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  1. www.ahrq.gov/sites/default/files/2024-03/connolly-report.pdf
    January 01, 2024 - Final Progress Report: Topical Vancomycin for Neurosurgery Wound Prophylaxis Title: Topical Vancomycin for Neurosurgery Wound Prophylaxis Principal Investigator: Connolly, Edward Sander Team Members: Jared Knopman, MD - Site PI (Cornell) Emilia Bagiella, PhD - Site PI (Mount Sinai) Franklin Lowy, MD - Co-Investigato…
  2. www.ahrq.gov/sites/default/files/2024-05/valley-report.pdf
    January 01, 2024 - Final Progress Report: Rapid Understanding of Best Practices in Rural Intensive Care (RUBRIC) AHRQ GRANT FINAL PROGRESS REPORT TEMPLATE Title Page Title of Project: Rapid Understanding of Best Practices in Rural Intensive Care (RUBRIC) Principal Investigator and Team Members: - Principal Investigator: Thomas S. Va…
  3. www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-8-approaches-to-qi.pdf
    September 01, 2015 - Primary Care Practice Facilitation Curriculum Module 8: Approaches to Quality Improvement Agency for Healthcare Research and Quality Advancing Excellence in Health Care www.ahrq.gov Primary Care Practice Facilitation Curriculum Module 8: Approaches to Quality Improvement Primary …
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/852808/psn-pdf
    August 30, 2023 - Prolonged DKA in Pregnancy: A Case of Communication Breakdown. August 30, 2023 Marshall S, Boe NM. Prolonged DKA in Pregnancy: A Case of Communication Breakdown. PSNet [internet]. 2023. https://psnet.ahrq.gov/web-mm/prolonged-dka-pregnancy-case-communication-breakdown Disclosure of Relevant Financial Relationship…
  5. www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/cellulitis-slides.pptx
    November 01, 2019 - Best Practices in the Diagnosis and Treatment of Cellulitis and Skin and Soft Tissue Infections Best Practices in the Diagnosis and Treatment of Cellulitis and Skin and Soft Tissue Infections Acute Care AHRQ Safety Program for Improving Antibiotic Use AHRQ Pub. No. 17(20)-0028-EF November 2019 AHRQ Safety Program …
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49573/psn-pdf
    January 01, 2009 - Dangerous Shift November 1, 2008 Patterson ES. Dangerous Shift. PSNet [internet]. 2008. https://psnet.ahrq.gov/web-mm/dangerous-shift Case Objectives Review the evidence base on erroneous actions related to shift changes. Understand the limits of standardizing handoffs in preventing errors at shift change. Expla…
  7. www.ahrq.gov/sites/default/files/wysiwyg/talkingquality/resources/checklist/checklist-translate-data.pdf
    December 26, 2018 - Translate Data Complete Checklist 1 TalkingQuality Your Project Checklist: Translate Data Into Information This document contains checklists for the following sections of Translate Data Into Information: • Showing Differences in Performance • Describing Quality Measure • Organizing Quality Measures • C…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49819/psn-pdf
    February 01, 2018 - Signout Fallout February 1, 2018 Starmer AJ, Landrigan CP. Signout Fallout. PSNet [internet]. 2018. https://psnet.ahrq.gov/web-mm/signout-fallout Case Objectives Understand the role of communication failures in medical errors and preventable adverse events. Review the evidence in support of handoff improvement pr…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49760/psn-pdf
    May 01, 2016 - Mismanagement of Delirium May 1, 2016 Merrilees J, Lee KP. Mismanagement of Delirium. PSNet [internet]. 2016. https://psnet.ahrq.gov/web-mm/mismanagement-delirium The Case An 85-year-old man with early stage vascular dementia fell on the sidewalk and fractured his leg. Although fitted with a cast at a regional ho…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33723/psn-pdf
