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4321. Organizational Learning | PSNet
      psnet.ahrq.gov/curated-library/organizational-learning
      November 10, 2025 - Breadcrumb Home The PSNet Collection Curated Libraries Subscribed Organizational Learning  Download  Share Facebook Twitter Linkedin Copy URL Subscribe Created By: Lorri Zipperer, Cybrarian, AHRQ PSNet Team…

4322. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33594/psn-pdf
      November 18, 2021 - Debriefing for Clinical Learning November 18, 2021 Edwards JJ, Wexner S, Nichols A. Debriefing for Clinical Learning. PSNet [internet]. 2021. https://psnet.ahrq.gov/primer/debriefing-clinical-learning Updated in September 2021. Originally published in December 2011 by researchers at the University of California, S…

4323. Radiology Missed an Intracranial Bleed in a Lethargic Infant. | PSNet
      psnet.ahrq.gov/web-mm/radiology-missed-intracranial-bleed-lethargic-infant
      August 21, 2016 - Radiology Missed an Intracranial Bleed in a Lethargic Infant. Citation Text: Yuk J, Magana J. Radiology Missed an Intracranial Bleed in a Lethargic Infant.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2024. Copy Citation For…

4324. Misuse of Prescription Stimulants in Adults (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/misuse-prescription-protocol-amendment.pdf
      November 26, 2024 - Misuse of Prescription Stimulants in Adults Evidence-based Practice Center (EPC) Draft Rapid Review Protocol Misuse of Prescription Stimulants in Adults Initial publication: 11/26/2024 Date of amendment: 2/6/2025 I. Background and Objectives for the Systematic Review The U.S. Food and Drug Administ…

4325. Cer-240-Acute-Pain-Appendix-F (xls file)
      effectivehealthcare.ahrq.gov/sites/default/files/cer-240-acute-pain-appendix-f.xlsx
      October 08, 2025 - F-1. RCT QA Table F-1. Risk of bias assessment for randomized controlled trials Author, Year (Full citations are listed in Appendix C.) Randomization adequate? Allocation concealment adequate? Groups similar at baseline? Outcome assessors masked? Care provider masked? Patient masked? Reporting of attrition, crossove…

4326. Statistical Brief #128: Hospital Stays with Cardiac Stents, 2009 (pdf file)
      hcup-us.ahrq.gov/reports/statbriefs/sb128.pdf
      August 01, 2011 - Statistical Brief #128: Hospital Stays with Cardiac Stents, 2009 1 April 2012 Hospital Stays with Cardiac Stents, 2009 David I. Auerbach, Ph.D., Jared Lane Maeda, Ph.D., M.P.H., and Claudia Steiner, M.D., M.P.H. Introduction Coronary or cardiac stents are used in surgical procedures called…

4327. Elopement | PSNet
      psnet.ahrq.gov/web-mm/elopement
      July 14, 2010 - SPOTLIGHT CASE Elopement Citation Text: Gerardi D. Elopement. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2007. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMe…

4328. False Assumptions Result in a Missed Pneumothorax after Bronchoscopy with Transbronchial Biopsy. | PSNet
      psnet.ahrq.gov/web-mm/false-assumptions-result-missed-pneumothorax-after-bronchoscopy-transbronchial-biopsy
      March 15, 2023 - SPOTLIGHT CASE False Assumptions Result in a Missed Pneumothorax after Bronchoscopy with Transbronchial Biopsy. Citation Text: Kuhn BT, Chau-Etchepare F. False Assumptions Result in a Missed Pneumothorax after Bronchoscopy with Transbronchial Biopsy.. PSNet [internet]. Rockville (MD): Agency for …

4329. Delay in Malignancy Diagnosis Reflects Systemic Failures | PSNet
      psnet.ahrq.gov/web-mm/delay-malignancy-diagnosis-reflects-systemic-failures
      September 25, 2019 - Delay in Malignancy Diagnosis Reflects Systemic Failures Citation Text: Mieu H, Olson KA. Delay in Malignancy Diagnosis Reflects Systemic Failures. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2023. Copy Citation Format: …

4330. Near Miss with Bedside Medications | PSNet
      psnet.ahrq.gov/web-mm/near-miss-bedside-medications
      February 01, 2006 - SPOTLIGHT CASE Near Miss with Bedside Medications Citation Text: Wu AW. Near Miss with Bedside Medications. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2011. Copy Citation Format: Google Scholar BibTeX End…

