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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Miller_93.pdfMarch 12, 2008 - Evaluation of Medications Removed from Automated Dispensing Machines Using the Override Function Leading to Multiple System Changes Evaluation of Medications Removed from Automated Dispensing Machines Using the Override Function Leading to Multiple System Changes Karla Miller, PharmD; Manisha Shah, MBA, RT; Lau…
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psnet.ahrq.gov/web-mm/missed-patient-assignment-anyone-thereSeptember 01, 2017 - Missed Patient Assignment: Is Anyone There? Citation Text: Sittig DF, Campbell EM, Singh H. Missed Patient Assignment: Is Anyone There?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2010. Copy Citation Format: Google …
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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73456/psn-pdfJune 30, 2021 - Inadequate Anesthesia Preparation Leading to Difficult Intubation and Severe Hypoxemia June 30, 2021 Bohringer C. Inadequate Anesthesia Preparation Leading to Difficult Intubation and Severe Hypoxemia. PSNet [internet]. 2021. https://psnet.ahrq.gov/web-mm/inadequate-anesthesia-preparation-leading-difficult-intubat… -
www.ahrq.gov/hai/cusp/modules/apply/ac-cusp.htmlDecember 01, 2012 - Facilitator Notes CUSP Toolkit, Apply CUSP The Apply CUSP module of the CUSP Toolkit introduces Just Culture principles, which emphasize shared accountability and attitudes towards risk. This module also summarizes the concepts and activities of the other six modules in the CUSP Toolkit, including TeamSTEPPS®…
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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/853773/psn-pdfSeptember 27, 2023 - A Double “Never Event”: Wrong Patient and Wrong Side. September 27, 2023 Bellini A, Salcedo ES. A Double “Never Event”: Wrong Patient and Wrong Side. PSNet [internet]. 2023. https://psnet.ahrq.gov/web-mm/double-never-event-wrong-patient-and-wrong-side The Case A first-year orthopedic surgery resident was consulted… -
035-Importance-Mrsa-Prevention-Notes (doc file)
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/035-importance-mrsa-prevention-notes.docxOctober 01, 2024 - AHRQ Safety Program for MRSA Prevention The Importance of MRSA Prevention ICU & Non-ICU Slide Title and Commentary Slide Number and Slide The Importance of MRSA Prevention SAY: Welcome to this presentation on the Importance of Methicillin-Resistant Staphylococcus aureus (MRSA) Prevention. This presentation will ou… -
www.ahrq.gov/hai/tools/mvp/modules/cusp/overview-cusp-mvp-facguide.htmlFebruary 01, 2017 - Overview of the Comprehensive Unit-based Safety Program for Application to Mechanically Ventilated Patients: Facilitator Guide AHRQ Safety Program for Mechanically Ventilated Patients Slide 1: Overview of the Comprehensive Unit-based Safety Program for Application to Mechanically Ventilated Patients Say: …
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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/49741/psn-pdfSeptember 01, 2015 - Abdominal Pain in Early Pregnancy September 1, 2015 Kilpatrick CC. Abdominal Pain in Early Pregnancy. PSNet [internet]. 2015. https://psnet.ahrq.gov/web-mm/abdominal-pain-early-pregnancy Case Objectives Recognize when nausea and vomiting in pregnancy is abnormal. Identify the most common causes of non-obstetric a… -
www.ahrq.gov/evidencenow/projects/state/how-to-guide/guide4.htmlAugust 01, 2024 - Developing and Sustaining State-Based Infrastructure To Support Primary Care Quality Improvement 4. Selecting and Delivering Services To Support Quality Improvement Previous Page Next Page Table of Contents Developing and Sustaining State-Based Infrastructure To Support Primary Care Quality Improvem…
