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5081. Appendix B: Risk Assessment Models, Protocols, and Order Sets (continued) | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/vtguide/appb2.html
      January 01, 2020 - Preventing Hospital-Associated Venous Thromboembolism Appendix B: Risk Assessment Models, Protocols, and Order Sets (continued) Previous Page Next Page Table of Contents Preventing Hospital-Associated Venous Thromboembolism Preface Executive Summary Chapter 1. The Framework for Improvement C…

5082. Improving Communication and Teamwork in the Surgical Environment Module | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/training-tools/improving-slides.html
      October 01, 2020 - Improving Communication and Teamwork in the Surgical Environment Module Slide 1: Improving Communication and Teamwork in the Surgical Environment Module Slide 2: Image: The objectives are listed as a series of ascending steps: Describe teamwork and communication issues in the surgical environment, Ap…

5083. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33594/psn-pdf
      November 18, 2021 - Debriefing for Clinical Learning November 18, 2021 Edwards JJ, Wexner S, Nichols A. Debriefing for Clinical Learning. PSNet [internet]. 2021. https://psnet.ahrq.gov/primer/debriefing-clinical-learning Updated in September 2021. Originally published in December 2011 by researchers at the University of California, S…

5084. A National Web Conference on Transitions in Care (pdf file)
      digital.ahrq.gov/sites/default/files/docs/2010-02-24%20Transitions%20In%20Care%20(4).pdf
      January 01, 2010 - A National Web Conference on Transitions in Care Managing Patient Care Transitions: How Health IT  Can Reduce Unnecessary Re‐Hospitalization February 24, 2010 Presenters:  Stephen Jencks Independent Consultant In Health Care Safety  Brian Jack Department of Family Medicine at Boston University School of  …

5085. Physical Diagnosis: A Lost Art? | PSNet
      psnet.ahrq.gov/web-mm/physical-diagnosis-lost-art
      January 17, 2018 - SPOTLIGHT CASE Physical Diagnosis: A Lost Art? Citation Text: Thompson GR, Verghese A. Physical Diagnosis: A Lost Art?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2006. Copy Citation Format: Google Schola…

5086. Impatient Inpatient Dosing | PSNet
      psnet.ahrq.gov/web-mm/impatient-inpatient-dosing
      June 24, 2020 - SPOTLIGHT CASE Impatient Inpatient Dosing Citation Text: White RH. Impatient Inpatient Dosing. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2005. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML E…

5087. Pregnant With Danger | PSNet
      psnet.ahrq.gov/web-mm/pregnant-danger
      January 12, 2011 - Pregnant With Danger Citation Text: Pearlman MD, Desmond JS. Pregnant With Danger. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2005. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote ta…

5088. Project BOOST Increases Patient Understanding of Treatment and Follow-up Care | PSNet
      psnet.ahrq.gov/innovation/project-boost-increases-patient-understanding-treatment-and-follow-care
      February 26, 2025 - Project BOOST Increases Patient Understanding of Treatment and Follow-up Care Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL May 26, 2021 Innovation Contact …

5089. Health-IT generated PROs to Improve Outcomes in Cirrhosis - Final Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/citation/r01hs025412-bajaj-final-report-2024.pdf
      January 01, 2024 - Health-IT generated PROs to Improve Outcomes in Cirrhosis - Final Report Health-IT generated PROs to Improve Outcomes in Cirrhosis PI: Jasmohan S Bajaj, MD Subsites: Mayo Clinic, Rochester, CITI US Corporation, and Richmond Institute for Veterans Research at the …

5090. False Assumptions Result in a Missed Pneumothorax after Bronchoscopy with Transbronchial Biopsy. | PSNet
      psnet.ahrq.gov/web-mm/false-assumptions-result-missed-pneumothorax-after-bronchoscopy-transbronchial-biopsy
      March 15, 2023 - SPOTLIGHT CASE False Assumptions Result in a Missed Pneumothorax after Bronchoscopy with Transbronchial Biopsy. Citation Text: Kuhn BT, Chau-Etchepare F. False Assumptions Result in a Missed Pneumothorax after Bronchoscopy with Transbronchial Biopsy.. PSNet [internet]. Rockville (MD): Agency for …

5091. Open wider: Failure to use an interpreter results in fractured teeth and hypoxia during a simple elective operation. | PSNet
      psnet.ahrq.gov/web-mm/open-wider-failure-use-interpreter-results-fractured-teeth-and-hypoxia-during-simple
      January 29, 2021 - Open wider: Failure to use an interpreter results in fractured teeth and hypoxia during a simple elective operation. Citation Text: Bohringer C, Godoy L. Open wider: Failure to use an interpreter results in fractured teeth and hypoxia during a simple elective operation.. PSNet [internet]. Rockville (MD): Ag…

5092. 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…

5093. From Quality Measures to Quality Care: Examples of Quality Improvement at Work | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/quality-measures/21st-century/challenges.html
      June 01, 2018 - The Challenge and Potential for Assuring Quality Health Care for the 21st Century From Quality Measures to Quality Care: Examples of Quality Improvement at Work Previous Page Next Page Table of Contents The Challenge and Potential for Assuring Quality Health Care for the 21st Century From Quality …

5094. A National Conference on the Role of Health IT to Improve Medication Management - Q&A (pdf file)
      digital.ahrq.gov/sites/default/files/docs/improve-medication-management-qa-091318.pdf
      September 13, 2018 - A National Conference on the Role of Health IT to Improve Medication Management - Q&A Dr. Farris: Dr. Schnipper: …

5095. Patient Safety Organizations: A Summary of 2014 Profiles (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/npsd/npsd-portfolios-summary-profile-2014.pdf
      January 01, 2014 - Patient Safety Organizations: A Summary of 2014 Profiles Patient Safety Organizations: A Summary of 2014 Profiles The safety of patients in health care settings remains a national priority and an important challenge. The Patient Safety Organization (PSO) program, which was authorized by the Patient Safety and Qu…

5096. Diagnostic Safety Resource List (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/diagnostic-safety-resources.pdf
      May 01, 2023 - Diagnostic Safety Resource List Improving Diagnostic Safety in Medical Offices: A Resource List for Users of the AHRQ Diagnostic Safety Supplemental Item Set I. Purpose This document provides a list of references to websites and other publicly available resources that medical offices can use to improve the ex…

5097. Executive Summary | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/candor/demo-program/grants/summary.html
      August 01, 2022 - Demonstration Grants Final Evaluation Report Executive Summary Previous Page Next Page Table of Contents Demonstration Grants Final Evaluation Report Executive Summary Detailed Findings Evaluation Issues Contributions to Patient Safety and Medical Liability Lessons Learned From Implement…

5098. Stakeholder Community and Outreach Center: Operational Framework – Option Year 2 (pdf file)
      cdsic.ahrq.gov/sites/default/files/2024-12/OY2_Final%20Stakeholder%20Center%20Operational%20Framework.pdf
      January 01, 2024 - Stakeholder Community and Outreach Center: Operational Framework – Option Year 2 Stakeholder Community and Outreach Center: Operational Framework – Option Year 2 Agency for Healthcare Research and Quality 5600 Fishers Lane Rockville, MD 20857 www.ahrq.gov Contract No: 75Q80120D0001…

5099. Transfusion Overload | PSNet
      psnet.ahrq.gov/web-mm/transfusion-overload
      September 23, 2020 - SPOTLIGHT CASE Transfusion Overload Citation Text: Patel MS, Carson JL. Transfusion Overload. 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 En…

5100. 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
      April 27, 2022 - 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):…