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5421. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/72693/psn-pdf
      January 29, 2021 - Unintentional Ketamine Overdose in the Operating Room – Mixing Up the Ampules January 29, 2021 Bohringer C. Unintentional Ketamine Overdose in the Operating Room – Mixing Up the Ampules. PSNet [internet]. 2021. https://psnet.ahrq.gov/web-mm/unintentional-ketamine-overdose-operating-room-mixing-ampules The Case A…

5422. Chapter 4 | Agency for Healthcare Research and Quality
      www.ahrq.gov/prevention/resources/vision/resources/vision4.html
      October 01, 2002 - Chapter 4 Vision Rehabilitation: Care and Benefit Plan Models: Literature Review Appendix. Disability Primer Definition of Disability and Goals of Rehabilitation The Rehabilitation Act of 1973, as amended, defines an individual with a disability as any person who (i) has a physical or mental impairm…

5423. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/851158/psn-pdf
      June 28, 2023 - Ventricular Wall Injury during a Diagnostic Cardiac Catheterization June 28, 2023 Pham TH, Atreja S. Ventricular Wall Injury during a Diagnostic Cardiac Catheterization. PSNet [internet]. 2023. https://psnet.ahrq.gov/web-mm/ventricular-wall-injury-during-diagnostic-cardiac-catheterization The Case A patient was …

5424. Appendix B. Example Data Collection Tools | Agency for Healthcare Research and Quality
      www.ahrq.gov/ncepcr/research-transform-primary-care/transform/cost/app-b.html
      October 01, 2015 - Estimating the Costs of Primary Care Transformation: A Practical Guide and Synthesis Report Appendix B. Example Data Collection Tools Previous Page Next Page Table of Contents Estimating the Costs of Primary Care Transformation: A Practical Guide and Synthesis Report Background A Practical Guide…

5425. 6 Tk1 T2-Talking With Residents Family Members Final (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/nhguide/6_TK1_T2-Talking_with_Residents_Family_Members_Final.docx
      October 01, 2016 - Tool 2. Talking With Residents’ Family Members These talking points are presented in Q&A format to encourage an open and respectful dialogue between nurses or prescribing clinicians and residents’ family members about antibiotics and the risks involved with taking antibiotics. The talking points are designed to: (1) ed…

5426. Ventilator-Associated Event Surveillance: Facilitator Guide | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/mvp/modules/vae/surveillance-fac-guide.html
      February 01, 2017 - Ventilator-Associated Event Surveillance: Facilitator Guide AHRQ Safety Program for Mechanically Ventilated Patients Slide 1: Ventilator-Associated Event Surveillance Say: This module will focus on ventilator-associated event surveillance and how it can be used in your unit. Slide 2: Learning Objectiv…

5427. 6 Tk1 T1-Talking With Residents Final (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/nhguide/6_TK1_T1-Talking_with_Residents_Final.pdf
      October 01, 2016 - Nursing Home Antimicrobial Stewardship Guide Educate & Engage Residents, Family Toolkit To Educate and Engage Residents and Family Members Tool 1. Talking With Residents These talking points are presented in Q&A format to encourage an open and respectful dialogue between nurses or prescribing clinicians and res…

5428. Antibiotic Audit Tool (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/tools/surgical-complication-prevention/antibiotic_audit.docx
      December 01, 2017 - Antibiotic Audit Tool Antibiotic Audit Tool Introduction Problem Statement Perioperative antimicrobial prophylaxis is an important strategy to prevent surgical site infection. Appropriate selection, dosing, and redosing ensure that the antibiotic concentration in surgical site tissue is maintained above the minimum…

5429. Patient and Family Engagement in the Surgical Environment Module | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/training-tools/pf-engagement-slides.html
      May 01, 2017 - Patient and Family Engagement in the Surgical Environment Module Slide 1: Patient and Family Engagement in the Surgical Environment Module Slide 2: Learning Objectives Image: Learning objectives are presented in a series of steps: Define patient and family engagement. Explain the importance of engagin…

