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  1. psnet.ahrq.gov/web-mm/inadvertent-use-more-potent-acid-leads-burn
    November 01, 2023 - Inadvertent Use of More Potent Acid Leads to Burn Citation Text: Maibach HI. Inadvertent Use of More Potent Acid Leads to Burn. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2016. Copy Citation Format: Google Scholar B…
  2. hcup-us.ahrq.gov/datainnovations/raceethnicitytoolkit/nm10.pdf
    July 12, 2012 - Collection and Use of RE Data for Discharge Data Reporting Systems Collection and Use of Race and Ethnicity Data for Discharge Data Reporting Systems: The New Mexico Race/Ethnicity Data Project Noell Stone, MPH Nicole Katz, MPH July 12, 2012 AHRQ R01 HS20033-01 Presenter Presentation Notes ns T…
  3. digital.ahrq.gov/ahrq-funded-projects/using-information-technology-it-improve-medication-safety-rural-elders
    January 01, 2023 - Using Information Technology (IT) to Improve Medication Safety for Rural Elders Project Final Report ( PDF , 266.5 KB) Disclaimer Disclaimer The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessarily rep…
  4. effectivehealthcare.ahrq.gov/sites/default/files/pdf/hemorrhage-postpartum_clinician.pdf
    July 01, 2016 - Management of Postpartum Hemorrhage: Current State of the Evidence Management of Postpartum Hemorrhage: Current State of the Evidence Focus of This Summary This is a summary of a systematic review evaluating the evidence regarding the potential benefits and harms of medical and/or surgical strategies used to man…
  5. meps.ahrq.gov/data_files/publications/st20/stat20.pdf
    September 17, 2024 - Statistical Brief #20: State Differences in the Cost of Job-Related Health Insurance - 2000 Statistical Brief #20 State Differences in the Cost of Job - Related Health Insurance - 2000 By James Branscome, M.S. Introduction Employers are the primary source of health insurance coverage for most Americans unde…
  6. www.ahrq.gov/hai/universal-icu-decolonization/universal-icu-ape4.html
    September 01, 2013 - Universal ICU Decolonization: An Enhanced Protocol Appendix E. Training and Educational Materials (continued) Previous Page Next Page Table of Contents Universal ICU Decolonization: An Enhanced Protocol Introduction and Welcome Universal ICU Decolonization Protocol Overview Scientific Rational…
  7. www.ahrq.gov/es/hai/universal-icu-decolonization/universal-icu-ape4.html
    September 01, 2013 - Universal ICU Decolonization: An Enhanced Protocol Appendix E. Training and Educational Materials (continued) Previous Page Next Page Table of Contents Universal ICU Decolonization: An Enhanced Protocol Introduction and Welcome Universal ICU Decolonization Protocol Overview Scientific Rational…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49416/psn-pdf
    September 01, 2003 - Check the Bags September 1, 2003 Caldwell M, Dracup KA. Check the Bags. PSNet [internet]. 2003. https://psnet.ahrq.gov/web-mm/check-bags The Case A 50-year-old man with new atrial fibrillation was placed on a diltiazem drip in the emergency department for rate control. After arriving at the cardiac care unit (CCU…
  9. psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.107_slideshow.ppt
    November 01, 2005 - Spotlight Case [MONTH] 2003 Spotlight Case November 2005 Reconciling Doses Source and Credits This presentation is based on the November 2005 Spotlight Case in Emergency Medicine See the full article at http://webmm.ahrq.gov CME credit is available through the Web site Commentary by: Frank Federico, RPh,…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49541/psn-pdf
    August 21, 2007 - Mark My Tooth August 21, 2007 Smith RA. Mark My Tooth. PSNet [internet]. 2007. https://psnet.ahrq.gov/web-mm/mark-my-tooth The Case A 45-year-old healthy man was scheduled to have two teeth extracted for progressive dental caries. The patient underwent the extractions, awoke from the anesthesia, and then realized…
  11. www.ahrq.gov/teamstepps-program/curriculum/implement/teach.html
