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  1. www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/asc/asc_2020_overview_infographic-v2.pdf
    January 01, 2020 - 2020 SOPS ASC Database Report Executive Summary Infographic Surveys on Patient Findings from the 2020 Survey on Patient Safety Culture (SOPS) Ambulatory Surgery Center (ASC) Database The ASC SOPS Database assesses provider and st aff percept ions of their organization's pat ient safety cu lture. The ASC SOPS Dat…
  2. psnet.ahrq.gov/web-mm/may-i-have-another-medication-error
    March 01, 2009 - 1-3 ) This finding is not surprising, as patients often lack sufficient information to help support proper … Clinicians should ensure patients are adequately counseled regarding the proper use of a medication and … should be written and transmitted to a pharmacy in a manner that does not allow for deviation from proper
  3. digital.ahrq.gov/sites/default/files/docs/workflowtoolkit/SurveyOnPatientSafetyCulture.doc
    January 01, 2008 - Medical Office Survey on Patient Safety Medical Office Survey on Patient Safety SURVEY INSTRUCTIONS Think about the way things are done in your medical office and provide your opinions on issues that affect the overall safety and quality of the care provided to patients in your office. In this survey, the term…
  4. psnet.ahrq.gov/web-mm/x-ray-flip
    August 10, 2019 - X-ray Flip Citation Text: Shapiro MJ. X-ray Flip. 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 RIS Downl…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49802/psn-pdf
    August 01, 2017 - Add-on Case and the Missing Checklist August 1, 2017 Catchpole K. Add-on Case and the Missing Checklist. PSNet [internet]. 2017. https://psnet.ahrq.gov/web-mm/add-case-and-missing-checklist The Case A 65-year-old woman was admitted for evaluation of abdominal pain and weight loss. Based on diagnostic data and ima…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74242/psn-pdf
    January 07, 2022 - The Next Step: Use of a Pre-Operative Checklist to Prevent Missteps January 7, 2022 Sauder C, Kleber KT. The Next Step: Use of a Pre-Operative Checklist to Prevent Missteps. PSNet [internet]. 2022. https://psnet.ahrq.gov/web-mm/next-step-use-pre-operative-checklist-prevent-missteps The Case A 52-year-old woman w…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49465/psn-pdf
    December 22, 2021 - Electronic Err October 1, 2004 Tang PC. Electronic Err. PSNet [internet]. 2004. https://psnet.ahrq.gov/web-mm/electronic-err The Case A 75-year-old woman with coronary artery disease presented to the emergency department (ED) with chest pain that that had not responded to three sublingual nitroglycerin tablets at…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49661/psn-pdf
    August 01, 2012 - Residual Anesthesia: Tepid Burn August 1, 2012 Kurrek MM, Twersky RS. Residual Anesthesia: Tepid Burn. PSNet [internet]. 2012. https://psnet.ahrq.gov/web-mm/residual-anesthesia-tepid-burn The Case A 42-year-old Filipino man presented to an outpatient surgery center for scheduled repair of an anal fistula. The pat…
  9. www.ahrq.gov/ncepcr/care/coordination/atlas/chapter6k.html
    June 01, 2014 - Care Coordination Measures Atlas Update Chapter 6. Measure Maps and Profiles (continued, 12) Previous Page Next Page Table of Contents Care Coordination Measures Atlas Update Chapter 1: Background Chapter 2. What is Care Coordination? Chapter 3. Care Coordination Measurement Framework Chapte…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36927/psn-pdf
    April 14, 2011 - The frequency of missed test results and associated treatment delays in a highly computerized health system. April 14, 2011 Wahls TL, Cram PM. The frequency of missed test results and associated treatment delays in a highly computerized health system. BMC Fam Pract. 2007;8:32. https://psnet.ahrq.gov/issue/frequenc…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36907/psn-pdf
    September 14, 2012 - Serious Reportable Events in Healthcare—2011 Update. September 14, 2012 Washington DC: National Quality Forum; December 2011. https://psnet.ahrq.gov/issue/serious-reportable-events-healthcare-2011-update The National Quality Forum originally defined 27 health care "never events"—patient safety events that pose ser…
  12. psnet.ahrq.gov/web-mm/urine-tough-position
    January 01, 2009 - Therefore, verification of patient identification and proper labeling of specimens, requisitions, and … Then, clinical staff can collaborate to design fail-safe mechanisms for ensuring proper specimen identification
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49389/psn-pdf
    February 01, 2003 - A feel for how much force should be applied during trocar insertion, the proper angle, controlling thrust … A Demonstration of Proper Technique for Trocar Insertion* (Illustration by Chris Gralapp) http://www.ncbi.nlm.nih.gov
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49745/psn-pdf
    October 01, 2015 - Had she received the proper medication at the proper dose during her admission, she may have not needed
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37417/psn-pdf
    March 28, 2012 - Medication use leading to emergency department visits for adverse drug events in older adults. March 28, 2012 Budnitz DS, Shehab N, Kegler SR, et al. Medication use leading to emergency department visits for adverse drug events in older adults. Ann Intern Med. 2007;147(11):755-765. https://psnet.ahrq.gov/issue/med…
  16. www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/resources/guides/infection-prevent.html
    March 01, 2017 - Practice Tips Use proper technique to avoid contaminating sterile syringes and other sharps. … soiled linen (e.g., consider wrapping soiled linen in a ball at the point of collection) and place in a proper
  17. digital.ahrq.gov/document-type/letter
    January 01, 2023 - Letter Accuracy of electronic health record food insecurity, housing instability, and financial strain screening in adult primary care. Citation Harle CA, Wu W, Vest JR. Accuracy of electronic health record food insecurity, housing instability, and financial strain screening i…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42510/psn-pdf
    August 21, 2013 - Root cause analysis reports help identify common factors in delayed diagnosis and treatment of outpatients. August 21, 2013 Giardina TD, King BJ, Ignaczak AP, et al. Root cause analysis reports help identify common factors in delayed diagnosis and treatment of outpatients. Health Aff (Millwood). 2013;32(8):1368-75.…
  19. psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.155_slideshow.ppt
    July 01, 2007 - Spotlight Case [MONTH] 2003 Spotlight Case July 2007 Resuscitation Errors: A Shocking Problem Source and Credits This presentation is based on the July 2007 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available online Commentary by: Benjamin Abella, MD, MPhil, …
  20. cds.ahrq.gov/sites/default/files/cds/artifact/logic/2021-09/Million_Hearts_Baseline_10_Year_ASCVD_Risk_Change_Log.txt
    January 01, 2021 - ================================================================================ Million_Hearts_Baseline_10_Year_ASCVD_Risk Change Log ================================================================================ The following CQL downloads are currently available on CDS Connect. Older versions may be available by …