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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/33673/psn-pdfSeptember 01, 2008 - The Role of Bar Coding and Smart Pumps in Safety September 1, 2008 Rothschild JM, Keohane C. The Role of Bar Coding and Smart Pumps in Safety. PSNet [internet]. 2008. https://psnet.ahrq.gov/perspective/role-bar-coding-and-smart-pumps-safety Perspective Medication safety in hospitals depends on the successful execu… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/860049/psn-pdfJanuary 04, 2024 - Myasthenia Crisis after a Delayed Diagnosis in a Medically Complex Patient. January 4, 2024 Chaffin Z. Myasthenia Crisis after a Delayed Diagnosis in a Medically Complex Patient. PSNet [internet]. 2024. https://psnet.ahrq.gov/web-mm/myasthenia-crisis-after-delayed-diagnosis-medically-complex-patient The Case A 9… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/33881/psn-pdfAugust 01, 2019 - In Conversation With… Erik Hollnagel, PhD June 1, 2019 In Conversation With… Erik Hollnagel, PhD. PSNet [internet]. 2019. https://psnet.ahrq.gov/perspective/conversation-erik-hollnagel-phd Editor's note: Dr. Hollnagel is Senior Professor of Patient Safety at the University of Jönköping (Sweden) as well as Visiting… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/49837/psn-pdfAugust 01, 2018 - Abdominal Aortic Aneurysm Screening August 1, 2018 Jim J. Abdominal Aortic Aneurysm Screening. PSNet [internet]. 2018. https://psnet.ahrq.gov/web-mm/abdominal-aortic-aneurysm-screening Case Objectives Describe risk factors associated with abdominal aortic aneurysm. Identify patient populations meeting criteria fo… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/49436/psn-pdfFebruary 26, 2004 - Transfusion "Slip" February 1, 2004 Kaplan HS. Transfusion "Slip". PSNet [internet]. 2004. https://psnet.ahrq.gov/web-mm/transfusion-slip The Case A married couple, Mr. and Mrs. M, was brought to the emergency department (ED) of a Level 1 trauma center after a half-ton truck that had skidded out of control struck… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/49736/psn-pdfJune 01, 2015 - Inflicting Confusion June 1, 2015 Scott FI, Lichtenstein GR. Inflicting Confusion. PSNet [internet]. 2015. https://psnet.ahrq.gov/web-mm/inflicting-confusion The Case A 26-year-old man with recently diagnosed Crohn disease presented to the emergency department with acute-onset abdominal pain, nausea, vomiting, an… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/49459/psn-pdfSeptember 01, 2004 - Caution, Interrupted September 1, 2004 Wears RL. Caution, Interrupted. PSNet [internet]. 2004. https://psnet.ahrq.gov/web-mm/caution-interrupted The Case A 55-year-old man with acute myelogenous leukemia and several recent hospitalizations for fever and neutropenia presented to the emergency department (ED) with … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/49637/psn-pdfOctober 01, 2011 - The Dropped "No" October 1, 2011 Johnson AJ. The Dropped "No". PSNet [internet]. 2011. https://psnet.ahrq.gov/web-mm/dropped-no The Case A 62-year-old man with a history of cirrhosis was admitted with increasing abdominal girth and swelling in his legs. Because the leg swelling was somewhat more pronounced in his… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/33699/psn-pdfAugust 01, 2010 - Operationalizing Patient Safety at Academic Medical Centers August 1, 2010 Chakraborti C, Kahn MJ, Krane K. Operationalizing Patient Safety at Academic Medical Centers. PSNet [internet]. 2010. https://psnet.ahrq.gov/perspective/operationalizing-patient-safety-academic-medical-centers Perspective Academic medical… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/49604/psn-pdfJune 01, 2010 - Tacit Handover, Overt Mishap June 1, 2010 Cooper JB, Kamdar BB. Tacit Handover, Overt Mishap. PSNet [internet]. 2010. https://psnet.ahrq.gov/web-mm/tacit-handover-overt-mishap The Case A 61-year-old man was admitted for management of an infected aortic stent, which had been placed 3 years earlier to treat an abdo… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/49674/psn-pdfDecember 01, 2012 - Preventing PICC Complications: Whose Line Is It? December 1, 2012 Moureau N. Preventing PICC Complications: Whose Line Is It? PSNet [internet]. 