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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50927/psn-pdf
    February 21, 2020 - Patient Safety in Primary Care February 21, 2020 Schiff G, Hall KK, Fitall E. Patient Safety in Primary Care. PSNet [internet]. 2020. https://psnet.ahrq.gov/perspective/patient-safety-primary-care Introduction A strong primary care system is foundational to achieving high-quality, accessible, efficient healthcare …

  2. Miscommunication in the OR Leads to Anticoagulation Mishap | PSNet

    psnet.ahrq.gov/web-mm/miscommunication-or-leads-anticoagulation-mishap
    May 08, 2019 - Miscommunication in the OR Leads to Anticoagulation Mishap Citation Text: Solsky I, Haynes AB. Miscommunication in the OR Leads to Anticoagulation Mishap. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017. Copy Citation Forma…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49536/psn-pdf
    May 01, 2007 - On the Other Hand May 1, 2007 Henneman EA. On the Other Hand. PSNet [internet]. 2007. https://psnet.ahrq.gov/web-mm/other-hand The Case A young woman with Takayasu's arteritis presented to the hospital with severe abdominal pain. The patient had been diagnosed with Takayasu's a decade earlier. The disease results…

  4. Spotlight Case [MONTH] 2003 (ppt file)

    psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.155_slideshow.ppt
    July 01, 2007 - Spotlight Case [MONTH] 2003 Spotlight Case July 2007 Resuscitation Errors: A Shocking Problem Source and Credits This presentation is based on the July 2007 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available online Commentary by: Benjamin Abella, MD, MPhil, …

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49703/psn-pdf
    March 01, 2014 - After-Visit Confusion March 1, 2014 Ventres W. After-Visit Confusion. PSNet [internet]. 2014. https://psnet.ahrq.gov/web-mm/after-visit-confusion The Case An otherwise healthy 18-year-old woman presented to an urgent care clinic with new bumps and white spots near her tongue. The patient's mother accompanied her …

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33751/psn-pdf
    January 01, 2014 - Strengthening the Business Case for Patient Safety May 1, 2013 Lindenauer PK. Strengthening the Business Case for Patient Safety. PSNet [internet]. 2013. https://psnet.ahrq.gov/perspective/strengthening-business-case-patient-safety Perspective After more than a decade in the national spotlight, the problem of pati…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49734/psn-pdf
    May 01, 2015 - Departure From Central Line Ritual May 1, 2015 Ballard DW, Vinson DR, Mark DG. Departure From Central Line Ritual. PSNet [internet]. 2015. https://psnet.ahrq.gov/web-mm/departure-central-line-ritual The Case A 55-year-old man with a history of poorly controlled diabetes mellitus, pancreatic insufficiency, and alco…

  8. Presentation: Program Overview

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/physician-staff-engagement-slides.pptx
    January 01, 2017 - Presentation: Program Overview Physician and Staff Engagement AHRQ Safety Program for Mechanically Ventilated Patients AHRQ Pub. No. 16(17)-0018-32-EF January 2017 Physician and Staff Engagement ‹#› AHRQ Safety Program for Mechanically Ventilated Patients 1 Learning Objectives After this session, you will b…

  9. Ventilator-Associated Event Surveillance: Facilitator Guide | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/tools/mvp/modules/vae/surveillance-fac-guide.html
    February 01, 2017 - Ventilator-Associated Event Surveillance: Facilitator Guide AHRQ Safety Program for Mechanically Ventilated Patients Slide 1: Ventilator-Associated Event Surveillance Say: This module will focus on ventilator-associated event surveillance and how it can be used in your unit. Slide 2: Learning Objectiv…

  10. Febrile Neutropenia and an Almost Fatal Medication Error | PSNet

    psnet.ahrq.gov/web-mm/febrile-neutropenia-and-almost-fatal-medication-error
    February 01, 2012 - Febrile Neutropenia and an Almost Fatal Medication Error Citation Text: Faig J, Zerillo JA. Febrile Neutropenia and an Almost Fatal Medication Error. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2018. Copy Citation Format: …

