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psnet.ahrq.gov/web-mm/under-pressure-tracheostomy-cuff-over-inflation-leading-tissue-necrosis-and-cuff-rupture
March 15, 2023 - often approached based on physician experience and preference, guided by how tracheostomy supplies are managed
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/cer-221-copd-evidence-summary_0.pdf
October 01, 2019 - Evidence Summary: Pharmacologic and Nonpharmacologic Therapies in Adult Patients With Exacerbation of COPD
Purpose of Review
To evaluate the effectiveness and harms of pharmacologic and
nonpharmacologic treatments for exacerbations of chronic
obstructive pulmonary disease.
Key Messages
• Antibiotic therapy in…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Kellie_30.pdf
April 21, 2008 - Patient Safety Learning Pilot: Narratives from the Frontlines
Patient Safety Learning Pilot: Narratives from
the Frontlines
Shirley E. Kellie, MD, MSc; James B. Battles, PhD; Nancy M. Dixon, PhD;
Harold S. Kaplan, MD; Barbara Rabin Fastman, MHA
Abstract
Although patient safety experts have focused on event…
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www.ahrq.gov/sites/default/files/2024-07/gallagher3-report.pdf
January 01, 2024 - Final Progress Report: Training Doctors To Disclose Unanticipated Outcomes to Patients: Randomized Trial
R01HS016506 Final Progress Report 12-26-13; Gallagher TH, PI. 1
Title Page
Title of Project: Training Doctors to Disclose Unanticipated Outcomes to Patients:
Randomized Trial
Principal Investigator and Team M…
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www.ahrq.gov/patient-safety/reports/engage/findings.html
March 01, 2017 - Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families
Discussion of Findings
Previous Page Next Page
Table of Contents
Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families
Executive Summary
Introduction
Limitation…
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www.ahrq.gov/sites/default/files/2024-07/gallagher4-report.pdf
January 01, 2024 - Final Progress Report: Enhancing the Disclosure Of Medical Errors to Patients
FINAL REPORT
Agency for Healthcare Research and Quality
Title of Project:
Enhancing The Disclosure Of Medical Errors To Patients
Principal Investigator and Team Members:
Thomas H. Gallagher, MD
Carolyn Prouty, DVM
Mary Lucas
Organizati…
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/cer-193-disposition-comments-naloxone.pdf
November 27, 2017 - Or could these patients
be successfully managed by EMTs once the
diagnosis of opiate overdose is confirmed
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psnet.ahrq.gov/web-mm/mothers-milk-whose-mother
November 15, 2023 - Mother's Milk, but Whose Mother?
Citation Text:
Dougherty D. Mother's Milk, but Whose Mother?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2010.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XM…
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psnet.ahrq.gov/web-mm/inadequate-preanesthetic-evaluation-airway-trouble
November 01, 2023 - Inadequate Preanesthetic Evaluation, Airway Trouble
Citation Text:
Blitz J. Inadequate Preanesthetic Evaluation, Airway Trouble. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2018.
Copy Citation
Format:
Google Scholar …
-
psnet.ahrq.gov/node/49816/psn-pdf
January 01, 2018 - A Painful Medication Reconciliation Mishap
January 1, 2018
Chou R. A Painful Medication Reconciliation Mishap. PSNet [internet]. 2018.
https://psnet.ahrq.gov/web-mm/painful-medication-reconciliation-mishap
Case Objectives
Recognize that substance use disorders are common in patients with acute pain.
Understand th…
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psnet.ahrq.gov/node/49732/psn-pdf
May 01, 2015 - Errors in Sepsis Management
May 1, 2015
Shimabukuro D. Errors in Sepsis Management. PSNet [internet]. 2015.
https://psnet.ahrq.gov/web-mm/errors-sepsis-management
Case Objectives
Define sepsis, severe sepsis, and septic shock.
Describe the severe sepsis/septic shock resuscitation bundle.
Recognize commonly encou…
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psnet.ahrq.gov/node/49864/psn-pdf
June 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-…
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digital.ahrq.gov/program-overview/research-reports/2021-year-review/research-overview
January 01, 2021 - Research Overview
Digital healthcare knowledge and tools can enhance the efforts of patients, clinicians, and health systems working to improve healthcare quality and safety. AHRQ’s DHR program funds research to create actionable findings on what and how digital healthcare works best for t…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module8/module8-organizational-learning-sustainability.pptx
August 20, 2015 - An Overview of the CANDOR Process
Communication and Optimal Resolution
(CANDOR)
Toolkit
Module 8: Organizational Learning and Sustainability
Module 8, the last module in the CANDOR Toolkit, provides an overview of organizational learning and how an organization can develop a sustainability plan to assure the CAND…
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www.ahrq.gov/hai/cauti-tools/archived-webinars/preventing-cauti-proc-related-catheter-use-slides.html
December 01, 2017 - Preventing CAUTI in Special Populations: Focus on Procedure-Related Catheter Use
Slide presentation
Slide 1
Preventing CAUTI in Special Populations: Focus on Procedure-Related Catheter Use
David A. Pegues, MD
Professor of Medicine, Division of Infectious Diseases
Medical Director, Healthcare Epidemiol…
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs023865-lee-final-report-2018.pdf
January 01, 2018 - Patient-Centered Data Visualizations for Diabetes - Final Report
Title of Project: Patient-Centered Data Visualizations for Diabetes
Principal Investigator and Team Members: Joyce Lee, MD, MPH; Kai Zheng, PhD
Organizations: University of Michigan, Ann Arbor, MI; University of Cali…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.227_slideshow.ppt
November 01, 2010 - Spotlight Case [MONTH] 2003
Spotlight Case
Treatment Challenges After Discharge
*
*
Source and Credits
This presentation is based on the November 2010
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available
Commentary by: Chase Coffey, MD, Henry Ford Health System,…
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www.ahrq.gov/funding/training-grants/grants/active/kawards/kawards.html
July 01, 2019 - Recently Funded Career Development Award Grants
List of recently funded projects for Independent Scientist and Mentored Clinical Scientist Development K Awards.
K01: Mentored Research Scientist Development Award
K02: Independent Scientist Awards
K08: Mentored Clinical Scientist Development Award
Arc…
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digital.ahrq.gov/sites/default/files/docs/page/Frisse.ppt
June 08, 2005 - Department more than 10 times in a year
Emergency Department Activity
Sources:
1 – Data supplied by Memphis Managed … Jude Children’s Research Hospital, Shelby County/Health Loop, UTMG, LabCorp, Memphis Managed Care-TLC
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digital.ahrq.gov/sites/default/files/docs/resource/Timeline_at_a_glance_high_level_snapshot_on_the_progress.pdf
June 17, 2005 - use MED
VPN tunnel
Complete
Complete
Initial call
in
process
of being
schedule
d
Memphis
Managed