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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73902/psn-pdf
    September 29, 2021 - Dangers of Missing an Epidural Abscess: Multiple Visits and Delayed Diagnosis with a Severely Negative Outcome September 29, 2021 Lantz L, Yoon J, Barnes DK. Dangers of Missing an Epidural Abscess: Multiple Visits and Delayed Diagnosis with a Severely Negative Outcome. PSNet [internet]. 2021. https://psnet.ahrq.go…

  2. Medical Product Safety Network (MedSun) Collaborates with Medical Product Users to Create Specialty Subnetworks (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Engleman_86.pdf
    June 04, 2008 - Medical Product Safety Network (MedSun) Collaborates with Medical Product Users to Create Specialty Subnetworks Medical Product Safety Network (MedSun) Collaborates with Medical Product Users to Create Specialty Subnetworks Donna Engleman, BSN; Suzanne Rich, RN, MA, CT; Tina Powell, BA; Marilyn Flack, M.A. …

  3. Harnessing the Potential of Health Care Collaboratives: Lessons from the Keystone ICU Project (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Goeschel_24.pdf
    January 01, 2008 - Harnessing the Potential of Health Care Collaboratives: Lessons from the Keystone ICU Project Harnessing the Potential of Health Care Collaboratives: Lessons from the Keystone ICU Project Christine A Goeschel, RN, MPA, MPS; Peter J. Pronovost, MD, PhD Abstract In October 2003, the Quality and Safety Research…

  4. NLP-enabled decision support for cervical cancer screening and surveillance (pdf file)

    digital.ahrq.gov/sites/default/files/docs/citation/r21hs022911-chaudhry-final-report-2017.pdf
    January 01, 2017 - NLP-enabled decision support for cervical cancer screening and surveillance NLP-enabled decision support for cervical cancer screening and surveillance Principal Investigator and Team Members: 1. Rajeev Chaudhry MBBS, MPH1. PI 2. Kathy L. MacLaughlin MD1. Co-Investigator 3. Ravikumar Komandur Elayavilli1. P…

  5. In Conversation With… Linda Aiken, PhD, RN | PSNet

    psnet.ahrq.gov/perspective/conversation-linda-aiken-phd-rn
    March 01, 2018 - In Conversation With… Linda Aiken, PhD, RN March 1, 2018  Also Read an Essay Citation Text: In Conversation With… Linda Aiken, PhD, RN. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2018. …

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60328/psn-pdf
    May 27, 2020 - Fatal Patient-Controlled Analgesia (PCA) Opioid-Induced Respiratory Depression May 27, 2020 Fazio S, Firestone R. Fatal Patient-Controlled Analgesia (PCA) Opioid-Induced Respiratory Depression. PSNet [internet]. 2020. https://psnet.ahrq.gov/web-mm/fatal-patient-controlled-analgesia-pca-opioid-induced-respiratory- …

  7. Transforming Healthcare Quality through Information Technology - Final Report (pdf file)

    digital.ahrq.gov/sites/default/files/docs/publication/uc1hs015076-rosa-final-report-2007.pdf
    January 01, 2007 - Transforming Healthcare Quality through Information Technology - Final Report Grant Final Report Grant ID: 1UC1HS015076 Transforming Healthcare Quality through Information Technology Inclusive Dates: Not provided. Principal Investigator: Cynthia Rosa RN, BSN, MS Team Members: Sheryl Sovie Michael M…

  8. A Model for Sustaining and Spreading Safety Interventions | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/cauti-tools/guides/sustainability-guide.html
    October 01, 2015 - A Model for Sustaining and Spreading Safety Interventions Next Page Table of Contents A Model for Sustaining and Spreading Safety Interventions Appendix A. Action Plan Tool for Project Sustainability Contents Background and Acknowledgments How To Use This Guide Why Sustainab…

  9. Faclearncusp (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/learn/faclearncusp.docx
    January 01, 2009 - SAY: The “Learn About CUSP” module of the Comprehensive Unit-based Safety Program (or CUSP) Toolkit introduces CUSP and provides an overview of resources to use when applying the CUSP model. Slide 1 SAY: This module offers an outline and brief history of the CUSP model, summarizes the CUSP Toolkit modules, and expl…

