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5161. Do Transient Working Conditions Trigger Medical Errors? (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Grayson.pdf
      January 01, 2003 - Do Transient Working Conditions Trigger Medical Errors? 53 Do Transient Working Conditions Trigger Medical Errors? Deborah Grayson, Stuart Boxerman, Patricia Potter, Laurie Wolf, Clay Dunagan, Gary Sorock, Bradley Evanoff Abstract Objective: Organizational factors affecting working conditions for health …

5162. Beyond the Pandemic: Creating Total Systems Safety | PSNet
      psnet.ahrq.gov/perspective/beyond-pandemic-creating-total-systems-safety
      August 30, 2023 - Beyond the Pandemic: Creating Total Systems Safety Patricia McGaffigan, MS, RN, CPPS; Cindy Manaoat Van, MHSA, CPPS; Sarah E. Mossburg, RN, PhD | August 30, 2023  Also Read the Conversation View more articles from the same authors. Citation Text: Van CM, Mossb…

5163. An Inadvertent Bolus of Norepinephrine. | PSNet
      psnet.ahrq.gov/web-mm/inadvertent-bolus-norepinephrine
      December 04, 2016 - SPOTLIGHT CASE An Inadvertent Bolus of Norepinephrine. Citation Text: Fazio S, Blackmon E, Doroy A, et al. An Inadvertent Bolus of Norepinephrine.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2021. Copy Citation F…

5164. In Conversation with... Patricia McGaffigan about Beyond the Pandemic: Creating Total Systems Safety | PSNet
      psnet.ahrq.gov/perspective/conversation-patricia-mcgaffigan-about-beyond-pandemic-creating-total-systems-safety
      August 30, 2023 - In Conversation with... Patricia McGaffigan about Beyond the Pandemic: Creating Total Systems Safety Patricia McGaffigan, MS, RN, CPPS; Cindy Manaoat Van, MHSA, CPPS; Sarah E. Mossburg, RN, PhD | August 30, 2023  Also Read the Essay View more articles from the same authors. …

5165. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49514/psn-pdf
      July 01, 2006 - One ACE Too Many July 1, 2006 Juurlink DN. One ACE Too Many. PSNet [internet]. 2006. https://psnet.ahrq.gov/web-mm/one-ace-too-many The Case A 72-year-old man with coronary artery disease, diabetes, and recently diagnosed congestive heart failure presented to the emergency department (ED) with chest pain. An acut…

5166. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49619/psn-pdf
      February 01, 2011 - Paradoxical Pulse February 1, 2011 Roy CL. Paradoxical Pulse. PSNet [internet]. 2011. https://psnet.ahrq.gov/web-mm/paradoxical-pulse The Case An 80-year-old man with paroxysmal atrial fibrillation and symptomatic bradycardia underwent successful pacemaker placement as an outpatient. The patient was restarted on …

5167. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49477/psn-pdf
      April 01, 2005 - Hold the tPA April 1, 2005 Fagan SC. Hold the tPA. PSNet [internet]. 2005. https://psnet.ahrq.gov/web-mm/hold-tpa The Case A 74-year-old woman with a history of atrial fibrillation on warfarin therapy came to the emergency department (ED) 1 hour after the sudden onset of aphasia and right-sided weakness. A non-co…

5168. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49634/psn-pdf
      September 01, 2011 - Situational (Un)Awareness September 1, 2011 Abramson EL, Kaushal R. Situational (Un)Awareness. PSNet [internet]. 2011. https://psnet.ahrq.gov/web-mm/situational-unawareness The Case A 75-year-old man was admitted on a Tuesday evening with abdominal pain, jaundice, and elevated liver function tests, including a bi…

5169. Tk2 T4 Common Suspected Infections Tools To Improve Communication And Decisionmaking (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/nhguide/TK2_T4_Common_Suspected_Infections_Tools_To_Improve_Communication_and_Decisionmaking.docx
      October 01, 2016 - Slide Title and Commentary Slide Number and Slide Title Slide Toolkit 2. Common Suspected Infections: Communication and Decision Making for Four Infections Tool 4. Tools To Improve Communication and Decision Making SAY: Today we are introducing you to new tools to help improve communication and help prescribing clin…

5170. Why Should Your Practice Focus on Improving Antibiotic Prescribing? – Facilitator Guide (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/antibiotic-prescribing-guide.docx
      September 01, 2022 - Why Should Your Practice Focus on Improving Antibiotic Prescribing? – Facilitator Guide AHRQ Safety Program for Improving Antibiotic Use 1 Why Should Your Practice Focus on Improving Antibiotic Prescribing? Ambulatory Care Slide Title and Commentary Slide Number and Slide Why Should Your Practice Focus on Imp…

5171. Making It Work Tip Sheet: Chlorhexidine Bathing and Perineal Cleaning (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/chlorhexidine-bathing.pdf
      April 01, 2022 - Making It Work Tip Sheet: Chlorhexidine Bathing and Perineal Cleaning AHRQ Safety Program for Intensive Care Units: Preventing CLABSI and CAUTI Making It Work Tip Sheet Chlorhexidine Bathing and Perineal Cleaning This “Making It Work” tip sheet provides additional information to help intensive care un…

