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3561. Selected Best Practices and Suggestions for Improvement (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4u_combo_pdi09-postoprespfailure-bestpractices.pdf
      May 17, 2016 - Selected Best Practices and Suggestions for Improvement Toolkit for Using the AHRQ Quality Indicators How To Improve Hospital Quality and Safety 1 Tool D.4u Selected Best Practices and Suggestions for Improvement PDI 09: Postoperative Respiratory Failure Why focus on postoperative respiratory failure in chi…

3562. 133-Translating-Research-Into-Practice-Fg (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/133-translating-research-into-practice-fg.docx
      April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI Translating Research into Practice (TRiP) Surgical Services For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries Slide Title and Commentary Slide Number and Slide Translating Research into Practice (TRiP) SAY: This presentation is on Trans…

3563. Final Progress Report: Health Care Policy and Practice: Promoting Environments for Quality Care (pdf file)
      www.ahrq.gov/sites/default/files/2024-09/sampselle-report.pdf
      January 01, 2024 - Final Progress Report: Health Care Policy and Practice: Promoting Environments for Quality Care Title of Project: Health Care Policy and Practice: Promoting Environments for Quality Care Principal Investigator: Carolyn M. Sampselle Organization: University of Michigan School of Nursing Inclusive Dates of Project:…

3564. 107-Cusp-Psychological-Safety-Fg (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/107-cusp-psychological-safety-fg.docx
      April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI CUSP Program: Psychological Safety Surgical Services For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries Slide Title and Commentary Slide Number and Slide CUSP Program: Psychological Safety SAY: Welcome to this presentation on psychologica…

3565. Overview | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/intro.html
      October 01, 2014 - Preventing Pressure Ulcers in Hospitals Overview Previous Page Next Page Table of Contents Preventing Pressure Ulcers in Hospitals Overview Key Subject Area Index 1. Are we ready for this change? 2. How will we manage change? 3. What are the best practices in pressure ulcer prevention that…

3566. Silence A Commentary | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/reports/liability/silence.html
      August 01, 2017 - Advances in Patient Safety and Medical Liability Silence A Commentary Previous Page Next Page Table of Contents Advances in Patient Safety and Medical Liability Preface Acknowledgments Prologue Silence A Commentary Reforming the Medical Liability System in Massachusetts: Communication, Apo…

3567. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33657/psn-pdf
      September 01, 2007 - Rediscovering the Power of the Surgical M&M Conference: The M+M Matrix September 1, 2007 Gordon LA. Rediscovering the Power of the Surgical M&M Conference: The M+M Matrix. PSNet [internet]. 2007. https://psnet.ahrq.gov/perspective/rediscovering-power-surgical-mm-conference-mm-matrix Perspective There is a slumbe…

3568. Spotlight Case [MONTH] 2003 (ppt file)
      psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.209_slideshow.ppt
      December 01, 2009 - Spotlight Case [MONTH] 2003 Spotlight Case Standard Deviations Source and Credits This presentation is based on the December 2009 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available Commentary by: James E. Sabin, MD Harvard Medical School; Harvard Pilgrim Heal…

3569. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49652/psn-pdf
      May 01, 2012 - Double Dose at Transfer May 1, 2012 Hackman JL. Double Dose at Transfer. PSNet [internet]. 2012. https://psnet.ahrq.gov/web-mm/double-dose-transfer The Case A 74-year-old man with history of diabetes and hypertension was admitted to the emergency department (ED) for left lower extremity pain, swelling, and erythe…

3570. Archived: Ocular Prophylaxis for Gonococcal Ophthalmia Neonatorum: Preventive Medication | United States Preventive Services Taskforce
      www.uspreventiveservicestaskforce.org/uspstf/recommendation/ocular-prophylaxis-for-gonococcal-ophthalmia-neonatorum-preventive-medication-2011
      July 15, 2011 - Share to Facebook Share to X Share to WhatsApp Share to Email Print archived Final Recommendation Statement Ocular Prophylaxis for Gonococcal Ophthalmia Neonatorum: Preventive Medication July 15, 2011 Recommendations made by the USPS…

