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8981. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49389/psn-pdf
      February 01, 2003 - Procedural Mishap: Learning Curve? February 1, 2003 Gibbs VC, Leape L. Procedural Mishap: Learning Curve? PSNet [internet]. 2003. https://psnet.ahrq.gov/web-mm/procedural-mishap-learning-curve The Case A 28-year-old multiparous obese female presented for laparoscopic tubal ligation. The patient had undesired fert…

8982. SOPS Bibliography | Agency for Healthcare Research and Quality
      www.ahrq.gov/es/sops/bibliography/index.html
      January 01, 2025 - SOPS Bibliography Browse or search for publications about the development and use of SOPS surveys and other topics related to assessing patient safety culture. Results 1-50 of 505 Bibliography Items displayed Pagination 1 2 3 4 5 6 7 8 9 next …

8983. Module Menus | Agency for Healthcare Research and Quality
      www.ahrq.gov/ncepcr/tools/transform-qi/deliver-facilitation/modules/menus.html
      February 01, 2022 - Module Menus The Modules Introduction to the AHRQ Practice Facilitation Training Modules Starting with a Practice Facilitator Fundamentals Effective Meetings Introduction to Quality Improvement (QI) in Primary Care Model for Improvement and PDSA Cycles Process Mapping The 5 Whys and Fishbone…

8984. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49405/psn-pdf
      June 01, 2003 - XL or Smaller? June 1, 2003 Kozer E. XL or Smaller? PSNet [internet]. 2003. https://psnet.ahrq.gov/web-mm/xl-or-smaller The Case With a history of hypertension and chronic renal failure secondary to hemolytic uremia syndrome at age 3, a 14-year-old boy presented to the emergency department with dehydration second…

8985. Spotlight Case July 2008 (ppt file)
      psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.266_slideshow.ppt
      May 01, 2012 - Spotlight Case July 2008 Spotlight Case The Perils of Cross Coverage * * Source and Credits This presentation is based on the May 2012 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available Commentary by: Jeanne M. Farnan, MD, MHPE, and Vineet M. Arora, MD, MAPP, …

8986. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49649/psn-pdf
      March 01, 2012 - Cultural Dimensions of Depression March 1, 2012 Kinzie DJ. Cultural Dimensions of Depression. PSNet [internet]. 2012. https://psnet.ahrq.gov/web-mm/cultural-dimensions-depression The Case A 55-year-old Vietnamese man was admitted to a general medicine ward with vague complaints of inability to breathe and swallow…

8987. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49442/psn-pdf
      May 01, 2004 - Missed TB May 1, 2004 FitzGerald MJ, Menzies D. Missed TB. PSNet [internet]. 2004. https://psnet.ahrq.gov/web-mm/missed-tb The Case A 38-year-old white female with no past medical history presented to the hospital with fevers, respiratory failure, and bilateral pulmonary infiltrates. She was treated empirically w…

8988. Special Considerations for Measurement of Diagnostic Safety (continued) | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/reports/issue-briefs/state-of-science-2b.html
      June 01, 2020 - Operational Measurement of Diagnostic Safety: State of the Science Special Considerations for Measurement of Diagnostic Safety (continued) Previous Page Next Page Table of Contents Operational Measurement of Diagnostic Safety: State of the Science Introduction Special Considerations for Measurem…

8989. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60168/psn-pdf
      March 25, 2020 - Right Electrocardiogram, Wrong Patient March 25, 2020 Chen C, Venugopal S. Right Electrocardiogram, Wrong Patient. PSNet [internet]. 2020. https://psnet.ahrq.gov/web-mm/right-electrocardiogram-wrong-patient The Cases Multiple electrocardiograms (EKGs) were incorrectly documented at a large urban tertiary care hosp…

8990. PowerPoint Presentation (ppt file)
      psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.320_slideshow.ppt
      January 01, 2020 - PowerPoint Presentation Spotlight A ʺReflexiveʺ Diagnosis in Primary Care 1 This presentation is based on the April 2014 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available Commentary by: John Betjemann, MD, and S. Andrew Josephson, MD, University of California, San…

