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  1. An Outpatient 'Zebra' | PSNet

    psnet.ahrq.gov/web-mm/outpatient-zebra
    January 23, 2020 - An Outpatient 'Zebra' Citation Text: Berkowitz L. An Outpatient 'Zebra'. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2006. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMe…

  2. Trends in Unintentional Injury Mortality among AI/AN, Washington, 1990-2009.

    hcup-us.ahrq.gov/datainnovations/raceethnicitytoolkit/or33.jsp
    August 01, 2014 - Trends in Unintentional Injury Mortality among AI/AN, Washington, 1990-2009. An official website of the Department of Health & Human Services Search All AHRQ Websites Careers Contact Us …

  3. Motor Vehicle Crash Mortality among Northwest AI/AN.

    hcup-us.ahrq.gov/datainnovations/raceethnicitytoolkit/or31.jsp
    August 01, 2014 - Motor Vehicle Crash Mortality among Northwest AI/AN. An official website of the Department of Health & Human Services Search All AHRQ Websites Careers Contact Us Espanol FAQs…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866217/psn-pdf
    July 10, 2024 - In Conversation With...Amy Helwig about Health Plan Patient Safety Initiatives July 10, 2024 Helwig A, Sousane Z, Mossburg S. In Conversation With..Amy Helwig about Health Plan Patient Safety Initiatives. PSNet [internet]. 2024. https://psnet.ahrq.gov/perspective/conversation-withamy-helwig-about-health-plan-patie…

  5. Facilitators and Barriers to Adoption of a Successful Urban Telemedicine Model | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/facilitators-and-barriers-adoption-successful-urban-telemedicine-model
    January 01, 2023 - Facilitators and Barriers to Adoption of a Successful Urban Telemedicine Model Project Final Report ( PDF , 704.69 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 necessarily rep…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866265/psn-pdf
    July 31, 2024 - Misplaced Vial: Medication Kit Variability Contributes to Medication Error During Patient Transport July 31, 2024 MacDowell P, McGee E. Misplaced Vial: Medication Kit Variability Contributes to Medication Error During Patient Transport. PSNet [internet]. 2024. https://psnet.ahrq.gov/web-mm/misplaced-vial-medicatio…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49598/psn-pdf
    February 01, 2010 - Medication Reconciliation Pitfalls February 1, 2010 Weber RJ. Medication Reconciliation Pitfalls. PSNet [internet]. 2010. https://psnet.ahrq.gov/web-mm/medication-reconciliation-pitfalls The Case A 90-year-old woman who lived alone suffered a mechanical fall with subsequent hip fracture and was brought to the eme…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49435/psn-pdf
    February 01, 2004 - X-ray Flip February 1, 2004 Shapiro MJ. X-ray Flip. PSNet [internet]. 2004. https://psnet.ahrq.gov/web-mm/x-ray-flip The Case A 19-year-old man presented to the emergency department with respiratory distress after blunt chest trauma. A digital chest radiograph was labeled backwards; a "left" marker was mistakenly…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33829/psn-pdf
    March 01, 2017 - Our Maturing Understanding of Safety Culture: How to Change It and How It Changes Safety March 1, 2017 Singer SJ. Our Maturing Understanding of Safety Culture: How to Change It and How It Changes Safety. PSNet [internet]. 2017. https://psnet.ahrq.gov/perspective/our-maturing-understanding-safety-culture-how-change…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33644/psn-pdf
    December 01, 2006 - Establishing a Safety Culture: Thinking Small December 1, 2006 Hoff TJ. Establishing a Safety Culture: Thinking Small. PSNet [internet]. 2006. https://psnet.ahrq.gov/perspective/establishing-safety-culture-thinking-small Perspective Safety cultures are the holy grail in any risky industry. Like all holy grails, th…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49619/psn-pdf
    February 01, 2011 - Paradoxical Pulse February 1, 2011 Roy CL. Paradoxical Pulse. PSNet [internet]. 2011. https://psnet.ahrq.gov/web-mm/paradoxical-pulse The Case An 80-year-old man with paroxysmal atrial fibrillation and symptomatic bradycardia underwent successful pacemaker placement as an outpatient. The patient was restarted on …

