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8081. Mitigating the Risk of Intrahospital Transport for Pediatric Patients at Risk of Physiologic Instability | PSNet
      psnet.ahrq.gov/web-mm/mitigating-risk-intrahospital-transport-pediatric-patients-risk-physiologic-instability
      May 27, 2020 - Mitigating the Risk of Intrahospital Transport for Pediatric Patients at Risk of Physiologic Instability Citation Text: Semkiw K, Anderson D, Natale JA. Mitigating the Risk of Intrahospital Transport for Pediatric Patients at Risk of Physiologic Instability. PSNet [internet]. Rockville (MD): Agency for Heal…

8082. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49779/psn-pdf
      January 01, 2017 - The Empty Bag December 1, 2016 Vincent C. The Empty Bag. PSNet [internet]. 2016. https://psnet.ahrq.gov/web-mm/empty-bag The Case A 90-year-old woman with end-stage dementia was admitted to an acute care hospital for treatment of a hip fracture after a fall at a nursing home. During the hospitalization, her kidne…

8083. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33678/psn-pdf
      January 01, 2009 - In Conversation with…Thomas H. Gallagher, MD January 1, 2009 In Conversation with…Thomas H. Gallagher, MD. PSNet [internet]. 2009. https://psnet.ahrq.gov/perspective/conversation-withthomas-h-gallagher-md Editor's note: Thomas H. Gallagher, MD, is Associate Professor in the Department of Medicine and the Departme…

8084. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49819/psn-pdf
      February 01, 2018 - Signout Fallout February 1, 2018 Starmer AJ, Landrigan CP. Signout Fallout. PSNet [internet]. 2018. https://psnet.ahrq.gov/web-mm/signout-fallout Case Objectives Understand the role of communication failures in medical errors and preventable adverse events. Review the evidence in support of handoff improvement pr…

8085. Nursing Home Antimicrobial Stewardship Guide Determine Whether To Treat (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/nhguide/4_TK1_T4-Urinalysis_and_UTIs_Improving_Care-updated.docx
      October 01, 2016 - Nursing Home Antimicrobial Stewardship Guide Determine Whether To Treat Tool 4. Training Modules: Urinalysis and UTIs Improving Care Overview These training modules are designed to be flexible to meet your needs. Training coordinators can use them individually or combine them to suit the needs of their facility. Goal…

8086. Prompting Removal of Unnecessary Indwelling Urinary Catheters Facilitator Notes (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/urinary-catheter-removal-notes.docx
      April 01, 2022 - Prompting Removal of Unnecessary Indwelling Urinary Catheters Facilitator Notes CAUTI Module: Indwelling Urinary Catheter Removal Facilitator Guide Slide Number and Image This module, titled “Indwelling Urinary Catheter Removal,” is part of the Agency for Healthcare Research and Quality’s Safety Program for In…

8087. Introduction to Daily Care Processes: Evidence Behind Spontaneous Awakening Trials, Spontaneous Breathing Trials, and Head of Bed Elevation: Facilitator Guide | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/mvp/modules/technical/intro-daily-care-facguide.html
      February 01, 2017 - Introduction to Daily Care Processes: Evidence Behind Spontaneous Awakening Trials, Spontaneous Breathing Trials, and Head of Bed Elevation: Facilitator Guide AHRQ Safety Program for Mechanically Ventilated Patients Slide 1: Introduction to Daily Care Processes: Evidence Behind Spontaneous Awakening Trials, S…

8088. Learn About the Comprehensive Unit-Based Safety Program for Perinatal Safety (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/learn/learn-about-cusp-facilitator-guide.pdf
      May 01, 2017 - Learn About the Comprehensive Unit-Based Safety Program for Perinatal Safety AHRQ Safety Program for Perinatal Care Learn About the Comprehensive Unit-Based Safety Program for Perinatal Safety AHRQ Publication No. 17-0003-1-EF May 2017 SAY: This module introduces the comprehensive unit-based safety program, …

8089. Innovation Center Quarterly Report Three 508 Jan26 (pdf file)
      digital.ahrq.gov/sites/default/files/Innovation%20Center%20Quarterly%20Report%20Three_508_Jan26.pdf
      January 01, 2024 - INNOVATION CENTER PROGRESS REPORT O C T O B E R 2 0 2 2 CDSiC Innovation Center Quarterly Report Presented by: Prashila Dullabh, Dean Sittig, Aziz Boxwala, Adam Wright, Edna Shenvi, Elise Russo, and Courtney Zott NORC at the University of Chicago 4350 East-West Highway Suite 800 Bethesda, MD 20814 …

