-
psnet.ahrq.gov/node/49658/psn-pdf
July 01, 2012 - Misleading Complaint
July 1, 2012
Soni K, Dhaliwal G. Misleading Complaint. PSNet [internet]. 2012.
https://psnet.ahrq.gov/web-mm/misleading-complaint
The Case
A 54-year-old homeless man with a history of alcoholism presented to the emergency department (ED) with
complaints of knee problems. The triage nurse docu…
-
www.ahrq.gov/sites/default/files/2025-04/marin-report.pdf
January 01, 2025 - These are just a few of the scenarios that served as the foundation for the 2015 Academic
Emergency … Internal Medicine, and many professional societies have published
their Choosing Wisely list of relevant scenarios
-
www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/cre.pdf
September 26, 2019 - • Active surveillance is recommended in
outbreak scenarios, in highly endemic
regions, and in healthcare … recommends active screening on admission to specific wards or units (e.g., oncology units),
during outbreak scenarios … However, active surveillance is recommended in outbreak scenarios, in highly endemic regions, and
in … Outbreak scenarios that were
unsuccessful in controlling transmission
may be underrepresented in literature
-
digital.ahrq.gov/sites/default/files/docs/citation/implementation-guide.pdf
December 01, 2018 - .............................................................................. 18
Potential Reuse Scenarios … Typical scenarios include:
1. … Potential Reuse Scenarios
CQL code within this artifact was developed to display a Pain Management Summary … Artifact Manifest
Artifact Relationship Diagram
Testing
Implementation Checklist
Potential Reuse Scenarios
-
effectivehealthcare.ahrq.gov/sites/default/files/related_files/colorectal-cancer-liver-metastases-therapies_disposition-comments.pdf
December 11, 2012 - with some inconsistencies throughout the
report as it relates to whether either of the two clinical scenarios … The sentence has been edited to read “Local
hepatic therapy may be used for the following case
scenarios
-
cdsic.ahrq.gov/sites/default/files/2025-03/Copy%20of%20Final_MO_Patient%20Preference%20Inventory_6.7.24_508.xlsx
January 01, 2025 - Part 3: Participant is presented with choice scenarios and a vignette for each attribute. … Online survey platform Pilot-tested Adults Surgical Appendicitis No N/A No N/A Survey scenarios provided … their individual preferences for attributes of several treatments through a ranking activity; choice scenarios
-
psnet.ahrq.gov/web-mm/under-pressure-tracheostomy-cuff-over-inflation-leading-tissue-necrosis-and-cuff-rupture
March 15, 2023 - SPOTLIGHT CASE
Under Pressure: Tracheostomy Cuff Over Inflation Leading to Tissue Necrosis and Cuff Rupture
Citation Text:
Gould E, Carlsen K, Trask J, et al. Under Pressure: Tracheostomy Cuff Over Inflation Leading to Tissue Necrosis and Cuff Rupture.. PSNet [internet]. Rockville (MD): Agency fo…
-
psnet.ahrq.gov/web-mm/total-parenteral-nutrition-multifarious-errors
January 23, 2017 - SPOTLIGHT CASE
Total Parenteral Nutrition, Multifarious Errors
Citation Text:
Boullata JI. Total Parenteral Nutrition, Multifarious Errors. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2013.
Copy Citation
Format:
…
-
psnet.ahrq.gov/web-mm/mobility-lost-icu
August 01, 2018 - SPOTLIGHT CASE
Mobility Lost in the ICU
Citation Text:
Smith J. Mobility Lost in the ICU. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2011.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNot…
-
psnet.ahrq.gov/web-mm/difficult-encounters-cmo-and-cno-respond
March 01, 2018 - SPOTLIGHT CASE
Difficult Encounters: A CMO and CNO Respond
Citation Text:
Ring EJ, Hirsch JE. Difficult Encounters: A CMO and CNO Respond. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2009.
Copy Citation
Format:
…
-
psnet.ahrq.gov/web-mm/beeline-spine
March 01, 2014 - SPOTLIGHT CASE
Beeline to Spine
Citation Text:
Smetana GW. Beeline to Spine. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2007.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endno…
-
psnet.ahrq.gov/node/49537/psn-pdf
June 01, 2007 - Beeline to Spine
June 1, 2007
Smetana GW. Beeline to Spine. PSNet [internet]. 2007.
https://psnet.ahrq.gov/web-mm/beeline-spine
Case Objectives
Understand the elements of preoperative medical evaluation.
Appreciate the limited role for preoperative laboratory testing.
Appreciate the importance of communication a…
-
psnet.ahrq.gov/node/73398/psn-pdf
June 30, 2021 - In Conversation With... Anjali Joseph, PhD, EDAC and
Molly M. Scanlon, PhD, FAIA, FACHA
June 30, 2021
In Conversation With.. Anjali Joseph, PhD, EDAC and Molly M. Scanlon, PhD, FAIA, FACHA. PSNet
[internet]. 2021.
https://psnet.ahrq.gov/perspective/conversation-anjali-joseph-phd-edac-and-molly-m-scanlon-phd-faia-
…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/sustainability/premortem-scorecard-facguide.docx
January 01, 2017 - Facilitator Guide: Tools for Sustainability: Premortem and Scorecard
Slide Title and Commentary
Slide Number and Slide
Tools for Sustainability: Premortem and Scorecard
SAY:
This module will cover sustaining and spreading safety improvements. To preface the sustainability discussions, this module is designed to…
-
psnet.ahrq.gov/node/49682/psn-pdf
April 01, 2013 - From Possible to Probable to Sure to Wrong—Premature
Closure and Anchoring in a Complicated Case
April 1, 2013
Newman-Toker DE. From Possible to Probable to Sure to Wrong—Premature Closure and Anchoring in a
Complicated Case. PSNet [internet]. 2013.
https://psnet.ahrq.gov/web-mm/possible-probable-sure-wrong-premat…
-
www.ahrq.gov/sites/default/files/2024-12/reeves-report.pdf
January 01, 2024 - Final Progress Report: Developing a Rational Clinical Approach to the Disposition of TIA Cases in the ED
1
1. TITLE PAGE
April 10th, 2012
Final Report Grant No: 1R03HS017740-01
Project Period: 07/01/2009 – 06/30/2010 (with 1-year no cost extension)
Title: Developing a Rational Clinical Approach to the Dispositio…
-
www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module4/mod4-facguide.html
March 01, 2017 - Module 4: Teamwork and Communication: Facilitator Notes
AHRQ Safety Program for Long-Term Care: HAIs/CAUTI
Slide 1: Module 4: Teamwork and Communication
Say:
The Teamwork and Communication module will discuss how safety teams in nursing homes can understand and practice successful teamwork and effective…
-
psnet.ahrq.gov/node/867497/psn-pdf
February 26, 2025 - Retained Surgical Items: Causation and Prevention
February 26, 2025
Gibbs V, Romano P. Retained Surgical Items: Causation and Prevention. PSNet [internet]. 2025.
https://psnet.ahrq.gov/primer/retained-surgical-items-causation-and-prevention
Background
A retained surgical item (RSI) is a surgical patient safety pro…
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/124-cusp-science-safety-fg.docx
April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI
The Science of Safety:
Principles in Practice
Surgical Services
For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries
Slide Title and Commentary
Slide Number and Slide
The Science of Safety: Principles in Practice
SAY:
Welcome to this prese…
-
www.ahrq.gov/sites/default/files/2024-01/lambert2-report.pdf
January 01, 2024 - overall benefit of the alerts as related to clinician time to action during
potentially dangerous scenarios