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9861. Evaluation of Measures in the Scan | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/report/rep2.html
      June 01, 2010 - Environmental Scan of Measures for Medicaid Title XIX Home and Community-Based Services Evaluation of Measures in the Scan Previous Page Next Page Table of Contents Environmental Scan of Measures for Medicaid Title XIX Home and Community-Based Services Executive Summary Introduction and Scan Met…

9862. AHRQ Projects to Prevent Healthcare-Associated Infections, Fiscal Year 2011 (pdf file)
      www.ahrq.gov/sites/default/files/publications/files/haify11.pdf
      January 01, 2011 - AHRQ Projects to Prevent Healthcare-Associated Infections, Fiscal Year 2011 Introduction Healthcare-associated infections (HAIs) are infections that people acquire while they are receiving treatment for another condition in a health care setting. They are costly, deadly, and largely preventable. A core part of the Ag…

9863. Executive summary_Comparative Effectiveness Review No. 264_Social and Structural Determinants of Maternal Morbidity and Mortality: An Evidence Map (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/cer-264-maternal-morbidity-mortality-executive-summary.pdf
      December 01, 2023 - Executive summary_Comparative Effectiveness Review No. 264_Social and Structural Determinants of Maternal Morbidity and Mortality: An Evidence Map Comparative Effectiveness Review Number 264 Social and Structural Determinants of Maternal Morbidity and Mortality: An Evidence Map Executive Summary Main Points …

9864. Care Management (CMP) Discussion Guide (pdf file)
      digital.ahrq.gov/sites/default/files/docs/survey/care-management-discussion-guide.pdf
      November 18, 2008 - Care Management (CMP) Discussion Guide Care Management (CMP) Discussion Guide Oregon Health and Science University, Portland OR This is an interview guide designed to be conducted with nurses, physicians, and office staff in an ambulatory setting. The tool includes questions to assess the current state of electron…

9865. Info FAQs | Agency for Healthcare Research and Quality
      www.ahrq.gov/faqs/index.html?page=6
      October 01, 2020 - Frequently Asked Questions Check to find the answers to your questions about the Agency for Healthcare Research and Quality (AHRQ) programs and activities. You can search by category or key words. You can also send us your questions or website feedback here. We will respond to your requests based on the bes…

9866. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49441/psn-pdf
      March 01, 2004 - Fumbled Handoff March 1, 2004 Vidyarthi A. Fumbled Handoff. PSNet [internet]. 2004. https://psnet.ahrq.gov/web-mm/fumbled-handoff The Case A 73-year-old female with history of hypertension, non-insulin dependent diabetes mellitus (NIDDM), and chronic renal insufficiency was admitted for an elective sigmoid resect…

9867. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49439/psn-pdf
      March 01, 2004 - Lethal Cap March 1, 2004 Schillinger D. Lethal Cap. PSNet [internet]. 2004. https://psnet.ahrq.gov/web-mm/lethal-cap The Case A 9-month-old child was seen by her pediatrician for a fever and decreased appetite. She was found to have otitis media and was prescribed amoxicillin. The doctor gave the first dose to th…

9868. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49598/psn-pdf
      February 01, 2010 - Medication Reconciliation Pitfalls February 1, 2010 Weber RJ. Medication Reconciliation Pitfalls. PSNet [internet]. 2010. https://psnet.ahrq.gov/web-mm/medication-reconciliation-pitfalls The Case A 90-year-old woman who lived alone suffered a mechanical fall with subsequent hip fracture and was brought to the eme…

9869. Charcoal Lavage of the Lungs | PSNet
      psnet.ahrq.gov/web-mm/charcoal-lavage-lungs
      January 01, 2016 - Charcoal Lavage of the Lungs Citation Text: Wigton RS. Charcoal Lavage of the Lungs. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2003. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote …

9870. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49730/psn-pdf
      April 01, 2015 - Transition to Nowhere April 1, 2015 Farrell TW. Transition to Nowhere. PSNet [internet]. 2015. https://psnet.ahrq.gov/web-mm/transition-nowhere The Case A 75-year-old man with a history of prostate cancer, poorly controlled myotonic dystrophy, hypertension, and chronic kidney disease was admitted to the hospital …