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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/33814/psn-pdfSeptember 01, 2016 - In Conversation With… Reed V. Tuckson, MD September 1, 2016 In Conversation With… Reed V. Tuckson, MD. PSNet [internet]. 2016. https://psnet.ahrq.gov/perspective/conversation-reed-v-tuckson-md Editor's note: Dr. Tuckson is Managing Director of Tuckson Health Connections, LLC, and President of the American Telemed… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/49864/psn-pdfJune 01, 2019 - Speaking Up for Patient Safety: What They Don't Tell You in Training About Feedback and Burnout June 1, 2019 Adair KC, Frankel A, Sexton B. Speaking Up for Patient Safety: What They Don't Tell You in Training About Feedback and Burnout. PSNet [internet]. 2019. https://psnet.ahrq.gov/web-mm/speaking-patient-safety-… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60857/psn-pdfAugust 26, 2020 - Nothing Called Small Surgery August 26, 2020 Manske C. Nothing Called Small Surgery. PSNet [internet]. 2020. https://psnet.ahrq.gov/web-mm/nothing-called-small-surgery The Case A 56-year-old female presented to surgical clinic with pain and swelling in left great toe associated with progressive deformity of the … -
Static Teach-back Interactive Module (pdf file)
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/teachback-module-accessible.pdfJanuary 01, 2013 - Static Teach-back Interactive Module Teach-back 1. Title Teach-Back Improving Patient Safety by Engaging Patients and Families in Effective Clinician- Patient Communication 1 Teach-back Interactive Module 2. AHRQ Sponsored by the Agency for Healthcare Research and Quality (AHRQ), this tea… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/49798/psn-pdfJuly 01, 2017 - Pseudo-obstruction But a Real Perforation July 1, 2017 Paski SC, Dominitz JA. Pseudo-obstruction But a Real Perforation. PSNet [internet]. 2017. https://psnet.ahrq.gov/web-mm/pseudo-obstruction-real-perforation Case Objectives Recognize acute colonic pseudo-obstruction and implement a medical management plan. Ide… -
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/overview-cuspmvp-facguide.docxJanuary 01, 2017 - Facilitator Guide: Build Your SSI Prevention Bundle Slide Title and Commentary Slide Number and Slide Title Slide Overview of the Comprehensive Unit-based Safety Program for Application to Mechanically Ventilated Patients SAY: Today, we will be giving you an overview of the Comprehensive Unit-based Safety Program…
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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/33865/psn-pdfSeptember 01, 2018 - In Conversation With… Rebecca Lawton, PhD September 1, 2018 In Conversation With… Rebecca Lawton, PhD. PSNet [internet]. 2018. https://psnet.ahrq.gov/perspective/conversation-rebecca-lawton-phd Editor's note: Rebecca Lawton, a Professor in the Psychology of Healthcare at the University of Leeds, is a health psycho… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/49828/psn-pdfMay 01, 2018 - Out of Sight, Out of Mind: Out-of-Office Test Result Management May 1, 2018 Poon EG. Out of Sight, Out of Mind: Out-of-Office Test Result Management. PSNet [internet]. 2018. https://psnet.ahrq.gov/web-mm/out-sight-out-mind-out-office-test-result-management Case Objectives Recognize the general responsibilities of… -
Scoring CPCQ (pdf file)
www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/cpcq-scoring.pdfMay 01, 2017 - Scoring CPCQ 1 Scoring the Change Process Capability Questionnaire Strategies Items: Current Plan National Evaluation Team May 1, 2017 2 Introduction The RFA from AHRQ for EvidenceNOW: http://grants.nih.gov/grants/guide/rfa-files/RFA-HS-14-008.html described the required measures of practice… -
digital.ahrq.gov/program-overview/research-reports/2022-year-review/research-themes-and-findingsJanuary 01, 2022 - Research Themes and Findings The DHR program funds research that demonstrates how digital healthcare solutions can be designed and implemented to improve healthcare system performance and patient health outcomes. Our funded research focuses on advancing patient safety, care, and shared dec…
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www.ahrq.gov/sites/default/files/wysiwyg/data/SyH-DR-stat-brief-2-postpartum-opioid-rx.pdfMarch 01, 2024 - State Variation in Opioid Prescription Fills After Childbirth Among Women Ages 18-44 With Commercial Insurance 1 Data Innovations State Variation in Opioid Prescription Fills After Childbirth Among Women Ages 18-44 With Commercial Insurance Rhona Limcangco, Ph.D., Melike Yildirim, Ph.D., Frederick Ro…
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