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  1. Final Progress Report: Crossing an Invisible Quality Chasm: From NICU to Ambulatory Care (pdf file)

    www.ahrq.gov/sites/default/files/2024-12/moyer-report.pdf
    January 01, 2024 - Final Progress Report: Crossing an Invisible Quality Chasm: From NICU to Ambulatory Care AHRQ Grant Final Progress Report Title: Crossing An Invisible Quality Chasm: From NICU to Ambulatory Care Principal Investigator: Virginia A. Moyer, MD, MPH Team Members: Papile, Lucille A., MD, Co-Investigator Guillory, Char…

  2. Safe Medication Administration: Facilitator Guide | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/medication/safe-medication-fac-guide.html
    July 01, 2023 - Safe Medication Administration: Facilitator Guide AHRQ Safety Program for Perinatal Care Slide 1: Safe Medication Administration Say: The Safe Medication Administration bundle provides information on high-alert medications commonly used in labor and delivery (L&D) units, and discusses the importance of …

  3. Safemed Facguide (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/medication/safemed_facguide.docx
    May 01, 2017 - AHRQ Safety Program for Perinatal Care Safe Medication Administration Safe Medication Administration SAY: The Safe Medication Administration bundle provides information on high-alert medications commonly used in labor and delivery (L&D) units, and discusses the importance of implementing safeguards for their administ…

  4. Head of Bed Elevation or Semirecumbent Positioning Literature Review | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/tools/mvp/modules/technical/head-bed-elevation-lit-review.html
    January 01, 2017 - Head of Bed Elevation or Semirecumbent Positioning Literature Review AHRQ Safety Program for Mechanically Ventilated Patients Summary The elevation of the head of bed (HOB) to a semirecumbent position (at least 30 degrees) is associated with a decreased incidence of aspiration and ventilator-ass…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49738/psn-pdf
    August 21, 2015 - Privacy or Safety? August 21, 2015 Halamka JD, McGraw D. Privacy or Safety? PSNet [internet]. 2015. https://psnet.ahrq.gov/web-mm/privacy-or-safety Case Objectives Understand that the HIPAA Omnibus Rule is an enabler of data sharing, not a barrier. Review common misconceptions about privacy rules. Understand the…

  6. Hemorrhagic Shock after Elective Spine Surgery: Failure to Rescue after Limited Response to Nursing Concerns. | PSNet

    psnet.ahrq.gov/web-mm/hemorrhagic-shock-after-elective-spine-surgery-failure-rescue-after-limited-response-nursing
    October 31, 2023 - SPOTLIGHT CASE Hemorrhagic Shock after Elective Spine Surgery: Failure to Rescue after Limited Response to Nursing Concerns. Citation Text: Zakaluzny S. Hemorrhagic Shock after Elective Spine Surgery: Failure to Rescue after Limited Response to Nursing Concerns.. PSNet [internet]. Rockville (MD):…

  7. Medication Safety Events Related to Diagnostic Imaging | PSNet

    psnet.ahrq.gov/web-mm/medication-safety-events-related-diagnostic-imaging
    January 26, 2022 - Medication Safety Events Related to Diagnostic Imaging Citation Text: Sanchez L, Porras H, Lammers C. Medication Safety Events Related to Diagnostic Imaging. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2022. Copy Citation Fo…

  8. Exploring How Artificial Intelligence (AI) Can Enhance Patient-Centered Clinical Decision Support | CDSiC

    cdsic.ahrq.gov/cdsic/AI-viewpoint
    February 25, 2025 - : Skip to main content HHS.gov Menu Main navigation CDS Home CDS Innovation Collaborative An official website of the Department of Health & Human Services …

  9. 1. Are we ready for this change? | Agency for Healthcare Research and Quality

    www.ahrq.gov/es/patient-safety/settings/hospital/resource/pressureulcer/tool/pu1.html
    October 01, 2014 - Preventing Pressure Ulcers in Hospitals 1. Are we ready for this change? Previous Page Next Page Table of Contents Preventing Pressure Ulcers in Hospitals Overview Key Subject Area Index 1. Are we ready for this change? 2. How will we manage change? 3. What are the best practices in pressu…

