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4421. Global Assessment of Pediatric Patient Safety (GAPPS) Trigger Tool (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-143-fullreport.pdf
      April 01, 2018 - Because patient safety has become an area of increasing national concern, stakeholders readily recognize … measures can enable patients, providers, and payers to understand what high quality care entails, recognize … In addition, there are many factors that may affect how institutions recognize and record medical events

4422. Assessing the Risk of Bias of Individual Studies in Systematic Reviews of Health Care Interventions (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pdf/methods-guidance-bias-individual-studies_methods.pdf
      March 01, 2012 - Nonetheless, we recognize the competing demands for flexibility across reviews to account for specific … Although reviewers recognize the importance of harms outcomes, harms are generally ignored in risk-of-bias … However, three tools/checklists were identified and two of these recognize that some biases may arise

4423. III. Hotline Implementation and Refinement | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/reports/hotline/implement3.html
      May 01, 2016 - Developing and Testing the Health Care Safety Hotline: A Prototype Consumer Reporting System for Patient Safety Events III. Hotline Implementation and Refinement Previous Page Next Page Table of Contents Developing and Testing the Health Care Safety Hotline: A Prototype Consumer Reporting System for…

4424. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49436/psn-pdf
      February 26, 2004 - Transfusion "Slip" February 1, 2004 Kaplan HS. Transfusion "Slip". PSNet [internet]. 2004. https://psnet.ahrq.gov/web-mm/transfusion-slip The Case A married couple, Mr. and Mrs. M, was brought to the emergency department (ED) of a Level 1 trauma center after a half-ton truck that had skidded out of control struck…

4425. Spotlight Case July 2008 (ppt file)
      psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.182_slideshow.ppt
      September 01, 2008 - Spotlight Case July 2008 Spotlight Case Empiric Steroids: the Good, the Bad, and the Ugly Source and Credits This presentation is based on the September 2008 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available Commentary by: Edward D. Harris, Jr, MD, Stanford U…

4426. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50842/psn-pdf
      January 29, 2020 - Patient Identification Errors: A Systems Challenge January 29, 2020 Choudhury LS, Vu CT. Patient Identification Errors: A Systems Challenge. PSNet [internet]. 2020. https://psnet.ahrq.gov/web-mm/patient-identification-errors-systems-challenge The Cases The following four events involving five patients all involved…

4427. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49637/psn-pdf
      October 01, 2011 - The Dropped "No" October 1, 2011 Johnson AJ. The Dropped "No". PSNet [internet]. 2011. https://psnet.ahrq.gov/web-mm/dropped-no The Case A 62-year-old man with a history of cirrhosis was admitted with increasing abdominal girth and swelling in his legs. Because the leg swelling was somewhat more pronounced in his…

4428. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49710/psn-pdf
      May 01, 2014 - Discontinued Medications: Are They Really Discontinued? May 1, 2014 Mankey CG, Varkey P. Discontinued Medications: Are They Really Discontinued? PSNet [internet]. 2014. https://psnet.ahrq.gov/web-mm/discontinued-medications-are-they-really-discontinued The Case A 69-year-old man with a history of chronic atrial f…

4429. Session 1 | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/mod2sess1.html
      October 01, 2014 - Module 2: Communicating Change in a Resident's Condition Session 1 Previous Page Next Page Table of Contents Module 2: Communicating Change in a Resident's Condition Learning and Performance Objectives Session 1 Session 2 Conclusion Additional Tools and Resources Appendix. Example of the…

4430. Chapter 4 | Agency for Healthcare Research and Quality
      www.ahrq.gov/prevention/resources/vision/resources/vision4.html
      October 01, 2002 - Chapter 4 Vision Rehabilitation: Care and Benefit Plan Models: Literature Review Appendix. Disability Primer Definition of Disability and Goals of Rehabilitation The Rehabilitation Act of 1973, as amended, defines an individual with a disability as any person who (i) has a physical or mental impairm…

