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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/33705/psn-pdfJanuary 01, 2011 - Risk Management and Patient Safety December 1, 2010 Manuel BM, McCarthy JL, Berry WR, et al. Risk Management and Patient Safety. PSNet [internet]. 2010. https://psnet.ahrq.gov/perspective/risk-management-and-patient-safety Perspective In 1990, a Harvard-based research team reported the incidence of medical errors … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/49391/psn-pdfFebruary 01, 2003 - When "Psychiatric" Symptoms Are Not February 1, 2003 Goldberg RJ. When "Psychiatric" Symptoms Are Not. PSNet [internet]. 2003. https://psnet.ahrq.gov/web-mm/when-psychiatric-symptoms-are-not The Case A 70-year-old man without documented past psychiatric history was placed on an involuntary hold as a danger to oth… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/49704/psn-pdfMarch 01, 2014 - Late Anemia Following Rh Disease in a Newborn March 1, 2014 Newman TB, Maisels JM. Late Anemia Following Rh Disease in a Newborn. PSNet [internet]. 2014. https://psnet.ahrq.gov/web-mm/late-anemia-following-rh-disease-newborn The Case A full-term neonate was delivered uneventfully to an Rh-negative woman who had re… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/49726/psn-pdfMarch 01, 2015 - Two Wrongs Don't Make a Right (Kidney) March 1, 2015 DeVine JG. Two Wrongs Don't Make a Right (Kidney). PSNet [internet]. 2015. https://psnet.ahrq.gov/web-mm/two-wrongs-dont-make-right-kidney Case Objectives Review the current definition of wrong-site surgery. Describe the incidence of wrong-site surgery, and the… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/33634/psn-pdfMay 04, 2006 - The Wild West: Patient Safety in Office-Based Anesthesia May 1, 2006 Kaushal R, Upadhyayula S, Gaba DM, et al. The Wild West: Patient Safety in Office-Based Anesthesia. PSNet [internet]. 2006. https://psnet.ahrq.gov/perspective/wild-west-patient-safety-office-based-anesthesia Perspective Over the last decade, sur… -
www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/sustaining-antibiotic-guide.docxSeptember 01, 2022 - Sustaining Antibiotic Stewardship Efforts – Facilitator Guide AHRQ Safety Program for Improving Antibiotic Use 1 Sustaining Antibiotic Stewardship Efforts Ambulatory Care Slide Title and Commentary Slide Number and Slide Sustaining Antibiotic Stewardship Efforts SAY: Welcome to the presentation titled, “Sust…
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TeamSTEPPS Learning Benchmarks (pdf file)
www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/tools/ts-learning-benchmarks.pdfJune 02, 2025 - TeamSTEPPS Learning Benchmarks TeamSTEPPS Learning Benchmarks Instructions: These questions focus on medical teamwork and communication and their effect on quality and safety in patient care. For each of the following questions, please circle the letter next to the one best answer. 1. A nurse is called t… -
www.ahrq.gov/patient-safety/quality-resources/tools/chtoolbx/understand/index.htmlJune 01, 2020 - Understanding Quality Measurement Child Health Care Quality Toolbox The Child Health Toolbox contains concepts, tips, and tools for evaluating the quality of health care for children. What Is Quality? The Institute of Medicine defines health care quality as "the degree to which health care services for in…
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/statesummaries/chipra-750-massachusetts-state-snapshot.pdfJanuary 01, 2018 - Spotlight on Massachusetts -- The National Evaluation of the CHIPRA Quality Demonstration Grant Program January 2018 This brief highlights the major strategies, lessons learned, and outcomes from Massachusetts’s experience from February 2010 to May 2015 with the quality demonstration funded by the Centers for Med…
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025-Ss-Why-Choose-Cusp-Fg (doc file)
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/025-ss-why-choose-cusp-fg.docxApril 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI Why Choose a CUSP Approach? Surgical Services Slide Title and Commentary Slide Number and Slide Why Choose a CUSP Approach? SAY: Welcome to this presentation titled “Why Choose a CUSP Approach?” CUSP is short for the “Comprehensive Unit-based Safety Program.” … -
