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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47658/psn-pdf
    December 12, 2018 - Heartbroken. December 12, 2018 McGrory K, Bedi N. Tampa Bay Times. November 28, 2018. https://psnet.ahrq.gov/issue/heartbroken Pediatric cardiac surgery is a high-risk practice. This news investigation reports on a series of serious patient safety incidents at a health care institute dedicated to treating heart pr…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41165/psn-pdf
    December 08, 2016 - IHI Open School Patient Safety Curriculum December 8, 2016 Institute for Healthcare Improvement. https://psnet.ahrq.gov/issue/patient-safety-curriculum-2nd-edition There is a documented interest in postgraduate professional education that enables practicing clinicians to improve the safety of their actions and beh…

  3. Podcast: Building Your Business Case for Your Quality Improvement Project | Agency for Healthcare Research and Quality

    www.ahrq.gov/evidencenow/tools/podcast-business-case.html
    February 01, 2025 - Podcast: Building Your Business Case for Your Quality Improvement Project Resource: Building Your Business Case for Your Quality Improvement Project: Why It's Important (mp3, 32:16 minutes) In this podcast, Jim Campbell, MD, explores practical tools for implementing quality improvement activities and creati…

  4. Clinical Recommendation: Statins in Primary Prevention of CVD | Agency for Healthcare Research and Quality

    www.ahrq.gov/evidencenow/heart-health/cholesterol/uspstf.html
    September 01, 2018 - Clinical Recommendation: Statins in Primary Prevention of CVD Resource title: Statin Use for the Primary Prevention of Cardiovascular Disease in Adults: Preventive Medication: The U.S. Preventive Services Task Force Recommendation Resource description: This clinical recommendation summarizes the use of stat…

  5. Strategies to Better Manage Lipids—Statin Pearls | Agency for Healthcare Research and Quality

    www.ahrq.gov/evidencenow/heart-health/cholesterol/statins.html
    September 01, 2018 - Strategies to Better Manage Lipids—Statin Pearls Resource title: Strategies to Better Manage Lipids—Statin Pearls Resource description: This slide deck and transcript of a 20-minute video with a family physician at Virginia Commonwealth University reviews current recommendations for the use of statins in lo…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36860/psn-pdf
    January 20, 2016 - IHI Global Trigger Tool for Measuring Adverse Events. 2nd Edition. January 20, 2016 Griffin FA, Resar RK. IHI Innovation Series white paper. Cambridge, MA: Institute for Healthcare Improvement; 2009. https://psnet.ahrq.gov/issue/ihi-global-trigger-tool-measuring-adverse-events-2nd-edition This white paper describ…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865570/psn-pdf
    April 10, 2024 - Risk Mitigation Using the Anesthesia Risk Alert Program: Applying a Proactive Approach With Data Review & Collaborating With a Second Practitioner April 10, 2024 https://psnet.ahrq.gov/innovation/risk-mitigation-using-anesthesia-risk-alert-program-applying-proactive- approach-data Summary North American Partners…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49853/psn-pdf
    February 01, 2019 - Adverse Event During Intrahospital Transport February 1, 2019 Bergman L, Chaboyer W. Adverse Event During Intrahospital Transport. PSNet [internet]. 2019. https://psnet.ahrq.gov/web-mm/adverse-event-during-intrahospital-transport The Case A 4-year-old boy underwent surgery under general anesthesia for correction o…

  9. Adverse Events Associated with COVID-19 Pharmaceutical Treatments (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/related_files/COVID-19-pharmaceutical-treatments.pdf
    December 23, 2023 - Adverse Events Associated with COVID-19 Pharmaceutical Treatments Evidence-based Practice Center Rapid Review Protocol Project Title: Adverse Events Associated with COVID-19 Pharmaceutical Treatments I. Background and Objectives for the Systematic Review The Public Readiness and Emergency Preparedness A…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49465/psn-pdf
    December 22, 2021 - Electronic Err October 1, 2004 Tang PC. Electronic Err. PSNet [internet]. 2004. https://psnet.ahrq.gov/web-mm/electronic-err The Case A 75-year-old woman with coronary artery disease presented to the emergency department (ED) with chest pain that that had not responded to three sublingual nitroglycerin tablets at…