9871. TeamSTEPPS Team Leadership Module 2
      www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/curriculum/teamstepps-module-2-slides.pptx
      June 02, 2025 - TeamSTEPPS Team Leadership Module 2 Team Leadership Module 2 1 Understanding Teams and Team Structure 2 Objectives: Team Structure Team Leadership Understand the benefits of teamwork and clear team structure. Define a “team.” Identify the roles of patients and family caregivers within the care team. Desc…

9872. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49656/psn-pdf
      June 01, 2012 - Comanagement: Who's in Charge? June 1, 2012 Cheng HQ. Comanagement: Who's in Charge? PSNet [internet]. 2012. https://psnet.ahrq.gov/web-mm/comanagement-whos-charge The Case A 77-year-old man with a history of chronic obstructive pulmonary disease (COPD) was admitted with a left hip fracture to the orthopedic surg…

9873. Understanding the Role of Health Care Facility Design in the Acquisition and Prevention of HAIs | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/haidesign/haidesign-summary.html
      April 01, 2018 - Understanding the Role of Health Care Facility Design in the Acquisition and Prevention of HAIs This report summarizes the role of the built environment in the transmission of pathogens and discusses the impact that design features could have in mitigating transmission in health care facilities. …

9874. Microsoft PowerPoint - FINAL SLIDES Sept_Spotlight Case_When the Lytes Go Out_SLIDES_08.25.2020-revised.pptx (pdf file)
      psnet.ahrq.gov/sites/default/files/2020-09/final_slides_sept_spotlight_case_when_the_lytes_go_out_slides_08.25.2020-revised.pdf
      January 01, 2020 - Microsoft PowerPoint - FINAL SLIDES Sept_Spotlight Case_When the Lytes Go Out_SLIDES_08.25.2020-revised.pptx Spotlight When the Lytes Go Out: A Case of Inpatient Cardiac Arrest Source and Credits • This presentation is based on the September 2020 AHRQ WebM&M Spotlight Case o See the full article at https://psne…

9875. 162-Example-Completed-Learning-Defects-Tool (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/162-example-completed-learning-defects-tool.docx
      October 01, 2024 - AHRQ Safety Program for MRSA Prevention Learning From Defects Tool - Example 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 cli…

9876. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49488/psn-pdf
      August 21, 2005 - PCA Overdose August 21, 2005 Doyle JD. PCA Overdose. PSNet [internet]. 2005. https://psnet.ahrq.gov/web-mm/pca-overdose The Case A 49-year-old woman underwent an uneventful total abdominal hysterectomy bilateral salpingo- oophorectomy. Postoperatively, the patient complained of severe pain and received intravenou…

9877. SOPS Bibliography | Agency for Healthcare Research and Quality
      www.ahrq.gov/sops/bibliography/index.html?page=5
      January 01, 2025 - SOPS Bibliography Browse or search for publications about the development and use of SOPS surveys and other topics related to assessing patient safety culture. Results 251-300 of 505 Bibliography Items displayed Pagination « first « First ‹ previous ‹‹ 1 2 3 …

9878. SOPS Bibliography | Agency for Healthcare Research and Quality
      www.ahrq.gov/es/sops/bibliography/index.html?page=5
      January 01, 2025 - SOPS Bibliography Browse or search for publications about the development and use of SOPS surveys and other topics related to assessing patient safety culture. Results 251-300 of 505 Bibliography Items displayed Pagination « first « First ‹ previous ‹‹ 1 2 3 …

9879. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33815/psn-pdf
      September 01, 2016 - Telemedicine and Patient Safety September 1, 2016 Agboola SO, Kvedar JC. Telemedicine and Patient Safety. PSNet [internet]. 2016. https://psnet.ahrq.gov/perspective/telemedicine-and-patient-safety Perspective A paradigm shift is ongoing in the health care sector. The traditional model of episodic and hospital-base…

9880. Hospital Survey on Patient Safety Culture Version 2.0 (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/SOPS-Hospital-Survey-2.0-English-05.18.21.docx
      June 02, 2025 - Hospital Survey on Patient Safety Culture Version 2.0 SOPS® Hospital Survey Version: 2.0 Language: English For more information on getting started, selecting a sample, determining data collection methods, establishing data collection procedures, conducting a web-based survey, and preparing and analyzing data, and pro…