5430. Facilitator Guide for Hospital AIM Team Leads (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/sppcii-facilitator-guide.docx
      July 01, 2023 - Facilitator Guide for Hospital AIM Team Leads Facilitator Guide for Hospital AIM Team Leads What Is This Guide? This guide is intended as a complement to the online training modules of the Safety Program for Perinatal Care II (SPPC-II) Teamwork Toolkit. It provides helpful information about scheduling and conducting …

5431. Federal Interagency Workgroup: Improving Diagnostic Safety and Quality in Healthcarae Meeting (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/topics/dx-safety-workgroup-meeting-notes-nov2023.pdf
      January 01, 2025 - Federal Interagency Workgroup: Improving Diagnostic Safety and Quality in Healthcarae Meeting Federal Interagency Workgroup: Improving Diagnostic Safety and Quality in Healthcare November Meeting Summary Workgroup Goal: Established by Senate Report 115-150. The Senate Committee on Appropriations requested “…

5432. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33772/psn-pdf
      September 01, 2014 - In Conversation With… Rosemary Gibson, MSc September 1, 2014 In Conversation With… Rosemary Gibson, MSc. PSNet [internet]. 2014. https://psnet.ahrq.gov/perspective/conversation-rosemary-gibson-msc Editor's note: Rosemary Gibson, MSc, is Senior Advisor to The Hastings Center and an editor for JAMA Internal Medicin…

5433. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33823/psn-pdf
      January 01, 2017 - Workplace Safety in Health Care January 1, 2017 Simon RW, Canacari EG. Workplace Safety in Health Care. PSNet [internet]. 2017. https://psnet.ahrq.gov/perspective/workplace-safety-health-care Perspective The patient safety movement has highlighted the risks that patients face when receiving health care. But, impo…

5434. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33646/psn-pdf
      February 01, 2007 - In Conversation with...Joseph Britto, MD February 1, 2007 In Conversation with..Joseph Britto, MD. PSNet [internet]. 2007. https://psnet.ahrq.gov/perspective/conversation-withjoseph-britto-md Editor's Note: Joseph Britto, MD, is CEO and Co-founder of Isabel Healthcare Inc. Isabel, a clinical decision support syste…

5435. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50391/psn-pdf
      September 25, 2019 - Think Like a Surgeon September 25, 2019 Cooper Z. Think Like a Surgeon. PSNet [internet]. 2019. https://psnet.ahrq.gov/web-mm/think-surgeon The Case A patient with a history of T6 paraplegia due to a motor vehicle accident was brought to the emergency department due to delirium. He was found to be hypotensive and…

5436. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49694/psn-pdf
      October 01, 2013 - Are You Mrs. A? An Issue of Identification Over Telephone October 1, 2013 Adelman JS. Are You Mrs. A? An Issue of Identification Over Telephone. PSNet [internet]. 2013. https://psnet.ahrq.gov/web-mm/are-you-mrs-issue-identification-over-telephone The Case Mr. A was a 78-year-old man admitted with non-ST elevation…

5437. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33739/psn-pdf
      October 01, 2012 - The Physical Environment: An Often Unconsidered Patient Safety Tool October 1, 2012 Joseph A, Malone EB. The Physical Environment: An Often Unconsidered Patient Safety Tool. PSNet [internet]. 2012. https://psnet.ahrq.gov/perspective/physical-environment-often-unconsidered-patient-safety-tool Perspective Now that…

5438. Dangerous Dapsone | PSNet
      psnet.ahrq.gov/web-mm/dangerous-dapsone
      January 10, 2011 - Dangerous Dapsone Citation Text: Bookwalter T. Dangerous Dapsone. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2004. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS…

5439. Workaround Error | PSNet
      psnet.ahrq.gov/web-mm/workaround-error
      October 30, 2024 - Workaround Error Citation Text: Pape T. Workaround Error. 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 PubMedId RIS …

5440. Module III: Points of Engagement in the EHC Program (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/module-iii-points-of-engagement-in-the-ehc-program.pdf
      October 08, 2025 - Module III: Points of Engagement in the EHC Program …