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psnet.ahrq.gov/perspective/peacehealth-governance-journey-support-quality-and-safety
August 01, 2007 - March 13, 2013
WebM&M Cases
Good Catch in the Operating … Room
May 1, 2019
WebM&M Cases
Turn the Other
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www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/slides-healthcare-safer-by-design.pdf
August 20, 2024 - NAA National Webinar July 2024
Making Healthcare Safer by Design: Redesigning for
Safety, Efficiency, and Burden Reduction
NATIONAL WEBINAR SERIES
July 16, 2024
Housekeeping Instructions
• This webinar will be recorded and available for viewing on the NAA website.
• Please use the ‘Chat’ function to engage wit…
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psnet.ahrq.gov/web-mm/patient-safety-events-involving-opioid-dose-stacking
July 08, 2022 - SPOTLIGHT CASE
Patient Safety Events Involving Opioid Dose Stacking
Citation Text:
Porras H, Lammers C. Patient Safety Events Involving Opioid Dose Stacking. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2022.
Copy Cita…
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-teamwork-leadership.pdf
April 30, 2025 - room (OR) environments. … room to the post-anesthesia care unit (PACU). … room (OR) teams and its impact on non-
routine events (NREs)—defined as any event that is perceived … training using previously validated bench model
simulations and real-life simulations in a virtual operating … room (OR) environment and
to determine the effect of training on patient safety.
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psnet.ahrq.gov/primer/covid-19-and-dentistry-challenges-and-opportunities-providing-safe-care
February 24, 2022 - COVID-19 and Dentistry: Challenges and Opportunities for Providing Safe Care
Citation Text:
Kalenderian E, Spallek H, Franklin A, et al. COVID-19 and Dentistry: Challenges and Opportunities for Providing Safe Care. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department o…
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hcup-us.ahrq.gov/db/nation/nis/APS-DRGs%20V23%20Definitions%20Manual.pdf
August 01, 2006 - If yes, check for the presence of non-operating room procedure code “9851”
(extracorporeal shockwave … If yes, check for the presence of a “rehabilitation therapy, non-operating room
procedure” as defined … Determine if any procedure code present on the medical record is a
“rehabilitation therapy, non-operating … room procedure” as defined by the
CMS Version 23.0 DRG assignment rules. … room procedure code “9851”.
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effectivehealthcare.ahrq.gov/sites/default/files/peptic-ulcer-horizon-scan-high-impact-1306.pdf
June 01, 2013 - PEPTIC ULCER #11
AHRQ Healthcare Horizon Scanning System – Potential
High-Impact Interventions Report
Priority Area 11: Peptic Ulcer Disease and Dyspepsia
Prepared for:
Agency for Healthcare Research and Quality
U.S. Department of Health and Human Services
540 Gaither Road
Rockville, MD 20850
ww…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/b4_combo_documentationcoding.pdf
March 15, 2016 - • Document the reason for and objective of all operating room (OR) and non-OR
procedures performed
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psnet.ahrq.gov/node/60610/psn-pdf
June 24, 2020 - may have assumed a young person would rather not have surgical scars or be physically exposed in the
operating … room, due to a potentially “unnecessary” surgery.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/urinary-catheter-insertion-notes.docx
April 01, 2022 - For example, they will catheterize patients in the operating room, which is again, a very controlled
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psnet.ahrq.gov/web-mm/hidden-danger-insidious-postpartum-bleeding-after-emergency-cesarean-delivery
November 25, 2020 - hypotensive and tachycardic with continued vaginal bleeding, so the decision was made to return to the operating … room for laparotomy and possible hysterectomy.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/booklets/gallbladder-booklet.pdf
November 01, 2023 - Write down important numbers for the patient here (e.g., physician’s office, main hospital number,
operating … room).
_______________________________________________________________________________
__________
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/booklets/appendectomy-booklet.pdf
November 01, 2023 - Write down important numbers for the patient here (e.g., physician’s office, main hospital number,
operating … room).
_______________________________________________________________________________
__________
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-rural-healthcare3.html
September 01, 2024 - perioperative nurses is vital for increasing surgical specialists’ confidence in providing care in operating … rooms.
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/mhs4-infection-prevention-mdro-rapid-research.pdf
April 01, 2024 - droplet, airborne,
negative pressure airflow)
• Decontamination of surgical/procedural
environment (operating … rooms)
• Decontamination of reusable medical
equipment (surgical/procedural/endoscopic
equipment
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digital.ahrq.gov/sites/default/files/docs/publication/action-cp-cds-tool-specifications.pdf
June 16, 2021 - Care Planning Clinical Decision Support Tool Specifications
Care Planning Clinical Decision Support Tool Specifications
Purpose:
The CP-CDS tool was designed to:
• Facilitate the care and treatment of patients by assisting in the identification of patients who
are at ris…
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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…
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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…
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digital.ahrq.gov/2020-year-review/research-summary/improving-delivery-health-services-health-systems-level-emerging-research
January 01, 2020 - Improving the Delivery of Health Services at the Health Systems Level - Emerging Research
Facilitating Long-Distance Care, Education, and Monitoring with Telehealth and Telemedicine
Clinicians have used telehealth and telemedicine in rural settings and for hard-to-access specialties …
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www.ahrq.gov/hai/cusp/toolkit/content-calls/clabsi-invest.html
April 01, 2013 - CLABSI Investigation Process: Walk the Process (Transcript)
September 14, 2010
Operator: Good day, ladies and gentlemen and welcome to the CUSP content call. At this time, all participants are in a listen-only mode. Later, we will have a question-and-answer session, and instructions will be given at that tim…