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6961. Mark My Limb | PSNet
      psnet.ahrq.gov/web-mm/mark-my-limb
      February 10, 2015 - Mark My Limb Citation Text: Jacott WE, O'Leary D. Mark My Limb. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2004. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

6962. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33882/psn-pdf
      June 01, 2019 - Building a Safety Program Using Principles of Resilience Engineering June 1, 2019 Hegde S, Fairbanks RJ, Bisantz A. Building a Safety Program Using Principles of Resilience Engineering. PSNet [internet]. 2019. https://psnet.ahrq.gov/perspective/building-safety-program-using-principles-resilience-engineering Persp…

6963. Snapshot: The IHA Bundled Episode Payment and Gainsharing Demonstration (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/system/delivery-system-initiative/bozicstudysnapshot/bozicstudysnapshot.pdf
      February 01, 2015 - Snapshot: The IHA Bundled Episode Payment and Gainsharing Demonstration AHRQ DELIVERY SYSTEM RESEARCH: STUDY SNAPSHOT The IHA Bundled Episode Payment and Gainsharing Demonstration* M. Susan Ridgely, David De Vries, Kevin Bozic, and Peter S. Hussey Background Traditional fee-for-service (FFS) payment systems create…

6964. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49416/psn-pdf
      September 01, 2003 - Check the Bags September 1, 2003 Caldwell M, Dracup KA. Check the Bags. PSNet [internet]. 2003. https://psnet.ahrq.gov/web-mm/check-bags The Case A 50-year-old man with new atrial fibrillation was placed on a diltiazem drip in the emergency department for rate control. After arriving at the cardiac care unit (CCU…

6965. ASTD Coaching Self-Assessment Form (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/tools/astd-coaching-self-assessment-form.pdf
      June 02, 2025 - ASTD Coaching Self-Assessment Form ASTD Coaching Self-Assessment Form Instructions The purpose of this activity is to assist you in learning about what you need to be successful as a coach an…

6966. AHRQ Safety Program for MRSA Prevention
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/101-how-integrate-cusp-approach.pptx
      June 26, 2024 - AHRQ Safety Program for MRSA Prevention How to Integrate a CUSP Approach ICU & Non-ICU AHRQ Safety Program for MRSA Prevention AHRQ Safety Program for MRSA Prevention | ICU & Non-ICU AHRQ Safety Program for MRSA Prevention | ICU & Non-ICU How to Integrate a CUSP Approach 1 Educational Objectives List the key steps…

6967. 054-Dec-Guide-Pre-Launch-Activities (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/054-dec-guide-pre-launch-activities.docx
      October 01, 2024 - AHRQ Safety Program for MRSA Prevention Decolonization Pre-Launch Activities ICU & Non-ICU Develop a CUSP Team The Comprehensive Unit-based Safety Program, or CUSP, is a proven patient safety and quality improvement framework that is integrated into the AHRQ Toolkit for MRSA Prevention. A core element of CUSP is the C…

6968. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49410/psn-pdf
      July 01, 2003 - A Little Shuteye July 1, 2003 Farion KJ. A Little Shuteye. PSNet [internet]. 2003. https://psnet.ahrq.gov/web-mm/little-shuteye The Case A 3-year-old boy was seen in urgent care for a superficial laceration above the left eyebrow. The pediatrician had heard of the availability of topical skin adhesive that can be…

6969. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49500/psn-pdf
      January 01, 2006 - Confusion With Acetaminophen January 1, 2006 Heubi JE. Confusion With Acetaminophen. PSNet [internet]. 2006. https://psnet.ahrq.gov/web-mm/confusion-acetaminophen The Case Parents brought their 5-year-old son to the emergency department (ED) with a 24-hour history of fever, cough, and frontal headache. Physical e…

6970. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49509/psn-pdf
      April 01, 2006 - Insert Omission April 1, 2006 Darney P. Insert Omission. PSNet [internet]. 2006. https://psnet.ahrq.gov/web-mm/insert-omission The Case A multiparous woman presented to the gynecology clinic requesting intrauterine contraceptive (IUC) placement (Figure). She was appropriately counseled on the risks and benefits o…

