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5461. The Wet Read | PSNet
      psnet.ahrq.gov/web-mm/wet-read
      October 01, 2017 - SPOTLIGHT CASE The Wet Read Citation Text: Arenson RL. The Wet Read. 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 tagge…

5462. Microsoft PowerPoint - Spotlight Case_Anesthesia Error During Cesarean_06.22.2023 - Final.pptx (pdf file)
      psnet.ahrq.gov/sites/default/files/2023-06/hurried_huddle_0.pdf
      January 01, 2023 - Microsoft PowerPoint - Spotlight Case_Anesthesia Error During Cesarean_06.22.2023 - Final.pptx Spotlight Hurried Team Huddle and Poor Communication: Unsafe Practice During Anesthesia for Emergency Cesarean Delivery Source and Credits • This presentation is based on the June 2023 AHRQ WebM&M Spotlight Case o See…

5463. Spotlight (pdf file)
      psnet.ahrq.gov/sites/default/files/2024-01/spotlight_case_laceration_needed_exam_not_x-ray_final.pdf
      January 01, 2024 - Spotlight Spotlight Laceration that Needed a Proper Exam, Not an X-Ray Source and Credits • This presentation is based on the January 2024 AHRQ WebM&M Spotlight Case o See the full article at https://psnet.ahrq.gov/webmm o CME credit is available o Commentary by: Jazmin A. Wander, MD and David K. Barnes, MD, F…

5464. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/849679/psn-pdf
      June 28, 2023 - Under Pressure: Tracheostomy Cuff Over Inflation Leading to Tissue Necrosis and Cuff Rupture June 28, 2023 Gould E, Carlsen K, Trask J, et al. Under Pressure: Tracheostomy Cuff Over Inflation Leading to Tissue Necrosis and Cuff Rupture. PSNet [internet]. 2023. https://psnet.ahrq.gov/web-mm/under-pressure-tracheost…

5465. On-Time Pressure Ulcer Healing: Introduction to Pressure Ulcer Healing Reports Facilitator Training Instructor's Guide | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruhealing/erepguide.html
      December 01, 2016 - The Weekly Wound Rounds Report displays declines in ADLs that have occurred in the past: Month … Consults: Any consultations that occurred during the week are recorded. … If more than one consultation occurred, all are listed.

5466. Recommendation: Lung Cancer: Screening | United States Preventive Services Taskforce
      www.uspreventiveservicestaskforce.org/uspstf/recommendation/lung-cancer-screening
      March 09, 2021 - Complications occurred in 0.1% of patients screened, and death in the 60 days following the most invasive … procedure performed to evaluate a false-positive result occurred in 0.007% of those screened. 9 One … ascertainment method during posttrial follow-up, lack of information on any posttrial screening that may have occurred

5467. AHRQ Safety Program for Perinatal Care: Safe Medication Administration: Oxytocin (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/medication/tool_safe-oxytocin.docx
      May 01, 2017 - AHRQ Safety Program for Perinatal Care: Safe Medication Administration: Oxytocin AHRQ Safety Program for Perinatal Care Safe Medication Administration Oxytocin Safe Medication Administration—Oxytocin Purpose of the tool: This tool describes the key perinatal safety elements with examples for the safe administration of…

5468. Final Progress Report: : State of the Science on Safe Medication Administration (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/barnsteiner-report.pdf
      January 01, 2024 - Final Progress Report: : State of the Science on Safe Medication Administration Title of Project: State of the Science on Safe Medication Administration Principal Investigator and Team Members: Principal Investigator: Jane H. Barnsteiner, RN, PhD, FAAN Co-investigators: Mary C. Alexander, RN, MA; Kathleen Burke, …

5469. Final Progress Report: Conference Proceedings: Interventions to Improve Quality in the Crowded Emergency Department (pdf file)
      www.ahrq.gov/sites/default/files/2024-04/pines-mccarthy-report.pdf
      January 01, 2024 - Final Progress Report: Conference Proceedings: Interventions to Improve Quality in the Crowded Emergency Department 1. TITLEPAGE Title: Conference Proceedings: Interventions to Improve Quality in the Crowded Emergency Department Co-Principal Investigators: Jesse M. Pines, MD, MBA, MSCE, George Washington Un…

5470. Final Progress Report: The elderly and OTC labeling information: A randomized controlled experiment test (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/sangasubana-report.pdf
      January 01, 2024 - Final Progress Report: The elderly and OTC labeling information: A randomized controlled experiment test 1 FINAL PROGRESS REPORT Funded by The Agency for Healthcare Research and Quality (AHRQ) Federal Project Officer: Ronda Hughes Grant Number: R03 HS16801 Inclusive Dates of Project: From 03/01/2007 through 02/28/…