3571. Behavioral Counseling to Promote a Healthful Diet and Physical Activity for Cardiovascular Disease Prevention in Adults with Cardiovascular Risk Factors (pdf file)
      www.uspreventiveservicestaskforce.org/home/getfilebytoken/rhSzEVBjRK5CW8G42VWuVU
      August 01, 2014 - Behavioral Counseling to Promote a Healthful Diet and Physical Activity for Cardiovascular Disease Prevention in Adults with Cardiovascular Risk Factors August 2014 Task Force FINAL Recommendation | 1 Understanding Task Force Recommendations Behavioral Counseling to Promote a Healthful Diet and Physical Activity…

3572. Development of a Clinical Decision Support Tool for Facilitating Naturalistic Decision Making and Improving Blood Culture Utilization | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/development-clinical-decision-support-tool-facilitating-naturalistic-decision
      January 01, 2023 - Development of a Clinical Decision Support Tool for Facilitating Naturalistic Decision Making and Improving Blood Culture Utilization Project Final Report ( PDF , 1.32 MB) Disclaimer Disclaimer The findings and conclusions in this document are those of the author(s), who are resp…

3573. PRISM: Personalized Reminders for Immunizations Using Short Messaging Systems | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/prism-personalized-reminders-immunizations-using-short-messaging-systems
      January 01, 2023 - PRISM: Personalized Reminders for Immunizations Using Short Messaging Systems Project Final Report ( PDF , 419.29 KB) Disclaimer Disclaimer The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessarily repres…

3574. Health Information Technology and Improving Medication Use - 2011 | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/health-information-technology-and-improving-medication-use/annual-summary/2011
      January 01, 2011 - Health Information Technology and Improving Medication Use - 2011 Project Name Health Information Technology and Improving Medication Use Principal Investigator Bates, David Organization Brigham and Women's Hospital Funding Mechanism RFA: HS07-004: Centers for Educa…

3575. Spotlight Case [MONTH] 2003 (ppt file)
      psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.215_slideshow.ppt
      April 01, 2010 - Spotlight Case [MONTH] 2003 Spotlight Case Bad Writing, Wrong Medication * * Source and Credits This presentation is based on the April 2010 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available Commentary by: Beth Devine, PharmD, MBA, PhD University of Washingto…

3576. Industrial and Systems Engineering and Health Care: Critical Areas of Research Workshop - Materials Management and Production Processes (pdf file)
      digital.ahrq.gov/sites/default/files/docs/page/Materials%20Management%20and%20Production%20Processes.pdf
      June 16, 2021 - Industrial and Systems Engineering and Health Care: Critical Areas of Research Workshop - Materials Management and Production Processes 1 Health sector supply chain initiatives Materials Management and Production Processes Eugene Schneller, Ph.D. gene.schneller@asu.edu 2 Health sector supply chain initiatives …

3577. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33603/psn-pdf
      September 15, 2024 - Surgical Site Infections September 15, 2024 Surgical Site Infections. PSNet [internet]. 2019. https://psnet.ahrq.gov/primer/surgical-site-infections PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that they reflect current research and practice in the patient safety …

3578. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/841306/psn-pdf
      December 14, 2022 - Resilient Healthcare and the Safety-I and Safety-II Frameworks December 14, 2022 Deutsch ES, Van CM, Mossburg SE. Resilient Healthcare and the Safety-I and Safety-II Frameworks. PSNet [internet]. 2022. https://psnet.ahrq.gov/perspective/resilient-healthcare-and-safety-i-and-safety-ii-frameworks Resilient healthca…

3579. Evaluating Diagnostic Decision Support Systems for Patients Requiring Urgent Primary or Emergency Care or with Stroke | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/evaluating-diagnostic-decision-support-systems-patients-requiring-urgent
      July 01, 2023 - Evaluating Diagnostic Decision Support Systems for Patients Requiring Urgent Primary or Emergency Care or with Stroke Project Description Publications Research Story By rigorously evaluating a popular patient-facing symptom checker app, understanding around this app…

3580. Adverse Events, Near Misses, and Errors | PSNet
      psnet.ahrq.gov/primer/adverse-events-near-misses-and-errors
      March 30, 2022 - Adverse Events, Near Misses, and Errors Citation Text: Adverse Events, Near Misses, and Errors. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 X…