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7321. Spotlight (pdf file)
      psnet.ahrq.gov/sites/default/files/2020-10/final_slides_oct_2020_spotlight_case_inpt_stroke_mngt_in_adolescent_with_type1_diabetes.pdf
      January 01, 2020 - Spotlight Spotlight Inpatient Stroke Management in a Patient with Type 1 Diabetes and Home Insulin Pump Source and Credits • This presentation is based on the October 2020 AHRQ WebM&M Spotlight Case o See the full article at https://psnet.ahrq.gov/webmm o CME credit is available o Commentary by: Berit B…

7322. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33876/psn-pdf
      August 01, 2018 - Building a Safety Program in a Vast Health Care Network March 1, 2019 Phrampus P. Building a Safety Program in a Vast Health Care Network. PSNet [internet]. 2019. https://psnet.ahrq.gov/perspective/building-safety-program-vast-health-care-network Perspective Background As hospital-based health care in the United …

7323. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49507/psn-pdf
      April 01, 2006 - Is the "Surgical Personality" a Threat to Patient Safety? April 1, 2006 Bosk CL. Is the "Surgical Personality" a Threat to Patient Safety? PSNet [internet]. 2006. https://psnet.ahrq.gov/web-mm/surgical-personality-threat-patient-safety Case Objectives Describe the myth of the "surgical personality" Identify featu…

7324. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49456/psn-pdf
      July 12, 2004 - Glucose Roller Coaster July 1, 2004 Sharpe B. Glucose Roller Coaster. PSNet [internet]. 2004. https://psnet.ahrq.gov/web-mm/glucose-roller-coaster The Case A 71-year-old woman with congestive heart failure was admitted to the hospital. Her medical history was significant for dialysis-dependent, end-stage kidney d…

7325. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49659/psn-pdf
      July 01, 2012 - Sloppy and Paste July 1, 2012 Hirschtick RE. Sloppy and Paste. PSNet [internet]. 2012. https://psnet.ahrq.gov/web-mm/sloppy-and-paste The Case A 78-year-old man with hypertension and diabetes presented to an emergency department (ED) with new onset chest pain. The ED physician reviewed the patient's electronic me…

7326. Section 6. Facilitating Change and Anticipating Challenges | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/ptflow/section6.html
      July 01, 2018 - Improving Patient Flow and Reducing Emergency Department Crowding: A Guide for Hospitals Section 6. Facilitating Change and Anticipating Challenges Previous Page Next Page Table of Contents Improving Patient Flow and Reducing Emergency Department Crowding: A Guide for Hospitals Acknowledgments E…

7327. Monitoring for Perinatal Safety: Electronic Fetal Monitoring: Slide Presentation | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/safe-electronic-slides.html
      July 01, 2023 - Monitoring for Perinatal Safety: Electronic Fetal Monitoring: Slide Presentation AHRQ Safety Program for Perinatal Care Slide 1: Monitoring for Perinatal Safety: Electronic Fetal Monitoring Monitoring for Perinatal Safety: Electronic Fetal Monitoring Slide 2: Learning Objectives Image: This slide sh…

7328. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49587/psn-pdf
      May 01, 2009 - Missing Trauma May 1, 2009 Jurkovich GJ. Missing Trauma. PSNet [internet]. 2009. https://psnet.ahrq.gov/web-mm/missing-trauma The Case A 54-year-old woman collapsed behind the counter of a small neighborhood market. She was discovered a few minutes later by a customer, who immediately called 911. On arrival, para…

7329. Technical Specifications and Chart Abstraction Tool (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-200-tech-specs.pdf
      December 14, 2011 - Technical Specifications and Chart Abstraction Tool Age upon Age upon admission Patient ID Race Ethnicity Gender Payer Preferred Language admission (YEARS) [e.g. for 12.5 year (MONTHS) [ e.g. for 12.5 old, years = 12) year old, months = 6] 1 White Non-Hispanic Female Medicaid English 12 3 2 Black Non-his…

7330. Making It Work Tip Sheet: Engaging Senior Leaders in Preventing Healthcare-Associated Infections (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/engaging-senior-leaders.pdf
      April 01, 2022 - Making It Work Tip Sheet: Engaging Senior Leaders in Preventing Healthcare-Associated Infections AHRQ Safety Program for Intensive Care Units: Preventing CLABSI and CAUTI Making It Work Tip Sheet Engaging Senior Leaders in Preventing Healthcare Associated Infections This “Making It Work” tip sheet pro…

