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481. Utilising improvement science methods to optimise medication reconciliation. | PSNet
     psnet.ahrq.gov/issue/utilising-improvement-science-methods-optimise-medication-reconciliation
     July 24, 2017 - 5, 2011 Utilizing improvement science methods to improve physician compliance with proper

482. Delay in Treatment: Failure to Contact Patient Leads to Significant Complications | PSNet
     psnet.ahrq.gov/web-mm/delay-treatment-failure-contact-patient-leads-significant-complications
     February 01, 2004 - contact patients about abnormal test results that is proportionate to the harm that might occur without proper

483. Conclusion | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/mod1concl.html
     October 01, 2014 - Module 1: Detecting Change in a Resident's Condition Conclusion Previous Page Next Page Table of Contents Module 1: Detecting Change in a Resident's Condition Learning and Performance Objectives Session 1 Session 2 Conclusion Additional Tools and Resources In Summary The …

484. Appendix I. Catheter Care Pocket Card | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cauti-tools/impl-guide/implementation-guide-appendix-i.html
     October 01, 2015 - Toolkit for Reducing Catheter-Associated Urinary Tract Infections in Hospital Units: Implementation Guide Appendix I. Catheter Care Pocket Card Previous Page Next Page Table of Contents Toolkit for Reducing Catheter-Associated Urinary Tract Infections in Hospital Units: Implementation Guide Overvi…

485. 5 Tk1 T6-Sample Distribution Plan For An Antibiogram Final (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK1_T6-Sample_Distribution_Plan_for_an_Antibiogram_final.docx
     October 01, 2016 - Tool 6. Distribution Planning for an Antibiogram A written plan for how the nursing home will distribute the antibiogram is very helpful. As staff members change, the written plan ensures that the antibiogram can still be properly prepared and distributed. 1. Establish procedures to provide the antibiogram as needed an…

486. Exhibit 11. Importance measures on events in rank order of criticality | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/final-reports/stpra/stpraexh11.html
     April 01, 2018 - Proactive Risk Assessment of Surgical Site Infection in Ambulatory Surgery Centers Exhibit 11. Importance measures on events in rank order of criticality Previous Page Next Page Table of Contents Proactive Risk Assessment of Surgical Site Infection in Ambulatory Surgery Centers Executive Summary …

487. 2020 SOPS ASC Database Report Executive Summary Infographic (pdf file)
     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…

488. May I Have Another?—Medication Error | PSNet
     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

489. Chapter 6. Measure Maps and Profiles (continued, 12) | Agency for Healthcare Research and Quality
     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…

490. 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…

491. 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…

492. Urine a Tough Position | PSNet
     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

493. 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

494. 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

495. 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…

496. A Unit Guide To Infection Prevention for Long-Term Care Staff | Agency for Healthcare Research and Quality
     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

497. Letter | Digital Healthcare Research
     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…

498. 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.…

499. Spotlight Case [MONTH] 2003 (ppt file)
     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, …

500. Million Hearts Baseline 10 Year Ascvd Risk Change Log
     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 …