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  1. psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.359_slideshow.ppt
    October 01, 2015 - PowerPoint Presentation Spotlight The Risks of Absent Interoperability: Medication-Induced Hemolysis in a Patient With a Known Allergy 1 This presentation is based on the October 2015 AHRQ WebM&M Spotlight Case See the full article at https://psnet.ahrq.gov/ CME credit is available Commentary by: Jacob Reider,…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60653/psn-pdf
    April 25, 2020 - Health Care Delivery and Pharmacists During the COVID- 19 Pandemic June 29, 2020 Dopp AL, Fitall E, Hall KK, et al. Health Care Delivery and Pharmacists During the COVID-19 Pandemic. PSNet [internet]. 2020. https://psnet.ahrq.gov/perspective/health-care-delivery-and-pharmacists-during-covid-19-pandemic Medication…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49827/psn-pdf
    April 01, 2018 - Walking Patient, Missing Drain April 1, 2018 Olkowski BF, Ravenel M, Stiefel MF. Walking Patient, Missing Drain. PSNet [internet]. 2018. https://psnet.ahrq.gov/web-mm/walking-patient-missing-drain The Case A 43-year-old woman with a history of metastatic breast cancer was admitted to the hospital for an elective …
  4. psnet.ahrq.gov/web-mm/hemolysis-holdup
    July 03, 2016 - Hemolysis Holdup Citation Text: Lehman CM. Hemolysis Holdup. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33727/psn-pdf
    March 01, 2012 - Can Research Help Us Improve the Medical Liability System? March 1, 2012 Kachalia A. Can Research Help Us Improve the Medical Liability System? PSNet [internet]. 2012. https://psnet.ahrq.gov/perspective/can-research-help-us-improve-medical-liability-system Perspective The United States medical malpractice liabili…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49623/psn-pdf
    March 01, 2011 - Are We Pushing Graduate Nurses Too Fast? March 1, 2011 Spector ND. Are We Pushing Graduate Nurses Too Fast? . PSNet [internet]. 2011. https://psnet.ahrq.gov/web-mm/are-we-pushing-graduate-nurses-too-fast The Case A middle-aged man was admitted to the surgical intensive care unit (SICU) following a complex surgical…
  7. www.ahrq.gov/sites/default/files/wysiwyg/NQS_overview_slides-2017.pdf
    January 01, 2017 - National Quality Strategy National Quality Strategy Overview January 2017 Each slide includes notes that you can access by selecting “View” and then “Notes Page” in PowerPoint. Please delete this text box before using or presenting. Background on the National Quality Strategy • Established to improve the deliv…
  8. www.ahrq.gov/sites/default/files/wysiwyg/topics/dx-safety-workgroup-meeting-notes-mar2023.pdf
    July 14, 2023 - Federal Interagency Workgroup: Improving Diagnostic Safety and Quality in Healthcare Federal Interagency Workgroup: Improving Diagnostic Safety and Quality in Healthcare March Meeting Summary Workgroup Goal: Established in response to Senate Report 115-150. The Senate Committee on Appropriations requested “AHRQ t…
  9. digital.ahrq.gov/sites/default/files/docs/publication/r18hs017157-carrow-final-report-2012.pdf
    January 01, 2012 - The study protocol was approved by the Institutional Review Boards of Brandeis University, Berkshire … eRx Forum, Waltham, MA, September 27, 2007, Grant Carrow Massachusetts Department of Public Health, Institutional
  10. www.ahrq.gov/evidencenow/projects/heart-health/research-results/research/chart-abstraction-template-hypertension.html
    March 01, 2021 - EvidenceNOW: Chart Abstraction Template - Hypertension Oklahoma Cooperative Resource: Chart Abstraction Template—Hypertension Controlling Blood Pressure (Excel, 20.33 KB, 2 pages) This template was used by an EvidenceNOW Cooperative to conduct chart abstractions for hypertension. Institution of origin:…
  11. www.ahrq.gov/evidencenow/projects/heart-health/research-results/research/chart-abstraction-instructions-hypertension.html
