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digital.ahrq.gov/sites/default/files/docs/publication/r21hs021008-sockolow-final-report-2014.pdf
January 01, 2014 - Home care is provided to
transition patients from hospital to home and to manage chronic illness using
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/introduction/intro-overview.pdf
March 01, 2022 - combination of high complexity medical care, high prevalence of invasive interventions, and
severity of illness
-
www.ahrq.gov/sites/default/files/publications2/files/MeasureDx-guide.pdf
July 01, 2022 - light
previously unmeasured delayed
or missed diagnoses, delayed
recognition of the severity of
illness … Report
Diagnostic Learning Opportunity (DLO) Report
Definition of a DLO: During the patient’s current illness … cancer evaluation
Positive fecal
immunohistochemical test
(FIT)
Clinical Exclusion
� Terminal illness
-
psnet.ahrq.gov/node/73102/psn-pdf
July 01, 2022 - Care Managers Use Software-Aided Medication Review
Protocol for Frail, Community-Dwelling Seniors, Leading
to More Appropriate Medication Use
March 31, 2021
https://psnet.ahrq.gov/innovation/care-managers-use-software-aided-medication-review-protocol-frail-
community-dwelling
Summary
Care management staff (such …
-
psnet.ahrq.gov/node/866261/psn-pdf
July 10, 2024 - Missed Compartment Syndrome after Steep Lithotomy
Position for Laparoscopic Gynecological Surgery
July 10, 2024
Bohringer C, Chavez G. Missed Compartment Syndrome after Steep Lithotomy Position for Laparoscopic
Gynecological Surgery. PSNet [internet]. 2024.
https://psnet.ahrq.gov/web-mm/missed-compartment-syndrome…
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/implementing-stewardship-guide.docx
September 01, 2022 - Implementing Antibiotic Stewardship in Your Practice – Facilitator Guide
AHRQ Safety Program for Improving Antibiotic Use
1
Implementing Antibiotic
Stewardship in Your Practice
Ambulatory Care
Slide Title and Commentary
Slide Number and Slide
Implementing Antibiotic Stewardship in Your Practice
Ambulatory Ca…
-
www.ahrq.gov/hai/pfp/interimhac2013-ref.html
December 01, 2014 - Efforts To Improve Patient Safety Result in 1.3 Million Fewer Patient Harms
References
Previous Page
Table of Contents
Efforts To Improve Patient Safety Result in 1.3 Million Fewer Patient Harms
Appendix
References
Adverse Drug Events
Aspden P, Wolcott J, Bootman JL, et al. P…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/educational-bundles/infection-prevention/environment-and-equipment/environment-equipment.pptx
March 01, 2017 - PowerPoint Presentation
Clean Equipment and Environment
Promotes Safe Resident Care
Training Module 2
AHRQ Pub. No. 16(17)-0003-9-EF
March 2017
AHRQ Safety Program for Long-Term Care: HAIs/CAUTI
Welcome to training module two titled, “Clean Equipment and Environment Promotes Safe Resident Care.” This is the sec…
-
www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module4/mod4-facguide.html
March 01, 2017 - Module 4: Teamwork and Communication: Facilitator Notes
AHRQ Safety Program for Long-Term Care: HAIs/CAUTI
Slide 1: Module 4: Teamwork and Communication
Say:
The Teamwork and Communication module will discuss how safety teams in nursing homes can understand and practice successful teamwork and effective…
-
www.ahrq.gov/research/findings/nhqrdr/chartbooks/effectivetreatment/mhsa.html
June 01, 2018 - Chartbook on Effective Treatment
Mental Health and Substance Abuse
Previous Page Next Page
Table of Contents
Chartbook on Effective Treatment
Acknowledgments
Effective Treatment
Effective Treatment Trends and Measures
Cardiovascular Disease
Cancer
Chronic Kidney Disease
Diabetes
HIV …
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/vae/vaesurveillance-facguide.docx
January 01, 2017 - Facilitator Guide: Build Your SSI Prevention Bundle
Slide Title and Commentary
Slide Number and Slide
Title Slide
Ventilator-Associated Event Surveillance
SAY:
This module will focus on ventilator-associated event surveillance and how it can be used in your unit.
