet [internet]. 2023. https://psnet.ahrq.gov/web-mm/delay-malignancy-diagnosis-reflects-systemic-failures The Case A 32-year-old man presented to the hospital with…

  7. Final Progress Report: The P4P Decision Tool: A Stakeholder Guide to Exploring and Selecting an Appropriate Pay-for-Performance Program (pdf file)

    www.ahrq.gov/sites/default/files/2024-02/leapfrog-report.pdf
    January 01, 2024 - Final Progress Report: The P4P Decision Tool: A Stakeholder Guide to Exploring and Selecting an Appropriate Pay-for-Performance Program The P4P Decision Tool: A Stakeholder Guide to Exploring and Selecting an Appropriate Pay-for-Performance Program Supported by a grant from the Agency for Healthcare Research and …

  8. Labor and Delivery Unit Safety: Obstetric Hemorrhage | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/labor-delivery-unit/tool-obhemorrhage.html
    July 01, 2023 - Labor and Delivery Unit Safety: Obstetric Hemorrhage AHRQ Safety Program for Perinatal Care Purpose of the tool: This tool describes the key perinatal safety elements related to the management obstetric hemorrhage. The key elements are presented within the framework of the Comprehensive Unit-base…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49482/psn-pdf
    May 01, 2005 - Pregnant With Danger May 1, 2005 Pearlman MD, Desmond JS. Pregnant With Danger. PSNet [internet]. 2005. https://psnet.ahrq.gov/web-mm/pregnant-danger The Case A 35-year-old woman, 38 weeks pregnant, presented to the emergency department (ED) in the middle of the night complaining of left leg pain. She also had so…

  10. Summary and Discussion | Agency for Healthcare Research and Quality

    www.ahrq.gov/research/findings/final-reports/ptfamilyscan/ptfamily4.html
    July 01, 2018 - Guide to Patient and Family Engagement Summary and Discussion Previous Page Next Page Table of Contents Guide to Patient and Family Engagement Executive Summary Introduction Methods Findings Implications for the Guide Summary and Discussion Next Steps References Appendix A: Draft K…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33635/psn-pdf
    July 01, 2006 - In Conversation with...Allan Frankel, MD July 1, 2006 In Conversation with..Allan Frankel, MD. PSNet [internet]. 2006. https://psnet.ahrq.gov/perspective/conversation-withallan-frankel-md Dr. Robert Wachter, Editor, AHRQ WebM&M: Tell us a little bit about how you became interested in this kind of work. Dr. Allan …

  12. Indwelling Urinary Catheter Indications Facilitator Notes (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/urinary-catheter-indications-notes.docx
    April 01, 2022 - Indwelling Urinary Catheter Indications Facilitator Notes CAUTI Module: Indwelling Urinary Catheter Indications Facilitator Guide Slide Number and Image This module, titled “Indwelling Urinary Catheter Indications” is part of the Agency for Healthcare Research and Quality’s Safety Program for Intensive Care Uni…

  13. Section 3: Selecting and Targeting Populations for a Care Management Program (continued) | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/medicaidmgmt/mm3a.html
    October 01, 2014 - Designing and Implementing Medicaid Disease and Care Management Programs Section 3: Selecting and Targeting Populations for a Care Management Program (continued) Previous Page Next Page Table of Contents Designing and Implementing Medicaid Disease and Care Management Programs Introduction Sectio…

  14. Practice Member Survey Code Book (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/member-codebook-6mon-post-intervention.pdf
    January 01, 2014 - Practice Member Survey Code Book Practice Member Survey Code Book Variable / Core-optional Status Item Timing The purpose of this survey is t…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49699/psn-pdf
    February 01, 2014 - Multifactorial Medication Mishap February 1, 2014 Yang A. Multifactorial Medication Mishap. PSNet [internet]. 2014. https://psnet.ahrq.gov/web-mm/multifactorial-medication-mishap Case Objectives Understand the system-based causes of medication errors. Describe a model for a systems approach to error analysis. Id…

  16. Antibiotic-Patient-Safety-Facilitator-Guide (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/antibiotic-patient-safety-facilitator-guide.docx
    June 01, 2021 - AHRQ Safety Program for Improving Antibiotic Use 1 Improving Antibiotic Use Is a Patient Safety Issue Long-Term Care Slide Title and Commentary Slide Number and Slide Improving Antibiotic Use Is a Patient Safety Issue Long-Term Care SAY: Welcome to this presentation titled “Improving Antibiotic Use Is a Patie…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/842923/psn-pdf
    February 01, 2023 - Aspergillus Mediastinitis & Endocarditis in a Pediatric Patient Complicating Cardiac Surgery and Bedside Chest Closure. February 1, 2023 Partridge E, Dodson D, Reilly M, et al. Aspergillus Mediastinitis & Endocarditis in a Pediatric Patient Complicating Cardiac Surgery and Bedside Chest Closure. PSNet [internet]. …

  18. Treatment Challenges After Discharge | PSNet

    psnet.ahrq.gov/web-mm/treatment-challenges-after-discharge
    January 03, 2017 - SPOTLIGHT CASE Treatment Challenges After Discharge Citation Text: Coffey C. Treatment Challenges After Discharge. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2010. Copy Citation Format: Google Scholar Bib…

  19. Results of ARRA-Funded CER Dissemination Activities | Agency for Healthcare Research and Quality

    www.ahrq.gov/cpi/about/mission/arra/index.html
    December 01, 2014 - Results of ARRA-Funded CER Dissemination Activities Text version of a slide presentation by Sari Siegel, Ph.D., representing the final report from the ARRA-funded evaluation contract with IMPAQ. Contents Slide 1. High-Level Data Analysis Presentation Slide Deck Slide 2. Overview Slide 3. Quarterly Met…

  20. Cost of Disparities Fact Sheet (pdf file)

    hcup-us.ahrq.gov/reports/race/CostsofDisparitiesIB.pdf
    June 24, 2011 - Cost of Disparities Fact Sheet MAINTAIN AND EXPAND THE HEALTHCARE COST AND UTILIZATION PROJECT (HCUP) Contract No. HHSA-290-2006-00009-C June 24, 2011 Prepared by: Carrie Hanlon, MA, and Larry Hinkle Submitted to: Submitted by: Jenny Schnaier, Proje…
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