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9521. One Bronchoscopy, Two Errors | PSNet
      psnet.ahrq.gov/web-mm/one-bronchoscopy-two-errors
      December 09, 2020 - One Bronchoscopy, Two Errors Citation Text: Leiten E, Nielsen R. One Bronchoscopy, Two Errors. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XM…

9522. Preventable Rash | PSNet
      psnet.ahrq.gov/web-mm/preventable-rash
      October 01, 2012 - Preventable Rash Citation Text: McLean C. Preventable Rash. 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 tagged PubMedId RIS …

9523. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/72834/psn-pdf
      March 10, 2021 - Approach to Improving Patient Safety: Communication March 10, 2021 Schnipper JL, Fitall E, Hall KK, et al. Approach to Improving Patient Safety: Communication . PSNet [internet]. 2021. https://psnet.ahrq.gov/perspective/approach-improving-patient-safety-communication Introduction Each one of the countless necessa…

9524. 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…

9525. Environmental Safety in the OR | PSNet
      psnet.ahrq.gov/web-mm/environmental-safety-or
      May 19, 2015 - Environmental Safety in the OR Citation Text: Linkin DR, Lautenbach E. Environmental Safety in the OR . PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2004. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML En…

9526. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49545/psn-pdf
      September 01, 2007 - Coming Undone: Failure of Closure Device September 1, 2007 Baez-Escudero JL, Levine GN. Coming Undone: Failure of Closure Device. PSNet [internet]. 2007. https://psnet.ahrq.gov/web-mm/coming-undone-failure-closure-device The Case A 65-year-old man underwent coronary angiography because of atypical exertional chest…

9527. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60952/psn-pdf
      September 30, 2020 - When the Lytes Go Out: A Case of Inpatient Cardiac Arrest September 30, 2020 Stripe B, Zuidema D. When the Lytes Go Out: A Case of Inpatient Cardiac Arrest . PSNet [internet]. 2020. https://psnet.ahrq.gov/web-mm/when-lytes-go-out-case-inpatient-cardiac-arrest Disclosure of Relevant Financial Relationships: As a pr…

9528. Spotlight Case [MONTH] 2003 (ppt file)
      psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.152_slideshow.ppt
      June 01, 2007 - Spotlight Case [MONTH] 2003 Spotlight Case June 2007 Beeline to Spine Source and Credits This presentation is based on June 2007 AHRQ WebM&M Spotlight Case See full article at http://webmm.ahrq.gov CME credit is available online Commentary by: Gerald W. Smetana, MD, Harvard Medical School, Beth Israel D…

9529. Creating an Environment of Consensus –The challenges of implementing a governance structure to run an HIE (pdf file)
      digital.ahrq.gov/sites/default/files/docs/page/2006Estrin_Trk4_051311comp.pdf
      March 08, 2006 - Creating an Environment of Consensus –The challenges of implementing a governance structure to run an HIE Creating an Environment of Consensus – The challenges of implementing a governance structure to run an HIE Funding: AHRQ Contract 290-04-0006; State of Tennessee; Vanderbilt University. This presentation…

9530. Rapid Response for Perinatal Safety: Facilitator Guide | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/rapid-response/rapid-response-fac-guide.html
      July 01, 2023 - Rapid Response for Perinatal Safety: Facilitator Guide AHRQ Safety Program for Perinatal Care Slide 1: AHRQ Safety Program for Perinatal Care Say: The Rapid Response for Perinatal Safety bundle provides information establishing a unitwide approach, also referred to as a rapid response system, for respon…

9531. AHRQ Safety Program for Perinatal Care: Sample Scenario for Antepartum Hemorrhage In Site Simulation (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/situ/simulation_antepart-hemorrhage.docx
      May 01, 2017 - AHRQ Safety Program for Perinatal Care: Sample Scenario for Antepartum Hemorrhage In Site Simulation AHRQ Safety Program for Perinatal Care Sample Scenario for Antepartum Hemorrhage In Situ Simulation Sample Scenario for Antepartum Hemorrhage In Situ Simulation Purpose of the tool: The Antepartum Hemorrhage In Situ …

9532. Sample Scenario for Antepartum Hemorrhage In Situ Simulation | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/situ/simulation-antepart-hemorrhage.html
      July 01, 2023 - Sample Scenario for Antepartum Hemorrhage In Situ Simulation AHRQ Safety Program for Perinatal Care Purpose of the tool: The Antepartum Hemorrhage In Situ Simulation tool provides a sample scenario for labor and delivery (L&D) staff to practice teamwork, communication, and technical skills in the…