    January 01, 2024 - Teaching Implementation Planning     Present Slide 22, "Implementation Planning"; use this slide to transition to implementation planning. Note that you need to consider measurement when implementing TeamSTEPPS, but it is not the only thing. Explain that implementation planning will equip trainees with a 10-s…
  12. www.ahrq.gov/hai/cusp/modules/understand/science-safety-slides.html
    July 01, 2018 - Understand the Science of Safety Presentation Slides The Understand the Science of Safety module of the CUSP Toolkit discusses the importance of understanding system design, safe design principles, and valuing diverse input from team members. By analyzing patient safety as a science, frontline providers will …
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49410/psn-pdf
    July 01, 2003 - A Little Shuteye July 1, 2003 Farion KJ. A Little Shuteye. PSNet [internet]. 2003. https://psnet.ahrq.gov/web-mm/little-shuteye The Case A 3-year-old boy was seen in urgent care for a superficial laceration above the left eyebrow. The pediatrician had heard of the availability of topical skin adhesive that can be…
  14. www.ahrq.gov/hai/tools/mvp/modules/cusp/daily-goals-rounds-fac-guide.html
    February 01, 2017 - Daily Goals During Interdisciplinary Rounds: Facilitator Guide AHRQ Safety Program for Mechanically Ventilated Patients Slide 1: Daily Goals During Interdisciplinary Rounds Say: In this session, we will discuss Daily Goals during interdisciplinary rounds. Slide 2: Learning Objectives Say: After …
  15. www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/find6.html
    December 01, 2012 - Assessing the Health and Welfare of the HCBS Population Conclusion Previous Page Next Page Table of Contents Assessing the Health and Welfare of the HCBS Population Introduction HCBS Population Availability and Use of State Medicaid HCBS Outcome Indicators for the HCBS Population Outcomes …
  16. Topic (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/guides/sustainability-guideapa.pdf
    January 01, 2009 - Topic A Model for Sustaining and Spreading Safety Interventions Appendix A. Action Plan Tool for Project Sustainability The Purpose of This Tool This tool is intended to support sustainability efforts for your catheter-associated urinary tract infections (CAUTI) prevention project team. This worksheet will help…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49412/psn-pdf
    September 01, 2003 - Shake Well September 1, 2003 Flynn EA. Shake Well. PSNet [internet]. 2003. https://psnet.ahrq.gov/web-mm/shake-well The Case A 35-year-old patient on the neurology service was receiving carbamazepine for a seizure disorder. Daily serum drug levels consistently fell below the therapeutic range, which led the physi…
  18. www.ahrq.gov/sites/default/files/2025-03/berner-report.pdf
    January 01, 2025 - Final Progress Report: Reducing Harm to Patients from Diagnostic Errors Final Progress Report Reducing Harm to Patients from Diagnostic Errors Eta S. Berner, EdD, Principal Investigator Team Members: Marcie H. Battles, MS, Project Assistant Mark L. Graber, MD, Consultant Gordon D. Schiff, MD, Consultant Pat …
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49743/psn-pdf
    September 01, 2015 - Dual Therapy Debacle September 1, 2015 Kayser SR. Dual Therapy Debacle. PSNet [internet]. 2015. https://psnet.ahrq.gov/web-mm/dual-therapy-debacle The Case An elderly man with a history of arthritis, benign prostatic hypertrophy with urinary obstruction, hyperlipidemia, obesity, and a long history of tobacco use …
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33617/psn-pdf
    August 01, 2005 - In Conversation with…Barbara A. Blakeney, MS, RN August 1, 2005 In Conversation with…Barbara A. Blakeney, MS, RN. PSNet [internet]. 2005. https://psnet.ahrq.gov/perspective/conversation-withbarbara-blakeney-ms-rn Editor's Note: Barbara A. Blakeney, MS, RN, is President of the 150,000-member American Nurses Associa…