Results

Total Results: over 10,000 records

Showing results for "preventive".

8061. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49433/psn-pdf
      June 23, 2021 - Environmental Safety in the OR February 1, 2004 Linkin DR, Lautenbach E. Environmental Safety in the OR . PSNet [internet]. 2004. https://psnet.ahrq.gov/web-mm/environmental-safety-or The Case The infection control department of a hospital noticed a marked increase in the rates of post-operative sternal wound inf…

8062. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49613/psn-pdf
      November 01, 2010 - Mother's Milk, but Whose Mother? November 1, 2010 Dougherty D. Mother's Milk, but Whose Mother? PSNet [internet]. 2010. https://psnet.ahrq.gov/web-mm/mothers-milk-whose-mother The Case A 2-month-old otherwise healthy infant was admitted to the hospital to rule out sepsis. The infant had been exclusively breastfed…

8063. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49417/psn-pdf
      October 01, 2003 - Lost in the Black Hole October 1, 2003 Wachter R. Lost in the Black Hole. PSNet [internet]. 2003. https://psnet.ahrq.gov/web-mm/lost-black-hole The Case A 38-year-old married, monogamous female came to the emergency department with aseptic meningitis. She had a remote history of gonorrhea, no environmental exposu…

8064. Lost in the Black Hole | PSNet
      psnet.ahrq.gov/web-mm/lost-black-hole
      December 01, 2005 - Lost in the Black Hole Citation Text: Wachter R. Lost in the Black Hole. 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 tagged PubMe…

8065. Wrong-Time Error With High-Alert Medication | PSNet
      psnet.ahrq.gov/web-mm/wrong-time-error-high-alert-medication
      February 01, 2014 - Wrong-Time Error With High-Alert Medication Citation Text: Yang A, Nelson LS. Wrong-Time Error With High-Alert Medication. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2016. Copy Citation Format: Google Scholar BibTeX…

8066. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50930/psn-pdf
      February 21, 2020 - Pharmacist Role in Patient Safety February 21, 2020 Dopp AL, Hall KK. Pharmacist Role in Patient Safety. PSNet [internet]. 2020. https://psnet.ahrq.gov/perspective/pharmacist-role-patient-safety Background: The Evolving Role of the Pharmacist Medication errors are highly pervasive across all settings of care,[1] w…

8067. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49633/psn-pdf
      September 01, 2011 - The Safety and Quality of Long Term Care September 1, 2011 Vogelsmeier AA. The Safety and Quality of Long Term Care. PSNet [internet]. 2011. https://psnet.ahrq.gov/web-mm/safety-and-quality-long-term-care Case Objectives Identify commonly reported adverse events in long-term care. Identify two to three challenges…

8068. Mother's Milk, but Whose Mother? | PSNet
      psnet.ahrq.gov/web-mm/mothers-milk-whose-mother
      November 15, 2023 - Mother's Milk, but Whose Mother? Citation Text: Dougherty D. Mother's Milk, but Whose Mother?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2010. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XM…

8069. Evidence Behind Pain, Agitation, and Delirium: Assessments and Sedation Management: Slide Presentation | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/mvp/modules/technical/pain-mgmt-slides.html
      January 01, 2017 - Evidence Behind Pain, Agitation, and Delirium: Assessments and Sedation Management: Slide Presentation AHRQ Safety Program for Mechanically Ventilated Patients Slide 1: AHRQ Safety Program for Mechanically Ventilated Patients Evidence Behind Pain, Agitation, and Delirium: Assessments and Sedation Manageme…

8070. Summary of Patient Safety Research Opportunities | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/news-events/summit-research-2020/questions.html
      March 01, 2021 - Summary of Patient Safety Research Opportunities AHRQ Summit and Roundtable on Research Priorities for Patient Safety Improvement Research questions, topics, and key themes that were addressed as part of the Patient Safety Roundtable and Patient Safety Summit included the items listed below. It is important t…

