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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49785/psn-pdf
    February 01, 2017 - Refused Medication Error February 1, 2017 Foley M. Refused Medication Error. PSNet [internet]. 2017. https://psnet.ahrq.gov/web-mm/refused-medication-error The Case A 59-year-old man was admitted to the hospital with acute renal failure and mental status changes. He was alert to self and place only. The patient h…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33633/psn-pdf
    May 01, 2006 - Patient Safety in the Physician Office Setting May 1, 2006 Elder NC. Patient Safety in the Physician Office Setting. PSNet [internet]. 2006. https://psnet.ahrq.gov/perspective/patient-safety-physician-office-setting Perspective Dr. Jones was sure he had increased Mr. H's cholesterol-lowering medication to 80 mg 6 …
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49796/psn-pdf
    June 01, 2017 - Chest Tube Complications June 1, 2017 Santhosh L, Broaddus C. Chest Tube Complications. PSNet [internet]. 2017. https://psnet.ahrq.gov/web-mm/chest-tube-complications The Case A 30-year-old woman with a history of cystic fibrosis was admitted to the hospital for management of a spontaneous left pneumothorax (coll…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49746/psn-pdf
    October 01, 2015 - An Obstructed View October 1, 2015 Carter J. An Obstructed View. PSNet [internet]. 2015. https://psnet.ahrq.gov/web-mm/obstructed-view The Case A 66-year-old man with a history of benign prostatic hyperplasia and obstructive sleep apnea presented to the emergency department (ED) with subacute abdominal pain that …
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49655/psn-pdf
    June 01, 2012 - A Painful Dilemma June 1, 2012 Davison SN. A Painful Dilemma. PSNet [internet]. 2012. https://psnet.ahrq.gov/web-mm/painful-dilemma The Case A 47-year-old woman with end-stage renal disease due to polycystic kidney disease was admitted with fever. She was taking propoxyphene or hydrocodone at home for pain. She h…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49629/psn-pdf
    June 01, 2011 - Say It Again June 1, 2011 Henriksen K, Hall KK. Say It Again. PSNet [internet]. 2011. https://psnet.ahrq.gov/web-mm/say-it-again The Case A 72-year-old man was admitted to the hospital with community-acquired pneumonia and hyponatremia. During his third hospital night, the on-call physician was contacted by the c…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49683/psn-pdf
    April 01, 2013 - Acute Care Admission of the Behavioral Health Patient April 1, 2013 Weiss AP, Rosenbaum JF. Acute Care Admission of the Behavioral Health Patient. PSNet [internet]. 2013. https://psnet.ahrq.gov/web-mm/acute-care-admission-behavioral-health-patient The Case A 25-year-old man presented to the emergency department (E…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49572/psn-pdf
    October 01, 2008 - Mistaken Identity October 1, 2008 Hall LW. Mistaken Identity. PSNet [internet]. 2008. https://psnet.ahrq.gov/web-mm/mistaken-identity The Case An 85-year-old Cantonese-speaking woman was admitted to the medical service with altered mental status and a reported fall. After finding tenderness in her left hip, the p…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49533/psn-pdf
    March 01, 2007 - Staggered Sensitivity Results March 1, 2007 Guglielmo JB. Staggered Sensitivity Results. PSNet [internet]. 2007. https://psnet.ahrq.gov/web-mm/staggered-sensitivity-results The Case A 60-year-old woman with squamous cell carcinoma of the glottis underwent laryngectomy, anterior neck dissection, and pectoralis fla…
  10. 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…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853080/psn-pdf
    August 30, 2023 - Virtual Nursing: Improving Patient Care and Meeting Workforce Challenges August 30, 2023 Sanford K, Schuelke S, Lee M, et al. Virtual Nursing: Improving Patient Care and Meeting Workforce Challenges. PSNet [internet]. 2023. https://psnet.ahrq.gov/perspective/virtual-nursing-improving-patient-care-and-meeting-workf…
  12. www.ahrq.gov/teamstepps-program/curriculum/communication/tools/index.html
    July 01, 2023 - Section 2: Explanation of Key Concepts and Tools This section contains explanations and illustrations to help you better understand and appreciate the importance of TeamSTEPPS communication concepts and tools. If you teach this content or want additional insights into how the material can be more fully learned,…
  13. www.ahrq.gov/teamstepps-program/curriculum/team/implement/teach-change.html
    February 01, 2024 - Teaching Implementation Change Management Change Management Overview and Objectives Display Slide 63, “Change Management,” as the class reassembles before discussing the last implementation topic. In discussing Slide 64, “Objectives,” as you transition from coaching to change management, note that succe…
  14. 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…
  15. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/management/huddles/huddles-component-kit.docx
    May 01, 2017 - Module 2: Component Kit AHRQ Safety Program for Ambulatory Surgery Management Practices for Sustainability Module 2: Daily Huddles AHRQ’s Safety Program for Ambulatory Daily Huddle Component Kit Contents 1. Why a Daily Huddle? 2 2. “Know What, Know How, Know Why” for Daily Huddle 4 3. Plan-Do-Study-Act “Ramp”: …
  16. www.ahrq.gov/hai/tools/mvp/modules/technical/nurse-early-mobility-protocols-fac-guide.html
    January 01, 2017 - Nurse-Driven Early Mobility Protocols: Facilitator Guide AHRQ Safety Program for Mechanically Ventilated Patients Slide 1: Nurse-Driven Early Mobility Protocols Say: This module will provide an overview of the interventions required for early mobility in mechanically ventilated patients and ways to esta…
  17. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/nursedr-early-mobility-protocols-facguide.docx
    January 01, 2017 - Facilitator Guide: Build Your SSI Prevention Bundle Slide Title and Commentary Slide Number and Slide Title Slide Nurse-Driven Early Mobility Protocols SAY: This module will provide an overview of the interventions required for early mobility in mechanically ventilated patients and ways to establish and sustain a…
  18. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/169-cusp-science-safety-slides.pptx
    October 01, 2024 - AHRQ Safety Program for MRSA Prevention AHRQ Safety Program for MRSA Prevention The Science of Safety: Principles in Practice ICU & Non-ICU AHRQ Pub. No. 25-0007 October 2024 AHRQ Safety Program for MRSA Prevention | ICU & Non-ICU The Science of Safety 1 Educational Objectives Describe the patient safety risks tha…
  19. www.ahrq.gov/research/findings/final-reports/crctoolkit/crctool1a1.html
    April 01, 2018 - Tracking and Improving Screening for Colorectal Cancer Intervention 1.a-1 Information Packet for Participating Practices Previous Page Next Page Table of Contents Tracking and Improving Screening for Colorectal Cancer Intervention I. Introduction II. Background III. Intervention Steps and Tool…
  20. 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…