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3581. 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: …

3582. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33823/psn-pdf
      January 01, 2017 - Workplace Safety in Health Care January 1, 2017 Simon RW, Canacari EG. Workplace Safety in Health Care. PSNet [internet]. 2017. https://psnet.ahrq.gov/perspective/workplace-safety-health-care Perspective The patient safety movement has highlighted the risks that patients face when receiving health care. But, impo…

3583. Transcript: How To Have Difficult Conversations With Colleagues Around Infection Prevention Practices (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/difficult-conversations-transcript.pdf
      April 01, 2022 - Transcript: How To Have Difficult Conversations With Colleagues Around Infection Prevention Practices AHRQ Safety Program for Intensive Care Units: Preventing CLABSI and CAUTI Transcript How To Have Difficult Conversations With Colleagues Around Infection Prevention Practices Host: Kate Schmidgall …

3584. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49736/psn-pdf
      June 01, 2015 - Inflicting Confusion June 1, 2015 Scott FI, Lichtenstein GR. Inflicting Confusion. PSNet [internet]. 2015. https://psnet.ahrq.gov/web-mm/inflicting-confusion The Case A 26-year-old man with recently diagnosed Crohn disease presented to the emergency department with acute-onset abdominal pain, nausea, vomiting, an…

3585. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73999/psn-pdf
      October 27, 2021 - To Dilute or Not Dilute: Drug Errors and Consequences in the Operating Room October 27, 2021 Aldwinckle R, Florendo E. To Dilute or Not Dilute: Drug Errors and Consequences in the Operating Room. PSNet [internet]. 2021. https://psnet.ahrq.gov/web-mm/dilute-or-not-dilute-drug-errors-and-consequences-operating-room …

3586. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/72587/psn-pdf
      December 23, 2020 - Mitigating the Risk of Intrahospital Transport for Pediatric Patients at Risk of Physiologic Instability December 23, 2020 Semkiw K, Anderson D, Natale JA. Mitigating the Risk of Intrahospital Transport for Pediatric Patients at Risk of Physiologic Instability. PSNet [internet]. 2020. https://psnet.ahrq.gov/web-mm…

3587. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33772/psn-pdf
      September 01, 2014 - In Conversation With… Rosemary Gibson, MSc September 1, 2014 In Conversation With… Rosemary Gibson, MSc. PSNet [internet]. 2014. https://psnet.ahrq.gov/perspective/conversation-rosemary-gibson-msc Editor's note: Rosemary Gibson, MSc, is Senior Advisor to The Hastings Center and an editor for JAMA Internal Medicin…

3588. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49815/psn-pdf
      December 01, 2017 - Over-the-Counter Oversight December 1, 2017 Janamanchi V, Modha K, Whinney C. Over-the-Counter Oversight. PSNet [internet]. 2017. https://psnet.ahrq.gov/web-mm/over-counter-oversight The Case A 56-year-old man was evaluated in the burn clinic for a second-degree burn on his chest. Although portions of his skin we…

3589. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49423/psn-pdf
      November 01, 2003 - The Missing Suction Tip November 1, 2003 Thomas EJ, Moore FA. The Missing Suction Tip. PSNet [internet]. 2003. https://psnet.ahrq.gov/web-mm/missing-suction-tip Case Objectives Identify the risk factors for retained foreign bodies. Understand methods used to prevent and identify retained foreign bodies. Apprecia…

3590. Healthcare Cost and Utilization Project (HCUP) NIS Notes
      hcup-us.ahrq.gov/db/vars/atype/nisnote.jsp
      September 01, 2008 - Healthcare Cost and Utilization Project (HCUP) NIS Notes An official website of the Department of Health & Human Services Search All AHRQ Websites Careers Contact Us Espanol FAQs…

3591. Practice Self-Assessment Tool for Opioid Use in Older Adults (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/opioids/compendium/opioids-compendium-self-assessment.pdf
      December 01, 2023 - Practice Self-Assessment Tool for Opioid Use in Older Adults www.ahrq.gov Practice Self-Assessment Tool for Opioid Use in Older Adults Instructions: This quality improvement self-assessment tool is best completed in a group discussion with all staff involved in this work. It can also be completed by staff indi…

