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  1. In Conversation With... Jeffrey Shuren, MD, JD | PSNet

    psnet.ahrq.gov/perspective/conversation-jeffrey-shuren-md-jd
    May 28, 2020 - In Conversation With... Jeffrey Shuren, MD, JD May 28, 2020  Also Read the Essay Citation Text: In Conversation With.. Jeffrey Shuren, MD, JD. PSNet [internet]. 2020.In Conversation With... Jeffrey Shuren, MD, JD. PSNet [internet]. Rockville (MD): Agency for Healt…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60977/psn-pdf
    January 08, 2020 - Multiple Levels Involved in Prescribing the Wrong Medication September 30, 2020 Chin K, Chau V, Spero H, et al. Multiple Levels Involved in Prescribing the Wrong Medication. PSNet [internet]. 2020. https://psnet.ahrq.gov/web-mm/multiple-levels-involved-prescribing-wrong-medication The Case A 65-year-old woman co…

  3. Acs-Pci-Adjunctive-Devices Research-Protocol (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/pdf/acs-pci-adjunctive-devices_research-protocol.pdf
    July 01, 2010 - Source: www.effectivehealthcare.ahrq.gov Published Online: July 01, 2010 1 Evidence-based Practice Center Systematic Review Protocol Project Title: Comparative Effectiveness of Adjunctive Devices to Remove Thrombi or Protect Against Distal Embolization in Patients with Acute Coronary Syndrome Undergoing P…

  4. Electronic Records to Improve Care for Children (pdf file)

    digital.ahrq.gov/sites/default/files/docs/publication/uc1hs015420-shiffman-final-report-2007.pdf
    January 01, 2007 - Electronic Records to Improve Care for Children Grant Final Report Grant ID: UC1 HS015420 Electronic Records to Improve Care for Children Inclusive dates: 09/30/04 - 09/29/07 Principal Investigator: Richard N. Shiffman, MD, MCIS Team members: Alia Bazzy-Asaad Nancy Banasiak…

  5. In Conversation With… Vineet Arora, MD, MAPP | PSNet

    psnet.ahrq.gov/perspective/conversation-vineet-arora-md-mapp
    May 31, 2023 - In Conversation With… Vineet Arora, MD, MAPP September 1, 2015  Citation Text: In Conversation With… Vineet Arora, MD, MAPP. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2015. Copy Citatio…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838197/psn-pdf
    September 28, 2022 - Be Picky about your PICCs—Fragmented Care and Poor Communication at Discharge Leads to a PICC without a Plan. September 28, 2022 Marti CS, Reese SK, Brown-McManus M. Be Picky about your PICCs—Fragmented Care and Poor Communication at Discharge Leads to a PICC without a Plan. PSNet [internet]. 2022. https://psnet.…

  7. Psn-Pdf (pdf file)

    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…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49768/psn-pdf
    September 01, 2016 - A Pill Organizing Plight September 1, 2016 McGalliard B, Shane R, Rosen S. A Pill Organizing Plight. PSNet [internet]. 2016. https://psnet.ahrq.gov/web-mm/pill-organizing-plight Case Objectives Identify patients at high risk for adverse drug events. List drugs that are considered inappropriate in older patients. …

  9. Understand the Science of Safety | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/cusp/modules/understand/science-safety-notes.html
    July 01, 2018 - Understand the Science of Safety Facilitator Notes The Understand the Science of Safety module of the CUSP Toolkit discusses the importance of understanding system design, safe design principles, and valuing diverse input from team members. By analyzing patient safety as a science, frontline providers will pr…

  10. How are CHIPRA quality demonstration States using quality reports to drive health care improvements for children? | Agency for Healthcare Research and Quality

    www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/highlight11.html
    April 01, 2015 - How are CHIPRA quality demonstration States using quality reports to drive health care improvements for children? Evaluation Highlight No. 11 Authors: Grace Anglin and Mynti Hossain Contents Key Messages Background Findings Conclusion Implications Learn More Endnotes The CHIPRA Qua…

  11. Mental Health and Substance Abuse | Agency for Healthcare Research and Quality

    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 …

  12. Final Progress Report: Partnering With Patients To Find Adverse Events (pdf file)

    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…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33861/psn-pdf
    July 01, 2018 - In Conversation With… Gordon Schiff, MD July 1, 2018 In Conversation With… Gordon Schiff, MD. PSNet [internet]. 2018. https://psnet.ahrq.gov/perspective/conversation-gordon-schiff-md Editor's note: Dr. Schiff is Associate Director of Brigham and Women's Center for Patient Safety Research and Practice, Associate Pr…

  14. Labor and Delivery Unit Safety (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/labor-delivery-unit/ldusafety_facguide.pdf
    May 01, 2017 - Labor and Delivery Unit Safety AHRQ Safety Program for Perinatal Care Labor and Delivery Unit Safety AHRQ Publication No. 17-0003-21-EF May 2017 SAY: The “Labor and Delivery Unit Safety” bundle provides information on the key safety elements concerning four specific situations encountered in labor and deliv…

  15. Labor and Delivery Unit Safety: Slide Presentation | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/labor-delivery-unit/ldu-safety-slides.html
    July 01, 2023 - Labor and Delivery Unit Safety: Slide Presentation AHRQ Safety Program for Perinatal Care Slide 1: AHRQ Safety Program for Perinatal Care Labor and Delivery Unit Safety Slide 2: Learning Objectives Image: Three ascending steps show the learning objectives: Describe the rationale for the use of c…

  16. Improving Communication and Teamwork in the Surgical Environment

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/training-tools/improving/improving.pptx
    May 01, 2017 - Improving Communication and Teamwork in the Surgical Environment Improving Communication and Teamwork in the Surgical Environment Module AHRQ Safety Program for Ambulatory Surgery AHRQ Pub. No. 16(17)-0019-2-EF May 2017 Communication and Teamwork | ‹#› AHRQ Safety Program for Ambulatory Surgery 1 Objectives …

  17. Psn-Pdf (pdf file)

    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 …

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49849/psn-pdf
    January 01, 2019 - Spotlight: Mistaken Attribution, Diagnostic Misstep January 1, 2019 Kreider TR, Young JQ. Spotlight: Mistaken Attribution, Diagnostic Misstep. PSNet [internet]. 2019. https://psnet.ahrq.gov/web-mm/spotlight-mistaken-attribution-diagnostic-misstep Case Objectives List the patient safety events that are unique to in…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33791/psn-pdf
    September 01, 2015 - In Conversation With… Vineet Arora, MD, MAPP September 1, 2015 In Conversation With… Vineet Arora, MD, MAPP. PSNet [internet]. 2015. https://psnet.ahrq.gov/perspective/conversation-vineet-arora-md-mapp Editor's note: Vineet Arora, MD, MAPP, is Director of GME Clinical Learning Environment Innovation, Associate Pr…

  20. Module 4: Teamwork and Communication: Facilitator Notes | Agency for Healthcare Research and Quality

    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…
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