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8621. Over Not So Easy | PSNet
      psnet.ahrq.gov/web-mm/over-not-so-easy
      April 01, 2005 - Over Not So Easy Citation Text: Cucina R. Over Not So Easy. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2006. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

8622. Chipra205-Materials Via (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/CHIPRA205-Materials_VIA.pdf
      January 01, 2010 - Attachment 6A.1 Description of the Chicago Pediatric Quality and Safety Consortium Hospitals CPQSC: Institution Characteristics Advocate – Oak Lawn Advocate – Park Ridge Lurie Children’s Prentice Mount Sinai Stroger Type of Institution Children’s Hospital with pediatric residency program and fell…

8623. Chipra204-Materials Via (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/CHIPRA204-Materials_VIA.pdf
      January 01, 2010 - Attachment 6A.1 Description of the Chicago Pediatric Quality and Safety Consortium Hospitals CPQSC: Institution Characteristics Advocate – Oak Lawn Advocate – Park Ridge Lurie Children’s Prentice Mount Sinai Stroger Type of Institution Children’s Hospital with pediatric residency program and fell…

8624. Chapter 6. Measure Maps and Profiles (continued, 13) | Agency for Healthcare Research and Quality
      www.ahrq.gov/ncepcr/care/coordination/atlas/chapter6l.html
      June 01, 2014 - Care Coordination Measures Atlas Update Chapter 6. Measure Maps and Profiles (continued, 13) 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…

8625. 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…

8626. 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…

8627. Central Venous Catheter Removal
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/central-catheter-removal.pptx
      April 01, 2022 - Central Venous Catheter Removal Central Venous Catheter Removal Prompting Removal of Unnecessary Catheters AHRQ Safety Program for Intensive Care Units: Preventing CLABSI and CAUTI AHRQ Pub. No. 17(22)-0019 April 2022 AHRQ Safety Program for Intensive Care Units: Preventing CLABSI and CAUTI 1 Case 1: Central Venou…

8628. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/851158/psn-pdf
      June 28, 2023 - Ventricular Wall Injury during a Diagnostic Cardiac Catheterization June 28, 2023 Pham TH, Atreja S. Ventricular Wall Injury during a Diagnostic Cardiac Catheterization. PSNet [internet]. 2023. https://psnet.ahrq.gov/web-mm/ventricular-wall-injury-during-diagnostic-cardiac-catheterization The Case A patient was …

8629. Periodic Issue | PSNet
      psnet.ahrq.gov/periodic-issue/periodic-issue-472
      February 26, 2025 - February 26, 2025 Weekly Issue PSNet highlights the latest patient safety literature, news, and expert commentary, including Weekly Updates, WebM&M, and Perspectives on Safety. The current issue highlights what's new this week in patient safety literature, news, conferences, repor…

8630. Implementation Quick Start Guide: Teach-back (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/teach-back_quickstart_full.pdf
      September 15, 2016 - Implementation Quick Start Guide: Teach-back Implementation Quick Start Guide Teach-Back The Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families Table of Contents What Is Teach-Back? .....................................................................................…

8631. Implementation Quick Start Guide: Warm Handoff (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/warmhandoff-quickstartbrochure.pdf
      January 27, 2017 - Implementation Quick Start Guide: Warm Handoff Implementation Quick Start Guide Warm Handoff The Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families Table of Contents What Is a Warm Handoff?...................................................1 Why Use Warm Handoffs…

8632. Strategy 4: IDEA Discharge Planning (Tool 1) (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Tool_1_IDEAL_chklst_508.pdf
      January 01, 2010 - Strategy 4: IDEA Discharge Planning (Tool 1) Guide to Patient and Family Engagement :: 1 IDEAL Discharge Planning Overview, Process, and Checklist Evidence for engaging patients and families in discharge planning Nearly 20 percent of patients experience an adverse event within 30 days of discharge.1,2 R…

8633. Missing ECG and Missed Diagnosis Lead to Dangerous Delay | PSNet
      psnet.ahrq.gov/web-mm/missing-ecg-and-missed-diagnosis-lead-dangerous-delay
      March 01, 2015 - Missing ECG and Missed Diagnosis Lead to Dangerous Delay Citation Text: O'Connor RE. Missing ECG and Missed Diagnosis Lead to Dangerous Delay. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2018. Copy Citation Format: G…

8634. STATISTICAL BRIEF #502: Characteristics of Practices Used as Usual Source of Care Providers during 2015—Results from the MEPS Medical Organizations Survey
      meps.ahrq.gov/data_files/publications/st502/stat502.shtml
      April 01, 2017 - STATISTICAL BRIEF #502: Characteristics of Practices Used as Usual Source of Care Providers during 2015—Results from the MEPS Medical Organizations Survey   Skip to main content An official website of the Department of…

8635. Module 5: Response and Disclosure | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide5/notes.html
      August 01, 2022 - Module 5: Response and Disclosure AHRQ Communication and Optimal Resolution Toolkit Facilitator Notes Say: In Module 5 of the CANDOR Toolkit, we will discuss the Response and Disclosure component of the CANDOR process. Slide 1 Say: The goal of this module is to: Define…

8636. Procedural Mishap: Learning Curve? | PSNet
      psnet.ahrq.gov/web-mm/procedural-mishap-learning-curve
      April 28, 2021 - Procedural Mishap: Learning Curve? Citation Text: Gibbs VC, Leape L. Procedural Mishap: Learning Curve?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2003. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML En…

8637. Telehealth and Patient Safety. | PSNet
      psnet.ahrq.gov/primer/telehealth-and-patient-safety
      July 27, 2022 - Telehealth and Patient Safety. Citation Text: O'Malley G, Shaikh U, Marcin JP. Telehealth and Patient Safety.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2022. Copy Citation Format: Google Scholar BibTeX EndNote X3 …

8638. Building a Safety Program Using Principles of Resilience Engineering | PSNet
      psnet.ahrq.gov/perspective/building-safety-program-using-principles-resilience-engineering
      October 23, 2013 - Building a Safety Program Using Principles of Resilience Engineering Sudeep Hegde, PhD; Ann M. Bisantz, PhD; and Rollin J. Fairbanks, MD, MS | June 1, 2019  View more articles from the same authors. Citation Text: Hegde S, Fairbanks RJ, Bisantz A. Building a Safety…

8639. Selected Best Practices and Suggestions for Improvement (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/d4c_pdi03-foreignbody-bestpractices.pdf
      November 01, 2012 - Selected Best Practices and Suggestions for Improvement Pediatric Toolkit for Using the AHRQ Quality Indicators How To Improve Hospital Quality and Safety 1 Tool D.4c Selected Best Practices and Suggestions for Improvement PDI 03: Retained Surgical Item or Unretrieved Device Fragment Count Why focus on reta…

8640. Benefits vs. Risks of Intraosseous Vascular Access | PSNet
      psnet.ahrq.gov/web-mm/benefits-vs-risks-intraosseous-vascular-access
      September 01, 2005 - Benefits vs. Risks of Intraosseous Vascular Access Citation Text: Fowler RL, Lippmann MJ. Benefits vs. Risks of Intraosseous Vascular Access. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2014. Copy Citation Format: Go…