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psnet.ahrq.gov/web-mm/undetected-foreign-objectApril 24, 2018 - Undetected Foreign Object Citation Text: Cima RR. Undetected Foreign Object. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2012. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged P…
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www.ahrq.gov/sites/default/files/wysiwyg/stepup_Challenge/step-up-challenge-phase-1-webinar-slides.pdfSeptember 24, 2018 - AHRQ Step Up App Challenge Phase 1 Informational Webinar AHRQ Step Up App Challenge Advancing Care Through Patient Self-Assessments Phase 1 Informational Webinar Learn about the challenge and how to enter Phase 1 For more information, visit: www.ahrq.gov/stepupappchallenge 1 http…
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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/50928/psn-pdfFebruary 21, 2020 - Updates in the Role of Health IT in Patient Safety February 21, 2020 Hall KK, Fitall E, Hettinger AZ. Updates in the Role of Health IT in Patient Safety. PSNet [internet]. 2020. https://psnet.ahrq.gov/perspective/updates-role-health-it-patient-safety Background Health information technology (HIT) has the potential… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/846563/psn-pdfMarch 21, 2023 - Impact of System Failures on Healthcare Workers March 21, 2023 Zangaro G, Van CM, Mossburg S. Impact of System Failures on Healthcare Workers . PSNet [internet]. 2023. https://psnet.ahrq.gov/perspective/impact-system-failures-healthcare-workers Introduction The March 2022 conviction of RaDonda Vaught, a former nu… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/49779/psn-pdfJanuary 01, 2017 - The Empty Bag December 1, 2016 Vincent C. The Empty Bag. PSNet [internet]. 2016. https://psnet.ahrq.gov/web-mm/empty-bag The Case A 90-year-old woman with end-stage dementia was admitted to an acute care hospital for treatment of a hip fracture after a fall at a nursing home. During the hospitalization, her kidne… -
psnet.ahrq.gov/web-mm/missed-patient-assignment-anyone-thereSeptember 01, 2017 - Missed Patient Assignment: Is Anyone There? Citation Text: Sittig DF, Campbell EM, Singh H. Missed Patient Assignment: Is Anyone There?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2010. Copy Citation Format: Google …
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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/848109/psn-pdfApril 26, 2023 - The Danger of 10% Intravenous Calcium Chloride Extravasation. April 26, 2023 The Danger of 10% Intravenous Calcium Chloride Extravasation. PSNet [internet]. 2023. https://psnet.ahrq.gov/web-mm/danger-10-intravenous-calcium-chloride-extravasation The Case A 52-year-old man with a history of lymphoplasmacytic lymph… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/853773/psn-pdfSeptember 27, 2023 - A Double “Never Event”: Wrong Patient and Wrong Side. September 27, 2023 Bellini A, Salcedo ES. A Double “Never Event”: Wrong Patient and Wrong Side. PSNet [internet]. 2023. https://psnet.ahrq.gov/web-mm/double-never-event-wrong-patient-and-wrong-side The Case A first-year orthopedic surgery resident was consulted… -
040-Mrsa-Surveillance-Notes (doc file)
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/040-mrsa-surveillance-notes.docxOctober 01, 2024 - AHRQ Safety Program for MRSA Prevention MRSA Surveillance ICU & Non-ICU Slide Title and Commentary Slide Number and Slide MRSA Surveillance SAY: Welcome to this presentation on MRSA Surveillance, which will explain how various approaches to MRSA surveillance help to prevent transmission of MRSA in intensive care u… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/49732/psn-pdfMay 01, 2015 - Errors in Sepsis Management May 1, 2015 Shimabukuro D. Errors in Sepsis Management. PSNet [internet]. 2015. https://psnet.ahrq.gov/web-mm/errors-sepsis-management Case Objectives Define sepsis, severe sepsis, and septic shock. Describe the severe sepsis/septic shock resuscitation bundle. Recognize commonly encou… -
Translating CAHPS Surveys (pdf file)
www.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/translating-cahps-surveys.pdfJanuary 17, 2017 - Translating CAHPS Surveys Translating CAHPS® Surveys Contents Purpose of this Document ............................................................................................................................. 1 Select Translation Team Members ..................................................................… -
www.ahrq.gov/evidencenow/projects/state/how-to-guide/guide4.htmlAugust 01, 2024 - Developing and Sustaining State-Based Infrastructure To Support Primary Care Quality Improvement 4. Selecting and Delivering Services To Support Quality Improvement Previous Page Next Page Table of Contents Developing and Sustaining State-Based Infrastructure To Support Primary Care Quality Improvem…
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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/846768/psn-pdfMarch 29, 2023 - Endotracheal Tube Fallout in a Patient with Severe Obesity During Eye Surgery. March 29, 2023 Bohringer C. Endotracheal Tube Fallout in a Patient with Severe Obesity During Eye Surgery. PSNet [internet]. 2023. https://psnet.ahrq.gov/web-mm/endotracheal-tube-fallout-patient-severe-obesity-during-eye-surgery The Ca… -
www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/nursing-home-survey-items-composite-spanish.pdfSeptember 01, 2024 - SOPS® Nursing Home Survey Items and Composite Measures (Spanish) SOPS® Nursing Home Survey Items and Composite Measures Version: 1.0 Language: Spanish Notes • For more information on getting started, selecting a sample, determining data collection methods, establishing data collection procedures, conduct…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/spanish-composite-measures.pdfDecember 01, 2011 - Spanish Medical Office Survey on Patient Safety Culture Items and Dimensions D-1 Spanish Translation of AHRQ’s Medical Office Survey on Patient Safety December 2011 This document explains the process that was used to develop a Spanish translation of the Agency for Healthcare Research and Quality (AHRQ) Medica…
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/labor-delivery-unit/tool-obhemorrhage.htmlJuly 01, 2023 - Labor and Delivery Unit Safety: Obstetric Hemorrhage AHRQ Safety Program for Perinatal Care Purpose of the tool: This tool describes the key perinatal safety elements related to the management obstetric hemorrhage. The key elements are presented within the framework of the Comprehensive Unit-base…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/medicaidmgmt/mm6.htmlOctober 01, 2014 - Designing and Implementing Medicaid Disease and Care Management Programs Section 6: Operating a Care Management Program Previous Page Next Page Table of Contents Designing and Implementing Medicaid Disease and Care Management Programs Introduction Section 1: Planning a Care Management Program …
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Spotlight (ppt file)
psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.464_slideshow.pptJanuary 01, 2019 - Spotlight Spotlight Mistaken Attribution, Diagnostic Misstep * Source and Credits This presentation is based on the January 2019 AHRQ WebM&M Spotlight Case See the full article at https://psnet.ahrq.gov/webmm CME credit is available Commentary by: Timothy R. Kreider, MD, PhD, and John Q. Young, MD, MPP, PhD … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/49654/psn-pdfJune 01, 2012 - Transfer Troubles June 1, 2012 Hains IM. Transfer Troubles. PSNet [internet]. 2012. https://psnet.ahrq.gov/web-mm/transfer-troubles Case Objectives Recognize that transfer of patients between hospitals is common. Understand the frequency of errors and adverse events in the transfer of patients between hospitals. … -
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/urinary-catheter-indications-notes.docxApril 01, 2022 - Indwelling Urinary Catheter Indications Facilitator Notes CAUTI Module: Indwelling Urinary Catheter Indications Facilitator Guide Slide Number and Image This module, titled “Indwelling Urinary Catheter Indications” is part of the Agency for Healthcare Research and Quality’s Safety Program for Intensive Care Uni…
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