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  1. Death by PCA | PSNet

    psnet.ahrq.gov/web-mm/death-pca
    January 06, 2017 - Death by PCA Citation Text: Hicks RW. Death by PCA. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2013. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Dow…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49648/psn-pdf
    March 01, 2012 - Postdischarge Follow-Up Phone Call March 1, 2012 Mourad M, Rennke S. Postdischarge Follow-Up Phone Call. PSNet [internet]. 2012. https://psnet.ahrq.gov/web-mm/postdischarge-follow-phone-call Case Objectives Understand why preventing readmissions through postdischarge phone calls is important. Describe evidence su…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/863308/psn-pdf
    February 28, 2024 - When Vomit Gets in the Way: Aspiration Resulting in Death During Endoscopy February 28, 2024 Do T, Scott FJ. When Vomit Gets in the Way: Aspiration Resulting in Death During Endoscopy. PSNet [internet]. 2024. https://psnet.ahrq.gov/web-mm/when-vomit-gets-way-aspiration-resulting-death-during-endoscopy The Case A…

  4. Archived: Abdominal Aortic Aneurysm: Screening, 1996 | United States Preventive Services Taskforce

    www.uspreventiveservicestaskforce.org/uspstf/recommendation/abdominal-aortic-aneurysm-screening-1996
    January 01, 1996 - Share to Facebook Share to X Share to WhatsApp Share to Email Print archived Final Recommendation Statement Abdominal Aortic Aneurysm: Screening, 1996 January 01, 1996 Recommendations made by the USPSTF are independent of the U.S. gover…

  5. Improving Technology Innovation in Medicaid Programs – Final Report (pdf file)

    digital.ahrq.gov/sites/default/files/docs/citation/r13hs028546-kennedy-final-report-2022.pdf
    January 01, 2022 - Improving Technology Innovation in Medicaid Programs – Final Report FINAL PROGRESS REPORT “Improving Technology Innovation in Medicaid Programs” Susan Kennedy, MPP, MSW, Senior Director AcademyHealth August 3, 2021-August 2, 2022 Sheena Patel, Federal Project Officer Agency for Healthcare Research and Qualit…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866622/psn-pdf
    August 28, 2024 - In Conversation with Chalapathy Venkatesan and Kathy Helak about Application of Safety-II Principles August 28, 2024 In Conversation with Chalapathy Venkatesan and Kathy Helak about Application of Safety-II Principles. PSNet [internet]. 2024. https://psnet.ahrq.gov/perspective/conversation-chalapathy-venkatesan-an…

  7. Missed Diagnosis of Addison’s Disease in Adolescent Presenting with Fatigue. | PSNet

    psnet.ahrq.gov/web-mm/missed-diagnosis-addisons-disease-adolescent-presenting-fatigue
    October 28, 2020 - Missed Diagnosis of Addison’s Disease in Adolescent Presenting with Fatigue. Citation Text: Jimenez S, Crossen S. Missed Diagnosis of Addison’s Disease in Adolescent Presenting with Fatigue.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Serv…

  8. Unexplained Apnea Under Anesthesia | PSNet

    psnet.ahrq.gov/web-mm/unexplained-apnea-under-anesthesia
    December 01, 2005 - SPOTLIGHT CASE Unexplained Apnea Under Anesthesia Citation Text: Barach P. Unexplained Apnea Under Anesthesia. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2003. Copy Citation Format: Google Scholar BibTeX …

  9. Methodology Report #9: Design, Methods, and Field Results of the 1996 MEPS Medical Provider Component

    meps.ahrq.gov/data_files/publications/mr9/mr9.shtml
    May 01, 2000 - Methodology Report #9: Design, Methods, and Field Results of the 1996 MEPS Medical Provider Component   Skip to main content An official website of the Department of Health & Human Services More …

  10. Computer-Based Provider Order Entry (CPOE) Implementation in Intensive Care Units (ICUs) | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/computer-based-provider-order-entry-cpoe-implementation-intensive-care-units
    January 01, 2023 - Computer-Based Provider Order Entry (CPOE) Implementation in Intensive Care Units (ICUs) Project Final Report ( PDF , 157.47 KB) Disclaimer Disclaimer The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not neces…

