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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867475/psn-pdf
    February 26, 2025 - From Pain Relief to Risk: A Case of Suspected Opioid Overdose in a Pediatric Patient February 26, 2025 Markham K, Usui M, Smith C. From Pain Relief to Risk: A Case of Suspected Opioid Overdose in a Pediatric Patient. PSNet [internet]. 2025. https://psnet.ahrq.gov/web-mm/pain-relief-risk-case-suspected-opioid-overd…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49531/psn-pdf
    March 01, 2007 - Failure to Report March 1, 2007 Spath P. Failure to Report. PSNet [internet]. 2007. https://psnet.ahrq.gov/web-mm/failure-report Case Objectives List common causes of medical errors. Appreciate the magnitude of underreporting of adverse events. List the common barriers to reporting adverse events and near misses…
  3. www.ahrq.gov/sites/default/files/2024-03/connolly-report.pdf
    January 01, 2024 - Final Progress Report: Topical Vancomycin for Neurosurgery Wound Prophylaxis Title: Topical Vancomycin for Neurosurgery Wound Prophylaxis Principal Investigator: Connolly, Edward Sander Team Members: Jared Knopman, MD - Site PI (Cornell) Emilia Bagiella, PhD - Site PI (Mount Sinai) Franklin Lowy, MD - Co-Investigato…
  4. www.ahrq.gov/sites/default/files/2024-01/abraham-report.pdf
    January 01, 2024 - Final Progress Report: Gastrointestinal Safety of Antithrombotic Drug Regimens 1 Project Title: Gastrointestinal Safety of Antithrombotic Drug Regimens Grant Number: 5RO1HSO25402-04 Principal Investigator: Neena S. Abraham, MD Team Members: Xiaoxi Yao, PhD Nilay Shah, PhD Peter Noseworthy, MD Jeph Herrin, Ph…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49669/psn-pdf
    November 01, 2012 - Transfusion Overload November 1, 2012 Patel MS, Carson JL. Transfusion Overload. PSNet [internet]. 2012. https://psnet.ahrq.gov/web-mm/transfusion-overload Case Objectives Understand that the traditional transfusion thresholds of hemoglobin below 10 g/dL and hematocrit below 30% are not supported by the evidence.…
  6. psnet.ahrq.gov/web-mm/missed-patient-assignment-anyone-there
    September 01, 2017 - Missed Patient Assignment: Is Anyone There? Citation Text: Sittig DF, Campbell EM, Singh H. Missed Patient Assignment: Is Anyone There?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2010. Copy Citation Format: Google …
  7. www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/implementation-guides/implementation-guide1/impguide1step3.html
    March 01, 2019 - Step 3: Build the Stakeholder Group Structure Implementation Guide Number 1 This Implementation Guide includes suggested steps and tips for implementing initiatives for improving child health care quality from the CMS-funded national evaluation of the Children’s Health Insurance Program Reauthorization Act of…
  8. 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…
  9. Scoring CPCQ (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/cpcq-scoring.pdf
    May 01, 2017 - Scoring CPCQ 1 Scoring the Change Process Capability Questionnaire Strategies Items: Current Plan National Evaluation Team May 1, 2017 2 Introduction The RFA from AHRQ for EvidenceNOW: http://grants.nih.gov/grants/guide/rfa-files/RFA-HS-14-008.html described the required measures of practice…
  10. psnet.ahrq.gov/web-mm/pain-relief-risk-case-suspected-opioid-overdose-pediatric-patient
    October 04, 2023 - From Pain Relief to Risk: A Case of Suspected Opioid Overdose in a Pediatric Patient Citation Text: Markham K, Usui M, Smith C. From Pain Relief to Risk: A Case of Suspected Opioid Overdose in a Pediatric Patient. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of…
  11. psnet.ahrq.gov/primer/deprescribing-patient-safety-strategy
    December 15, 2024 - Deprescribing as a Patient Safety Strategy Citation Text: Takhar S, Nelson N. Deprescribing as a Patient Safety Strategy. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2021. Copy Citation Format: Google Scholar BibTeX …
  12. psnet.ahrq.gov/web-mm/weight-and-height-juxtaposition-electronic-medical-record-causing-accidental-medication
    March 15, 2023 - Weight and Height Juxtaposition in the Electronic Medical Record Causing an Accidental Medication Overdose Citation Text: Jain NP, Dakwa D. Weight and Height Juxtaposition in the Electronic Medical Record Causing an Accidental Medication Overdose. PSNet [internet]. Rockville (MD): Agency for Healthcare Rese…
  13. www.ahrq.gov/ncepcr/tools/confid-report/physfeedback.html
    February 01, 2016 - Confidential Physician Feedback Reports: Designing for Optimal Impact on Performance Part One: Physician Feedback Report Fundamentals Previous Page Next Page Table of Contents Confidential Physician Feedback Reports: Designing for Optimal Impact on Performance Foreword Introduction Part One: P…
  14. www.ahrq.gov/hai/tools/mvp/modules/cusp/forming-cusp-team-fac-guide.html
    February 01, 2017 - Forming a Comprehensive Unit-based Safety Program Team: Facilitator Guide AHRQ Safety Program for Mechanically Ventilated Patients Slide 1: Forming a Comprehensive Unit-based Safety Program Team Say: Today, we will briefly revisit the key concepts of the Comprehensive Unit-based Safety Program or CUSP. …
  15. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/forming-cuspteam-facguide.docx
    January 01, 2017 - Facilitator Guide: Build Your SSI Prevention Bundle Slide Title and Commentary Slide Number and Slide Title Slide Forming a Comprehensive Unit-based Safety Program Team SAY: Today, we will briefly revisit the key concepts of the Comprehensive Unit-based Safety Program or CUSP. Then, we will dive into a focused di…
  16. www.ahrq.gov/hai/cauti-tools/archived-webinars/building-team-process-slides.html
    December 01, 2017 - Building a Team and Process to Reduce CAUTI Risk Slide Presentation Slide 1 Mohamad Fakih, MD, MPH Professor of Medicine Wayne State University School of Medicine Medical Director, Infection Prevention and Control St. John Hospital and Medical Center Barbara Lucas, MD, MHSA Project Consultant Mich…
  17. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/sustainability/sustaining-guide.pdf
    March 01, 2017 - Guide to Sustaining a Program To Reduce Catheter-Associated Urinary Tract Infections in Long-Term Care AHRQ Safety Program for Long-Term Care: HAIs/CAUTI Guide to Sustaining a Program To Reduce Catheter-Associated Urinary Tract Infections in Long-Term Care AHRQ Public…
  18. 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 …
  19. www.ahrq.gov/sites/default/files/2024-02/whitney-report.pdf
    January 01, 2024 - Final Progress Report: A new approach to the allocation of decisional authority FINAL REPORT A new approach to the allocation of decisional authority Simon Whitney, MD, JD, Principal Investigator Team members Robert Volk, PhD, vice chair for research, Baylor College of Medicine, Department of Family …
  20. www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2014chartbooks/hispanichealth/2014nhqdr-hispanichealth-pt1.pdf
    October 01, 2015 - QDR 2014: Chartbook for Hispanic Health Care, Part 1 Agency for Healthcare Research and Quality Advancing Excellence in Health Care www.ahrq.gov 2014 National Healthcare Quality and Disparities Report CHARTBOOK ON HEALTH CARE FOR HISPANICS This document is in the public domain and may be used and reprinte…