3592. AHRQ New Models of Primary Care Workforce and Financing - Executive Summary (pdf file)
      www.ahrq.gov/sites/default/files/publications/files/workforce_executive_summary_0.pdf
      October 01, 2016 - AHRQ New Models of Primary Care Workforce and Financing - Executive Summary New Models of Primary Care Workforce and Financing Executive Summary AHRQ New Models of Primary Care Workforce and Financing Executive Summary Prepared for: Agency for Healthcare Research and …

3593. Model State Enhancement Efforts | Agency for Healthcare Research and Quality
      www.ahrq.gov/ncepcr/research-transform-primary-care/transform/final-impact/model.html
      October 01, 2015 - AHRQ Infrastructure for Maintaining Primary Care Transformation (IMPaCT) Grants: A Synthesis Report Model State Enhancement Efforts Previous Page Next Page Table of Contents AHRQ Infrastructure for Maintaining Primary Care Transformation (IMPaCT) Grants: A Synthesis Report Introduction Methods …

3594. Section 4: Ways To Approach the Quality Improvement Process (Page 2 of 2) | Agency for Healthcare Research and Quality
      www.ahrq.gov/cahps/quality-improvement/improvement-guide/4-approach-qi-process/sect4part2.html
      January 01, 2020 - Section 4: Ways To Approach the Quality Improvement Process (Page 2 of 2) Contents Page 1 of 2 4.A. Focusing on Microsystems 4.B. Understanding and Implementing the Improvement Cycle Page 2 of 2 4.C. An Overview of Improvement Models 4.D. Tools To Enhance Quality Improvement Initiatives References…

3595. 5 Tk2 P3O-Comprehensive Antibiogram Toolkit Phase 3 Implementation (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK2_P3O-Comprehensive_Antibiogram_Toolkit_Phase_3_Implementation.pdf
      May 01, 2014 - Phase 3 Implementation Advancing Excellence in Health Care www.ahrq.gov Agency for Healthcare Research and Quality HAIs Healthcare- Associated Infections PREVENT Comprehensive Antibiogram Toolkit Phase 3 Implementation After the antibiogram has been developed, the nursing home team will need a plan for how t…

3596. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49407/psn-pdf
      July 01, 2003 - Bleeding Risk July 1, 2003 Crowther MA. Bleeding Risk. PSNet [internet]. 2003. https://psnet.ahrq.gov/web-mm/bleeding-risk The Case A frail 78-year-old woman fell at home and fractured her left hip. Her past medical history included atrial fibrillation, hypertension, coronary artery disease, and stroke. The surgi…

3597. Implementation Guide for the Toolkit To Improve Antibiotic Use in Long-Term Care (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/ltc-implementation-guide.pdf
      June 01, 2021 - Implementation Guide for the Toolkit To Improve Antibiotic Use in Long-Term Care AHRQ Safety Program for Improving Antibiotic Use Implementation Guide for the Toolkit To Improve Antibiotic Use in Long-Term Care Introduction Developing an antibiotic stewardship program (ASP) or improving an existing ASP can ta…

3598. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49625/psn-pdf
      May 01, 2011 - Pocket Syringe Swap May 1, 2011 Kulli JC. Pocket Syringe Swap. PSNet [internet]. 2011. https://psnet.ahrq.gov/web-mm/pocket-syringe-swap The Case A 58-year-old man, scheduled for aortoiliac artery bypass graft, had an epidural catheter placed for postoperative pain management. Surgery proceeded uneventfully under…

3599. Despite steadily increasing health care expenditures in the United States, improved health outcomes and quality remain elusive (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/methodsguide_slutsky_comparing_medical_interventions.pdf
      November 01, 2008 - Despite steadily increasing health care expenditures in the United States, improved health outcomes and quality remain elusive Methods Guide for Comparative Effectiveness Reviews Comparing Medical Interventions: AHRQ and the Effective Health Care Program Comparative Effectivenes…

3600. Therapies for Clinically Localized Prostate Cancer: Evidence Summary (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/prostate-cancer-therapies-summary.pdf
      September 01, 2020 - Therapies for Clinically Localized Prostate Cancer: Evidence Summary Comparative Effectiveness Review Number 230 Therapies for Clinically Localized Prostate Cancer Evidence Summary Main Points • In men with clinically localized prostate cancer (CLPC) detected clinically rather than by prostate-speci…