-
psnet.ahrq.gov/node/73456/psn-pdf
June 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…
-
psnet.ahrq.gov/web-mm/techno-trip
May 01, 2005 - Techno Trip
Citation Text:
Cook RI. Techno Trip. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2005.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS
Downlo…
-
psnet.ahrq.gov/perspective/conversation-christine-cassel-md
February 26, 2025 - In Conversation With… Christine Cassel, MD
June 1, 2015
Citation Text:
In Conversation With… Christine Cassel, MD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2015.
Copy Citation
For…
-
psnet.ahrq.gov/node/60269/psn-pdf
April 29, 2020 - Delayed Management of Necrotizing Soft Tissue Infection
– Who does the Patient Belong To?
April 29, 2020
Rinderknecht T, Utter GH. Delayed Management of Necrotizing Soft Tissue Infection – Who does the
Patient Belong To? PSNet [internet]. 2020.
https://psnet.ahrq.gov/web-mm/delayed-management-necrotizing-soft-tiss…
-
psnet.ahrq.gov/web-mm/picking-cause-stroke
August 07, 2024 - Picking Up the Cause of the Stroke
Citation Text:
Chopra V. Picking Up the Cause of the Stroke. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2016.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 X…
-
psnet.ahrq.gov/node/860050/psn-pdf
January 04, 2024 - Radiology Missed an Intracranial Bleed in a Lethargic
Infant.
January 4, 2024
Yuk J, Magana J. Radiology Missed an Intracranial Bleed in a Lethargic Infant. PSNet [internet]. 2024.
https://psnet.ahrq.gov/web-mm/radiology-missed-intracranial-bleed-lethargic-infant
The Case
A 2-month-old full-term male infant was b…
-
psnet.ahrq.gov/perspective/conversation-withalbert-wu-md-mph
February 26, 2025 - In Conversation with...Albert Wu, MD, MPH
July 1, 2008
Citation Text:
In Conversation with..Albert Wu, MD, MPH. PSNet [internet]. 2008.In Conversation with...Albert Wu, MD, MPH. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Departm…
-
psnet.ahrq.gov/node/841139/psn-pdf
December 14, 2022 - Open wider: Failure to use an interpreter results in
fractured teeth and hypoxia during a simple elective
operation.
December 14, 2022
Bohringer C, Godoy L. Open wider: Failure to use an interpreter results in fractured teeth and hypoxia
during a simple elective operation. PSNet [internet]. 2022.
https://psnet.ah…
-
psnet.ahrq.gov/node/74251/psn-pdf
January 26, 2022 - Delayed Diagnosis and Treatment of an Occult
Hemothorax Following Complicated Central Line Insertion
Leads to Cardiac Arrest
January 26, 2022
Raff G, Goudy B. Delayed Diagnosis and Treatment of an Occult Hemothorax Following Complicated
Central Line Insertion Leads to Cardiac Arrest. PSNet [internet]. 2022.
https…
-
psnet.ahrq.gov/node/72811/psn-pdf
September 01, 2022 - Algorithm-Based Decision Support System Guides
Trauma Staff During Initial Treatment, Leading to Fewer
Medical Errors
Originally published on March 3, 2021
Last updated on March 16, 2021
https://psnet.ahrq.gov/innovation/algorithm-based-decision-support-system-guides-trauma-staff-during-
initial-treatment
Summar…
-
www.ahrq.gov/patient-safety/resources/learning-lab/physiologic-monitoring-long-desc.html
January 01, 2025 - Pediatric Patient Safety Learning Laboratory to Reengineer Continuous Physiologic Monitoring Systems
Principal Investigator: Christopher Bonafide, M.D., M.S.C.E., Children’s Hospital of Philadelphia (CHOP), Philadelphia, PA AHRQ Grant No.: HS26620 Project Period: 09/30/18-07/31/23 Description: This lab’s goa…
-
www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/timeline-checklist-nc.pdf
April 01, 2018 - Heart Health NOW! Advancing Heart Health in NC Primary Care
Heart Health NOW!
Advancing Heart Health in NC Primary Care
Practice Participation Timeline and Checklist “CCNC PF” = Practice Facilitator; “AHEC PC” = Practice Coach
1) Practice Enrollment: To be completed during 1-2 in-person meetings, as n…
-
cds.ahrq.gov/sites/default/files/workgroups/38971/CDS_Connect_Work_Group_December_2021.pdf
January 01, 2021 - December 2021 CDS Connect Work Group Call
December 2021 CDS Connect Work Group Call
Agenda
Schedule Topic
3:00 – 3:02 Roll Call, Michelle Lenox (MITRE)
3:02 – 3:05 Review of the Agenda, Michelle Lenox (MITRE)
3:05 – 3:10 Kick-off “One More Step” in Patient Partnering, Michelle Lenox (MITRE)
3:10 – 3:50
Roundt…
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/gdmod1a.html
October 01, 2014 - Improving Patient Safety in Long-Term Care Facilities
Appendix 1-A. Suggested Slides for Module 1
Previous Page Next Page
Table of Contents
Improving Patient Safety in Long-Term Care Facilities
Introduction
Module 1. Detecting Change in a Resident's Condition
Module 2. Communicating Change in …
-
www.ahrq.gov/teamstepps-program/curriculum/communication/teach/index.html
December 01, 2023 - Section 3: Teaching the Key Concepts and Tools
TeamSTEPPS 3.0 has been taught in a 2-day format, is often taught in a half-day format, and is also frequently taught in smaller segments that are only 15–30 minutes long. While in-person trainings have been the norm, virtual trainings using an online platform are…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/warm-handoff-training-final508.pdf
June 02, 2025 - Warm Handoff Plus: How To Use the Training Toolkit
The Guide to Improving Patient Safety in Primary Care
Settings by Engaging Patients and Families
Warm Handoff Plus
How To Use the Training Toolkit
What is the Warm Handoff Plus strategy?
A Warm Handoff Plus is a handoff that is conducted in person, between two me…
-
www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-113-section-2-tech-specs.pdf
December 01, 2011 - Section 2, Technical Specifications
Technical Specifications: Rate of ED Visit Use for Children Managed for
Identifiable Asthma
Calculation
a. Step 1: Measure person-time eligible for each patient and record by month.
i. a. For each month in the reporting year, identify all children ages 2 – 21 years
wh…
-
www.ahrq.gov/patients-consumers/diagnosis-treatment/treatments/btpills/stayactive-tr.html
September 01, 2015 - Staying Active and Healthy with Blood Thinners - Transcript
Special Report: Blood Thinner Medications
Narrator: Recently, your doctor has prescribed a blood-thinning drug, like Warfarin, for you. And you probably have lots of questions. Well, sit back and relax as over the next few minutes we'll attempt to a…
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/114-mrsa-prevention-learning-from-defects.docx
October 01, 2024 - AHRQ Safety Program for MRSA Prevention
Learning From Defects Tool
ICU & Non-ICU
Problem statement: Healthcare organizations can increase the extent to which they learn from defects. We define this learning as reducing the probability that future patients will be harmed.
What is a defect? A defect is any clinical or o…
-
www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/chipra_1415-p009-5-ef.pdf
May 01, 2013 - Measure: Cesarean Delivery for Nulliparous (NTSV) Women (Appropriate Use)
Measure: Cesarean Delivery for Nulliparous
(NTSV) Women (Appropriate Use)
Measure Developer: Pediatric Measurement Center of Excellence (PMCoE)
Numerator Denominator Exclusions Data Source(s)
Patients who had a cesarean
delivery.
All null…