5471. Pediatric Health Care Quality Measures: Considerations for Pharmacotherapy (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/LomotanDougherty2013.pdf
      April 01, 2013 - Pediatric Health Care Quality Measures: Considerations for Pharmacotherapy Pediatr Drugs DOI 10.1007/s40272-013-0042-4 LEADING ARTICLE Pediatric Health Care Quality Measures: Considerations for Pharmacotherapy Edwin A. Lomotan • Denise Dougherty © Springer International Publishing Switzerland (outside th…

5472. Some Patients Can't Wait: Improving Timeliness of Emergency Department Care | PSNet
      psnet.ahrq.gov/web-mm/some-patients-cant-wait-improving-timeliness-emergency-department-care
      November 25, 2020 - SPOTLIGHT CASE Some Patients Can't Wait: Improving Timeliness of Emergency Department Care Citation Text: Chang R, Barnes DK. Some Patients Can't Wait: Improving Timeliness of Emergency Department Care. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of…

5473. In Conversation with…William B. Munier, MD, MBA | PSNet
      psnet.ahrq.gov/perspective/conversation-withwilliam-b-munier-md-mba
      July 01, 2011 - In Conversation with…William B. Munier, MD, MBA July 1, 2011  Also Read an Essay Citation Text: In Conversation with…William B. Munier, MD, MBA. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Service…

5474. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60744/psn-pdf
      July 29, 2020 - The NSTEMI Curbside Consultation July 29, 2020 Villablanca AC, Wong GX. The NSTEMI Curbside Consultation. PSNet [internet]. 2020. https://psnet.ahrq.gov/web-mm/nstemi-curbside-consultation Disclosure of Relevant Financial Relationships: As a provider accredited by the Accreditation Council for Continuing Medical E…

5475. Diabetes Mellitus (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/diabetes-horizon-scan-high-impact-1512.pdf
      December 01, 2015 - manufacturers suggest that Afrezza therapy was associated with reduced pulmonary function that occurred … No deaths occurred. … Severe hypoglycemic events occurred in 5.1% of the Afrezza group (n=177) and 1.7% of the placebo group … Afrezza therapy was associated with reduced pulmonary function that occurred during the first 3 months … A 15% or larger decline in FEV1 occurred in 6% of Afrezza-treated subjects compared with 3% of subjects

5476. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/846171/psn-pdf
      July 26, 2022 - NGT was replaced, but X-ray was not performed due to miscommunication at the change of shift, which occurred

5477. Dangers of Missing an Epidural Abscess: Multiple Visits and Delayed Diagnosis with a Severely Negative Outcome | PSNet
      psnet.ahrq.gov/web-mm/dangers-missing-epidural-abscess-multiple-visits-and-delayed-diagnosis-severely-negative
      April 27, 2022 - In this case, multiple diagnostic errors occurred.

5478. Archived: Evidence Summary: Aspirin Use to Prevent Cardiovascular Disease and Colorectal Cancer: Preventive Medication, 2002 | United States Preventive Services Taskforce
      www.uspreventiveservicestaskforce.org/uspstf/document/evidence-summary/aspirin-use-prevent-cardiovascular-disease-colorectal-cancer-preventive-medication-2002
      January 15, 2002 - aspirin and 82 with placebo (OR, 1.11; 95 percent CI, 0.83 to 1.50).[[5] ] In TPT, 10 ischemic strokes occurred … in the aspirin group and 18 occurred in the placebo group (OR, 0.55; 95 percent CI, 0.25 to 1.20). 7 … further estimated that the upper end of the 95 percent confidence interval for this point estimate occurred

5479. Aspirin for the Primary Prevention of Cardiovascular Events: A Summary of the Evidence (pdf file)
      www.uspreventiveservicestaskforce.org/home/getfilebytoken/xUc_vXf7323faUQY7SePhT
      January 01, 2002 - strokes with aspirin and 82 with placebo (OR, 1.11; 95% CI, 0.83 to 1.50).4 In TPT, 10 ischemic strokes occurred … in the aspirin group and 18 occurred in the placebo group (OR, 0.55; 95% CI, 0.25 to 1.20).7 The PPP … They further estimated that the upper end of the 95% confidence interval for this point estimate occurred

5480. Layout 1 (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/type-2-diabetes-medications-2007_executive.pdf
      January 01, 2007 - the withdrawal from a prior sulfonylurea (and withdrawal of its weight- increasing effect) that often occurred … had a similar risk of minor hypoglycemia compared with metformin monotherapy, and no serious events occurred … No serious events occurred in either group in these RCTs. 4&5b.