7331. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49487/psn-pdf
      August 21, 2005 - Surprise Wire August 21, 2005 Pearl JM, Donaldson NE. Surprise Wire. PSNet [internet]. 2005. https://psnet.ahrq.gov/web-mm/surprise-wire The Case A 39-year-old man with a history of liver disease presented to the emergency department (ED) with gastrointestinal bleeding and altered mental status. Due to his clinic…

7332. Module-8-Slides (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/module-8-slides.pdf
      November 18, 2021 - Implementing Effective Care Coordination Module 8 Diann Gaalema, PhD Hicham Skali, MD, MSc TAKEheart Training and Technical Assistance Components 2 PURPOSE Training sessions guided by the Million Hearts®/AACVPR Cardiac Rehabilitation Change Package (CRCP), located in the Resource Center TAKEheart Website M…

7333. Daily Huddle Component Kit | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/management/huddles-comp-kit.html
      June 01, 2017 - Daily Huddle Component Kit Contents 1. Why a Daily Huddle? 2. “Know What, Know How, Know Why” for Daily Huddle 3. Plan-Do-Study-Act “Ramp”: Learn To Use a Daily Huddle 4. Standard Huddle Agenda (Adapt to Your Needs and Experience) 5. Learn More Appendix: Plus/Delta Review 1. Why a Daily Huddle? …

7334. Transcript: How To Empower Staff To Speak Up To Stop a Central Line Insertion if They See a Breach in Aseptic Technique, Including How To Obtain Buy-In From Physicians (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/empower-staff-transcript.pdf
      April 01, 2022 - Transcript: How To Empower Staff To Speak Up To Stop a Central Line Insertion if They See a Breach in Aseptic Technique, Including How To Obtain Buy-In From Physicians AHRQ Safety Program for Intensive Care Units: Preventing CLABSI and CAUTI Transcript How To Empower Staff To Speak Up To Stop a Central Lin…

7335. AHRQ Works: Building Bridges Between Research and Practice (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cpi/about/impact/ahrq-works.pdf
      April 01, 2017 - AHRQ Works: Building Bridges Between Research and Practice Accelerating learning and innovation in health care delivery is what AHRQ does—every day. AHRQ tools take the “what” and translate it into the “how” by providing research-backed, practical tools that doctors and nurses can use to improve care. This doc…

7336. Module 1- Component Kit (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/management/overview/component-kit.docx
      May 01, 2017 - Module 1- Component Kit AHRQ Safety Program for Ambulatory Surgery Management Practices for Sustainability Module 1: Overview A Frontline Management System To Sustain Improvement in Safety Practices Contents 1. Why a Frontline Management System? 2 2. Components of the Frontline Management System 3 3. Interactions of …

7337. Evidence Behind Pain, Agitation, and Delirium: Assessments and Sedation Management: Facilitator Guide | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/mvp/modules/technical/pain-mgmt-fac-guide.html
      January 01, 2017 - Evidence Behind Pain, Agitation, and Delirium: Assessments and Sedation Management: Facilitator Guide AHRQ Safety Program for Mechanically Ventilated Patients Slide 1: Evidence Behind Pain, Agitation, and Delirium: Assessments and Sedation Management Say: In this module, you will learn about the evidenc…

7338. Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families--Executive Summary (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/envscan-exec-summary.pdf
      March 01, 2017 - Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families--Executive Summary Environmental Scan Report Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Fam…

7339. PowerPoint Presentation
      www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/antibiotic-patient-safety-slides.pptx
      June 01, 2021 - PowerPoint Presentation Improving Antibiotic Use Is a Patient Safety Issue Long-Term Care AHRQ Safety Program for Improving Antibiotic Use AHRQ Pub. No. 17(21)-0029 June 2021 Patient Safety 1 Objectives Discuss the potential harms associated with antibiotic use Recognize that patient harm is largely preventable R…

7340. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33659/psn-pdf
      October 01, 2007 - Making Just Culture a Reality: One Organization's Approach October 1, 2007 Page AH. Making Just Culture a Reality: One Organization's Approach. PSNet [internet]. 2007. https://psnet.ahrq.gov/perspective/making-just-culture-reality-one-organizations-approach Perspective We've all been there...something goes wrong,…