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9881. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33717/psn-pdf
      September 01, 2011 - Incident Reporting: More Attention to the Safety Action Feedback Loop, Please September 1, 2011 Nuckols TK. Incident Reporting: More Attention to the Safety Action Feedback Loop, Please. PSNet [internet]. 2011. https://psnet.ahrq.gov/perspective/incident-reporting-more-attention-safety-action-feedback-loop-please …

9882. Spotlight
      psnet.ahrq.gov/sites/default/files/2024-06/spotlight_case_hemorrhagic_shock_slides_final.pptx
      January 01, 2024 - Spotlight Spotlight Hemorrhagic Shock after Elective Spine Surgery: Failure to Rescue after Limited Response to Nursing Concerns 1 Source and Credits This presentation is based on the July 2024 AHRQ WebM&M Spotlight Case See the full article at https://psnet.ahrq.gov/webmm  CME credit is available  Commentary …

9883. Poorly Advanced Directives | PSNet
      psnet.ahrq.gov/web-mm/poorly-advanced-directives
      August 01, 2018 - Poorly Advanced Directives Citation Text: Anderson WG. Poorly Advanced Directives. 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 EndNote 7 XML Endnote ta…

9884. No BP During NIBP | PSNet
      psnet.ahrq.gov/web-mm/no-bp-during-nibp
      March 01, 2011 - No BP During NIBP Citation Text: Görges M, Ansermino MJ. No BP During NIBP. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2014. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged Pu…

9885. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/865984/psn-pdf
      May 29, 2024 - Fatal Oversight: Misdiagnosis of Nocturnal Chest Pain with Elevated D-dimer. May 29, 2024 Agusala V, Deen J, Schaefer S. Fatal Oversight: Misdiagnosis of Nocturnal Chest Pain with Elevated D- dimer. PSNet [internet]. 2024. https://psnet.ahrq.gov/web-mm/fatal-oversight-misdiagnosis-nocturnal-chest-pain-elevated-d-d…

9886. Discontinued Medications: Are They Really Discontinued? | PSNet
      psnet.ahrq.gov/web-mm/discontinued-medications-are-they-really-discontinued
      January 05, 2017 - Discontinued Medications: Are They Really Discontinued? Citation Text: Mankey CG, Varkey P. Discontinued Medications: Are They Really Discontinued?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2014. Copy Citation Format: …

9887. Preventing PICC Complications: Whose Line Is It? | PSNet
      psnet.ahrq.gov/web-mm/preventing-picc-complications-whose-line-it
      October 01, 2017 - Preventing PICC Complications: Whose Line Is It? Citation Text: Moureau N. Preventing PICC Complications: Whose Line Is It?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2012. Copy Citation Format: Google Scholar BibT…

9888. Context-Aware Knowledge Delivery into Electronic Health Records | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/context-aware-knowledge-delivery-electronic-health-records
      January 01, 2023 - Context-Aware Knowledge Delivery into Electronic Health Records Project Final Report ( PDF , 549.92 KB) Disclaimer Disclaimer The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessarily represent the view…

9889. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/72618/psn-pdf
      December 23, 2020 - Nudge Unit Supports Physician, Patient Behavioral Changes Towards Medical Decisions that Improve Care Value and Quality of Care December 23, 2020 https://psnet.ahrq.gov/innovation/nudge-unit-supports-physician-patient-behavioral-changes-towards- medical-decisions Summary Nudges are a change in the way choices ar…

9890. Hyponatremia Secondary to Home Parenteral Nutrition Error | PSNet
      psnet.ahrq.gov/web-mm/hyponatremia-secondary-home-parenteral-nutrition-error
      May 27, 2020 - Hyponatremia Secondary to Home Parenteral Nutrition Error Citation Text: Haas K, Lee A. Hyponatremia Secondary to Home Parenteral Nutrition Error. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2021. Copy Citation Format: …

9891. Patient Identification Errors: A Systems Challenge | PSNet
      psnet.ahrq.gov/web-mm/patient-identification-errors-systems-challenge
      February 23, 2011 - Patient Identification Errors: A Systems Challenge Citation Text: Choudhury LS, Vu CT. Patient Identification Errors: A Systems Challenge. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2020. Copy Citation Format: Googl…