2012. https://psnet.ahrq.gov/web-mm/preventing-picc-complications-whose-line-it The Case A 55-year-old woman with myasthenia gravis, hypertension, and hypothyroidism prese… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73515/psn-pdfAugust 01, 2022 - Missouri Quality Initiative (MOQI) Reduces Hospitalizations Among Nursing Home Residents July 28, 2021 https://psnet.ahrq.gov/innovation/missouri-quality-initiative-moqi-reduces-hospitalizations-among-nursing- home-residents Summary The MOQI seeks to reduce avoidable hospitalization among nursing home residents b… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/33685/psn-pdfMay 01, 2009 - In Conversation with…William B. Weeks, MD, MBA May 1, 2009 In Conversation with…William B. Weeks, MD, MBA. PSNet [internet]. 2009. https://psnet.ahrq.gov/perspective/conversation-withwilliam-b-weeks-md-mba Editor's note: William B. Weeks, MD, MBA, is Associate Professor of Psychiatry and of Community and Family M… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/50391/psn-pdfSeptember 25, 2019 - Think Like a Surgeon September 25, 2019 Cooper Z. Think Like a Surgeon. PSNet [internet]. 2019. https://psnet.ahrq.gov/web-mm/think-surgeon The Case A patient with a history of T6 paraplegia due to a motor vehicle accident was brought to the emergency department due to delirium. He was found to be hypotensive and… -
www.ahrq.gov/research/findings/final-reports/stpra/stpra3.htmlApril 01, 2018 - Proactive Risk Assessment of Surgical Site Infection in Ambulatory Surgery Centers Chapter 3. Risk-Informed Interventions Previous Page Next Page Table of Contents Proactive Risk Assessment of Surgical Site Infection in Ambulatory Surgery Centers Executive Summary Chapter 1. Introduction Chapt…
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Operational-Adjustments-Event-Summary (pdf file)
www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/operational-adjustments-event-summary.pdfJuly 02, 2020 - 1 Learning Community Affinity Group Summary-at-a-Glance: Operational Adjustments while Resuming In-Person Cardiac Rehabilitation Programs July 2, 2020 Event Purpose and Overview • Purpose: To share and acquire strategies for how to adjust operations while resuming in-person cardiac rehabilitation p… -
www.ahrq.gov/teamstepps-program/curriculum/intro/explain.htmlJuly 01, 2023 - Section 2: Explanation and Value of the TeamSTEPPS Curriculum This section contains explanations and illustrations to help you better understand and appreciate the structure and importance of the TeamSTEPPS curriculum and its key concepts. If you teach this content or want additional insights into how the mate…
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New AHRQ SOPS® Workplace Safety Supplemental Item Set for Nursing Homes - Naomi Yount, PhD (pdf file)
www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/nh-workplace-safety-yount.pdfJanuary 01, 2023 - New AHRQ SOPS® Workplace Safety Supplemental Item Set for Nursing Homes - Naomi Yount, PhD Workplace Safety Supplemental Item Set for the SOPS Nursing Home Survey Naomi Yount, PhD Senior Study Director Westat 31 Workplace Safety Supplemental Item Set • Designed as a supplemental item set that can be added towa… -
www.ahrq.gov/cahps/quality-improvement/improvement-guide/4-approach-qi-process/sect4part2.htmlJanuary 01, 2020 - Section 4: Ways To Approach the Quality Improvement Process (Page 2 of 2) Contents Page 1 of 2 4.A. Focusing on Microsystems 4.B. Understanding and Implementing the Improvement Cycle Page 2 of 2 4.C. An Overview of Improvement Models 4.D. Tools To Enhance Quality Improvement Initiatives References…
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Design Guide for Implementing Warm Handoffs (pdf file)
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/warmhandoff-designguide.pdfJune 02, 2025 - Design Guide for Implementing Warm Handoffs Design Guide for Implementing Warm Handoffs The Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families Table of Contents Introduction ............................................................................................…
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