-
psnet.ahrq.gov/web-mm/updates-management-high-risk-pulmonary-embolism
December 02, 2020 - Updates in the Management of High-Risk Pulmonary Embolism
Citation Text:
Kabrhel C, Aaronson E. Updates in the Management of High-Risk Pulmonary Embolism. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
Copy Citation
Forma…
-
psnet.ahrq.gov/node/50841/psn-pdf
January 29, 2020 - “This is the wrong patient's blood!”: Evaluating a Near-
Miss Wrong Transfusion Event
January 29, 2020
Barnhard S. “This is the wrong patient's blood!”: Evaluating a Near-Miss Wrong Transfusion Event. PSNet
[internet]. 2020.
https://psnet.ahrq.gov/web-mm/wrong-patients-blood-evaluating-near-miss-wrong-transfusion-…
-
psnet.ahrq.gov/sites/default/files/2022-05/final_cme_reviewed_-_spotlight_missing_a_large_vessel_occlusion_stroke_04.14.2022_-_copy.pdf
January 01, 2022 - Spotlight
Spotlight
Missing a Large Vessel Occlusion Stroke in
a Patient with a History of Seizures
Source and Credits
• This presentation is based on the May 2022 AHRQ WebM&M
Spotlight Case
o See the full article at https://psnet.ahrq.gov/webmm
o CME credit is available
o Commentary by: Kevin Keenan, MD and D…
-
psnet.ahrq.gov/node/837215/psn-pdf
July 08, 2022 - Missing a Large Vessel Occlusion Stroke in a Patient with
a History of Seizures.
July 8, 2022
Keenan KJ, Nishijima DK. Missing a Large Vessel Occlusion Stroke in a Patient with a History of Seizures.
PSNet [internet]. 2022.
https://psnet.ahrq.gov/web-mm/missing-large-vessel-occlusion-stroke-patient-history-seizure…
-
psnet.ahrq.gov/node/49525/psn-pdf
December 01, 2006 - Hidden Heparins: HIT Happens
December 1, 2006
Fogarty PF. Hidden Heparins: HIT Happens. PSNet [internet]. 2006.
https://psnet.ahrq.gov/web-mm/hidden-heparins-hit-happens
Case Objectives
Review the presentation of heparin-induced thrombocytopenia (HIT) and its primary complication,
thrombosis.
Discuss the managem…
-
psnet.ahrq.gov/web-mm/all-history
February 28, 2011 - SPOTLIGHT CASE
All in the History
Citation Text:
Fee C. All in the History. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2009.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnot…
-
psnet.ahrq.gov/web-mm/sudden-collapse-during-upper-gastrointestinal-endoscopy-expect-unexpected
September 25, 2024 - Sudden Collapse During Upper Gastrointestinal Endoscopy: Expect the Unexpected
Citation Text:
Wieck M. Sudden Collapse During Upper Gastrointestinal Endoscopy: Expect the Unexpected. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 202…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Harney_89.pdf
May 01, 2007 - Clinical Impact of an Anticoagulation Screening Service at a Pediatric Tertiary Care Facility
Clinical Impact of an Anticoagulation Screening
Service at a Pediatric Tertiary Care Facility
Kathy M. Harney, MS, RN, PNP; Patricia A. Branowicki, MS, RN, CNAA;
Margaret McCabe, DNSc, RN, APRN, BC; Kathleen Houlahan, M…
-
effectivehealthcare.ahrq.gov/sites/default/files/related_files/rheumatoid-arthritis-medicine_executive.pdf
April 01, 2012 - 1
Comparative Effectiveness Review
Number 55
Drug Therapy for Rheumatoid Arthritis in
Adults: An Update
Executive Summary
Background
Rheumatoid arthritis (RA), which
affects 1.3 million adult Americans, is
an autoimmune disease that involves
inflammation of the synovium (a thin
layer of tissue lining a joint …
-
digital.ahrq.gov/sites/default/files/docs/publication/PreventiveCareHandbook_062912comp.pdf
June 01, 2012 - ● Incorporating the IPHR’s functionalities into other practice initiatives such as being a patient … ● Using the IPHR to assist in meeting Meaningful Use criteria or participating in other payer
initiatives
-
psnet.ahrq.gov/node/837808/psn-pdf
August 05, 2024 - Recognizing Excellence in Diagnosis: Recommended
Practices for Hospitals.