  10. Having a Breast Biopsy: A Review of the Research for Women and Their Families (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/pdf/breast-biopsy-update_espanol.pdf
    February 01, 2017 - Having a Breast Biopsy: A Review of the Research for Women and Their Families e Si tiene que hacerse una biopsia del seno: Revisión de las investigaciones para mujeres y sus familias � ¿Es esta información apropiada para mí? Esta información es apropiada para usted si: � Es mujer. La información de este r…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33607/psn-pdf
    September 27, 2022 - Burnout September 27, 2022 Yellowlees P, Rea M. Burnout. PSNet [internet]. 2022. https://psnet.ahrq.gov/primer/burnout Originally published in December 2011 by researchers at the University of California, San Francisco. Updated in September 2022 by Peter Yellowlees, MD and Margaret Rea, PhD. PSNet primers are regu…

  12. Peripheral IV in Too Long | PSNet

    psnet.ahrq.gov/web-mm/peripheral-iv-too-long
    September 15, 2011 - SPOTLIGHT CASE Peripheral IV in Too Long Citation Text: Fang C-T. Peripheral IV in Too Long. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2012. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML End…

  13. Final Progress Report: Improving the safety of pediatric tracheal intubation in ICUs with apneic oxygenation and video laryngoscopes (pdf file)

    www.ahrq.gov/sites/default/files/2025-06/nishisaki3-report.pdf
    January 01, 2025 - Final Progress Report: Improving the safety of pediatric tracheal intubation in ICUs with apneic oxygenation and video laryngoscopes Title: Improving the safety of pediatric tracheal intubation in ICUs with apneic oxygenation and video laryngoscopes Principal Investigator: Akira Nishisaki, MD, MSCE Co-Investigator…

  14. Measuring and Benchmarking Clinical Performance (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-13-measuring-and-benchmarking.pdf
    September 01, 2015 - Measuring and Benchmarking Clinical Performance Primary Care Practice Facilitation Curriculum Module 13: Measuring and Benchmarking Clinical Performance Agency for Healthcare Research and Quality Advancing Excellence in Health Care www.ahrq.gov …

  15. In Conversation With… Rebecca Lawton, PhD | PSNet

    psnet.ahrq.gov/perspective/conversation-rebecca-lawton-phd
    March 24, 2025 - In Conversation With… Rebecca Lawton, PhD September 1, 2018  Citation Text: In Conversation With… Rebecca Lawton, PhD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2018. Copy Citation …

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49786/psn-pdf
    March 01, 2017 - Consequences of Medical Overuse March 1, 2017 Morgan DJ, Foy AJ. Consequences of Medical Overuse. PSNet [internet]. 2017. https://psnet.ahrq.gov/web-mm/consequences-medical-overuse Case Objectives Define overuse and overdiagnosis. State how much of all care is estimated to be overuse. Describe why the likelihood…

  17. Guide to Sustainability Planning: Long-Term Care Facilities (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/sustainability-plan.pdf
    June 01, 2021 - Guide to Sustainability Planning: Long-Term Care Facilities AHRQ Safety Program for Improving Antibiotic Use Guide to Sustainability Planning: Long-Term Care Facilities Sustainability Planning 2 AHRQ Safety Program for Improving Antibiotic Use – Long-Term Care Introduction Johns Hopkins Medicine and NOR…

  18. Medication Errors in Retail Pharmacies: Wrong Patient, Wrong Instructions. | PSNet

    psnet.ahrq.gov/web-mm/medication-errors-retail-pharmacies-wrong-patient-wrong-instructions
    March 19, 2019 - Medication Errors in Retail Pharmacies: Wrong Patient, Wrong Instructions. Citation Text: Li C, Marquez K. Medication Errors in Retail Pharmacies: Wrong Patient, Wrong Instructions.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 202…

  19. The Safety and Quality of Long Term Care | PSNet

    psnet.ahrq.gov/web-mm/safety-and-quality-long-term-care
    January 01, 2016 - SPOTLIGHT CASE The Safety and Quality of Long Term Care Citation Text: Vogelsmeier AA. The Safety and Quality of Long Term Care. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2011. Copy Citation Format: Goog…

  20. Unexplained Apnea Under Anesthesia | PSNet

    psnet.ahrq.gov/web-mm/unexplained-apnea-under-anesthesia
    December 01, 2005 - SPOTLIGHT CASE Unexplained Apnea Under Anesthesia Citation Text: Barach P. Unexplained Apnea Under Anesthesia. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2003. Copy Citation Format: Google Scholar BibTeX …
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