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  1. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_2-team-structure-speaker-notes.pdf
    July 01, 2023 - Team Structure and Assembly Hospital AIM Team Leads SPPC‐II Team Structure and Assembly Module 2 of 8 SPPC‐II Toolkit SCRIPT Thank you for participating in the Safety Program for Perinatal Care II (also known as SPPC‐ II) Teamwork Toolkit presented by the Johns Hopkins University, Agency for Healthcare Re…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49849/psn-pdf
    January 01, 2019 - Spotlight: Mistaken Attribution, Diagnostic Misstep January 1, 2019 Kreider TR, Young JQ. Spotlight: Mistaken Attribution, Diagnostic Misstep. PSNet [internet]. 2019. https://psnet.ahrq.gov/web-mm/spotlight-mistaken-attribution-diagnostic-misstep Case Objectives List the patient safety events that are unique to in…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/843150/psn-pdf
    December 05, 2022 - In Conversation with... Connor Wesley, RN, BSN on Patient Safety Concerns and the LGBTQ+ Population February 1, 2023 In Conversation with.. Connor Wesley, RN, BSN on Patient Safety Concerns and the LGBTQ+ Population. PSNet [internet]. 2023. https://psnet.ahrq.gov/perspective/conversation-connor-wesley-rn-bsn-patie…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/846126/psn-pdf
    March 09, 2023 - Medication Handling and Compounding Errors in the Operating Room. March 15, 2023 Chaudhry J, Manning C, Dakwa D, et al. Medication Handling and Compounding Errors in the Operating Room. PSNet [internet]. 2023. https://psnet.ahrq.gov/web-mm/medication-handling-and-compounding-errors-operating-room The Case A 62-y…
  5. psnet.ahrq.gov/web-mm/pitfalls-diagnosing-necrotizing-fasciitis
    March 24, 2021 - SPOTLIGHT CASE Pitfalls in Diagnosing Necrotizing Fasciitis Citation Text: Goh T, Goh LG. Pitfalls in Diagnosing Necrotizing Fasciitis. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2014. Copy Citation Format: …
  6. effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pdf/epc-maternal-health-grand-rounds-slides.pptx
    January 01, 2023 - AHRQ Slide Template-Widescreen AHRQ Evidence-based Practice Center (EPC) Program Welcome and thank you for joining the EPC Grand Rounds Logistics This meeting will be recorded and shared externally. Please use the chat and hand-raising functionality. Facilitators Lucy Savitz, Ph.D., M.B.A. Professor – Universi…
  7. hcup-us.ahrq.gov/reports/statbriefs/sb138.pdf
    March 01, 2012 - Statistical Brief #138: Obesity in Children: Hospitalizations from 2000 to 2009 July 2012 Obesit 2000 to Lauren M. Introduct Child obe caloric die causes of risk of dev ailments, Health ca dollars an classified Childhood 2000, and and 2008 Statistical obesity ep United Sta This Statis Util…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867497/psn-pdf
    February 26, 2025 - Retained Surgical Items: Causation and Prevention February 26, 2025 Gibbs V, Romano P. Retained Surgical Items: Causation and Prevention. PSNet [internet]. 2025. https://psnet.ahrq.gov/primer/retained-surgical-items-causation-and-prevention Background A retained surgical item (RSI) is a surgical patient safety pro…
  9. hcup-us.ahrq.gov/reports/natstats/93dcchp.htm
    March 10, 2016 - Statistics From the HCUP-3 Nationwide Inpatient Sample for 1993: Principal Diagnoses Statistics From the HCUP-3 Nationwide Inpatient Sample for 1993: Principal Diagnoses Overview The Healthcare Cost and Utilization Project (HCUP-3) is a Federal-State-industry partnership to assemble health care data…
  10. hcup-us.ahrq.gov/reports/natstats/94dcchpr.htm
    November 01, 1998 - HCUP-3 Nationwide Inpatient Sample for 1994: Principal Diagnoses Statistics From the HCUP-3 Nationwide Inpatient Sample for 1994: Principal Diagnoses Overview The Healthcare Cost and Utilization Project (HCUP-3) is a Federal-State-industry partnership to assemble health care data for use in health servic…