5172. STATISTICAL BRIEF #501: Children's Usual Source of Care: Insurance, Income, and Racial/Ethnic Disparities, 2004-2014
      meps.ahrq.gov/data_files/publications/st501/stat501.shtml
      March 01, 2017 - STATISTICAL BRIEF #501: Children's Usual Source of Care: Insurance, Income, and Racial/Ethnic Disparities, 2004-2014   Skip to main content An official website of the Department of Health & Human Services …

5173. Addressing Questions Asked by Staff: Chlorhexidine for Bathing (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/faqs/faq-chg-bathing.pdf
      March 01, 2022 - Addressing Questions Asked by Staff: Chlorhexidine for Bathing Decolonization of on-ICU Patients With Devices N Section 14-1 – Addressing Questions Asked by Staff: Chlorhexidine for Bathing Why does the hospital use special soap for bathing and showering in patients with medical devices? This hospital i…

5174. Strategies for Improving Patient Experience with Ambulatory Care: Rapid Referral Programs (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/access/cahps-strategy-6e.pdf
      July 07, 2017 - Strategies for Improving Patient Experience with Ambulatory Care: Rapid Referral Programs The CAHPS Ambulatory Care Improvement Guide Practical Strategies for Improving Patient Experience Section 6: Strategies for Improving Patient Experience with Ambulatory Care 6.E. Rapid Referral Programs Visit the AHRQ …

5175. Strategy 6R: Reminder Systems for Immunizations and Preventive Services | Agency for Healthcare Research and Quality
      www.ahrq.gov/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/health-promotion-education/strategy6r-reminder-systems.html
      March 01, 2020 - Strategy 6R: Reminder Systems for Immunizations and Preventive Services Contents 6.R.1. The Problem 6.R.2. The Intervention     6.R.2.a. Reminder Systems for Patients     6.R.2.b. Reminder Systems for Physicians References    Download Strategy 6R:   Reminder Systems for Immunizations and Preventiv…

5176. Statistical Brief #501: Children's Usual Source of Care: Insurance, Income, and Racial/Ethnic Disparities, 2004-2014 (pdf file)
      meps.ahrq.gov/data_files/publications/st501/stat501.pdf
      March 01, 2017 - Statistical Brief #501: Children's Usual Source of Care: Insurance, Income, and Racial/Ethnic Disparities, 2004-2014 1 STATISTICAL BRIEF #501 March 2017 Children's Usual Source of Care: Insurance, Income, and Racial/Ethnic Disparities, 2004-2014 Naomi Zewde, PhD and Terceira Berdahl, PhD Introduction Having a usua…

5177. Integrating Behavioral Health and Primary Care Self-Assessment Checklist (pdf file)
      integrationacademy.ahrq.gov/sites/default/files/2025-08/Integrated%20Behavioral%20Health%20Checklist.pdf
      January 01, 2025 - Integrating Behavioral Health and Primary Care Self-Assessment Checklist Integrating Behavioral Health and Primary Care Self-Assessment Checklist Integrating behavioral health and primary care refers to care from a practice team of primary care and behavioral health providers, working together with patients and f…

5178. Statistical Brief #85: Health Insurance Status of Children in America, 1996–2004: Estimates for the U.S. Civilian Noninstitutionalized Population under Age 18 (pdf file)
      meps.ahrq.gov/data_files/publications/st85/stat85.pdf
      July 01, 2005 - Statistical Brief #85: Health Insurance Status of Children in America, 1996–2004: Estimates for the U.S. Civilian Noninstitutionalized Population under Age 18 Agency for Healthcare Medical Expenditure Panel Survey Research and Quality STATISTICAL BRIEF #85 June 2005 Health Insurance Status of Children in Amer…

5179. Statistical Brief #313: Expenditures for the Top Five Therapeutic Classes of Outpatient Prescription Drugs, Adults Age 18 and Older, U.S. Civilian Noninstitutionalized Population, 2008 (pdf file)
      meps.ahrq.gov/data_files/publications/st313/stat313.pdf
      February 01, 2011 - Statistical Brief #313: Expenditures for the Top Five Therapeutic Classes of Outpatient Prescription Drugs, Adults Age 18 and Older, U.S. Civilian Noninstitutionalized Population, 2008 STATISTICAL BRIEF #313 February 2011 Expenditures for the Top Five Therapeutic Classes of Outpatient Prescription Drugs, Adults Ag…

5180. Evidence Summary_Models of Care That Include Primary Care for Adult Survivors of Childhood Cancer: A Realist Review (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/models-care-adult-survivors-childhood-cancer-evidence-summary.pdf
      February 01, 2022 - Evidence Summary_Models of Care That Include Primary Care for Adult Survivors of Childhood Cancer: A Realist Review Evidence Report Models of Care That Include Primary Care for Adult Survivors of Childhood Cancer: A Realist Review Evidence Summary Main Points Background and Purpose Childhood…