  11. When Vomit Gets in the Way: Aspiration Resulting in Death During Endoscopy | PSNet

    psnet.ahrq.gov/web-mm/when-vomit-gets-way-aspiration-resulting-death-during-endoscopy
    March 18, 2020 - When Vomit Gets in the Way: Aspiration Resulting in Death During Endoscopy Citation Text: Do T, Scott FJ. When Vomit Gets in the Way: Aspiration Resulting in Death During Endoscopy. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2024…

  12. A Nonpunitive, Computerized System for Improved Reporting of Medical Occurrences (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Arroyo.pdf
    June 11, 2003 - A Nonpunitive, Computerized System for Improved Reporting of Medical Occurrences 71 A Nonpunitive, Computerized System for Improved Reporting of Medical Occurrences Dale A. Arroyo Abstract To improve the patient safety program at the Naval Hospital at Oak Harbor, the facility instituted a new computerized s…

  13. What Not To Do | The Academy

    integrationacademy.ahrq.gov/products/playbooks/opioid-use-disorder/what-not-do
    June 01, 2022 - An official website of the Department of Health & Human Services Search All AHRQ Sites Careers Contact Us Español FAQs Email Updates The Academy Integrating Behavioral Health & Primary Care Expand Navi…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60173/psn-pdf
    March 30, 2020 - In Conversation With... Ann Gaffey, RN, MSN, CPHRM and Bruce Spurlock, MD March 30, 2020 In Conversation With.. Ann Gaffey, RN, MSN, CPHRM and Bruce Spurlock, MD. PSNet [internet]. 2020. https://psnet.ahrq.gov/perspective/conversation-ann-gaffey-rn-msn-cphrm-and-bruce-spurlock-md Editor’s note: Ann D. Gaffey, RN, …

  15. Infused, Not Ingested | PSNet

    psnet.ahrq.gov/web-mm/infused-not-ingested
    February 01, 2017 - Infused, Not Ingested Citation Text: Foley M. Infused, Not Ingested. 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 …

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49621/psn-pdf
    March 01, 2011 - Volume Too Low: In and Out March 1, 2011 Miller MR. Volume Too Low: In and Out . PSNet [internet]. 2011. https://psnet.ahrq.gov/web-mm/volume-too-low-and-out Case Objectives Appreciate that because of multiple factors, children are at high risk for medical errors. Describe the importance of weight-based dosing of…

  17. Chapter 4. Assessing Surgeon Acceptance of Risk Adjustment Models | Agency for Healthcare Research and Quality

    www.ahrq.gov/research/findings/final-reports/ssi/ssi4.html
    April 01, 2018 - Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection Chapter 4. Assessing Surgeon Acceptance of Risk Adjustment Models Previous Page Next Page Table of Contents Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection Executiv…

  18. Reviewers | Agency for Healthcare Research and Quality

    www.ahrq.gov/research/findings/final-reports/iomracereport/reldatapre.html
    May 01, 2018 - Race, Ethnicity, and Language Data: Standardization for Health Care Quality Improvement Reviewers Previous Page Next Page Table of Contents Race, Ethnicity, and Language Data: Standardization for Health Care Quality Improvement Summary Reviewers 1. Introduction 2. Evidence of Disparities amo…

  19. AHRQ_DHR_Annual_Report_2022-At-A-Glance (pdf file)

    digital.ahrq.gov/sites/default/files/docs/page/ahrq-dhr-2022-year-in-review-at-a-glance.pdf
    January 01, 2022 - AHRQ_DHR_Annual_Report_2022-At-A-Glance AHRQ Digital Healthcare Research Program AT A GLANCE 2022 Our Purpose AHRQ’s Digital Healthcare Research (DHR) program’s mission is to determine how the various components of the ever-evolving digital healthcare ecosystem can best come together to …

  20. Measure Dx: A Resource To Identify, Analyze, and Learn From Diagnostic Safety Events (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/MeasureDx-guide.pdf
    July 01, 2022 - Develop a plan to manage feedback to patients and families, as well as the involved clinical teams,
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