102-How-Integrate-Cusp-Approach-Guide (doc file)
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/102-how-integrate-cusp-approach-guide.docxOctober 01, 2024 - AHRQ Safety Program for MRSA Prevention How To Integrate a CUSP Approach ICU & Non-ICU Slide Title and Commentary Slide Number and Slide How to Integrate a CUSP Approach SAY: Welcome to this presentation about the Comprehensive Unit-based Safety Program, or CUSP. This presentation discusses how to integrate a CUSP… -
www.ahrq.gov/diagnostic-safety/resources/issue-briefs/state-of-science-2.htmlJune 01, 2020 - Operational Measurement of Diagnostic Safety: State of the Science Special Considerations for Measurement of Diagnostic Safety Previous Page Next Page Table of Contents Operational Measurement of Diagnostic Safety: State of the Science Introduction Special Considerations for Measurement of Diagn…
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/nurse-role-dxsafety6.htmlSeptember 01, 2022 - Reinforcing the Value and Roles of Nurses in Diagnostic Safety: Pragmatic Recommendations for Nurse Leaders and Educators References Previous Page Next Page Table of Contents Reinforcing the Value and Roles of Nurses in Diagnostic Safety: Pragmatic Recommendations for Nurse Leaders and Educators I…
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www.ahrq.gov/ncepcr/reports/cost-guide/collection-tools.htmlFebruary 01, 2017 - Estimating the Costs of Primary Care Transformation: A Practical Guide and Synthesis Report Appendix B. Example Data Collection Tools Previous Page Next Page Table of Contents Estimating the Costs of Primary Care Transformation: A Practical Guide and Synthesis Report Background A Practical Guide…
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PowerPoint Presentation (ppt file)
psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.338_slideshow.pptJanuary 01, 2015 - PowerPoint Presentation Spotlight Monitoring Fetal Health 1 This presentation is based on the January 2015 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available Commentary by: Mark W. Scerbo, PhD, Department of Psychology, Old Dominion University, and Alfred Z. Abuham… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/49808/psn-pdfOctober 01, 2017 - High-Risk Medications, High-Risk Transfers October 1, 2017 Staggers N. High-Risk Medications, High-Risk Transfers. PSNet [internet]. 2017. https://psnet.ahrq.gov/web-mm/high-risk-medications-high-risk-transfers The Case A 47-year-old woman with history of primary pulmonary arterial hypertension (PAH) was admitted … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/49655/psn-pdfJune 01, 2012 - A Painful Dilemma June 1, 2012 Davison SN. A Painful Dilemma. PSNet [internet]. 2012. https://psnet.ahrq.gov/web-mm/painful-dilemma The Case A 47-year-old woman with end-stage renal disease due to polycystic kidney disease was admitted with fever. She was taking propoxyphene or hydrocodone at home for pain. She h… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/49844/psn-pdfOctober 01, 2018 - Diffusion of Responsibility Leads to Danger October 1, 2018 Balcezak TJ, Deshpande O. Diffusion of Responsibility Leads to Danger. PSNet [internet]. 2018. https://psnet.ahrq.gov/web-mm/diffusion-responsibility-leads-danger The Case A 70-year-old man was sent to the emergency department (ED) from a nursing facility… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/49596/psn-pdfDecember 01, 2009 - Round-Trip Service December 1, 2009 McGrath MH. Round-Trip Service. PSNet [internet]. 2009. https://psnet.ahrq.gov/web-mm/round-trip-service The Case A 70-year-old man with a long history of degenerative joint disease was experiencing increased symptoms in his left knee. He was referred by his primary care provid… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/49724/psn-pdfJanuary 01, 2015 - Bowel Injury After Laparoscopic Surgery January 1, 2015 Moorthy K. Bowel Injury After Laparoscopic Surgery. PSNet [internet]. 2015. https://psnet.ahrq.gov/web-mm/bowel-injury-after-laparoscopic-surgery The Case A 30-year-old man presented to the hospital for a scheduled laparoscopic inguinal hernia repair with mes…
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