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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49601/psn-pdf
    April 01, 2010 - Nosy Business April 1, 2010 Orlandi RR. Nosy Business. PSNet [internet]. 2010. https://psnet.ahrq.gov/web-mm/nosy-business The Case   A 59-year-old man with a history of idiopathic thrombocytopenic purpura (ITP) presented to the emergency department (ED) with epistaxis (a "nose bleed"). He reported no previous h…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49521/psn-pdf
    September 12, 2006 - A Troubling Amine September 1, 2006 Flynn EA. A Troubling Amine. PSNet [internet]. 2006. https://psnet.ahrq.gov/web-mm/troubling-amine The Case A 43-year-old woman was admitted to the intensive care unit for symptoms of heart and respiratory failure. She was found to have severe mitral and tricuspid valve regurgi…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49808/psn-pdf
    October 01, 2017 - High-Risk Medications, High-Risk Transfers October 1, 2017 Staggers N. High-Risk Medications, High-Risk Transfers. PSNet [internet]. 2017. https://psnet.ahrq.gov/web-mm/high-risk-medications-high-risk-transfers The Case A 47-year-old woman with history of primary pulmonary arterial hypertension (PAH) was admitted …
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49502/psn-pdf
    February 01, 2006 - Deciphering the Code February 1, 2006 Goldstein MK. Deciphering the Code. PSNet [internet]. 2006. https://psnet.ahrq.gov/web-mm/deciphering-code The Case An 85-year-old man with advanced oxygen-dependent chronic obstructive pulmonary disease (COPD) presented to the emergency department (ED) with increasing shortn…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49724/psn-pdf
    January 01, 2015 - Bowel Injury After Laparoscopic Surgery January 1, 2015 Moorthy K. Bowel Injury After Laparoscopic Surgery. PSNet [internet]. 2015. https://psnet.ahrq.gov/web-mm/bowel-injury-after-laparoscopic-surgery The Case A 30-year-old man presented to the hospital for a scheduled laparoscopic inguinal hernia repair with mes…
  6. psnet.ahrq.gov/web-mm/misplaced-vial-medication-kit-variability-contributes-medication-error-during-patient
    March 12, 2021 - Misplaced Vial: Medication Kit Variability Contributes to Medication Error During Patient Transport Citation Text: MacDowell P, McGee E. Misplaced Vial: Medication Kit Variability Contributes to Medication Error During Patient Transport. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Q…
  7. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/howtogetstarted/Ways_To_Learn_More_508.docx
    June 02, 2025 - Information to Help Hospitals Get Started Ways to Learn More Information to Help Hospitals Get Started [Type text] [Type text] [Type text] Information to Help Hospitals Get Started Guide to Patient and Family Engagement :: 1 Guide to Patient and Family Engagement :: 2 This document contains links to resources on t…
  8. www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/partnering-executive-facilitator-guide.docx
    June 01, 2021 - AHRQ Safety Program for Improving Antibiotic Use 1 Partnering With a Senior Executive Long-Term Care Slide Title and Commentary Slide Number and Slide Partnering With a Senior Executive Long-Term Care SAY: Thank you for joining us. This presentation is titled “Partnering With a Senior Executive.” This is our f…
  9. www.ahrq.gov/teamstepps-program/curriculum/implement/activity/change.html
    June 01, 2023 - Implementation Change Management The change management process must be carefully and strategically organized to attain widespread acceptance. To achieve an environment truly committed to patient safety, a successful TeamSTEPPS implementation requires a change in unit and organizational culture. This culture mus…
  10. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-199-section-2-chart-tech-specs.pdf
    January 01, 2013 - Section 2, Chart Abstraction Tool and Technical Specifications Basic Elements Age upon Age upon admission Patient ID Race Ethnicity Gender Payer Preferred Language admission (YEARS) [e.g. for 12.5 year (MONTHS) [ e.g. for 12.5 old, years = 12) year old, months = 6] 1 White Non-Hispanic Female Medicaid E…
  11. www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/improving-communication-guide.docx
    September 01, 2022 - Improving Communication Between Members of the Practice Around Antibiotic Decisions – Facilitator Guide AHRQ Safety Program for Improving Antibiotic Use 1 Improving Communication Between Members of the Practice Around Antibiotic Decisions Ambulatory Care Slide Title and Commentary Slide Number and Slide Im…
  12. www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/aom-children-slides.pptx
    September 01, 2022 - The “Sometimes Antibiotics” Diagnoses: Acute Otitis Media in Children  – Slides AHRQ Safety Program for Improving Antibiotic Use The "Sometimes Antibiotics" Diagnoses: Acute Otitis Media in Children Ambulatory Care AHRQ Pub. No. 17(22)-0030 September 2022 Otitis Media AHRQ Safety Program for Improving Antibiot…
  13. www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/pharyngitis-guide.docx
    September 01, 2022 - The “Sometimes Antibiotics” Diagnoses: Pharyngitis – Facilitator Guide AHRQ Safety Program for Improving Antibiotic Use 1 The “Sometimes Antibiotics” Diagnoses: Pharyngitis Ambulatory Care Slide Title and Commentary Slide Number and Slide The Sometimes Antibiotics Diagnoses: Pharyngitis Ambulatory Care SAY:   …
  14. www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/implementing-stewardship-slides.pptx
    September 01, 2022 - Improving Antibiotic Use is a Patient Safety Issue AHRQ Safety Program for Improving Antibiotic Use Implementing Antibiotic Stewardship in Your Practice Ambulatory Care AHRQ Pub. No. 17(22)-0030 September 2022 Implementing Stewardship AHRQ Safety Program for Improving Antibiotic Use – Ambulatory Care 1 Objecti…
  15. www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/common-cold-slides.pptx
    September 01, 2022 - The “Never Antibiotics” Diagnoses: ​Viral Acute Upper Respiratory Infection: ​the Common Cold – Slides The “Never Antibiotics” Diagnoses: Acute Viral Upper Respiratory Infection: the Common Cold Ambulatory Care AHRQ Safety Program for Improving Antibiotic Use AHRQ Pub. No. 17(22)-0030 September 2022 Upper Respira…
  16. www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/implement-slides.html
    July 01, 2023 - Implement Teamwork and Communication for Perinatal Safety AHRQ Safety Program for Perinatal Care Slide 1: AHRQ Safety Program for Perinatal Care Implement Teamwork and Communication for Perinatal Safety Slide 2: Learning Objectives Image: Four ascending steps show the learning objectives: Recogn…
  17. www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/safety/patient-safety-slides.pptx
    November 01, 2019 - Improving Antibiotic Use is a Patient Safety Issue Making the Case That Improving Antibiotic Use Is a Patient Safety Issue Acute Care AHRQ Safety Program for Improving Antibiotic Use AHRQ Pub. No. 17(20)-0028-EF November 2019 Improving Antibiotic Use – Patient Safety Issue AHRQ Safety Program for Improving Antibio…
  18. psnet.ahrq.gov/web-mm/misleading-complaint
    December 01, 2009 - Misleading Complaint Citation Text: Soni K, Dhaliwal G. Misleading Complaint. 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 …
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33600/psn-pdf
    June 16, 2024 - Patient Safety 101 June 16, 2024 Patient Safety 101. PSNet [internet]. 2019. https://psnet.ahrq.gov/primer/patient-safety-101 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 field. Last reviewed in…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33582/psn-pdf
    September 15, 2024 - Detection of Safety Hazards September 15, 2024 Detection of Safety Hazards. PSNet [internet]. 2019. https://psnet.ahrq.gov/primer/detection-safety-hazards 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 s…