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digital.ahrq.gov/principal-investigator/zayas-caban-teresa
January 01, 2023 - Zayas-Caban, Teresa
Human factors and ergonomics in home care.
Citation
Zayas-Cabán T, Valdez RS. Human factors and ergonomics in home care. In: Carayon P, ed. Handbook of human factors and ergonomics in healthcare and patient safety. 2nd ed. Boca Raton: CRC Press; 2012; p. …
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psnet.ahrq.gov/node/33708/psn-pdf
March 01, 2011 - systematic-review-association-shift-length-protected-sleep-time-and-night-float-patient-care
This is an unfunded mandate—and we know that the cost of implementation in some scenarios
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psnet.ahrq.gov/sites/default/files/2020-01/final_spotlight_near_miss_transfusion_01082020_tocme.pdf
January 01, 2020 - Spotlight
Spotlight
“This is the wrong patient’s blood!”:
Evaluating a Near-Miss Wrong
Transfusion Event
Source and Credits
• This presentation is based on the January 2020 AHRQ WebM&M
Spotlight Case
• Commentary by: Sarah Barnhard MD
o Medical Director of Transfusion Services at UC-Davis Health
o Editors in …
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digital.ahrq.gov/ahrq-funded-projects/health-information-technology-nursing-home/annual-summary/2008
January 01, 2008 - Health Information Technology in the Nursing Home - 2008
Project Name
Health Information Technology in the Nursing Home
Principal Investigator
Gurwitz, Jerry
Organization
University of Massachusetts Medical School
Funding Mechanism
RFA: HS04-012: Demonstrating the V…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/medication/tool_safe-oxytocin.docx
May 01, 2017 - AHRQ Safety Program for Perinatal Care: Safe Medication Administration: Oxytocin
AHRQ Safety Program for Perinatal Care
Safe Medication Administration
Oxytocin
Safe Medication Administration—Oxytocin
Purpose of the tool: This tool describes the key perinatal safety elements with examples for the safe administration of…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Rundall.pdf
January 01, 2003 - Prescribing Safety in Ambulatory Care: Physician Perspectives
161
Prescribing Safety in Ambulatory Care:
Physician Perspectives
Thomas G. Rundall, John Hsu, Jennifer Elston Lafata, Vicki Fung,
Kathryn A. Paez, Jan Simpkins, Steven R. Simon, Scott B. Robinson,
Connie Uratsu, Margaret J. Gunter, Stephen B. Sou…
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digital.ahrq.gov/sites/default/files/docs/publication/u18hs016394-lapane-final-report-2006.pdf
January 01, 2006 - This process consists of
the Network Participant completing a number of test case scenarios through … A portion of the testing scenarios are conducted using use
case scenarios that are provided prior to
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psnet.ahrq.gov/web-mm/anticoagulation-held-too-long
April 01, 2008 - Anticoagulation: Held Too Long
Citation Text:
Dunn AS. Anticoagulation: Held Too Long. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2010.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnot…
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psnet.ahrq.gov/node/49690/psn-pdf
September 01, 2013 - The Pains of Chronic Opioid Usage
September 1, 2013
Manchikanti L, Hirsch JA. The Pains of Chronic Opioid Usage. PSNet [internet]. 2013.
https://psnet.ahrq.gov/web-mm/pains-chronic-opioid-usage
Case Objectives
Describe the appropriate initial assessment of patients with chronic non-cancer pain.
List the most comm…
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psnet.ahrq.gov/node/49777/psn-pdf
December 01, 2016 - Suicidal Ideation in the Family Medicine Clinic
December 1, 2016
Moutier C. Suicidal Ideation in the Family Medicine Clinic. PSNet [internet]. 2016.
https://psnet.ahrq.gov/web-mm/suicidal-ideation-family-medicine-clinic
Case Objectives
Recognize suicide as a major public health problem and the critical role of pri…
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psnet.ahrq.gov/sites/default/files/2023-06/under_pressure.pdf
January 01, 2023 - Microsoft PowerPoint - FINAL Spotlight Case_Under Pressure.pptx
Spotlight
Under Pressure: Tracheostomy Cuff Over Inflation
Leading to Tissue Necrosis and Cuff Rupture
Source and Credits
• This presentation is based on the June 2023 AHRQ WebM&M
Spotlight Case
o See the full article at https://psnet.ahrq.gov/webmm…
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psnet.ahrq.gov/node/49636/psn-pdf
October 01, 2011 - Mobility Lost in the ICU
October 1, 2011
Smith J. Mobility Lost in the ICU. PSNet [internet]. 2011.
https://psnet.ahrq.gov/web-mm/mobility-lost-icu
Case Objectives
Describe the role of the physical therapist in the hospital and ICU.
Compare the risks from immobility with the benefits gained from a program of ther…
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psnet.ahrq.gov/node/33594/psn-pdf
November 18, 2021 - Debriefing for Clinical Learning
November 18, 2021
Edwards JJ, Wexner S, Nichols A. Debriefing for Clinical Learning. PSNet [internet]. 2021.
https://psnet.ahrq.gov/primer/debriefing-clinical-learning
Updated in September 2021. Originally published in December 2011 by researchers at the University of
California, S…
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psnet.ahrq.gov/web-mm/open-wider-failure-use-interpreter-results-fractured-teeth-and-hypoxia-during-simple
January 29, 2021 - Open wider: Failure to use an interpreter results in fractured teeth and hypoxia during a simple elective operation.
Citation Text:
Bohringer C, Godoy L. Open wider: Failure to use an interpreter results in fractured teeth and hypoxia during a simple elective operation.. PSNet [internet]. Rockville (MD): Ag…
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www.uspreventiveservicestaskforce.org/uspstf/recommendation/genital-herpes-serologic-screening
February 14, 2023 - adolescents, adults, and pregnant persons, including consideration of HSV-2 serologic testing in certain scenarios … a When direct evidence is limited, absent, or restricted to select populations or clinical scenarios,
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/unpublished-drug-trials-white-paper.pdf
December 01, 2024 - Considerations for Using FDA Reviews in Systematic Reviews
Table 2 outlines considerations for scenarios … Systematic reviewers should prioritize consulting FDA review data,
particularly in scenarios with a
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psnet.ahrq.gov/perspective/becoming-certified-professional-patient-safety-pharmacists-perspective
June 01, 2016 - The CPPS designation enables the provider to utilize poignant scenarios to reinforce patient safety everyday … is to not only assess your content knowledge but also to demonstrate how to apply this to real-world scenarios
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psnet.ahrq.gov/web-mm/multiple-missed-opportunities-suicide-risk-assessment-emergency-and-primary-care-settings
May 26, 2021 - upon patients’ innate resiliency and problem-solving capabilities, including a series of “what-if” scenarios … reduce those risk factors that are modifiable, and problem-solve ways to create a series of “what-if” scenarios
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Kline_32.pdf
March 03, 2008 - In the afternoon, the small groups spent time
studying patient scenarios to identify safety hazards … During the small group sessions, multiple patient scenarios were presented, and each patient was
evaluated
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cds.ahrq.gov/sites/default/files/cds/artifact/81/CMSs%20Million%20Hearts%20Model%20Longitudinal%20ASCVD%20Risk%20Assessment%20Tool%20for%20Updated%2010-Year%20ASCVD%20Risk.pdf
January 01, 2010 - CHD) death, nonfatal
stroke, or fatal stroke.3
This artifact addresses the third of three clinical scenarios … It addresses the last of three clinical scenarios where CMS’s Million Hearts® Model Longitudinal ASCVD