    December 01, 2011 - Implementing a Fall Prevention Program December 1, 2011 Healey F. Implementing a Fall Prevention Program. PSNet [internet]. 2011. https://psnet.ahrq.gov/perspective/implementing-fall-prevention-program Perspective Throughout the developed world, most hospital beds are occupied by older people, many of whom have b…
  11. www.ahrq.gov/research/findings/final-reports/ssi/ssiapu.html
    September 01, 2018 - Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection Appendix U. Improving the Measurement of Surgical Site Infection (SSI) Risk Stratification and Outcome Detection Previous Page Next Page Table of Contents Improving the Measurement of Surgical Site Infection R…
  12. www.ahrq.gov/research/findings/final-reports/crcscreeningrpt/crcscreen1.html
    April 01, 2018 - Health Care Systems for Tracking Colorectal Cancer Screening Tests 1. Introduction Previous Page Next Page Table of Contents Health Care Systems for Tracking Colorectal Cancer Screening Tests Executive Summary 1. Introduction 2. Description of the Intervention 2. Description of the Intervent…
  13. psnet.ahrq.gov/web-mm/premature-extubation
    May 25, 2011 - Premature Extubation Citation Text: Sagana R, Hyzy RC. Premature Extubation. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged P…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49501/psn-pdf
    February 03, 2006 - Lost in Transition February 1, 2006 Beach C. Lost in Transition. PSNet [internet]. 2006. https://psnet.ahrq.gov/web-mm/lost-transition Case Objectives Provide an overview of transitions in continuously operating industries Review cognitive error Describe the complex dynamics of transitions in emergency care Pro…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49660/psn-pdf
    August 01, 2012 - No News May Not Be Good News August 1, 2012 Moore CR. No News May Not Be Good News. PSNet [internet]. 2012. https://psnet.ahrq.gov/web-mm/no-news-may-not-be-good-news Case Objectives Describe the frequency with which ambulatory test results are not followed up by providers. Appreciate that inadequate follow-up of…
  16. www.ahrq.gov/patient-safety/reports/candor-demo-program/plan-grants/findings.html
    August 01, 2022 - Planning Grants Final Evaluation Report Findings Previous Page Next Page Table of Contents Planning Grants Final Evaluation Report Executive Summary Introduction Methodology Findings Appendix A. Grantee Profiles Appendix B. References Improving Communication Four planni…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49400/psn-pdf
    May 01, 2003 - Central Line Clot May 1, 2003 Randolph AG. Central Line Clot. PSNet [internet]. 2003. https://psnet.ahrq.gov/web-mm/central-line-clot Case Objectives List the complications of central line manipulation Appreciate the limitations of diagnostic studies for PE in children Describe modalities for prevention of cathe…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33643/psn-pdf
    December 01, 2006 - In Conversation with...J. Bryan Sexton, PhD, MA December 1, 2006 In Conversation with..J. Bryan Sexton, PhD, MA. PSNet [internet]. 2006. https://psnet.ahrq.gov/perspective/conversation-withj-bryan-sexton-phd-ma Editor's Note: J. Bryan Sexton, PhD, MA, is Assistant Professor, Department of Anesthesiology and Critic…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60745/psn-pdf
    October 01, 2020 - Multiple High-Risk Events Involving Workflow for Wasting of Medications Used by Anesthesia July 29, 2020 Nguyen DD, Harper TA, Cello R. Multiple High-Risk Events Involving Workflow for Wasting of Medications Used by Anesthesia. PSNet [internet]. 2020. https://psnet.ahrq.gov/web-mm/multiple-high-risk-events-involvi…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49567/psn-pdf
    September 01, 2008 - Empiric Steroids: the Good, the Bad, and the Ugly September 1, 2008 Harris ED. Empiric Steroids: the Good, the Bad, and the Ugly. PSNet [internet]. 2008. https://psnet.ahrq.gov/web-mm/empiric-steroids-good-bad-and-ugly Case Objectives Describe appropriate indications for use of steroids. Appreciate contraindicati…