  10. WebM&M: Case Studies | PSNet

    psnet.ahrq.gov/webmm-case-studies
    March 25, 2025 - WebM&M: Case Studies WebM&M (Morbidity & Mortality Rounds on the Web) features expert analysis of medical errors reported anonymously by our readers. Spotlight Cases include interactive learning modules available for CME/CPE . Commentaries are written by patient safety experts and published monthly. Have you encou…

  11. Primary Care Practice Facilitation Curriculum Module 25: The Patient-Centered Medical Home: Principles and Recognition Processes (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-25-pcmh-principles.pdf
    September 01, 2015 - Primary Care Practice Facilitation Curriculum Module 25: The Patient-Centered Medical Home: Principles and Recognition Processes Primary Care Practice Facilitation Curriculum Module 25: The Patient-Centered Medical Home: Principles and Recognition Processes Agency for Healthcare Research and Quality A…

  12. Missed Nursing Care: A Key Measure for Patient Safety | PSNet

    psnet.ahrq.gov/perspective/missed-nursing-care-key-measure-patient-safety
    March 01, 2018 - Missed Nursing Care: A Key Measure for Patient Safety Jane Ball, PhD, and Peter Griffiths, PhD | March 1, 2018  Also Read a Conversation View more articles from the same authors. Citation Text: Ball JE, Griffiths P. Missed Nursing Care: A Key Measure for Patient…

  13. Findings and Lessons From AHRQ’s Clinical Decision Support Demonstration Projects (pdf file)

    digital.ahrq.gov/sites/default/files/docs/page/findings-and-lessons-from-clinical-decision-support-demonstration-projects.pdf
    June 01, 2014 - Findings and Lessons From AHRQ’s Clinical Decision Support Demonstration Projects Findings and Lessons From AHRQ’s Clinical Decision Support Demonstration Projects This document is in the public domain and may be used and reprinted without permission except those copy- righted materials that are clearly noted in…

  14. Fac-Lvl (pdf file)

    meps.ahrq.gov/data_stats/nhc/fac-lvl.pdf
    September 30, 1997 - OMB # 0935-0099 DATE: 09/30/97 FACILITY ID: INTERVIEWER NAME: INTERVIEWER ID: DATE OF INTERVIEW: _______/_______/_______ MONTH DAY YEAR TIME INTERVIEW BEGAN: am/pm Department of Health and Human Services Public Health Service Agency for Health Care Policy and Research and National Center for Health Statistics …

  15. Volume Too Low: In and Out | PSNet

    psnet.ahrq.gov/web-mm/volume-too-low-and-out
    July 01, 2017 - SPOTLIGHT CASE Volume Too Low: In and Out Citation Text: Miller MR. Volume Too Low: In and Out . PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2011. Copy Citation Format: Google Scholar BibTeX EndNote X3 XM…

  16. EHC Protocol: Making Healthcare Safer IV: Opioid Stewardship (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/related_files/mhs4-opioid-stewardship-protocol.pdf
    July 01, 2023 - EHC Protocol: Making Healthcare Safer IV: Opioid Stewardship 1 Evidence-based Practice Center Rapid Review Protocol Project Title: Making Healthcare Safer IV: Opioid Stewardship Review Questions 1. What is the frequency and severity of harms associated with opioid prescribing and ordering? 2. What …

  17. 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…

  18. 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…

  19. 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…

  20. Optimize Briefings and Debriefings: Slide Presentation | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/tools/surgery/modules/implementation/opt-briefings-slides.html
    December 01, 2017 - Optimize Briefings and Debriefings: Slide Presentation AHRQ Safety Program for Surgery Slide 1: AHRQ Safety Program for Surgery—Implementation Optimize Briefings and Debriefings Slide 2: Learning Objectives Describe characteristics of effective briefings and debriefings. Present the evidence bas…
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