4331. Evidence-based Practice Center Systematic Review Protocol (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pdf/depression-brain-injury_research-protocol.pdf
      December 09, 2009 - Evidence-based Practice Center Systematic Review Protocol Source: www.effectivehealthcare.ahrq.gov Published Online: December 9, 2009 1 Evidence-based Practice Center Systematic Review Protocol Project Title: Traumatic Brain Injury and Depression I. Background and Objectives…

4332. Evidence Map on Home and Community Based Services (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/evidence-map-hcbs-protocol.pdf
      July 27, 2023 - Evidence Map on Home and Community Based Services Evidence-based Practice Center Technical Brief Protocol Project Title: Evidence Map on Home and Community Based Services I. Background and Objectives One in four adults in the United States live with some form of disability that impacts their cognit…

4333. S5 (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/s5.pdf
      October 01, 2007 - ORIGINAL ARTICLE Emerging Methods in Comparative Effectiveness and Safety Symposium Overview and Summary Kathleen N. Lohr, PhD Background: Interest in new methods for comparative effective- ness, drug and patient safety, and related studies is burgeoning. The advent of Medicare Part D for outpatient prescription dr…

4334. Improving Sickle Cell Transitions, Focus Group Moderator Guide: IT Developers (pdf file)
      digital.ahrq.gov/sites/default/files/docs/survey/improving-sickle-cell-transitions-focus-group-moderator-guide-%20it-developers.pdf
      June 16, 2021 - Improving Sickle Cell Transitions, Focus Group Moderator Guide: IT Developers Improving Sickle Cell Transitions, Focus Group Moderator Guide: IT Developers The Lewin Group, Inc., Falls Church Virginia This is a focus group guide designed to be conducted with developers across a health care system. The tool …

4335. Pregnant With Danger | PSNet
      psnet.ahrq.gov/web-mm/pregnant-danger
      January 12, 2011 - Pregnant With Danger Citation Text: Pearlman MD, Desmond JS. Pregnant With Danger. 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 ta…

4336. Barriers Associated with Medication Information Handoffs (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Bayley.pdf
      January 01, 2004 - Barriers Associated with Medication Information Handoffs 87 Barriers Associated with Medication Information Handoffs K. Bruce Bayley, Lucy A. Savitz, Glenn Rodriguez, William Gillanders, Steve Stoner Abstract Objectives: The transfer of medication information across patient care settings is an important …

4337. ONLINE APPLICATIONS FOR MEDICAID AND/OR CHIP: AN OVERVIEW OF CURRENT CAPABILITIES AND OPPORTUNITIES FOR IMPROVEMENT - Issue Paper (pdf file)
      digital.ahrq.gov/sites/default/files/docs/library/8203.pdf
      June 01, 2011 - ONLINE APPLICATIONS FOR MEDICAID AND/OR CHIP: AN OVERVIEW OF CURRENT CAPABILITIES AND OPPORTUNITIES FOR IMPROVEMENT - Issue Paper medicaid kaiser commiss ion o nI S S U E P A P E R a n d t h e uninsured 1 3 3 0 G S T R E E T N W , W A S H I N G T O N , D C 2 0 0 0 5 P H O N E : 2 0 2 - 3 4 7 - 5 2 7 …

4338. Vascular Access Device (VAD) Policy, Adult (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/clabsi-tools/vascular-access-device-policy.pdf
      March 01, 2008 - Vascular Access Device (VAD) Policy, Adult Version 3.0 Policy Number IFC035 Effective Date 03/01/2008 The Johns Hopkins Hospital Interdisciplinary Clinical Practice Manual Infection Control Approval Date N/A Page 1of 16Subject Vascular Access Device (VAD) Policy, Adult Supercedes 08/01/2007 Keywords: Vascula…

4339. Final Progress Report: Creation and validation of a training toolkit to ensure safe and proficient use of EHR by medical scribes (pdf file)
      www.ahrq.gov/sites/default/files/2024-05/gold-report.pdf
      January 01, 2024 - Final Progress Report: Creation and validation of a training toolkit to ensure safe and proficient use of EHR by medical scribes 1. Title Page Title of Project: Creation and validation of a training toolkit to ensure safe and proficient use of EHR by medical scribes Principal Investigator: Jeffrey A. Gold Co-Inve…

4340. Emergency Department and Catheter Insertion | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cauti-tools/archived-webinars/ed-catheter-insertions-transcript.html
      December 01, 2017 - Emergency Department and Catheter Insertion Webinar Transcript Paul Tedrick AHA – Chicago September 10, 2013 11:00 AM CT Operator: This is a recording of the Paul Tedrick conference with the American Hospital Association on September 10 th , 2013, at 11:00AM Central Time. Ladies and gentlemen, thank yo…