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3421. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39389/psn-pdf
      January 03, 2017 - Shaping systems for better behavioral choices: lessons learned from a fatal medication error. January 3, 2017 Smetzer JL, Baker C, Byrne FD, et al. Shaping systems for better behavioral choices: lessons learned from a fatal medication error. Jt Comm J Qual Patient Saf. 2010;36(4):152-163. https://psnet.ahrq.gov/is…

3422. Press Play on Safety Conversations. | PSNet
      psnet.ahrq.gov/issue/press-play-safety-conversations
      August 24, 2022 - Multi-use Website Press Play on Safety Conversations. Citation Text: Press Play on Safety Conversations. Healthcare Excellence Canada. 2022. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linke…

3423. Misdiagnosis is more common than drug errors or wrong-site surgery. | PSNet
      psnet.ahrq.gov/issue/misdiagnosis-more-common-drug-errors-or-wrong-site-surgery
      March 13, 2013 - Newspaper/Magazine Article Misdiagnosis is more common than drug errors or wrong-site surgery. Citation Text: Misdiagnosis is more common than drug errors or wrong-site surgery. Boodman SG. Washington Post. May 6, 2013. Copy Citation Save Save to your library …

3424. World Sepsis Day. | PSNet
      psnet.ahrq.gov/issue/world-sepsis-day
      May 12, 2021 - Multi-use Website World Sepsis Day. Citation Text: World Sepsis Day. Global Sepsis Alliance. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL September 6,…

3425. Wrong-patient medication errors: an analysis of event reports in Pennsylvania and strategies for prevention. | PSNet
      psnet.ahrq.gov/issue/wrong-patient-medication-errors-analysis-event-reports-pennsylvania-and-strategies-prevention
      March 27, 2018 - Newspaper/Magazine Article Wrong-patient medication errors: an analysis of event reports in Pennsylvania and strategies for prevention. Citation Text: Wrong-patient medication errors: an analysis of event reports in Pennsylvania and strategies for prevention. Yang A, Grissinger M. PA-PSR…

3426. Best Practices in the Diagnosis and Treatment of Asymptomatic Bacteriuria and Urinary Tract Infections – Facilitator Guide (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/uti-guide.docx
      September 01, 2022 - A complicated UTI is any UTI in an adolescent or adult male or a UTI occurring in the presence of obstruction

3427. In Situ Simulation: Challenges and Results (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Patterson_48.pdf
      May 05, 2008 - In Situ Simulation: Challenges and Results In Situ Simulation: Challenges and Results Mary D. Patterson, MD; George T. Blike, MD; Vinay M. Nadkarni, MD Abstract In situ simulation, simulation that is physically integrated into the clinical environment, provides a method to improve reliability and safety in h…

3428. AHRQ Grant Final Progress Report: Real-Time, Wireless, Networked Feedback for Bed-Tilt Compliance (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/thomas1-report.pdf
      January 01, 2024 - AHRQ Grant Final Progress Report: Real-Time, Wireless, Networked Feedback for Bed-Tilt Compliance AHRQ GRANT FINAL PROGRESS REPORT Title: Real-Time, Wireless, Networked Feedback for Bed-Tilt Compliance Principal Investigator:  Geb W. Thomas, Ph.D. Professor of Mechanical & Industrial Engineering The Universit…

3429. Ztmgupsekcuuupvpegum45 (pdf file)
      www.uspreventiveservicestaskforce.org/home/getfilebytoken/ZTMgupsEkCUuuPVpeGUm45
      September 01, 2013 - Screening for Hepatitis C Virus Infection in Adults: U.S. Preventive Services Task Force Recommendation Statement Virginia A. Moyer, MD, MPH, on behalf of the U.S. Preventive Services Task Force* Description: Update of the 2004 U.S. Preventive Services Task Force (USPSTF) recommendation on screening for and treatment …

3430. Spotlight Case [MONTH] 2003 (ppt file)
      psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.95_slideshow.ppt
      May 01, 2005 - Spotlight Case [MONTH] 2003 Spotlight Case May 2005 Diagnosing Diagnostic Mistakes Source and Credits This presentation is based on the May 2005 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available through the Web site Commentary by: Robert McNutt, MD; Richard A…

3431. AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/fallspx/steps.html
      October 01, 2017 - AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention Implementation Steps and Timeline The goal of On-Time is that a facility staff will incorporate the On-Time reports into day-to-day prevention activities and ensure multidisciplinary input into clinical intervention decisions. The Implementatio…