    March 01, 2021 - EvidenceNOW: Chart Abstraction Instructions - Hypertension Oklahoma Cooperative Resource: EvidenceNOW: Chart Abstraction Instructions—Hypertension (PDF, 299.65 KB, 3 pages) This document provides an example of how an EvidenceNOW Cooperative conducted chart abstractions for hypertension. Institution of …
  12. www.ahrq.gov/patient-safety/settings/hospital/candor/videos/disclosure.html
    August 01, 2022 - Disclosure Conversation with Family: Video AHRQ Communication and Optimal Resolution Toolkit Communication and Optimal Resolution (CANDOR) is a process that health care institutions and practitioners can use to respond in a timely, thorough, and just way when unexpected events cause patient harm. This video d…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38560/psn-pdf
    July 05, 2013 - Safe Surgery Saves Lives. July 5, 2013 Canadian Patient Safety Institute; CPSI. https://psnet.ahrq.gov/issue/safe-surgery-saves-lives This site supports the effort to adopt the World Alliance for Patient Safety surgical checklist program in Canada. https://psnet.ahrq.gov/issue/safe-surgery-saves-lives https://psn…
  14. www.ahrq.gov/patient-safety/settings/hospital/candor/videos/notification.html
    August 01, 2022 - Notification of Adverse Event: Video AHRQ Communication and Optimal Resolution Toolkit Communication and Optimal Resolution (CANDOR) is a process that health care institutions and practitioners can use to respond in a timely, thorough, and just way when unexpected events cause patient harm. This video demonst…
  15. www.ahrq.gov/patient-safety/settings/hospital/candor/videos/conversation.html
    August 01, 2022 - Conversation with Family: Video AHRQ Communication and Optimal Resolution Toolkit Communication and Optimal Resolution (CANDOR) is a process that health care institutions and practitioners can use to respond in a timely, thorough, and just way when unexpected events cause patient harm. This video demonstrates…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35589/psn-pdf
    June 17, 2010 - Health for life. Keys to safer hospitals. June 17, 2010 Berwick DM. Health for life. 6 keys to safer hospitals. Newsweek. 2005;146(24):76-8. https://psnet.ahrq.gov/issue/health-life-keys-safer-hospitals Institute for Healthcare Improvement President Don Berwick summarizes the six improvement measures of the 100K L…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38342/psn-pdf
    September 08, 2022 - Consumermedsafety.org September 8, 2022 Institute for Safe Medication Practices; 5200 Butler Pike, Plymouth Meeting, PA 19462. https://psnet.ahrq.gov/issue/consumermedsafetyorg This redesigned Web site provides information about drug safety alerts and allows consumers to help report and prevent medication errors. …
  18. www.ahrq.gov/evidencenow/projects/heart-health/research-results/research/survey-codebook-demographics.html
    March 01, 2021 - EvidenceNOW: Practice Survey Codebook, Demographics Oregon Cooperative Resource: Practice Survey Code Book: Practice Demographics (PDF, 452 KB, 10 pages) This code book was used by the national evaluators to code each cooperative's baseline practice survey. Institution of origin: Oregon Health & Scienc…
  19. www.ahrq.gov/evidencenow/projects/heart-health/research-results/research/implementation-tracking-sw.html
    March 01, 2021 - EvidenceNOW: Implementation Tracking Form Southwest Cooperative Resource: Implementation Tracking Note—Southwest Cooperative (PDF, 363.33 KB, 2 pages) This intervention tracking form used by an EvidenceNOW Cooperative's staff quarterly to document the implementation of the initiative. Institution of or…
  20. www.ahrq.gov/evidencenow/projects/heart-health/research-results/research/recruitment-flyer-generic-ny.html
    March 01, 2021 - EvidenceNOW: Recruitment Flyer Northwest Cooperative Resource: Recruitment Flyer—Northwest Cooperative (PDF, 494.7 KB, 1 page) This document provides an example of an EvidenceNOW Cooperative's recruitment flyer. Institution of Origin: New York University School of Medicine Permissions: Used with th…