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9621. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49495/psn-pdf
      December 01, 2005 - Low on the Totem Pole December 1, 2005 Wachter R. Low on the Totem Pole. PSNet [internet]. 2005. https://psnet.ahrq.gov/web-mm/low-totem-pole Case Objectives Understand the concept of authority gradient List steps that can be taken to increase communication across an authority gradient Consider the current cultu…

9622. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33731/psn-pdf
      June 01, 2012 - An American View of the UK's Patient Safety Enterprise: Top Down vs. Bottom Up June 1, 2012 Wachter R. An American View of the UK's Patient Safety Enterprise: Top Down vs. Bottom Up. PSNet [internet]. 2012. https://psnet.ahrq.gov/perspective/american-view-uks-patient-safety-enterprise-top-down-vs-bottom Perspecti…

9623. Allergy to Holter | PSNet
      psnet.ahrq.gov/web-mm/allergy-holter
      May 01, 2008 - Allergy to Holter Citation Text: Williams M. Allergy to Holter. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2004. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

9624. PowerPoint Presentation (ppt file)
      psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.383_slideshow.ppt
      September 01, 2016 - PowerPoint Presentation Spotlight A Pill Organizing Plight * Source and Credits This presentation is based on the September 2016 AHRQ WebM&M Spotlight Case See the full article at https://psnet.ahrq.gov/webmm CME credit is available Commentary by: Brittany McGalliard, PharmD; Rita Shane, PharmD; and Sonja Ro…

9625. AHRQ Safety Program for MRSA Prevention: Targeting SSI
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/030-review-ssi-prevention.pptx
      April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI AHRQ Safety Program for MRSA Prevention: Targeting SSI Review of SSI Prevention Program Tools Surgical Services AHRQ Pub. No. 25-0029 April 2025 AHRQ Safety Program for MRSA Prevention: Targeting SSI | Surgical Services Review of SSI Prevention Program Tools 1 …

9626. Right Electrocardiogram, Wrong Patient | PSNet
      psnet.ahrq.gov/web-mm/right-electrocardiogram-wrong-patient
      April 24, 2024 - Right Electrocardiogram, Wrong Patient Citation Text: Chen C, Venugopal S. Right Electrocardiogram, Wrong Patient. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2020. Copy Citation Format: Google Scholar BibTeX EndNote…

9627. VI. Summary and Conclusions | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/reports/hotline/conclusios6.html
      May 01, 2016 - Developing and Testing the Health Care Safety Hotline: A Prototype Consumer Reporting System for Patient Safety Events VI. Summary and Conclusions Previous Page Next Page Table of Contents Developing and Testing the Health Care Safety Hotline: A Prototype Consumer Reporting System for Patient Safety…

9628. Hospital Survey Version 2.0: Background and Information for Translators | Agency for Healthcare Research and Quality
      www.ahrq.gov/sops/international/hospital/translators-version-2.html
      October 01, 2024 - Hospital Survey Version 2.0: Background and Information for Translators Prepared by:  Westat, under contract number GS-00F-009DA/75Q80123F80005 for the Agency for Healthcare Research and Quality Contents Purpose and Use of This Document Background on the Survey More Information About the Items Pur…

9629. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49554/psn-pdf
      January 01, 2008 - Chemotherapy Extravasation January 1, 2008 Schulmeister L. Chemotherapy Extravasation. PSNet [internet]. 2008. https://psnet.ahrq.gov/web-mm/chemotherapy-extravasation The Case A 73-year-old woman with no past medical history was diagnosed with stage IIIA breast cancer. She and her oncologist decided to begin sys…

9630. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49432/psn-pdf
      February 09, 2004 - Delay in Initiating Antibiotics Results in Fatal Error February 1, 2004 Bellini LM. Delay in Initiating Antibiotics Results in Fatal Error. PSNet [internet]. 2004. https://psnet.ahrq.gov/web-mm/delay-initiating-antibiotics-results-fatal-error Case Objectives Understand the importance of ongoing patient re-evaluati…

9631. Crossing the Borderline | PSNet
      psnet.ahrq.gov/web-mm/crossing-borderline
      June 01, 2022 - Crossing the Borderline Citation Text: Oldham JM. Crossing the Borderline. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2006. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged Pub…

