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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/engaging-srexec-slides.pptxJanuary 01, 2017 - Presentation: Program Overview Engaging Senior Executives in Care of Mechanically Ventilated Patients AHRQ Safety Program for Mechanically Ventilated Patients AHRQ Pub. No 16(17)-0018-33-EF January 2017 Engaging Senior Executives ‹#› AHRQ Safety Program for Mechanically Ventilated Patients 1 Learning Objectiv…
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www.ahrq.gov/hai/cauti-tools/archived-webinars/reducing-urinary-catheter-use-ed-transcript.htmlDecember 01, 2017 - Reducing Unnecessary Urinary Catheter Use in the Emergency Department Webinar Transcript On the CUSP: Stop CAUTI in the ED ED Mini-Presentation to Accompany March 3, 2015 ED Coaching Call Janine: Hello, everyone, and thank you for listening today. My name is Janine Rissinger, and I'm a program with the He…
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www.ahrq.gov/hai/cauti-tools/archived-webinars/reducing-unnecessary-urinary-catheter-use-ed-transcript.htmlDecember 01, 2017 - Reducing Unnecessary Urinary Catheter Use in the Emergency Department (March 3, 2015) Webinar Transcript Janine: Hello, everyone, and thank you for listening today. My name is Janine Rissinger, and I'm a program with the Health Research and Educational Trust. Welcome to the first recording in the Cohort 9ED …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/reducing-unnecessary-urinary-catheter-use-ed-transcript.docxJune 02, 2025 - Janine: Hello, everyone, and thank you for listening today. My name is Janine Rissinger, and I’m a program with the Health Research and Educational Trust. Welcome to the first recording in the Cohort 9ED Educational Webinar Series. Today’s webinar topic is ED Physician Engagement. For Cohort Education we are using the…
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digital.ahrq.gov/ahrq-funded-projects/improving-healthcare-processes-and-outcomes-directly-integrating-healthSeptember 29, 2024 - Improving Healthcare Processes and Outcomes by Directly Integrating Health Information Exchange Data in the Clinical Workflow Project Description Publications Research Story Integrating health information exchange (HIE) data directly into electronic health records h…
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psnet.ahrq.gov/primer/disclosure-errorsSeptember 15, 2024 - Disclosure of Errors Citation Text: Disclosure of Errors. 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 PubMedId RIS …
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psnet.ahrq.gov/primer/disruptive-and-unprofessional-behaviorSeptember 15, 2024 - Disruptive and Unprofessional Behavior Citation Text: Disruptive and Unprofessional Behavior. 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…
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digital.ahrq.gov/ahrq-funded-projects/preventing-medication-related-problems-care-transitions-skilled-nursingJuly 31, 2025 - Preventing Medication-Related Problems in Care Transitions to Skilled Nursing Facilities Project Description Publications Research Story Standardizing the hospital-to-skilled nursing facility transition by using a structured handoff between clinical teams along with…
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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/33568/psn-pdfJune 15, 2024 - Root Cause Analysis June 15, 2024 Root Cause Analysis. PSNet [internet]. 2019. https://psnet.ahrq.gov/primer/root-cause-analysis 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… -
Spotlight Case [MONTH] 2003 (ppt file)
psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.68_slideshow.pptJuly 01, 2004 - Spotlight Case [MONTH] 2003 Spotlight Case July 2004 Preventing Inappropriate Use of Novel Therapeutic Agents Source and Credits This presentation is based on the July 2004 AHRQ WebM&M Spotlight Case in Critical Care Medicine See the full article at http://webmm.ahrq.gov CME credit is available through the W… -
psnet.ahrq.gov/web-mm/surgical-personality-threat-patient-safetyFebruary 24, 2021 - SPOTLIGHT CASE Is the "Surgical Personality" a Threat to Patient Safety? Citation Text: Bosk CL. Is the "Surgical Personality" a Threat to Patient Safety?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2006. Copy Citati…
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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/49668/psn-pdfOctober 01, 2012 - Buprenorphine and the Medically Ill Patient October 1, 2012 McCance-Katz EF. Buprenorphine and the Medically Ill Patient. PSNet [internet]. 2012. https://psnet.ahrq.gov/web-mm/buprenorphine-and-medically-ill-patient The Case A 60-year-old man with a 15-year history of oxycodone dependence presented to a substance … -
www.ahrq.gov/hai/tools/surgery/modules/on-boarding/science-of-safety-fac-notes.htmlDecember 01, 2017 - The Science of Improving Patient Safety and Identifying Defects: Facilitator Notes AHRQ Safety Program for Surgery Slide 1: The Science of Improving Patient Safety and Identifying Defects Say: The topic of this module is the science of patient safety. The discussion will include the importance of unders…
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psnet.ahrq.gov/web-mm/suicidal-man-gunMay 01, 2005 - Suicidal Man With Gun Citation Text: Simon RI. Suicidal Man With Gun. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2003. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId…
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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/49662/psn-pdfAugust 01, 2012 - Wrong Turn through Colon: Misplaced PEG August 1, 2012 Sorokin R, Conn M. Wrong Turn through Colon: Misplaced PEG. PSNet [internet]. 2012. https://psnet.ahrq.gov/web-mm/wrong-turn-through-colon-misplaced-peg The Case An 87-year-old man was admitted for congestive heart failure (CHF) exacerbation. In addition, a pa… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/49583/psn-pdfApril 01, 2009 - Eptifibatide Epilogue April 1, 2009 Churchill WW, Fiumara K. Eptifibatide Epilogue. PSNet [internet]. 2009. https://psnet.ahrq.gov/web-mm/eptifibatide-epilogue The Case A 62-year-old man was admitted at 11:00 PM on a Saturday night with the provisional diagnosis of acute coronary syndrome. Serial testing for mark… -
psnet.ahrq.gov/web-mm/critical-order-set-change-and-critical-limb-ischemiaJuly 02, 2019 - Critical Order Set Change and Critical Limb Ischemia Citation Text: Clay B. Critical Order Set Change and Critical Limb Ischemia. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. Copy Citation Format: Google Scholar…
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psnet.ahrq.gov/web-mm/costly-colonoscopy-leads-delay-diagnosisSeptember 01, 2014 - A Costly Colonoscopy Leads to a Delay in Diagnosis Citation Text: Moriates C. A Costly Colonoscopy Leads to a Delay in Diagnosis. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2018. Copy Citation Format: Google Scholar…
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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/49593/psn-pdfOctober 01, 2009 - Who Nose Where the Airway Is? October 1, 2009 Lee CR. Who Nose Where the Airway Is? PSNet [internet]. 2009. https://psnet.ahrq.gov/web-mm/who-nose-where-airway The Case A 70-year-old man with peripheral vascular disease was brought to the operating room to undergo vascular bypass surgery on his right upper extrem… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/50696/psn-pdfNovember 27, 2019 - Complications of Vascular Access Procedures in Patients with Kidney Disease November 27, 2019 Young SR, Chen I. Complications of Vascular Access Procedures in Patients with Kidney Disease. PSNet [internet]. 2019. https://psnet.ahrq.gov/web-mm/complications-vascular-access-procedures-patients-kidney-disease The Ca…
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