August 5, 2024
Washington, DC: Leapfrog Group; July 2024.
https://psnet.ahrq.gov/issue/recognizing-excellence-diagnosis-recommended-practices-hospitals
Diagnostic safety is beginning to be established as a systemic, rather than solely an ind…
-
psnet.ahrq.gov/node/60193/psn-pdf
July 01, 2022 - Improving Diagnosis and Treatment of Maternal Sepsis.
April 1, 2020
Stanford, CA; California Maternal Quality Care Collaborative: July 1, 2022.
https://psnet.ahrq.gov/issue/improving-diagnosis-and-treatment-maternal-sepsis
This toolkit focuses on identification of, and rapid response to, sepsis in obstetric p…
-
www.ahrq.gov/practiceimprovement/delivery-initiative/ihs/chap5tab13.html
December 01, 2017 - Table 13. Health coverage among adults with diabetes and/or cardiovascular disease. All project sites. Fiscal year 2010
ARRA Grants Initiative
Findings from a set of 16 grants on improving delivery systems and on spreading evidence-based practices through delivery systems; recommendations and methods for adva…
-
www.ahrq.gov/ncepcr/tools/transform-qi/facilitation/qi-kickoff-checklist.html
April 01, 2021 - Primary Care Quality Improvement (QI) Kick-off Meeting Checklist
Resource: Kick-Off Visit Checklist
This resource presents a checklist to help practice facilitators prepare for, conduct, and follow up after a meeting to kick-off a quality improvement project. Developed by the University of Oklahoma Health S…
-
www.ahrq.gov/ncepcr/tools/transform-qi/facilitation/qi-tracking.html
April 01, 2021 - Primary Care Quality Improvement (QI) Tracking Worksheet
Resource: Clinic Intervention Tracking Sheet
This quality improvement intervention tracking sheet helps primary care practices and practice facilitators assess and monitor efforts to improve heart health outcomes. Designed for tracking interventions u…
-
www.ahrq.gov/ncepcr/tools/transform-qi/facilitation/qi-report.html
April 01, 2021 - Primary Care Quality Improvement (QI) Progress Tracker: Template
Resource: Practice Progress Notes Template
This reporting template can be used by practice facilitators to track progress on goals and measures for quality improvement projects. It can help facilitators plan their own work and keep the primary…
-
digital.ahrq.gov/sites/default/files/docs/resource/Joanne_Pohl_IQHIT_Q1_Communications_Tracking_Tool.pdf
June 16, 2021 - Communications Tracking to Document Partnership Support
Communications Tracking to Document Partnership Support
1. Maintain log of phone and face to face communications:
Date
Communication
type (e.g.: Face
to face meeting,
conference call,
phone request)
Who present Initiated
by Length Key
agenda/…
-
psnet.ahrq.gov/node/35319/psn-pdf
September 14, 2005 - Perceived impact of duty hours limits on the
fragmentation of patient care: results from an academic
health center.
September 14, 2005
Keating RJ; LaRusso NF; Kolars JC.
https://psnet.ahrq.gov/issue/perceived-impact-duty-hours-limits-fragmentation-patient-care-results-
academic-health-center
The authors surveyed…
-
psnet.ahrq.gov/node/851068/psn-pdf
June 28, 2023 - Building a Culture of Safety in Health Care.
June 28, 2023
Chicago, IL: American Hospital Association: May 2023.
https://psnet.ahrq.gov/issue/building-culture-safety-health-care
Healthcare-acquired infections (HAIs) are a common complication of hospital care. This report summarizes
lessons learned at a series of i…
-
psnet.ahrq.gov/node/43864/psn-pdf
January 28, 2015 - Starter Kit for Alarm Fatigue.
January 28, 2015
National Association of Clinical Nurse Specialists; NACNS.
https://psnet.ahrq.gov/issue/starter-kit-alarm-fatigue
Alarm fatigue has been identified as a serious problem that affects the safety of nursing care. This toolkit
provides checklists, resources, and implemen…