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3481. Chemotherapy Administration Safety Standards | PSNet
      psnet.ahrq.gov/web-mm/chemotherapy-administration-safety-standards
      March 30, 2016 - Chemotherapy Administration Safety Standards Citation Text: Bergsbaken J. Chemotherapy Administration Safety Standards. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2018. Copy Citation Format: Google Scholar BibTeX En…

3482. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49661/psn-pdf
      August 01, 2012 - Residual Anesthesia: Tepid Burn August 1, 2012 Kurrek MM, Twersky RS. Residual Anesthesia: Tepid Burn. PSNet [internet]. 2012. https://psnet.ahrq.gov/web-mm/residual-anesthesia-tepid-burn The Case A 42-year-old Filipino man presented to an outpatient surgery center for scheduled repair of an anal fistula. The pat…

3483. Chapter 5. Information and Training for Staff, Primary Care Providers, and Residents and their Families | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/man5.html
      December 01, 2017 - The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities Chapter 5. Information and Training for Staff, Primary Care Providers, and Residents and their Families Previous Page Next Page Table of Contents The Falls Management Program: A Quality Improvement Initiative for N…

3484. Module-5-Slides (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/module-5-slides.pdf
      December 31, 2022 - Building and Implementing a Successful Automatic Cardiac Rehab Referral System Module 5 A my M i l l e r, M D, P h D Ka t hy L e e B i s h o p , P T, D P T TAKEheart Training and Technical Assistance Components 2 PURPOSE Training sessions guided by the Million Hearts®/AACVPR Cardiac Rehabilitation …

3485. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33813/psn-pdf
      August 01, 2016 - Safety In Dentistry August 1, 2016 Ramoni R, Walji MF, Kalenderian E. Safety In Dentistry. PSNet [internet]. 2016. https://psnet.ahrq.gov/perspective/safety-dentistry Perspective In a famous scene from the 1976 film, Marathon Man, Laurence Olivier, playing dentist Dr. Christian Szell tortures Babe Levy (played by…

3486. Spotlight Case [MONTH] 2003 (ppt file)
      psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.158_slideshow.ppt
      September 01, 2007 - Spotlight Case [MONTH] 2003 Spotlight Case September 2007 Medication Reconciliation: Whose Job Is It? Source and Credits This presentation is based on the September 2007 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available Commentary by: Eric G. Poon, MD, MPH, Ha…

3487. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33634/psn-pdf
      May 04, 2006 - The Wild West: Patient Safety in Office-Based Anesthesia May 1, 2006 Kaushal R, Upadhyayula S, Gaba DM, et al. The Wild West: Patient Safety in Office-Based Anesthesia. PSNet [internet]. 2006. https://psnet.ahrq.gov/perspective/wild-west-patient-safety-office-based-anesthesia Perspective Over the last decade, sur…

3488. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49704/psn-pdf
      March 01, 2014 - Late Anemia Following Rh Disease in a Newborn March 1, 2014 Newman TB, Maisels JM. Late Anemia Following Rh Disease in a Newborn. PSNet [internet]. 2014. https://psnet.ahrq.gov/web-mm/late-anemia-following-rh-disease-newborn The Case A full-term neonate was delivered uneventfully to an Rh-negative woman who had re…

3489. Implementation Change Management | Agency for Healthcare Research and Quality
      www.ahrq.gov/teamstepps-program/curriculum/implement/activity/change.html
      June 01, 2023 - Implementation Change Management The change management process must be carefully and strategically organized to attain widespread acceptance. To achieve an environment truly committed to patient safety, a successful TeamSTEPPS implementation requires a change in unit and organizational culture. This culture mus…

3490. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49802/psn-pdf
      August 01, 2017 - Add-on Case and the Missing Checklist August 1, 2017 Catchpole K. Add-on Case and the Missing Checklist. PSNet [internet]. 2017. https://psnet.ahrq.gov/web-mm/add-case-and-missing-checklist The Case A 65-year-old woman was admitted for evaluation of abdominal pain and weight loss. Based on diagnostic data and ima…

3491. Toolkit Implementation Guide for Acute Care Antibiotic Stewardship Programs (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/improve/acute_care_implementation_guide.pdf
      November 01, 2019 - Toolkit Implementation Guide for Acute Care Antibiotic Stewardship Programs AHRQ Pub. No. 17(20)-0028-EF November 2019 AHRQ Safety Program for Improving Antibiotic Use Toolkit Implementation Guide for Acute Care Antibiotic Stewardship Programs Introduction Developing an antibiotic stewardship pr…

3492. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49521/psn-pdf
      September 12, 2006 - A Troubling Amine September 1, 2006 Flynn EA. A Troubling Amine. PSNet [internet]. 2006. https://psnet.ahrq.gov/web-mm/troubling-amine The Case A 43-year-old woman was admitted to the intensive care unit for symptoms of heart and respiratory failure. She was found to have severe mitral and tricuspid valve regurgi…

3493. 1.a-1 Information Packet for Participating Practices | Agency for Healthcare Research and Quality
      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…

3494. Central, not Epidural | PSNet
      psnet.ahrq.gov/web-mm/central-not-epidural
      August 28, 2024 - Central, not Epidural Citation Text: Simmons D. Central, not Epidural. 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 EndNote 7 XML Endnote tagged PubMedI…

3495. 5 Tk2 P3O-Comprehensive Antibiogram Toolkit Phase 3 Implementation (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK2_P3O-Comprehensive_Antibiogram_Toolkit_Phase_3_Implementation.doc
      June 02, 2025 - Comprehensive Antibiogram Toolkit Phase 3 Implementation After the antibiogram has been developed, the nursing home team will need a plan for how the program will be introduced and sustained. Nursing home management should decide if a new policy is required; if so, this must be developed and communicated. Procedures to…

3496. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49724/psn-pdf
      January 01, 2015 - Bowel Injury After Laparoscopic Surgery January 1, 2015 Moorthy K. Bowel Injury After Laparoscopic Surgery. PSNet [internet]. 2015. https://psnet.ahrq.gov/web-mm/bowel-injury-after-laparoscopic-surgery The Case A 30-year-old man presented to the hospital for a scheduled laparoscopic inguinal hernia repair with mes…

3497. Healthcare Cost and Utilization Project (HCUP) KID Notes
      hcup-us.ahrq.gov/db/vars/atype/kidnote.jsp
      September 01, 2008 - Healthcare Cost and Utilization Project (HCUP) KID Notes An official website of the Department of Health & Human Services Search All AHRQ Websites Careers Contact Us Espanol FAQs…

3498. Patients as Safeguards: Understanding the Information Needs of Hospitalized Patients | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/patients-safeguards-understanding-information-needs-hospitalized-patients
      January 01, 2023 - Patients as Safeguards: Understanding the Information Needs of Hospitalized Patients Project Final Report ( PDF , 978.5 KB) Disclaimer Disclaimer The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessaril…

3499. A4A Combo Psi Casestudy (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/a4a_combo_psi_casestudy.pdf
      June 02, 2025 - Toolkit for Using the AHRQ Quality Indicators How To Improve Hospital Quality and Safety Case Study of Using the QI Toolkit for Quality Improvement What is the purpose of this tool? This tool provides a case study from one hospital that participated in the field test and evaluation of the QI Toolkit. It offers …

3500. Near Miss With Neonate | PSNet
      psnet.ahrq.gov/web-mm/near-miss-neonate
      August 15, 2018 - Near Miss With Neonate Citation Text: Malana J, Lyndon A. Near Miss With Neonate. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2016. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tag…