9892. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49677/psn-pdf
      February 01, 2013 - CVC Placement: Speak Now or Do Not Use the Line February 1, 2013 Ault M, Rosen B. CVC Placement: Speak Now or Do Not Use the Line. PSNet [internet]. 2013. https://psnet.ahrq.gov/web-mm/cvc-placement-speak-now-or-do-not-use-line The Case A 48-year-old woman with a history of hypertension, psychiatric illness, and a…

9893. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49747/psn-pdf
      December 01, 2015 - Harm From Alarm Fatigue December 1, 2015 Pelter MM, Drew BJ. Harm From Alarm Fatigue. PSNet [internet]. 2015. https://psnet.ahrq.gov/web-mm/harm-alarm-fatigue Case Objectives Define alarm fatigue and describe potential errors that can occur due to alarm fatigue. Identify federal and national agencies focusing on …

9894. Statistical Brief #137: Treatment of Sore Throats: Antibiotic Prescriptions and Throat Cultures for Children under 18 Years of Age, 2002–2004 (Average Annual) (pdf file)
      meps.ahrq.gov/data_files/publications/st137/stat137.pdf
      August 01, 2006 - Statistical Brief #137: Treatment of Sore Throats: Antibiotic Prescriptions and Throat Cultures for Children under 18 Years of Age, 2002–2004 (Average Annual) Medical Expenditure Panel Survey Agency for Healthcare Research and Quality STATISTICAL BRIEF #137 August 2006 Treatment of …

9895. Appendix V (continued) | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/report/apv2b.html
      June 01, 2010 - Environmental Scan of Measures for Medicaid Title XIX Home and Community-Based Services Appendix V (continued) Previous Page Next Page Table of Contents Environmental Scan of Measures for Medicaid Title XIX Home and Community-Based Services Executive Summary Introduction and Scan Methodology E…

9896. On-Time Pressure Ulcer Assessment | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruhealing/assessment.html
      December 01, 2017 - On-Time Pressure Ulcer Assessment AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Healing The On-Time Pressure Ulcer Assessment incorporates elements from the Bates-Jensen Wound Assessment Tool (BWAT) with additional standardized treatment and intervention descriptors. The On-Time Pressur…

9897. Section 2: Explanation of Key Team Leadership Concepts and Tools | Agency for Healthcare Research and Quality
      www.ahrq.gov/teamstepps-program/curriculum/team/tools/index.html
      July 01, 2023 - Section 2: Explanation of Key Team Leadership Concepts and Tools This section contains explanations and illustrations to help you better understand and appreciate the importance of team structure, leadership, and leadership tools. If you teach this content or want additional insights into how the material can b…

9898. Strategies for Improving Patient Experience with Ambulatory Care: Open Access Scheduling for Routine and Urgent Appointments (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/access/cahps-section-6a.pdf
      July 27, 2017 - Strategies for Improving Patient Experience with Ambulatory Care: Open Access Scheduling for Routine and Urgent Appointments The CAHPS Ambulatory Care Improvement Guide Practical Strategies for Improving Patient Experience Section 6: Strategies for Improving Patient Experience with Ambulatory Care 6.A. Open A…

9899. Establishing a Program of In Situ Simulations: Slide Presentation | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/situ/simulation-slides.html
      July 01, 2023 - Establishing a Program of In Situ Simulations: Slide Presentation AHRQ Safety Program for Perinatal Care Slide 1: AHRQ Safety Program for Perinatal Care Establishing a Program of In Situ Simulations Slide 2: Learning Objectives Image: Four ascending steps show the learning objectives: Describe i…

9900. Puh-Assessment (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-assessment.docx
      June 02, 2025 - AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Healing On-Time Pressure Ulcer Assessment The On-Time Pressure Ulcer Assessment incorporates elements from the Bates-Jensen Wound Assessment Tool (BWAT) with additional standardized treatment and intervention descriptors. The On-Time Pressure Ulcer Assess…