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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49612/psn-pdf
    November 01, 2010 - Treatment Challenges After Discharge November 1, 2010 Coffey C. Treatment Challenges After Discharge. PSNet [internet]. 2010. https://psnet.ahrq.gov/web-mm/treatment-challenges-after-discharge Case Objectives Understand types and frequencies of adverse events occurring between patient discharge from the hospital …
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49568/psn-pdf
    September 01, 2008 - Failure to Latch September 1, 2008 Rodriguez M, Mannel R, Frye DR. Failure to Latch. PSNet [internet]. 2008. https://psnet.ahrq.gov/web-mm/failure-latch The Case The patient is a full-term, 8.5-pound, healthy infant whose parents were strongly committed to breastfeeding exclusively for 6 months. However, early br…
  3. psnet.ahrq.gov/web-mm/medical-devices-wild
    March 27, 2024 - Medical Devices in the "Wild" Citation Text: Gurses AP, Doyle PA. Medical Devices in the "Wild". PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2014. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 …
  4. psnet.ahrq.gov/perspective/conversation-erik-hollnagel-phd
    February 26, 2025 - In Conversation With… Erik Hollnagel, PhD June 1, 2019  Citation Text: In Conversation With… Erik Hollnagel, PhD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. Copy Citation Forma…
  5. www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/report/apv2b.html
    June 01, 2010 - Environmental Scan of Measures for Medicaid Title XIX Home and Community-Based Services Appendix V (continued) Previous Page Next Page Table of Contents Environmental Scan of Measures for Medicaid Title XIX Home and Community-Based Services Executive Summary Introduction and Scan Methodology E…
  6. Santa_ECCS2012 (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/santa_eccs2012.pdf
    February 01, 2013 - Santa_ECCS2012 Slide 1: Communicating  Information About Overuse to Consumers John Santa, M.D., M.P.H. Director, Health  Ratings  Center Consumer Reports, Yonkers, New York Slide 2: Consumer Reports  in Context • Consumers choose/pu…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49869/psn-pdf
    July 02, 2019 - Failure to Rescue the Mother July 2, 2019 Vivero A, Klapper EB, Gregory KD, et al. Failure to Rescue the Mother. PSNet [internet]. 2019. https://psnet.ahrq.gov/web-mm/failure-rescue-mother The Case A 27-year-old woman, G5 P2 A2, was first admitted to the hospital at 25 weeks of pregnancy for vaginal bleeding. An …
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49848/psn-pdf
    January 01, 2019 - Inadequate Preanesthetic Evaluation, Airway Trouble November 1, 2018 Blitz J. Inadequate Preanesthetic Evaluation, Airway Trouble. PSNet [internet]. 2018. https://psnet.ahrq.gov/web-mm/inadequate-preanesthetic-evaluation-airway-trouble The Case Case #1: A 34-year-old woman was scheduled for a hysteroscopy under g…
  9. psnet.ahrq.gov/web-mm/are-you-mrs-issue-identification-over-telephone
    January 01, 2016 - Are You Mrs. A? An Issue of Identification Over Telephone Citation Text: Adelman JS. Are You Mrs. A? An Issue of Identification Over Telephone. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2013. Copy Citation Format: …
  10. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module2/module2-obtaining-organizational-buy-in-support.pptx
    August 14, 2015 - Module 2: Communication and Optimal Resolution (CANDOR) Toolkit Module 2: Obtaining Organizational Buy-in and Support Communication and Optimal Resolution (CANDOR) Toolkit Module 2: Obtaining Organizational Buy-in and Support Module 2 of the CANDOR Toolkit describes the importance of obtaining organizational supp…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49440/psn-pdf
    March 01, 2004 - Autopsy Revelation March 1, 2004 Shojania KG. Autopsy Revelation. PSNet [internet]. 2004. https://psnet.ahrq.gov/web-mm/autopsy-revelation The Case A 45-year-old male with development delay presented to the emergency department with acute abdominal pain. His mother, who was his main caregiver, accompanied him. Th…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49451/psn-pdf
    June 01, 2004 - The Result Stopped Here June 1, 2004 Astion ML. The Result Stopped Here. PSNet [internet]. 2004. https://psnet.ahrq.gov/web-mm/result-stopped-here The Case A 91-year-old female was transferred to a hospital-based skilled nursing unit from the acute care hospital for continued wound care and intravenous (IV) antib…
  13. www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/assess-resident-UTI-facilitator-guide.docx
    June 01, 2021 - AHRQ Safety Program for Improving Antibiotic Use 1 Assessment of the Resident With a Suspected Urinary Tract Infection Long-Term Care Slide Title and Commentary Slide Number and Slide Assessment of the Resident With a Suspected Urinary Tract Infection Long-Term Care SAY: Welcome to the presentation titled, “A…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33758/psn-pdf
    December 01, 2013 - In Conversation With… Hardeep Singh, MD, MPH December 1, 2013 In Conversation With… Hardeep Singh, MD, MPH. PSNet [internet]. 2013. https://psnet.ahrq.gov/perspective/conversation-hardeep-singh-md-mph Editor's note: Hardeep Singh, MD, MPH, is Chief of the Health Policy, Quality and Informatics Program at the Hous…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49787/psn-pdf
    March 01, 2017 - Diagnosing a Missed Diagnosis March 1, 2017 Reilly JB, Webster C. Diagnosing a Missed Diagnosis. PSNet [internet]. 2017. https://psnet.ahrq.gov/web-mm/diagnosing-missed-diagnosis The Case A 57-year old woman was admitted to the hospital with cough, slurred speech, confusion, and disorientation. She was taking mod…
  16. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/measuredesc-dailyearlymobility-facguide.docx
    January 01, 2017 - Facilitator Guide: Build Your SSI Prevention Bundle Slide Title and Commentary Slide Number and Slide Title Slide Measure Descriptions for Daily Early Mobility SAY: In this module, you will learn about the data measures you will use to evaluate early mobility process and outcome measures in your unit. Slide 1 …
  17. meps.ahrq.gov/data_files/publications/st561/stat561.shtml
    May 01, 2025 - Expenditures for Key Diet-Related Health Conditions, 2021-2022   Skip to main content An official website of the Department of Health & Human Services More Back Searc…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33596/psn-pdf
    June 01, 2025 - Failure to Rescue January 29, 2025 Tokareva I, Romano P. Failure to Rescue. PSNet [internet]. 2025. https://psnet.ahrq.gov/primer/failure-rescue Updated in January 2025 by Irina Tokareva RN, BSN, MAS, CPHQ and Patrick Romano, MD, MPH. PSNet primers are regularly reviewed and updated to ensure that they reflect cur…
  19. www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/index.html
    October 01, 2020 - What We Learned The CHIPRA quality demonstration States are pursuing innovative strategies to improve health care for children. Learn about the CHIPRA quality demonstration States' strategies, lessons learned, and outcomes from these National Evaluation products: Final Summary Final Project Report Spe…
  20. www.ahrq.gov/research/findings/nhqrdr/chartbooks/blackhealth/part2.html
    June 01, 2018 - Chartbook on Health Care for Blacks Part 2: Trends in Priorities of the Heckler Report Previous Page Next Page Table of Contents Chartbook on Health Care for Blacks Health Care for Blacks Acknowledgments Part 1: Overviews of the Report and the Black Population Part 2: Trends in Priorities of…