  11. www.ahrq.gov/patient-safety/patients-families/consumer-exp/reporting/summary.html
    August 01, 2022 - Designing Consumer Reporting Systems for Patient Safety Events Executive Summary Previous Page Next Page Table of Contents Designing Consumer Reporting Systems for Patient Safety Events Executive Summary Chapter 1. Background Chapter 2. Conceptual Framework and Design Chapter 3. Description …
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49415/psn-pdf
    September 01, 2003 - Intubation Mishap September 1, 2003 Weinger MB, Blike G. Intubation Mishap. PSNet [internet]. 2003. https://psnet.ahrq.gov/web-mm/intubation-mishap Case Objectives To understand and apply a structured method of human factors case analysis To describe the key components of effective teamwork To understand the imp…
  13. psnet.ahrq.gov/perspective/conversation-j-bryan-sexton-phd-ma
    February 26, 2025 - In Conversation With… J. Bryan Sexton, PhD, MA August 1, 2013  Citation Text: In Conversation With… J. Bryan Sexton, PhD, MA. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2013. Copy Citati…
  14. psnet.ahrq.gov/web-mm/misconnection-leading-arterial-thrombosis
    January 29, 2021 - Misconnection Leading to Arterial Thrombosis Citation Text: Bohringer C, Lee G. Misconnection Leading to Arterial Thrombosis. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2023. Copy Citation Format: Google Scholar Bib…
  15. psnet.ahrq.gov/web-mm/wrong-patients-blood-evaluating-near-miss-wrong-transfusion-event
    July 01, 2017 - SPOTLIGHT CASE “This is the wrong patient's blood!”: Evaluating a Near-Miss Wrong Transfusion Event Citation Text: Barnhard S. “This is the wrong patient's blood!”: Evaluating a Near-Miss Wrong Transfusion Event. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Dep…
  16. www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/model/evidence-now-sustainable-funding-resource.pdf
    February 01, 2023 - Finding Sustainable Funding for Primary Care Extension Programs NATIONAL CENTER FOR EXCELLENCE IN PRIMARY CARE RESEARCH 1 FINDING SUSTAINABLE FUNDING FOR PRIMARY CARE EXTENSION PROGRAMS Finding sustainable funding for primary care extension programs is a challenge. This resource shares information about pote…
  17. psnet.ahrq.gov/web-mm/getting-root-matter
    September 01, 2005 - SPOTLIGHT CASE Getting to the Root of the Matter Citation Text: Saint S, Flanders S. Getting to the Root of the Matter. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2005. Copy Citation Format: Google Schola…
  18. www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/telediagnosis.pdf
    August 03, 2020 - Issue Brief - Telediagnosis for Acute Care: Implications for the Quality and Safety of Diagnosis PATIENT SAFETY e Issue Brief Telediagnosis for Acute Care: Implications for the Quality and Safety of Diagnosis This page intentionally left blank. e Issue Brief Telediagnosis for Acute Care: Implications …
  19. psnet.ahrq.gov/print/pdf/node/848754
    January 01, 2025 - PSNet Curated Library AHRQ: Agency for Healthcare Research and Quality Implementation of Patient Safety Projects Curated Library Foundations Leading change: why transformation efforts fail. Kotter JP. Harvard Bus Rev  1995;73(2);59-67. Kotter, a professor at Harvard Business School, outlines the eight stages …
  20. www.ahrq.gov/research/findings/factsheets/children/new-starts/2011.html
    October 01, 2014 - Fiscal Year 2011 Research on Child and Adolescent Health New Starts This fact sheet summarizes new grants and contracts focused on child and adolescent health and health care—including research, conference, and training projects, as well as other initiatives—funded in FY 2011 by the Agency for Hea…