8090. Clinical Content Enhancement Toolkit
      hcup-us.ahrq.gov/datainnovations/clinicalcontentenhancementtoolkit/about_grants_cd.jsp
      July 01, 2016 - Clinical Content Enhancement Toolkit An official website of the Department of Health & Human Services Search All AHRQ Websites Careers Contact Us Espanol FAQs Email Updates …

8091. Communication Error in a Closed ICU | PSNet
      psnet.ahrq.gov/web-mm/communication-error-closed-icu
      July 01, 2016 - Communication Error in a Closed ICU Citation Text: Haas B, Conn LG. Communication Error in a Closed ICU. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML En…

8092. The Other Side | PSNet
      psnet.ahrq.gov/web-mm/other-side
      May 01, 2007 - SPOTLIGHT CASE The Other Side Citation Text: Vincent CA. The Other Side. 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 t…

8093. Final Progress Report: Determining a Learning Curve for Complex Laparoscopic Gastrointestinal Surgery (pdf file)
      www.ahrq.gov/sites/default/files/2024-09/fowler-report.pdf
      January 01, 2024 - Final Progress Report: Determining a Learning Curve for Complex Laparoscopic Gastrointestinal Surgery Title Page Final Progress Report Determining a Learning Curve for Complex Laparoscopic Gastrointestinal Surgery Principal Investigator: Dennis L. Fowler, MD, MPH Co-Investigator: R. Todd Ogden, PhD Co-Investigato…

8094. Scoring CPCQ (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/cpcq-scoring.pdf
      May 01, 2017 - Scoring CPCQ 1 Scoring the Change Process Capability Questionnaire Strategies Items: Current Plan National Evaluation Team May 1, 2017 2 Introduction The RFA from AHRQ for EvidenceNOW: http://grants.nih.gov/grants/guide/rfa-files/RFA-HS-14-008.html described the required measures of practice…

8095. Weight and Height Juxtaposition in the Electronic Medical Record Causing an Accidental Medication Overdose | PSNet
      psnet.ahrq.gov/web-mm/weight-and-height-juxtaposition-electronic-medical-record-causing-accidental-medication
      March 15, 2023 - Weight and Height Juxtaposition in the Electronic Medical Record Causing an Accidental Medication Overdose Citation Text: Jain NP, Dakwa D. Weight and Height Juxtaposition in the Electronic Medical Record Causing an Accidental Medication Overdose. PSNet [internet]. Rockville (MD): Agency for Healthcare Rese…

8096. 4. Selecting and Delivering Services To Support Quality Improvement | Agency for Healthcare Research and Quality
      www.ahrq.gov/evidencenow/projects/state/how-to-guide/guide4.html
      August 01, 2024 - Developing and Sustaining State-Based Infrastructure To Support Primary Care Quality Improvement 4. Selecting and Delivering Services To Support Quality Improvement Previous Page Next Page Table of Contents Developing and Sustaining State-Based Infrastructure To Support Primary Care Quality Improvem…

8097. To Transfer or Not to Transfer | PSNet
      psnet.ahrq.gov/web-mm/transfer-or-not-transfer
      November 23, 2016 - SPOTLIGHT CASE To Transfer or Not to Transfer Citation Text: Pines JM. To Transfer or Not to Transfer. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2009. Copy Citation Format: Google Scholar BibTeX EndNote …

8098. Patient Safety | Agency for Healthcare Research and Quality
      www.ahrq.gov/ncepcr/reports/2025-annual-report/patient-safety.html
      August 01, 2025 - AHRQ’s Investments in Primary Care Research for 2023 and 2024 Patient Safety Previous Page Next Page Table of Contents AHRQ’s Investments in Primary Care Research for 2023 and 2024 Acknowledgements and Authors Message from the Director of AHRQ’s National Center for Excellence in Primary Care R…

8099. Patient Safety Tools | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/evidence-based-reports/makinghcsafer.html
      June 01, 2022 - Patient Safety Tools The Agency for Healthcare Research and Quality (AHRQ) offers tools for health care organizations, providers, policymakers, and patients to improve patient safety in health care settings. The free tools and resources listed here are available online and in print. Contents   Tools for H…

8100. Impact of Staff-Led Safety Walk Rounds (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Montgomery_42.pdf
      March 05, 2008 - Impact of Staff-Led Safety Walk Rounds Impact of Staff-Led Safety Walk Rounds Vicki L. Montgomery, MD, FAAP, FCCM Abstract Objectives: The primary objectives of this study were to provide a venue for discussing safety concerns and to facilitate finding solutions for everyday safety issues. Methods: The mul…