Slide 1
Learning Objectives
SAY:
After this se…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/actionplan-trip-facguide.docx
January 01, 2017 - Facilitator Guide: Build Your SSI Prevention Bundle
Slide Title and Commentary
Slide Number and Slide
Title Slide
Action Plan for Translating Research Into Practice: Gap Analysis and Tests of Change
SAY:
This module will cover the Translating Research Into Practice (TRIP) framework. The TRIP framework lets us dig…
-
www.ahrq.gov/sites/default/files/2024-07/weingart2-report.pdf
January 01, 2024 - Final Progress Report: Partnering With Patients To Find Adverse Events
Weingart, 1 K08 HS11644
Partnering with Patients to Find Adverse Events
Saul N. Weingart, MD, PhD
VP for Patient Safety
Dana-Farber Cancer Institute, and
Associate Professor of Medicine
Harvard Medical School
44 Binney St.
Boston, MA 02…
-
www.ahrq.gov/hai/pfp/hacrate2013-refs.html
October 01, 2015 - 2013 Annual Hospital-Acquired Condition Rate and Estimates of Cost Savings and Deaths Averted From 2010 to 2013
References
Previous Page
Table of Contents
2013 Annual Hospital-Acquired Condition Rate and Estimates of Cost Savings and Deaths Averted From 2010 to 2013
Appendix
References
…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-David_13.pdf
March 19, 2008 - Risk Reduction and Systematic Error Management: Standardization of the Pediatric Chemotherapy Process
Risk Reduction and Systematic Error Management:
Standardization of the Pediatric Chemotherapy
Process
Beverly Ann David, PhD; Ana Rodriguez, PharmD; Stanley W. Marks, MD
Abstract
There is an urgent need to m…
-
psnet.ahrq.gov/node/49566/psn-pdf
July 01, 2008 - What Was in Those Platelets?
July 1, 2008
Yomtovian R. What Was in Those Platelets? . PSNet [internet]. 2008.
https://psnet.ahrq.gov/web-mm/what-was-those-platelets
The Case
A 47-year-old woman was admitted to the hospital for complex spinal surgery. The surgery went well
without complications, and postoperativel…
-
psnet.ahrq.gov/node/865429/psn-pdf
April 24, 2024 - Missed Connection: A Case of Inadequate ECG Oversight
in Cardiac Surgery
April 24, 2024
Bohringer C, Fierro M, Venugopal S. Missed Connection: A Case of Inadequate ECG Oversight in Cardiac
Surgery. PSNet [internet]. 2024.
https://psnet.ahrq.gov/web-mm/missed-connection-case-inadequate-ecg-oversight-cardiac-surgery…
-
psnet.ahrq.gov/sites/default/files/2024-04/spotlight_case_missed_connection-a_case_of_inadequate_ecg_oversight_in_cardiac_surgery_slides_-_final.pdf
January 01, 2024 - Spotlight
Spotlight
Missed Connection: A Case of Inadequate ECG
Oversight in Cardiac Surgery
Source and Credits
• This presentation is based on the March 2024 AHRQ WebM&M
Spotlight Case
o See the full article at https://psnet.ahrq.gov/webmm
o CME credit is available
o Commentary by: Christian Bohringer, MBBS, …
-
psnet.ahrq.gov/web-mm/what-was-those-platelets
August 28, 2024 - What Was in Those Platelets?
Citation Text:
Yomtovian R. What Was in Those Platelets? . PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2008.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endn…
-
psnet.ahrq.gov/node/60542/psn-pdf
May 27, 2020 - Life-Threatening Infant Overdose of Sodium Chloride
May 27, 2020
Hamline M, McGlynn G, Lee A, et al. Life-Threatening Infant Overdose of Sodium Chloride. PSNet
[internet]. 2020.
https://psnet.ahrq.gov/web-mm/life-threatening-infant-overdose-sodium-chloride
The Case
An infant with trisomy 21 underwent repair of a…