9533. Sample Scenario for Magnesium Toxicity In Situ Simulation | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/situ/simulation-mg-toxicity.html
      July 01, 2023 - Sample Scenario for Magnesium Toxicity In Situ Simulation AHRQ Safety Program for Perinatal Care Purpose of the tool: The Magnesium Toxicity In Situ Simulation tool provides a sample scenario for labor and delivery (L&D) staff to practice teamwork, communication, and technical skills in the unit …

9534. AHRQ Safety Program for Perinatal Care: Sample Scenario for Magnesium Toxicity In Situ Simulation (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/situ/simulation_mg-toxicity.docx
      May 01, 2017 - AHRQ Safety Program for Perinatal Care: Sample Scenario for Magnesium Toxicity In Situ Simulation AHRQ Safety Program for Perinatal Care Sample Scenario for Magnesium Toxicity In Situ Simulation Sample Scenario for Magnesium Toxicity In Situ Simulation Purpose of the tool: The Magnesium Toxicity In Situ Simulation t…

9535. Shortcuts to Acetaminophen-induced Liver Failure | PSNet
      psnet.ahrq.gov/web-mm/shortcuts-acetaminophen-induced-liver-failure
      July 01, 2017 - Shortcuts to Acetaminophen-induced Liver Failure Citation Text: Bacak S, Thornburg L. Shortcuts to Acetaminophen-induced Liver Failure. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2018. Copy Citation Format: Google S…

9536. Chapter 3. Outline the Evidence and Identify Best Practices | Agency for Healthcare Research and Quality
      www.ahrq.gov/es/patient-safety/settings/hospital/vtguide/guide3.html
      February 01, 2016 - Preventing Hospital-Associated Venous Thromboembolism Chapter 3. Outline the Evidence and Identify Best Practices Previous Page Next Page Table of Contents Preventing Hospital-Associated Venous Thromboembolism Preface Executive Summary Chapter 1. The Framework for Improvement Chapter 2. Anal…

9537. STATISTICAL BRIEF #523: Number of Adult Visits by Characteristics of Practices Identified as Usual Source of Care Providers during 2016 - Results from the MEPS Medical Organizations Survey
      meps.ahrq.gov/data_files/publications/st523/stat523.shtml
      July 01, 2019 - STATISTICAL BRIEF #523: Number of Adult Visits by Characteristics of Practices Identified as Usual Source of Care Providers during 2016 - Results from the MEPS Medical Organizations Survey   Skip to main content An of…

9538. Screening for Syphilis Infection in Pregnancy: Reaffirmation Recommendation Statement (pdf file)
      www.uspreventiveservicestaskforce.org/home/getfilebytoken/xw8Xj4Bts4yaj_ZaBjCuer
      May 01, 2009 - Screening for Syphilis Infection in Pregnancy: Reaffirmation Recommendation Statement Screening for Syphilis Infection in Pregnancy: U.S. Preventive Services Task Force Reaffirmation Recommendation Statement U.S. Preventive Services Task Force* Description: Update of the 2004 U.S. Preventive Services Task Force stat…

9539. An American View of the UK's Patient Safety Enterprise: Top Down vs. Bottom Up | PSNet
      psnet.ahrq.gov/perspective/american-view-uks-patient-safety-enterprise-top-down-vs-bottom
      December 01, 2005 - An American View of the UK's Patient Safety Enterprise: Top Down vs. Bottom Up Robert M. Wachter, MD | June 1, 2012  View more articles from the same authors. Citation Text: Wachter R. An American View of the UK's Patient Safety Enterprise: Top Down vs. Bottom Up. …

9540. Psi90 Factsheet Faq (pdf file)
      qualityindicators.ahrq.gov/News/PSI90_Factsheet_FAQ.pdf
      August 31, 2016 - 1 | Page Updates to PSI90, FY2016, Updated 8-31-16 AHRQ Quality Indicators TM PSI 90 Fact Sheet Agency for Healthcare Research and Quality (AHRQ) Quality Indicators (QIs) Fact Sheet: Patient Safety and Adverse Events Composite (modified version PSI 90) for ICD-9 CM/PCS, v6.0 (FY2016) 1. What is the mo…