8991. Series Overview | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/evidence-based-reports/er208-overview.html
      October 01, 2014 - Series Overview Closing the Quality Gap: Revisiting the State of the Science Overview of new series of evidence reports on quality improvement strategies. Contents Background Topic Selection and Scope Development Principles Key Questions Organizing Framework References     Background …

8992. SOPS Bibliography | Agency for Healthcare Research and Quality
      www.ahrq.gov/sops/bibliography/index.html?page=3
      January 01, 2025 - SOPS Bibliography Browse or search for publications about the development and use of SOPS surveys and other topics related to assessing patient safety culture. Results 151-200 of 505 Bibliography Items displayed Pagination « first « First ‹ previous ‹‹ 1 2 3 …

8993. Spotlight Case [MONTH] 2003 (ppt file)
      psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.92_slideshow.ppt
      April 01, 2005 - Spotlight Case [MONTH] 2003 Spotlight Case April 2005 Compare and Contrast Source and Credits This presentation is based on the April 2005 Spotlight Case in Emergency Medicine See the full article at http://webmm.ahrq.gov CME credit is available through the Web site Commentary by: Kerry Cho, MD; Glenn Cher…

8994. SOPS Bibliography | Agency for Healthcare Research and Quality
      www.ahrq.gov/es/sops/bibliography/index.html?page=3
      January 01, 2025 - SOPS Bibliography Browse or search for publications about the development and use of SOPS surveys and other topics related to assessing patient safety culture. Results 151-200 of 505 Bibliography Items displayed Pagination « first « First ‹ previous ‹‹ 1 2 3 …

8995. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49727/psn-pdf
      March 01, 2015 - Critical Opportunity Lost March 1, 2015 Genzen JR, Signorelli HN. Critical Opportunity Lost. PSNet [internet]. 2015. https://psnet.ahrq.gov/web-mm/critical-opportunity-lost The Case A 55-year-old woman presented to the emergency department (ED) with new onset chest pain. She reported eating a heavy dinner the pre…

8996. Ventilator-Associated Event Surveillance: Slide Presentation | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/mvp/modules/vae/surveillance-slides.html
      February 01, 2017 - Ventilator-Associated Event Surveillance: Slide Presentation AHRQ Safety Program for Mechanically Ventilated Patients Slide 1: AHRQ Safety Program for Mechanically Ventilated Patients Ventilator-Associated Event Surveillance Slide 2: Learning Objectives After this session, you will be able to— D…

8997. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49832/psn-pdf
      June 01, 2018 - Febrile Neutropenia and an Almost Fatal Medication Error June 1, 2018 Faig J, Zerillo JA. Febrile Neutropenia and an Almost Fatal Medication Error. PSNet [internet]. 2018. https://psnet.ahrq.gov/web-mm/febrile-neutropenia-and-almost-fatal-medication-error The Case A 33-year-old woman with recently diagnosed acute …

8998. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33640/psn-pdf
      September 01, 2006 - What Can the Rest of the Health Care System Learn from the VA's Quality and Safety Transformation? September 1, 2006 Jha AK. What Can the Rest of the Health Care System Learn from the VA's Quality and Safety Transformation? PSNet [internet]. 2006. https://psnet.ahrq.gov/perspective/what-can-rest-health-care-system…

8999. Elements of Access to Health Care: Workforce Capacity | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/nhqrdr/chartbooks/access/elements4.html
      June 01, 2018 - Chartbook on Access to Health Care Elements of Access to Health Care: Workforce Capacity Previous Page Next Page Table of Contents Chartbook on Access to Health Care Acknowledgments Access to Health Care Elements of Access to Health Care Elements of Access to Health Care: Services Elements…

9000. Spotlight (pdf file)
      psnet.ahrq.gov/sites/default/files/2020-10/final_slides_oct_2020_spotlight_case_inpt_stroke_mngt_in_adolescent_with_type1_diabetes.pdf
      January 01, 2020 - Spotlight Spotlight Inpatient Stroke Management in a Patient with Type 1 Diabetes and Home Insulin Pump Source and Credits • This presentation is based on the October 2020 AHRQ WebM&M Spotlight Case o See the full article at https://psnet.ahrq.gov/webmm o CME credit is available o Commentary by: Berit B…