6971. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49667/psn-pdf
      October 01, 2012 - Looking for Meds in All the Wrong Places October 1, 2012 Manias E. Looking for Meds in All the Wrong Places. PSNet [internet]. 2012. https://psnet.ahrq.gov/web-mm/looking-meds-all-wrong-places The Case A 40-year-old uninsured woman with anxiety ran out of her prescribed clonazepam and had a seizure. She went to t…

6972. Conclusion | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/find6.html
      December 01, 2012 - Assessing the Health and Welfare of the HCBS Population Conclusion Previous Page Next Page Table of Contents Assessing the Health and Welfare of the HCBS Population Introduction HCBS Population Availability and Use of State Medicaid HCBS Outcome Indicators for the HCBS Population Outcomes …

6973. Recommendations and Areas for Future Research | Agency for Healthcare Research and Quality
      www.ahrq.gov/diagnostic-safety/resources/issue-briefs/distributed-cognition-er-nurses4.html
      August 01, 2022 - Distributed Cognition and the Role of Nurses in Diagnostic Safety in the Emergency Department Recommendations and Areas for Future Research Previous Page Next Page Table of Contents Distributed Cognition and the Role of Nurses in Diagnostic Safety in the Emergency Department Introduction The The…

6974. Standardized infection ratios for central line-associated bloodstream infections and surgical site infections, 2009–2012
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2014chartbooks/hispanichealth/2014nhqdr-hispanichealth-pt1.pptx
      October 01, 2015 - Standardized infection ratios for central line-associated bloodstream infections and surgical site infections, 2009–2012 National Healthcare Quality and Disparities Report Chartbook on Health Care for Hispanics October 2015 This presentation contains notes. Select View, then Notes page to read them. 1 Goals of the…

6975. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49412/psn-pdf
      September 01, 2003 - Shake Well September 1, 2003 Flynn EA. Shake Well. PSNet [internet]. 2003. https://psnet.ahrq.gov/web-mm/shake-well The Case A 35-year-old patient on the neurology service was receiving carbamazepine for a seizure disorder. Daily serum drug levels consistently fell below the therapeutic range, which led the physi…

6976. Final Progress Report: Reducing Harm to Patients from Diagnostic Errors (pdf file)
      www.ahrq.gov/sites/default/files/2025-03/berner-report.pdf
      January 01, 2025 - Final Progress Report: Reducing Harm to Patients from Diagnostic Errors Final Progress Report Reducing Harm to Patients from Diagnostic Errors Eta S. Berner, EdD, Principal Investigator Team Members: Marcie H. Battles, MS, Project Assistant Mark L. Graber, MD, Consultant Gordon D. Schiff, MD, Consultant Pat …

6977. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49425/psn-pdf
      November 01, 2003 - Misread Label November 1, 2003 Franklin BD. Misread Label. PSNet [internet]. 2003. https://psnet.ahrq.gov/web-mm/misread-label The Case An infant was born with sluggish respirations. During labor the infant’s mother had received meperidine [Demerol, a pain medication], a narcotic with a half-life of 2.5-4.0 hours…

6978. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50615/psn-pdf
      October 30, 2019 - Misidentifying the Unidentified – John Doe and the EHR October 30, 2019 Janowak CF, Janowak LM. Misidentifying the Unidentified – John Doe and the EHR. PSNet [internet]. 2019. https://psnet.ahrq.gov/web-mm/misidentifying-unidentified-john-doe-and-ehr The Case  Two male patients of similar age arrived at the same …

6979. Sustaining and Spreading Surgical Safety Improvements: Facilitator Notes | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/surgery/modules/sustainability/spreading-fac-notes.html
      December 01, 2017 - Sustaining and Spreading Surgical Safety Improvements: Facilitator Notes AHRQ Safety Program for Surgery Slide 1: Sustaining and Spreading Surgical Safety Improvements Say: This module will cover Sustaining and Spreading Surgical Safety Improvements. To preface the sustainability discussions, these modu…

6980. Facilitator Guide: Sustaining and Spreading Surgical Safety Improvements (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/sustainability/sustainability_sustspreading_facnotes.docx
      December 01, 2017 - Facilitator Guide: Sustaining and Spreading Surgical Safety Improvements Sustaining and Spreading Improvements – Facilitator Notes Slide Title and Commentary Slide Number and Slide Sustaining and Spreading Surgical Safety Improvements SAY: This module will cover Sustaining and Spreading Surgical Safety Improveme…