  11. Final Progress Report: Four Safety Strategies: A Symposium on Implementation (pdf file)

    www.ahrq.gov/sites/default/files/2024-02/pittman-report.pdf
    January 01, 2024 - Final Progress Report: Four Safety Strategies: A Symposium on Implementation Four Safety Strategies: A Symposium on Implementation Principal Investigator: Mary A. Pittman, Dr.P.H. Project Team: Allan Frankel, M.D., Partners HealthCare System Tejal Gandhi, M.D., Brigham & Women’s Hospital Sarah Grillo Peter…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49616/psn-pdf
    December 01, 2010 - Milliliters vs. Milligrams December 1, 2010 Poole RL, Dixon T. Milliliters vs. Milligrams. PSNet [internet]. 2010. https://psnet.ahrq.gov/web-mm/milliliters-vs-milligrams The Case   A 32-year-old man was admitted to the hospital after a vehicle collision and multiple traumatic injuries. His evaluation showed acu…

  13. Overview | Agency for Healthcare Research and Quality

    www.ahrq.gov/pqmp/implementation-qi/toolkit/tcd/overview.html
    August 01, 2021 - Transcranial Doppler Ultrasonography (TCD) Screening Among Children with Sickle Cell Anemia Toolkit Overview Previous Page Next Page Table of Contents Transcranial Doppler Ultrasonography (TCD) Screening Among Children with Sickle Cell Anemia Toolkit Introduction Overview About the Measure K…

  14. AHRQ Webinar: Transforming Guidelines Into Action: Clinical Decision Support at the Point of Care - Q&As (pdf file)

    digital.ahrq.gov/sites/default/files/docs/transforming-guidelines-action-qas-06152023.pdf
    June 15, 2023 - AHRQ Webinar: Transforming Guidelines Into Action: Clinical Decision Support at the Point of Care - Q&As AHRQ National Webin…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45624/psn-pdf
    November 02, 2016 - Addressing the Opioid Crisis in the United States. November 2, 2016 Martin L, Laderman M, Hyatt J, Krueger J. Cambridge, MA: Institute for Healthcare Improvement; April 2016. https://psnet.ahrq.gov/issue/addressing-opioid-crisis-united-states Misuse of opioid medications is currently a serious patient safety conce…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43328/psn-pdf
    August 20, 2018 - Safety Quality and Informatics Leadership Program. August 20, 2018 Harvard Medical School, Boston, MA https://psnet.ahrq.gov/issue/safety-quality-and-informatics-leadership-program The Institute of Medicine's learning health system concept serves as the foundation for this year-long curriculum covering how to appl…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47966/psn-pdf
    May 29, 2019 - Patient Safety Essentials Toolkit. May 29, 2019 Boston, MA: Institute for Healthcare Improvement; 2019. https://psnet.ahrq.gov/issue/patient-safety-essentials-toolkit This toolkit provides access to nine key tools to help organizations improve teamwork, incident analysis, and communication as well as templates to …

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44917/psn-pdf
    November 30, 2016 - Canadian Incident Analysis Framework. November 30, 2016 Incident Analysis Collaborating Parties. Edmonton, AB: Canadian Patient Safety Institute; 2012. ISBN: 9781926541440. https://psnet.ahrq.gov/issue/canadian-incident-analysis-framework Performing incident analysis can help organizations understand why adverse e…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35283/psn-pdf
    July 14, 2010 - Hospitalists as emerging leaders in patient safety: targeting a few to affect many. July 14, 2010 Flanders SA, Kaufman SR, Saint S, et al. Hospitalists as emerging leaders in patient safety: targeting a few to affect many. J Patient Saf. 2005;1(2):78-82. doi:10.1097/pts.0b013e31819751f2. https://psnet.ahrq.gov/iss…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60189/psn-pdf
    April 01, 2020 - Eliminating Medication Overload: A National Action Plan. April 1, 2020 Working Group on Medication Overload. Brookline, MA: Lown Institute; 2020. https://psnet.ahrq.gov/issue/eliminating-medication-overload-national-action-plan Polypharmacy and medication overuse are known contributors to patient harm. This report …
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