  11. OR Peeping | PSNet

    psnet.ahrq.gov/web-mm/or-peeping
    May 01, 2015 - OR Peeping Citation Text: Mackenzie CF. OR Peeping. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2004. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Dow…

  12. Acknowledging Our Track Chairs (pdf file)

    digital.ahrq.gov/sites/default/files/docs/page/2006ClancyKeyesYoung_051211comp.pdf
    June 16, 2021 - Acknowledging Our Track Chairs Acknowledging Our Track Chairs  Steve Simon, Harvard Medical School  Jack Starmer, Vanderbilt University  Atif Zafar, Indiana University  Marc Overhage, Regenstrief Institute  Mark Frisse, Vanderbilt University  Jan Walker, Partners Health Care and Cntr for Health IT Leadership  …

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33700/psn-pdf
    October 01, 2010 - In Conversation with...Peter J. Pronovost, MD, PhD October 1, 2010 In Conversation with..Peter J. Pronovost, MD, PhD. PSNet [internet]. 2010. https://psnet.ahrq.gov/perspective/conversation-withpeter-j-pronovost-md-phd-0 Editor's note: Peter J. Pronovost, MD, PhD, is a Professor of Anesthesia, Critical Care, and He…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33651/psn-pdf
    June 01, 2007 - In Conversation with...Diane Rydrych, MA June 1, 2007 In Conversation with..Diane Rydrych, MA. PSNet [internet]. 2007. https://psnet.ahrq.gov/perspective/conversation-withdiane-rydrych-ma Editor's Note: Diane Rydrych, MA, is Assistant Director of the Division of Health Policy at the Minnesota Department of Health,…

  15. Antibiotic Audit Tool (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/tools/surgical-complication-prevention/antibiotic_audit.docx
    December 01, 2017 - Antibiotic Audit Tool Antibiotic Audit Tool Introduction Problem Statement Perioperative antimicrobial prophylaxis is an important strategy to prevent surgical site infection. Appropriate selection, dosing, and redosing ensure that the antibiotic concentration in surgical site tissue is maintained above the minimum…

  16. Patient and Family Engagement for Perinatal Safety: Facilitator Guide | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/pf-engagement-fac-guide.html
    July 01, 2023 - Patient and Family Engagement for Perinatal Safety: Facilitator Guide AHRQ Safety Program for Perinatal Care Slide 1: Patient and Family Engagement for Perinatal Safety Say: The Patient and Family Engagement module focuses on an important topic: making sure patients and their family members understand w…

  17. Spotlight Case [MONTH] 2003 (ppt file)

    psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.85_slideshow.ppt
    March 01, 2005 - Spotlight Case [MONTH] 2003 Spotlight Case March 2005 The Hidden Mystery Source and Credits This presentation is based on the March 2005 AHRQ WebM&M Spotlight Case in Hospital Medicine See the full article at http://webmm.ahrq.gov CME credit is available through the Web site Commentary by: Douglas D. Br…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33786/psn-pdf
    May 01, 2015 - Video to Improve Patient Safety: Clinical and Educational Uses May 1, 2015 Xiao Y, Mackenzie CF, Seagull JF. Video to Improve Patient Safety: Clinical and Educational Uses. PSNet [internet]. 2015. https://psnet.ahrq.gov/perspective/video-improve-patient-safety-clinical-and-educational-uses Perspective Reports of…

  19. Spotlight Case [MONTH] 2003 (ppt file)

    psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.88_slideshow.ppt
    March 01, 2005 - Spotlight Case [MONTH] 2003 Spotlight Case March 2005 The Hidden Mystery Source and Credits This presentation is based on the March 2005 AHRQ WebM&M Spotlight Case in Hospital Medicine See the full article at http://webmm.ahrq.gov CME credit is available through the Web site Commentary by: Douglas D. Br…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33639/psn-pdf
    September 01, 2006 - In Conversation with...James P. Bagian, MD September 1, 2006 In Conversation with..James P. Bagian, MD. PSNet [internet]. 2006. https://psnet.ahrq.gov/perspective/conversation-withjames-p-bagian-md Dr. Robert Wachter, Editor, AHRQ WebM&M: Where did your interest in safety come from? Dr. James Bagian: I don't know …
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