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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/861760/psn-pdfJanuary 31, 2024 - Syringe Swap During Regional Block: A Case of Medication Error and Recovery January 31, 2024 Beres K, Gutierrez MC. Syringe Swap During Regional Block: A Case of Medication Error and Recovery. PSNet [internet]. 2024. https://psnet.ahrq.gov/web-mm/syringe-swap-during-regional-block-case-medication-error-and-recover… -
www.ahrq.gov/research/findings/nhqrdr/chartbooks/careaffordability/careaffordability-slides.htmlSeptember 01, 2018 - Chartbook on Care Affordability: Slide Presentation National Healthcare Quality and Disparities Report Slide 1 National Healthcare Quality and Disparities Report Chartbook on Care Affordability August 2016 Slide 2 National Healthcare Quality and Disparities Report Annual report to Congress ma…
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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/857258/psn-pdfNovember 30, 2023 - Always Check the Muscle Twitch: Residual Neuromuscular Block After Removal of a Gastric Balloon November 30, 2023 Bohringer C, Ashley S. Always Check the Muscle Twitch: Residual Neuromuscular Block After Removal of a Gastric Balloon. PSNet [internet]. 2023. https://psnet.ahrq.gov/web-mm/always-check-muscle-twitch-… -
www.ahrq.gov/sites/default/files/2024-01/dresselhaus-report.pdfJanuary 01, 2024 - Final Progress Report: Real-time assessment of risk factors for medication errors Title of Project Real-time assessment of risk factors for medication errors Principle Investigator and Team Members Timothy Dresselhaus, MD, MPH (principal investigator) Matthew Weinger, MD (co-principal investigator) Thomas Rutled…
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www.ahrq.gov/sites/default/files/2024-11/williams-galimbertti-report.pdfJanuary 01, 2024 - Final Progress Report: Challenges and Innovations in Evaluation of Quality of Care AHRQ Grant Final Progress Report Title of Project: Challenges and Innovations in Evaluation of Quality of Care Measures Based on Small Counts “National Conference on Small Numbers” Principal Investigators and Team Members: …
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Spotlight (pdf file)
psnet.ahrq.gov/sites/default/files/2022-10/trocar_injury_final.pdfJanuary 01, 2022 - Spotlight Spotlight Fecal Contamination of the Peritoneum from Laparoscopic Trocar Injury: A Routine Operation Goes Wrong Source and Credits • This presentation is based on the October 2022 AHRQ WebM&M Spotlight Case o See the full article at https://psnet.ahrq.gov/webmm o CME credit is available o Commentary… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/838900/psn-pdfOctober 27, 2022 - Fecal Contamination of the Peritoneum from Laparoscopic Trocar Injury: A Routine Operation Goes Wrong. October 27, 2022 Ahmed SM, Ali M. Fecal Contamination of the Peritoneum from Laparoscopic Trocar Injury: A Routine Operation Goes Wrong. PSNet [internet]. 2022. https://psnet.ahrq.gov/web-mm/fecal-contamination-… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/49657/psn-pdfJuly 01, 2012 - Not-So-Therapeutic Tap July 1, 2012 Barsuk JH. Not-So-Therapeutic Tap. PSNet [internet]. 2012. https://psnet.ahrq.gov/web-mm/not-so-therapeutic-tap Case Objectives Describe current issues with training clinicians to perform procedures. Understand how simulation can be used to ensure trainees are competent in proc… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/49591/psn-pdfOctober 01, 2009 - Difficult Encounters: A CMO and CNO Respond October 1, 2009 Ring EJ, Hirsch JE. Difficult Encounters: A CMO and CNO Respond. PSNet [internet]. 2009. https://psnet.ahrq.gov/web-mm/difficult-encounters-cmo-and-cno-respond Case Objectives Appreciate the risk of disruptive behavior and understand institutional respons… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/49750/psn-pdfJanuary 01, 2016 - A Room Without Orders January 1, 2016 Vogelsmeier A, Despins L. A Room Without Orders. PSNet [internet]. 