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Showing results for "occurs".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33611/psn-pdf
    July 01, 2005 - In Conversation with…Christopher P. Landrigan, MD April 1, 2005 In Conversation with…Christopher P. Landrigan, MD. PSNet [internet]. 2005. https://psnet.ahrq.gov/perspective/conversation-withchristopher-p-landrigan-md Editor's Note: In October 2004, in what immediately became a landmark paper in patient safety, Dr.…
  2. www.ahrq.gov/professionals/prevention-chronic-care/improve/coordination/webinar02/spcslides.html
    July 01, 2013 - Advanced Methods in Delivery System Research - Planning, Executing, Analyzing, and Reporting Research on Delivery System Improvement Webinar #2: Statistical Process Control (Slide Presentation) This slide presentation was presented on May 14, 2013. Presenter: Jill Marsteller, PhD, MPP Discussant: Stephen Al…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49484/psn-pdf
    June 01, 2005 - Two Pills, Same Drug June 1, 2005 Horsky J, Patel VL. Two Pills, Same Drug. PSNet [internet]. 2005. https://psnet.ahrq.gov/web-mm/two-pills-same-drug The Case A 34-year-old woman with AIDS developed a fever and hypotension due to suspected pneumonia. Her past medical history included several AIDS-related complica…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49492/psn-pdf
    November 01, 2005 - Reconciling Doses November 1, 2005 Federico F. Reconciling Doses. PSNet [internet]. 2005. https://psnet.ahrq.gov/web-mm/reconciling-doses Case Objectives List the steps involved in medication reconciliation. Describe the role of each of the stakeholders in medication reconciliation. Discuss how medication reconc…
  5. Spreadnotes (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/spread/spreadnotes.docx
    June 02, 2025 - SAY: The Spread module of the Comprehensive Unit-based Safety Program (or CUSP) Toolkit helps all or part of an organization share, tailor, and use the components of a process that have worked well at the unit level. The other CUSP Toolkit modules focus on quality improvement projects at the unit level, where culture i…
  6. www.ahrq.gov/hai/cusp/clabsi-final-companion/clabsicomp4c.html
    January 01, 2013 - Eliminating CLABSI, A National Patient Safety Imperative: Final Report Companion Guide Infections Avoided, Excess Costs Averted, and Changes in Mortality Rate Previous Page Next Page Table of Contents Eliminating CLABSI, A National Patient Safety Imperative: Final Report Companion Guide Preface …
  7. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/099-cusp-guide-why-choose-cusp-approach.docx
    October 01, 2024 - AHRQ Safety Program for MRSA Prevention Why Choose a CUSP Approach? ICU & Non-ICU Slide Title and Commentary Slide Number and Slide Why Choose a CUSP Approach? SAY: Welcome to this presentation on the topic of “Why Choose a CUSP Approach?” The term CUSP is short for “the Comprehensive Unit-based Safety Program.” T…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49710/psn-pdf
    May 01, 2014 - Discontinued Medications: Are They Really Discontinued? May 1, 2014 Mankey CG, Varkey P. Discontinued Medications: Are They Really Discontinued? PSNet [internet]. 2014. https://psnet.ahrq.gov/web-mm/discontinued-medications-are-they-really-discontinued The Case A 69-year-old man with a history of chronic atrial f…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/846125/psn-pdf
    March 15, 2023 - The I-READI Quality and Safety Framework: Strong Communications Channels and Effective Practices to Rapidly Update and Implement Clinical Protocols During a Time of Crisis March 15, 2023 https://psnet.ahrq.gov/innovation/i-readi-quality-and-safety-framework-strong-communications-channels- and-effective Summary …
  10. psnet.ahrq.gov/sites/default/files/2020-08/too_many_cooks_spotlight_pdf.pdf