3432. TeamSTEPPS® Diagnosis Improvement: Team Assessment Tool (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/dxsafety-team-assessment-tool.pdf
      February 01, 2022 - TeamSTEPPS® Diagnosis Improvement: Team Assessment Tool TeamSTEPPS® Team Assessment Tool for Improving Diagnosis – Instructions How to use this Team Assessment Tool This tool assesses the maturity level of your healthcare setting in five critical teamwork domains: Team Structure, Communication, Leadership, Situat…

3433. BLADDER SCAN – POLICY #2202 12/11/06 (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/resources/tools/improve/discussion-guide.docx
      March 01, 2017 - BLADDER SCAN – POLICY #2202 12/11/06 AHRQ Safety Program for Long-Term Care: HAIs/CAUTI AHRQ Safety Program for Reducing CAUTI in Hospitals Appendix B. Guide to Administering the AHRQ Nursing Home Survey on Patient Safety Culture and Reviewing Results The purpose of this guide is to provide you with information on h…

3434. Antibiotic Stewardship Helps Protect Newborns in Neonatal Intensive Care Units | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/newsletters/e-newsletter/939.html
      November 01, 2024 - Antibiotic Stewardship Helps Protect Newborns in Neonatal Intensive Care Units Issue Number 939 AHRQ News Now is a weekly newsletter that highlights agency research and program activities. November 26, 2024 AHRQ Stats: Trends in Healthcare-Associated Infections Between 2020 and 2021, the rate of inpatie…

3435. Selected Best Practices and Suggestions for Improvement (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/d4g_pdi09-postoprespfailure-bestpractices.pdf
      May 17, 2016 - Selected Best Practices and Suggestions for Improvement Pediatric Toolkit for Using the AHRQ Quality Indicators How To Improve Hospital Quality and Safety 1 Tool D.4g Selected Best Practices and Suggestions for Improvement PDI 09: Postoperative Respiratory Failure Why focus on postoperative respiratory fail…

3436. Selected Best Practices and Suggestions for Improvement (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4u_combo_pdi09-postoprespfailure-bestpractices.pdf
      May 17, 2016 - Selected Best Practices and Suggestions for Improvement Toolkit for Using the AHRQ Quality Indicators How To Improve Hospital Quality and Safety 1 Tool D.4u Selected Best Practices and Suggestions for Improvement PDI 09: Postoperative Respiratory Failure Why focus on postoperative respiratory failure in chi…

3437. Anemia Increasing in Hemodialysis Patients, Especially for Blacks (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/dataspotlight-anemia-dialysis.pdf
      December 02, 2019 - Anemia Increasing in Hemodialysis Patients, Especially for Blacks 1 Anemia Increasing in Hemodialysis Patients, Especially for Blacks Hemoglobin is an iron-rich protein that attaches to oxygen in the lungs and carries it to tissues throughout the body. Anemia is said to occur when hemoglobin levels …

3438. 133-Translating-Research-Into-Practice-Fg (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/133-translating-research-into-practice-fg.docx
      April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI Translating Research into Practice (TRiP) Surgical Services For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries Slide Title and Commentary Slide Number and Slide Translating Research into Practice (TRiP) SAY: This presentation is on Trans…

3439. Final Progress Report: Illinois Surgical Quality Improvement Collaboration Conference: Venous Thromboembolism (pdf file)
      www.ahrq.gov/sites/default/files/2024-04/eskandari-raval-report.pdf
      January 01, 2024 - Final Progress Report: Illinois Surgical Quality Improvement Collaboration Conference: Venous Thromboembolism FINAL PROGRESS REPORT Title of Project: Illinois Surgical Quality Improvement Collaboration Conference: Venous Thromboembolism Principal Investigator and Team Members: Mark Eskandari, MD Mehul Raval, M…

3440. Overview of the Comprehensive Unit-based Safety Program for Application to Mechanically Ventilated Patients: Slide Presentation | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/mvp/modules/cusp/overview-cuspmvp-slides.html
      February 01, 2017 - Overview of the Comprehensive Unit-based Safety Program for Application to Mechanically Ventilated Patients: Slide Presentation AHRQ Safety Program for Mechanically Ventilated Patients Slide 1: AHRQ Safety Program for Mechanically Ventilated Patients Overview of the Comprehensive Unit-based Safety Program…