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psnet.ahrq.gov/web-mm/resuscitation-errors-shocking-problem
October 19, 2022 - SPOTLIGHT CASE
Resuscitation Errors: A Shocking Problem
Citation Text:
Edelson DP, Abella BS. Resuscitation Errors: A Shocking Problem. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2007.
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psnet.ahrq.gov/node/49540/psn-pdf
August 21, 2007 - Resuscitation Errors: A Shocking Problem
August 21, 2007
Edelson DP, Abella BS. Resuscitation Errors: A Shocking Problem. PSNet [internet]. 2007.
https://psnet.ahrq.gov/web-mm/resuscitation-errors-shocking-problem
Case Objectives
Appreciate that delays in defibrillation can have significant negative effects on sur…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/situ/simulation_preeclampsia.docx
May 01, 2017 - AHRQ Safety Program for Perinatal Care: Sample Scenario for Preeclampsia/Seizure In Situ Simulation
AHRQ Safety Program for Perinatal Care
Sample Scenario for Preeclampsia/Seizure In Situ Simulation
Sample Scenario for Preeclampsia/Seizure In Situ Simulation
Purpose of the tool: The Preeclampsia/Seizure In Situ Simu…
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/situ/simulation-preeclampsia.html
July 01, 2023 - Sample Scenario for Preeclampsia and Seizure In Situ Simulation
AHRQ Safety Program for Perinatal Care
Purpose of the tool: The Preeclampsia/Seizure In Situ Simulation tool provides a sample scenario for labor and delivery (L&D) staff to practice teamwork, communication, and technical skills in t…
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www.uspreventiveservicestaskforce.org/uspstf/about-uspstf/methods-and-processes/current-processes-refining-evidence-based-recommendation-development
January 01, 2014 - Current Processes: Refining Evidence-based Recommendation Development
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Table of Contents
Preface
Introduction
Types of Recommendations
Types of Evidence Reviews
Co…
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digital.ahrq.gov/events/national-web-conference-use-natural-language-processing-nlp-improve-quality-measurement
January 01, 2023 - This information is for reference purposes only. It was current when produced and may now be outdated. Archive material is no longer maintained, and some links may not work. Persons with disabilities having difficulty accessing this information should contact us at: https://digital.ahrq.gov/contact-us . Let us know th…
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digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/5s
January 01, 2023 - 5S
Also Known As
Sort, Straighten, Scrub, Standardize, and Sustain
Description
This tool is used to improve performance within an organization. It demonstrates the five steps for organizing a workplace: sort, straighten, scrub, standardize, and sustain. Implementing this tool can provide n…
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psnet.ahrq.gov/node/44305/psn-pdf
January 22, 2016 - National incidence of medication error in surgical patients
before and after Accreditation Council for Graduate
Medical Education duty-hour reform.
January 22, 2016
Vadera S, Griffith SD, Rosenbaum BP, et al. National Incidence of Medication Error in Surgical Patients
Before and After Accreditation Council for Gra…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide70.html
October 01, 2014 - 70. For the Patient Unwilling To Quit
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Motivational Interviewing
Express empathy
Use open ended questions to explore :
The importance of addressing smoking or other tobacco use (e.g., "How important do you …
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psnet.ahrq.gov/node/41789/psn-pdf
September 01, 2016 - Drug–drug interactions that should be non-interruptive in
order to reduce alert fatigue in electronic health records.
September 1, 2016
Phansalkar S, van der Sijs H, Tucker AD, et al. Drug-drug interactions that should be non-interruptive in
order to reduce alert fatigue in electronic health records. J Am Med Infor…
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psnet.ahrq.gov/node/39176/psn-pdf
December 16, 2009 - A reduction in cardiac arrests and duration of clinical
instability after implementation of a paediatric rapid
response system.
December 16, 2009
Hanson CC, Randolph GD, Erickson JA, et al. A reduction in cardiac arrests and duration of clinical
instability after implementation of a paediatric rapid response syste…
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psnet.ahrq.gov/node/44064/psn-pdf
November 03, 2015 - The July effect: an analysis of never events in the
nationwide inpatient sample.
November 3, 2015
Wen T, Attenello FJ, Wu B, et al. The July effect: an analysis of never events in the nationwide inpatient
sample. J Hosp Med. 2015;10(7):432-438. doi:10.1002/jhm.2352.
https://psnet.ahrq.gov/issue/july-effect-analysi…
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www.ahrq.gov/hai/cauti-tools/phys-championsgd/appa.html
October 01, 2015 - Resident Physicians as Champions in Preventing Device-Associated Infections
Appendix A. Teamwork and Communication Definitions and Tools
Previous Page
Table of Contents
Resident Physicians as Champions in Preventing Device-Associated Infections
Preamble and Summary
Epidemiology of Invasive Dev…
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pso.ahrq.gov/
SHARE:
Patient Safety Organization (PSO) Program
Link to content
Link to content
Link to content
Work with a PSO
Provider benefits of working with a PSO
…
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www.ahrq.gov/talkingquality/plan/index.html
October 01, 2018 - Plan a Health Care Quality Report for Consumers: 13 Questions
The first step in a project to report on health care quality to consumers is to lay the foundation—politically, organizationally, and financially. While this may sound obvious, many projects fail because sponsors do not take the time to think through…
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psnet.ahrq.gov/node/43224/psn-pdf
June 11, 2014 - Look alike/sound alike drugs: a literature review on
causes and solutions.
June 11, 2014
Ciociano N, Bagnasco L. Look alike/sound alike drugs: a literature review on causes and solutions. Int J
Clin Pharm. 2014;36(2):233-242. doi:10.1007/s11096-013-9885-6.
https://psnet.ahrq.gov/issue/look-alikesound-alike-drugs-l…
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/Z-PbjsHwm4jWMadqNh9Pbz
Screening for and Management of Obesity in Adults: Clinical Summary of USPSTF Recommendation
SCREENING FOR AND MANAGEMENT OF OBESITY IN ADULTS
CLINICAL SUMMARY OF U.S. PREVENTIVE SERVICES TASK FORCE RECOMMENDATION
Population
Adults aged 18 years or older
Recommendation
Screen for obesity. Pat…
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www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/resources/MOC-PIV-Field-Guide.pdf
June 01, 2015 - Maintaining board certification is the responsibility of the individual physician, who must complete
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www.uspreventiveservicestaskforce.org/uspstf/document/final-research-plan138/breastfeeding-primary-care-interventions
December 18, 2014 - Share to Facebook
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Final Research Plan
Breastfeeding: Primary Care Interventions
December 18, 2014
Recommendations made by the USPSTF are independent of the U.S. government. They should not be con…
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digital.ahrq.gov/ahrq-funded-projects/enabling-sleep-apnea-patient-centered-care-internet-intervention/annual-summary/2010
January 01, 2010 - Enabling Sleep Apnea Patient-Centered Care Via an Internet Intervention - 2010
Project Name
Enabling Sleep Apnea Patient-Centered Care Via an Internet Intervention
Principal Investigator
Stepnowsky, Carl
Organization
Veterans Medical Research Foundation
Funding Mechan…