    January 01, 2020 - Spotlight Too Many Cooks in the Kitchen Source and Credits • This presentation is based on the August 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: Richard P. Dutton, MD, MBA o AHRQ WebM&M Editors in Chief: Patrick Romano, MD…
  11. www.ahrq.gov/sites/default/files/2024-01/zimring-report.pdf
    January 01, 2024 - AHRQ Final Progress Report: Impacts of the Physical Environment on Healthcare FINAL PROGRESS/STATUS REPORT 18 December 2006 IMPACTS OF THE PHYSICAL ENVIRONMENT ON HEALTHCARE AHRQ Grant Identification Number: #1R13HS015962-01 Dates of the project: 9/1/2005–8/31/2006 Total amount of the project: $25,000 Goal of…
  12. www.ahrq.gov/sites/default/files/2024-07/etchegaray2-report.pdf
    January 01, 2024 - Final Progress Report: Parent Perceptions of NICU Safety Culture: Parent-Centered Safety Culture Tool Parent Perceptions of NICU Safety Culture: Parent-Centered Safety Culture Tool Project Team: Jason M. Etchegaray, PhD (PI; RAND Corporation); Madelene J. Ottosen, PhD (The University of Texas Medical School at Hous…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49670/psn-pdf
    November 01, 2012 - Missed Pneumonia November 1, 2012 Rohde JM, Flanders S. Missed Pneumonia. PSNet [internet]. 2012. https://psnet.ahrq.gov/web-mm/missed-pneumonia The Case A 32-year-old man presented to the emergency department (ED) with 3 days of fever and right pleuritic chest pain. Review of systems was negative for cough or dy…
  14. psnet.ahrq.gov/web-mm/or-peeping
    May 01, 2015 - OR Peeping Citation Text: Mackenzie CF. OR Peeping. 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 Dow…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49397/psn-pdf
    May 01, 2003 - The Dropped Lung May 1, 2003 Heffner JR. The Dropped Lung. PSNet [internet]. 2003. https://psnet.ahrq.gov/web-mm/dropped-lung The Case A 79-year-old woman was admitted for hypoxia and shortness of breath. Two weeks prior she had been hospitalized for dyspnea and was found to have multiple bilateral pulmonary nodu…
  16. www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapc.html
    December 01, 2017 - The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities Appendix C. Case Study and Program Examples Previous Page Next Page Table of Contents The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities Chapter 1. Introduction and Program Over…
  17. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/safe-electronic/e-fetal-monitoring_facguide.docx
    May 01, 2017 - AHRQ Safety Program for Perinatal Care Monitoring for Perinatal Safety: Electronic Fetal Monitoring Monitoring for Perinatal Safety—Electronic Fetal Monitoring SAY: The Monitoring for Perinatal Safety bundle provides information on the use of electronic fetal monitoring (EFM). This bundle offers an approach to the us…
  18. www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/safe-electronic-fac-guide.html
    July 01, 2023 - Monitoring for Perinatal Safety: Electronic Fetal Monitoring: Facilitator Guide AHRQ Safety Program for Perinatal Care Slide 1: Monitoring for Perinatal Safety: Electronic Fetal Monitoring Say: The Monitoring for Perinatal Safety bundle provides information on the use of electronic fetal monitoring (EFM…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/860049/psn-pdf
    January 04, 2024 - Myasthenia Crisis after a Delayed Diagnosis in a Medically Complex Patient. January 4, 2024 Chaffin Z. Myasthenia Crisis after a Delayed Diagnosis in a Medically Complex Patient. PSNet [internet]. 2024. https://psnet.ahrq.gov/web-mm/myasthenia-crisis-after-delayed-diagnosis-medically-complex-patient The Case A 9…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49797/psn-pdf
    June 01, 2017 - Diagnostic Overshadowing Dangers June 1, 2017 Raven MC. Diagnostic Overshadowing Dangers. PSNet [internet]. 2017. https://psnet.ahrq.gov/web-mm/diagnostic-overshadowing-dangers The Case A 72-year-old woman with history of opioid abuse was sent to the emergency department (ED) from a methadone clinic because she a…