  12. Measuring IT Sophistication in Nursing Homes (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Alexander_10.pdf
    January 20, 2008 - Measuring IT Sophistication in Nursing Homes Measuring IT Sophistication in Nursing Homes Gregory L. Alexander, PhD, RN; Dick Madsen, PhD; Stephanie Herrick; Brady Russell Abstract Objective: Little activity has occurred in nursing home (information technology) IT adoption. The purpose of this study was to de…

  13. II. Hotline Design and Development | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/reports/hotline/design2.html
    May 01, 2016 - Developing and Testing the Health Care Safety Hotline: A Prototype Consumer Reporting System for Patient Safety Events II. Hotline Design and Development Previous Page Next Page Table of Contents Developing and Testing the Health Care Safety Hotline: A Prototype Consumer Reporting System for Patient…

  14. Improving Patient Safety in Long-Term Care Facilities, Module 1 (pdf file)

    www.ahrq.gov/sites/default/files/publications/files/ltcmodule1.pdf
    June 01, 2012 - Improving Patient Safety in Long-Term Care Facilities, Module 1 Improving Patient Safety in Long-Term Care Facilities Agency for Healthcare Research and Quality Advancing Excellence in Health Care www.ahrq.gov Module 1. Detecting Change in a Resident’s Condition Student Workbook These training materi…

  15. CMS's Million Hearts Model Longitudinal ASCVD Risk Assessment Tool for Updated 10-Year ASCVD Risk (April 2021) (pdf file)

    cds.ahrq.gov/sites/default/files/cds/artifact/81/CMSs%20Million%20Hearts%20Model%20Longitudinal%20ASCVD%20Risk%20Assessment%20Tool%20for%20Updated%2010-Year%20ASCVD%20Risk.pdf
    January 01, 2010 - The report indicates that the updated calculation would occur at a “followup visit” without further … Concept Definition Decision Log Concept Definition and/or Rationale “updated” To occur after preventive

  16. Final Progress Report: Connected Emergency Care (CEC) Patient Safety Learning Lab (pdf file)

    www.ahrq.gov/sites/default/files/2025-03/hinson-levin-report.pdf
    January 01, 2025 - Final Progress Report: Connected Emergency Care (CEC) Patient Safety Learning Lab • Title of Project: Connected Emergency Care (CEC) Patient Safety Learning Lab • Principal Investigators: Jeremiah S. Hinson, MD, PhD, and Scott R. Levin, PhD • Team Members: Jeremiah Hinson, MD, PhD, Scott Levin, PhD, Eili Klein, Ph…

  17. Final Progress Report: Reducing Diagnostic Error to Improve Patient Safety in COPD and Asthma (REDEFINE Study) (pdf file)

    www.ahrq.gov/sites/default/files/2025-03/joo-report.pdf
    January 01, 2025 - Final Progress Report: Reducing Diagnostic Error to Improve Patient Safety in COPD and Asthma (REDEFINE Study) 1. Reducing Diagnostic Error to Improve Patient Safety in COPD and Asthma (REDEFINE Study) Principal Investigator and Team Members/Organization: Min J. Joo, MD, MPH, Department of Medicine, College of Medi…

  18. Final Progress Report: Safe delivery of primary care to vulnerable populations: Using simulation to assess team performance in responding to behavioral and social determinants of health (pdf file)

    www.ahrq.gov/sites/default/files/2024-01/zabar-report.pdf
    January 01, 2024 - Final Progress Report: Safe delivery of primary care to vulnerable populations: Using simulation to assess team performance in responding to behavioral and social determinants of health AHRQ Grant Final Progress Report Title of Project Safe delivery of primary care to vulnerable populations: Using simulation (Unanno…

  19. Final Progress Report: Developing a patient-centered model of the risk of perioperative complications in spine surgery (pdf file)

    www.ahrq.gov/sites/default/files/2024-04/ratliff-report.pdf
    January 01, 2024 - Final Progress Report: Developing a patient-centered model of the risk of perioperative complications in spine surgery Developing a patient-centered model of the risk of perioperative complications in spine surgery John Ratliff, MD, PI Team members: Summer Han, PhD Richard Olshen, PhD Lu Tian, PhD Paola Suarez …

  20. Final Progress Report: Comprehensive Pediatric Hypertension Diagnosis and Management (pdf file)

    www.ahrq.gov/sites/default/files/2025-03/rinke2-report.pdf
    January 01, 2025 - cause irreversible cardiovascular damage in children,15,16 suggesting that diagnosis and management occur … is a no-randomized way to collect the data but which we hope minimized any sampling bias that could occur
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