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psnet.ahrq.gov/web-mm/delayed-recognition-positive-blood-cultureJanuary 29, 2020 - Delayed Recognition of a Positive Blood Culture Citation Text: Doernberg S. Delayed Recognition of a Positive Blood Culture. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017. Copy Citation Format: Google Scholar BibT…
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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/49531/psn-pdfMarch 01, 2007 - Failure to Report March 1, 2007 Spath P. Failure to Report. PSNet [internet]. 2007. https://psnet.ahrq.gov/web-mm/failure-report Case Objectives List common causes of medical errors. Appreciate the magnitude of underreporting of adverse events. List the common barriers to reporting adverse events and near misses… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/857259/psn-pdfNovember 30, 2023 - Medication Mix-Up Leads to Patient Death November 30, 2023 Sanchez L, Romano PS. Medication Mix-Up Leads to Patient Death. PSNet [internet]. 2023. https://psnet.ahrq.gov/web-mm/medication-mix-leads-patient-death The Case An 81-year-old man was transferred from an outside hospital and admitted to the intensive car… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/33769/psn-pdfJune 01, 2014 - Patient Advocacy in Patient Safety: Have Things Changed? June 1, 2014 Haskell H. Patient Advocacy in Patient Safety: Have Things Changed? PSNet [internet]. 2014. https://psnet.ahrq.gov/perspective/patient-advocacy-patient-safety-have-things-changed Perspective In 1981, a cancer patient named Paula Carroll founded… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/865656/psn-pdfApril 24, 2024 - Verbal Orders and Medication Overrides: A Dangerous Combination April 24, 2024 Mueller C, MacDowell P, Bourgeois JA. Verbal Orders and Medication Overrides: A Dangerous Combination. PSNet [internet]. 2024. https://psnet.ahrq.gov/web-mm/verbal-orders-and-medication-overrides-dangerous-combination The Case A 26-ye… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73456/psn-pdfJune 30, 2021 - Inadequate Anesthesia Preparation Leading to Difficult Intubation and Severe Hypoxemia June 30, 2021 Bohringer C. Inadequate Anesthesia Preparation Leading to Difficult Intubation and Severe Hypoxemia. PSNet [internet]. 2021. https://psnet.ahrq.gov/web-mm/inadequate-anesthesia-preparation-leading-difficult-intubat… -
www.ahrq.gov/practiceimprovement/delivery-initiative/rodriguez/index.htmlDecember 01, 2020 - Implementing Team Approaches for Improving Diabetes Care in Health Centers Slide Presentation by Hector P. Rodriguez Text version of a slide presentation made by Hector P. Rodriguez, PhD, MPH. Sign up: Quality Measure Tools Email updates Slide 1 Implementing Team Approaches for Improving Diabetes Ca…
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www.ahrq.gov/sites/default/files/2025-03/newman-toker-report.pdfJanuary 01, 2025 - Final Progress Report: A Multiyear Grant To Support the Diagnostic Error in Medicine (DEM) Annual Conference FINAL PROGRESS REPORT TITLE PAGE (R13HS019252, PI Newman-Toker) Title: A Multiyear Grant to Support the Diagnostic Error in Medicine (DEM) Annual Conference Principal Investigator: David E. Newman-Toker Tea…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/039-mrsa-surveillance-slides.pptxOctober 01, 2024 - AHRQ Safety Program for MRSA Prevention AHRQ Safety Program for MRSA Prevention MRSA Surveillance ICU & Non-ICU AHRQ Pub. No. 25-0007 October 2024 AHRQ Safety Program for MRSA Prevention | ICU & Non-ICU MRSA Surveillance 1 Educational Objectives Describe both active and passive approaches to surveillance of methic…
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www.ahrq.gov/patient-safety/settings/hospital/match/chapter-3.htmlJuly 01, 2022 - Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation Chapter 3. Developing Change: Designing the Medication Reconciliation Process Previous Page Next Page Table of Contents Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Recon…
