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Showing results for "represents".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/861760/psn-pdf
    January 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…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/857258/psn-pdf
    November 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-…

  3. Final Progress Report: Real-time assessment of risk factors for medication errors (pdf file)

    www.ahrq.gov/sites/default/files/2024-01/dresselhaus-report.pdf
    January 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…

  4. Final Progress Report: Challenges and Innovations in Evaluation of Quality of Care (pdf file)

    www.ahrq.gov/sites/default/files/2024-11/williams-galimbertti-report.pdf
    January 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: …

  5. Spotlight (pdf file)

    psnet.ahrq.gov/sites/default/files/2022-10/trocar_injury_final.pdf
    January 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…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838900/psn-pdf
    October 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-…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49657/psn-pdf
    July 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…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49591/psn-pdf
    October 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…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49750/psn-pdf
    January 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…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33750/psn-pdf
    May 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…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33787/psn-pdf
    January 01, 2018 - In Conversation With… Maureen Bisognano June 1, 2015 In Conversation With… Maureen Bisognano. PSNet [internet]. 2015. https://psnet.ahrq.gov/perspective/conversation-maureen-bisognano Editor's note: Maureen Bisognano is President and CEO of the Institute for Healthcare Improvement (IHI). We spoke with her about I…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837748/psn-pdf
    August 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 …

  13. But See the Patient First | PSNet

    psnet.ahrq.gov/web-mm/see-patient-first
    September 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…

  14. Compendium of U.S. Health Systems, 2022, Nursing Home Linkage File, Technical Documentation (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/chsp/compendium/2022-nh-linkage-techdoc.pdf
    January 01, 2022 - Compendium of U.S. Health Systems, 2022, Nursing Home Linkage File, Technical Documentation Comparative Health System Performance Initiative: Compendium of U.S. Health Systems, 2022, Nursing Home Linkage File, Technical Documentation Prepared for: Agency for Healthcare Research and Quality U.S. Depa…

  15. 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.docx
    May 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…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49737/psn-pdf
    June 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…

  17. Implement Teamwork and Communication for Perinatal Safety: Facilitator Guide | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/implement-fac-guide.html
    July 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…

  18. Compendium of U.S. Health Systems, 2020, Nursing Home Linkage File, Technical Documentation (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/chsp/compendium/2020-nh-linkage-techdoc.pdf
    January 01, 2020 - Compendium of U.S. Health Systems, 2020, Nursing Home Linkage File, Technical Documentation Comparative Health System Performance Initiative: Compendium of U.S. Health Systems, 2020, Nursing Home Linkage File, Technical Documentation Prepared for: Agency for Healthcare Research and Quality U.S. Depa…

  19. Engaging Senior Executives: Facilitator Notes | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/tools/surgery/modules/on-boarding/sr-exec-slides.html
    December 01, 2017 - Engaging Senior Executives: Facilitator Notes AHRQ Safety Program for Surgery Slide 1: Engaging Senior Executives Say: In this module we will discuss the importance of senior engagement on your safety program team. Slide 2: Why Do We Need an Executive? Say: Sometimes getting executives involved …

  20. Facilitator Guide: Engage Senior Executives in Surgical Site Infection Prevention Work (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_sr-execs_facnotes.docx
    December 01, 2017 - Facilitator Guide: Engage Senior Executives in Surgical Site Infection Prevention Work Engaging Senior Executives – Facilitator Notes Slide Title and Commentary Slide Number and Slide Title Slide Engaging Senior Executives SAY: In this module we will discuss the importance of senior engagement on your safety pr…
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