8071. Thin Air | PSNet
      psnet.ahrq.gov/web-mm/thin-air
      March 01, 2006 - SPOTLIGHT CASE Thin Air Citation Text: Gaba DM. Thin Air. 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 …

8072. Develop and Validate Health IT Safety Measures To Capture Violations of the Five Rights of Medication Safety | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/develop-and-validate-health-it-safety-measures-capture-violations-five-rights
      January 01, 2023 - Develop and Validate Health IT Safety Measures To Capture Violations of the Five Rights of Medication Safety Project Final Report ( PDF , 706.51 KB) Disclaimer Disclaimer The findings and conclusions in this document are those of the author(s), who are responsible for its content…

8073. Patient and Family Engagement in Long Term Care | PSNet
      psnet.ahrq.gov/curated-library/patient-and-family-engagement-long-term-care
      April 10, 2024 - Breadcrumb Home The PSNet Collection Curated Libraries Subscribed Patient and Family Engagement in Long Term Care  Download  Share Facebook Twitter Linkedin Copy URL Subscribe Created By: Lorri Zipperer, C…

8074. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/837660/psn-pdf
      July 08, 2022 - An Incomplete Anesthesia History Leads to Adverse Outcomes July 8, 2022 Bohringer C. An Incomplete Anesthesia History Leads to Adverse Outcomes. PSNet [internet]. 2022. https://psnet.ahrq.gov/web-mm/incomplete-anesthesia-history-leads-adverse-outcomes The Cases Case 1: A 64-year-old man came in for a routine bron…

8075. Improving Safety Using Teamwork and Patient Safety Norms (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/teamwork-ptsafety-norms-slides.pdf
      August 01, 2025 - Improving Safety Using Teamwork and Patient Safety Norms Creating and Maintaining a Culture of Safety Series (Session 2) Improving Safety Using Teamwork and Patient Safety Norms NATIONAL WEBINAR SERIES March 18, 2025 Housekeeping Instructions • This webinar will be recorded and available for viewing on the NAA…

8076. Presentation: Program Overview
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/painmgmt-slides.pptx
      January 01, 2017 - Presentation: Program Overview Evidence Behind Pain, Agitation, and Delirium: Assessments and Sedation Management AHRQ Safety Program for Mechanically Ventilated Patients AHRQ Pub. No. 16(17)-0018-43-EF January 2017 Evidence Behind PAD ‹#› AHRQ Safety Program for Mechanically Ventilated Patients 1 Learning Ob…

8077. References | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/pfp/haccost2017-ref.html
      May 01, 2023 - Estimating the Additional Hospital Inpatient Cost and Mortality Associated With Selected Hospital-Acquired Conditions References Previous Page Next Page Table of Contents Estimating the Additional Hospital Inpatient Cost and Mortality Associated With Selected Hospital-Acquired Conditions Discussio…

8078. An Overview of the CANDOR Process
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module4/module4-event-reporting-investigation-analysis.pptx
      September 10, 2015 - An Overview of the CANDOR Process Communication and Optimal Resolution (CANDOR) Toolkit Module 4: Event Reporting, Event Investigation and Analysis Module 4 of the CANDOR Toolkit covers the Event Reporting, Event Investigation, and Analysis component of the CANDOR process. 1 Objectives Define the key elements …

8079. Grand Rounds Presentation | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/candor/grand-rounds.html
      August 01, 2022 - Grand Rounds Presentation AHRQ Communication and Optimal Resolution Toolkit Say: This presentation will introduce you to Communication and Optimal Resolution, or the CANDOR process. Some organizations struggle to improve the way they and their care teams respond to medical harm. The CANDOR process a…

8080. 005-Ss-Preop-Chlorhexidine-Fg (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/005-ss-preop-chlorhexidine-fg.docx
      April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI Use of Preoperative Chlorhexidine Antisepsis Surgical Services For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries Slide Title and Commentary Slide Number and Slide Use of Preoperative Chlorhexidine Antisepsis SAY: This presentation will …