4431. Module 1: Using the Comprehensive Long-Term Care Safety Modules: Applying Safety Principles: Facilitator Notes | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module1/mod1-facguide.html
      March 01, 2017 - Module 1: Using the Comprehensive Long-Term Care Safety Modules: Applying Safety Principles: Facilitator Notes AHRQ Safety Program for Long-Term Care: HAIs/CAUTI Slide 1: Module 1: Using the Comprehensive Long-Term Care Safety Modules: Applying Safety Principles Say: The Comprehensive LTC Safety Modules…

4432. Facilitator-Notes (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/long-term-modules/module1/facilitator-notes.docx
      March 01, 2017 - Facilitator Notes SAY: The Comprehensive LTC Safety Modules assist users with how to apply safety principles. This overview module explains the purpose of the toolkit and how it can be used in your facility’s quality improvement initiatives. SLIDE 1 SAY: The objectives of this module are to— · Describe the purpo…

4433. Appendix B. Example Data Collection Tools | Agency for Healthcare Research and Quality
      www.ahrq.gov/ncepcr/research-transform-primary-care/transform/cost/app-b.html
      October 01, 2015 - 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…

4434. Strategy 6A: Open Access Scheduling for Routine and Urgent Appointments | Agency for Healthcare Research and Quality
      www.ahrq.gov/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/access/strategy6a-openaccess.html
      March 01, 2020 - Strategy 6A: Open Access Scheduling for Routine and Urgent Appointments Contents 6.A.1. The Problem 6.A.2. The Intervention 6.A.3. Benefits of This Model 6.A.4. Implementation of This Model 6.A.5. Challenges of This Model 6.A.6. Examples References   Download Strategy 6A: Open Access Sch…

4435. Patient and Family Involvement in Care of Mechanically Ventilated Patients: Slide Presentation | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/mvp/modules/cusp/patient-family-care-slides.html
      March 01, 2017 - Patient and Family Involvement in Care of Mechanically Ventilated Patients: Slide Presentation AHRQ Safety Program for Mechanically Ventilated Patients Slide 1: AHRQ Safety Program for Mechanically Ventilated Patients Patient and Family Involvement in Care of Mechanically Ventilated Patients Slide 2: Le…

4436. Patient and Family Engagement in the Surgical Environment Module | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/training-tools/pf-engagement-slides.html
      May 01, 2017 - Patient and Family Engagement in the Surgical Environment Module Slide 1: Patient and Family Engagement in the Surgical Environment Module Slide 2: Learning Objectives Image: Learning objectives are presented in a series of steps: Define patient and family engagement. Explain the importance of engagin…

4437. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33775/psn-pdf
      December 01, 2014 - African Partnerships for Patient Safety: Lessons Learned December 1, 2014 Syed SS. African Partnerships for Patient Safety: Lessons Learned. PSNet [internet]. 2014. https://psnet.ahrq.gov/perspective/african-partnerships-patient-safety-lessons-learned Perspective In the last 6 years I have had the privilege of sha…

4438. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33751/psn-pdf
      January 01, 2014 - Strengthening the Business Case for Patient Safety May 1, 2013 Lindenauer PK. Strengthening the Business Case for Patient Safety. PSNet [internet]. 2013. https://psnet.ahrq.gov/perspective/strengthening-business-case-patient-safety Perspective After more than a decade in the national spotlight, the problem of pati…

4439. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49476/psn-pdf
      March 02, 2005 - Around the Block March 1, 2005 Minichiello T. Around the Block. PSNet [internet]. 2005. https://psnet.ahrq.gov/web-mm/around-block The Case A 77-year-old woman with multiple medical problems was admitted to the hospital for an elective knee replacement. The orthopedic surgeon, recognizing the risk of deep vein th…

4440. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/860049/psn-pdf
      January 04, 2024 - Myasthenia Crisis after a Delayed Diagnosis in a Medically Complex Patient. January 4, 2024 Chaffin Z. Myasthenia Crisis after a Delayed Diagnosis in a Medically Complex Patient. PSNet [internet]. 2024. https://psnet.ahrq.gov/web-mm/myasthenia-crisis-after-delayed-diagnosis-medically-complex-patient The Case A 9…