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www.ahrq.gov/es/patient-safety/settings/hospital/match/chapter-3.htmlJuly 01, 2022 - Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation Chapter 3. Developing Change: Designing the Medication Reconciliation Process Previous Page Next Page Table of Contents Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Recon…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module3/module3-assessment-change-readiness-gap-analysis.pptxAugust 25, 2015 - Communication and Optimal Resolution (CANDOR) Toolkit Module 3: Preparing for Implementation: Change Readiness and Gap Analysis Communication and Optimal Resolution (CANDOR) Toolkit Module 3 – Preparing for Implementation: Change Readiness and Gap Analysis Module 3 of the CANDOR Toolkit describes the critical ste…
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Title of Presentation: (pdf file)
www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/qde-mmd-webinar-on_quality-measure-use.pdfSeptember 24, 2015 - Title of Presentation: Putting Quality Measures to Work: Presentation for the Association of Medicaid Medical Directors Lessons from the CHIPRA Quality Demonstration Grant Program Cindy Brach, M.P.P. • Joe Zickafoose, M.D., M.S. • Francis Rushton, M.D., F.A.A.P. • David Kelley, M.D., M.P.A. September 24… -
www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/qde-mmd-webinar-slides.htmlJanuary 01, 2016 - Putting Quality Measures to Work: Lessons from the CHIPRA Quality Demonstration Grant Program Presentation for the Association of Medicaid Medical Directors Slide 1 Putting Quality Measures to Work: Lessons from the CHIPRA Quality Demonstration Grant Program Presentation for the Association of Medicaid …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/long-term-modules/module6/sustainability-slides-spanish.pptxJanuary 01, 2005 - Módulo 6: Sostenibilidad Módulo 6: Sostenibilidad Programa de seguridad de la AHRQ para cuidados a largo plazo: HAI/CAUTI Kit de herramientas de seguridad para cuidados a largo plazo AHRQ Pub. No. 16(17)-0003-03-EF Marzo de 2017 Sostenibilidad | ‹#› 1 Objetivos Definir la sostenibilidad y comprender la importanc…
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www.ahrq.gov/research/findings/nhqrdr/chartbooks/effectivetreatment/respiratory.htmlJune 01, 2018 - Chartbook on Effective Treatment Respiratory Diseases Previous Page Table of Contents Chartbook on Effective Treatment Acknowledgments Effective Treatment Effective Treatment Trends and Measures Cardiovascular Disease Cancer Chronic Kidney Disease Diabetes HIV and AIDS Mental Hea…
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www.ahrq.gov/sites/default/files/2024-02/whitney-report.pdfJanuary 01, 2024 - Final Progress Report: A new approach to the allocation of decisional authority FINAL REPORT A new approach to the allocation of decisional authority Simon Whitney, MD, JD, Principal Investigator Team members Robert Volk, PhD, vice chair for research, Baylor College of Medicine, Department of Family …
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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/49552/psn-pdfJanuary 01, 2008 - How Do Providers Recover From Errors? January 1, 2008 West CP. How Do Providers Recover From Errors? PSNet [internet]. 2008. https://psnet.ahrq.gov/web-mm/how-do-providers-recover-errors Case Objectives Describe the provider-specific prevalence of medical errors. Appreciate the impact of medical errors on care pr… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/33663/psn-pdfSeptember 15, 2008 - Implementing a Patient Safety Program at a Large National Health System January 1, 2008 Hauck LD, Jacob J. Implementing a Patient Safety Program at a Large National Health System. PSNet [internet]. 2008. https://psnet.ahrq.gov/perspective/implementing-patient-safety-program-large-national-health-system Perspectiv… -
psnet.ahrq.gov/web-mm/hyperbilirubinemia-refractory-phototherapyMarch 01, 2006 - Hyperbilirubinemia Refractory to Phototherapy Citation Text: Bhutani VK, Wong RJ. Hyperbilirubinemia Refractory to Phototherapy. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017. Copy Citation Format: Google Scholar …
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