2016. https://psnet.ahrq.gov/web-mm/room-without-orders Case Objectives Review a common process for planned direct hospital admissions. Describe challenges of prioritizing day-to-day patient care activities wi… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/33750/psn-pdfMay 01, 2013 - In Conversation With… Ashish K. Jha, MD, MPH May 1, 2013 In Conversation With… Ashish K. Jha, MD, MPH. PSNet [internet]. 2013. https://psnet.ahrq.gov/perspective/conversation-ashish-k-jha-md-mph Editor's note: Ashish K. Jha, MD, MPH, is professor of health policy and management at the Harvard School of Public Hea… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/837748/psn-pdfAugust 05, 2022 - Challenges of Diabetes Management and Medication Reconciliation August 5, 2022 Lee S, Molla M. Challenges of Diabetes Management and Medication Reconciliation . PSNet [internet]. 2022. https://psnet.ahrq.gov/web-mm/challenges-diabetes-management-and-medication-reconciliation The Cases Case #1: A 53-year-old man … -
psnet.ahrq.gov/web-mm/see-patient-firstSeptember 27, 2023 - But See the Patient First Citation Text: Sinigayan VR. But See the Patient First. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2021. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tag…
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Implement-Facilitator-Guide (doc file)
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/implement/implement-facilitator-guide.docxMay 01, 2017 - AHRQ Safety Program for Perinatal Care Implement Teamwork and Communication for Perinatal Safety Implement Teamwork and Communication for Perinatal Safety SAY: The Implement Teamwork and Communication module of the AHRQ Safety Program for Perinatal Care will help you understand the importance of effective communicatio… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/49737/psn-pdfJune 01, 2015 - Unseen Perils of Urinary Catheters June 1, 2015 Newman DK, Strauss R, Abraham L, et al. Unseen Perils of Urinary Catheters. PSNet [internet]. 2015. https://psnet.ahrq.gov/web-mm/unseen-perils-urinary-catheters The Case A 68-year-old man with a history of hypothyroidism, hypertension, seizures, cerebral vascular at… -
www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/implement-fac-guide.htmlJuly 01, 2023 - Implement Teamwork and Communication for Perinatal Safety: Facilitator Guide AHRQ Safety Program for Perinatal Care Slide 1: Implement Teamwork and Communication for Perinatal Safety Say: The Implement Teamwork and Communication module of the AHRQ Safety Program for Perinatal Care will help you understa…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_audit_briefing_facnotes.docxDecember 01, 2017 - Facilitator Guide: Auditing Your Briefings and Debriefings Slide Title and Commentary Slide Number and Slide Auditing Your Briefing and Debriefing Process SAY: Let’s continue our discussion around briefings and debriefings. The previous module, Optimizing Your Briefings and Debriefings, focused on defining them…
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www.ahrq.gov/hai/tools/surgery/modules/implementation/audit-briefing-fac-notes.htmlDecember 01, 2017 - Auditing Your Briefings and Debriefings Process: Facilitator Notes AHRQ Safety Program for Surgery Slide 1: Auditing Your Briefing and Debriefing Process Say: Let’s continue our discussion around briefings and debriefings. The previous module, Optimizing Your Briefings and Debriefings, focused on defini…
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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/33863/psn-pdfAugust 01, 2018 - In Conversation With… Matthew Weinger, MD August 1, 2018 In Conversation With… Matthew Weinger, MD. PSNet [internet]. 2018. https://psnet.ahrq.gov/perspective/conversation-matthew-weinger-md Editor's note: Dr. Weinger is Director of the Center for Research and Innovation in Systems Safety and Professor of Anesthes… -
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Carpenter.docJanuary 01, 2004 - Background -- AHRQ and other funders interest in promoting faster movement from research to practice/science to service/TRIP/T Advances in Patient Safety: Vol. 4 Development of a Research Dissemination Tool Development of a Planning Tool to Guide Research Dissemination Deborah Carpenter, Veronica Nieva, Tarek Al…
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