9632. Pressure Ulcer Prevention Toolkit (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module4/putoolkit_module4_tools.docx
      January 01, 1995 - Pressure Ulcer Prevention Toolkit Pressure Ulcer Prevention Toolkit Module 4 Tools 2G: Pieper Pressure Ulcer Knowledge Test 4A: Assigning Responsibilities for Using Best Practice Bundle with the left column completed (by the Implementation Team Leader/co-leaders and best practices decided upon earlier by the team 4B:…

9633. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49706/psn-pdf
      January 01, 2015 - Clostridium Difficile Relapse Secondary to Medication Access Issue April 1, 2014 Walker PC, Nagel J. Clostridium Difficile Relapse Secondary to Medication Access Issue. PSNet [internet]. 2014. https://psnet.ahrq.gov/web-mm/clostridium-difficile-relapse-secondary-medication-access-issue The Case A 24-year-old wom…

9634. Webinar 6: Enhance Services for High-Risk Patients | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/resource/guide/web6.html
      December 01, 2017 - Webinar 6: Enhance Services for High-Risk Patients Designing & Delivering Whole-Person Transitional Care: The Hospital Guide to Reducing Medicaid Readmissions Text version of Webinar slide presentation. Slide 1: Designing & Delivering Whole-Person Transitional Care Designing & Delivering Whole-Person Tr…

9635. Electronic Student Health Questionnaire (eSHQ) enhances risk assessment for adolescents: Special Innovation Feature, August 2015 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/co-nm-specialinnovation.pdf
      January 01, 2020 - Electronic Student Health Questionnaire (eSHQ) enhances risk assessment for adolescents: Special Innovation Feature, August 2015 Page 1 The National Evaluation of the CHIPRA Quality Demonstration Grant Program SUMMARY The electronic Student Health Questionnaire (eSHQ) improved early identification of health ris…

9636. Engaging Senior Executives in Care of Mechanically Ventilated Patients: Facilitator's Guide | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/mvp/modules/cusp/engaging-sr-exec-fac-guide.html
      February 01, 2017 - Engaging Senior Executives in Care of Mechanically Ventilated Patients: Facilitator's Guide AHRQ Safety Program for Mechanically Ventilated Patients Slide 1: Engaging Senior Executives in Care of Mechanically Ventilated Patients Say: In this module, we will discuss the importance of senior executive eng…

9637. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/61079/psn-pdf
      October 28, 2020 - When Looks Aren’t All They Appear to Be: A Medication Error in an Uncommon Indication October 28, 2020 Ton K. When Looks Aren’t All They Appear to Be: A Medication Error in an Uncommon Indication . PSNet [internet]. 2020. https://psnet.ahrq.gov/web-mm/when-looks-arent-all-they-appear-be-medication-error-uncommon- …

9638. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60543/psn-pdf
      May 27, 2020 - Wrong Catheter in the Right Patient May 27, 2020 Chia C, Molla M. Wrong Catheter in the Right Patient. PSNet [internet]. 2020. https://psnet.ahrq.gov/web-mm/wrong-catheter-right-patient The Case  A 55-year-old man with history of emphysema was admitted to the hospital for pneumonia. The patient had two?peripheral…

9639. Background and Information for Translators of the AHRQ Hospital Survey on Pateint Safety Culture Version 2.0 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospital/sops-hsops-2-translation-guidelines.pdf
      August 01, 2023 - Background and Information for Translators of the AHRQ Hospital Survey on Pateint Safety Culture Version 2.0 Agency for Healthcare Research and Quality (AHRQ) Surveys on Patient Safety Culture™ (SOPS®) Hospital Survey Version 2.0 Background and Information for Translators August 2023 Purpose and Use of This…

9640. AHRQ Safety Program for Perinatal Care: Labor and Delivery Unit Safety Umbilical Cord Prolapse (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/labor-delivery-unit/tool_cord-prolapse.docx
      May 01, 2017 - AHRQ Safety Program for Perinatal Care: Labor and Delivery Unit Safety Umbilical Cord Prolapse AHRQ Safety Program for Perinatal Care Labor and Delivery Unit Safety Umbilical Cord Prolapse Labor and Delivery Unit Safety—Umbilical Cord Prolapse Purpose of the tool: This tool describes the key perinatal safety elements …