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3801. Evaluation of Medications Removed from Automated Dispensing Machines Using the Override Function Leading to Multiple System Changes (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Miller_93.pdf
      March 12, 2008 - Evaluation of Medications Removed from Automated Dispensing Machines Using the Override Function Leading to Multiple System Changes Evaluation of Medications Removed from Automated Dispensing Machines Using the Override Function Leading to Multiple System Changes Karla Miller, PharmD; Manisha Shah, MBA, RT; Lau…

3802. Standard Deviations | PSNet
      psnet.ahrq.gov/web-mm/standard-deviations
      January 01, 2006 - SPOTLIGHT CASE Standard Deviations Citation Text: Sabin JE. Standard Deviations. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2009. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML E…

3803. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73456/psn-pdf
      June 30, 2021 - Inadequate Anesthesia Preparation Leading to Difficult Intubation and Severe Hypoxemia June 30, 2021 Bohringer C. Inadequate Anesthesia Preparation Leading to Difficult Intubation and Severe Hypoxemia. PSNet [internet]. 2021. https://psnet.ahrq.gov/web-mm/inadequate-anesthesia-preparation-leading-difficult-intubat…

3804. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/74251/psn-pdf
      January 26, 2022 - Delayed Diagnosis and Treatment of an Occult Hemothorax Following Complicated Central Line Insertion Leads to Cardiac Arrest January 26, 2022 Raff G, Goudy B. Delayed Diagnosis and Treatment of an Occult Hemothorax Following Complicated Central Line Insertion Leads to Cardiac Arrest. PSNet [internet]. 2022. https…

3805. Overview of the Comprehensive Unit-based Safety Program for Application to Mechanically Ventilated Patients: Facilitator Guide | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/mvp/modules/cusp/overview-cusp-mvp-facguide.html
      February 01, 2017 - Overview of the Comprehensive Unit-based Safety Program for Application to Mechanically Ventilated Patients: Facilitator Guide AHRQ Safety Program for Mechanically Ventilated Patients Slide 1: Overview of the Comprehensive Unit-based Safety Program for Application to Mechanically Ventilated Patients Say: …

3806. Title of Presentation: (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/qde-mmd-webinar-on_quality-measure-use.pdf
      September 24, 2015 - Title of Presentation: Putting Quality Measures to Work: Presentation for the Association of Medicaid Medical Directors Lessons from the CHIPRA Quality Demonstration Grant Program Cindy Brach, M.P.P. • Joe Zickafoose, M.D., M.S. • Francis Rushton, M.D., F.A.A.P. • David Kelley, M.D., M.P.A. September 24…

3807. Putting Quality Measures to Work: Lessons from the CHIPRA Quality Demonstration Grant Program | Agency for Healthcare Research and Quality
      www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/qde-mmd-webinar-slides.html
      January 01, 2016 - Putting Quality Measures to Work: Lessons from the CHIPRA Quality Demonstration Grant Program Presentation for the Association of Medicaid Medical Directors Slide 1 Putting Quality Measures to Work: Lessons from the CHIPRA Quality Demonstration Grant Program Presentation for the Association of Medicaid …

3808. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/854848/psn-pdf
      October 31, 2023 - Delay in Malignancy Diagnosis Reflects Systemic Failures October 31, 2023 Mieu H, Olson KA. Delay in Malignancy Diagnosis Reflects Systemic Failures. PSNet [internet]. 2023. https://psnet.ahrq.gov/web-mm/delay-malignancy-diagnosis-reflects-systemic-failures The Case A 32-year-old man presented to the hospital with…

3809. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/846768/psn-pdf
      March 29, 2023 - Endotracheal Tube Fallout in a Patient with Severe Obesity During Eye Surgery. March 29, 2023 Bohringer C. Endotracheal Tube Fallout in a Patient with Severe Obesity During Eye Surgery. PSNet [internet]. 2023. https://psnet.ahrq.gov/web-mm/endotracheal-tube-fallout-patient-severe-obesity-during-eye-surgery The Ca…

3810. Final Progress Report: A new approach to the allocation of decisional authority (pdf file)
      www.ahrq.gov/sites/default/files/2024-02/whitney-report.pdf
      January 01, 2024 - Final Progress Report: A new approach to the allocation of decisional authority FINAL REPORT A new approach to the allocation of decisional authority Simon Whitney, MD, JD, Principal Investigator Team members Robert Volk, PhD, vice chair for research, Baylor College of Medicine, Department of Family …

3811. Final Report: Collaborative Clinical Culture and Quality of Care (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/greenfield-report.pdf
      January 01, 2024 - Final Report: Collaborative Clinical Culture and Quality of Care Title of Project: Collaborative Clinical Culture and Quality of Care Principal Investigator and Team Members Sheldon Greenfield, Principal Investigator Sherrie H. Kaplan, Co-Principal Investigator Douglas Roblin, Co-Principal Investigator Norma Te…

3812. Final Progress Report: The P4P Decision Tool: A Stakeholder Guide to Exploring and Selecting an Appropriate Pay-for-Performance Program (pdf file)
      www.ahrq.gov/sites/default/files/2024-02/leapfrog-report.pdf
      January 01, 2024 - Final Progress Report: The P4P Decision Tool: A Stakeholder Guide to Exploring and Selecting an Appropriate Pay-for-Performance Program The P4P Decision Tool: A Stakeholder Guide to Exploring and Selecting an Appropriate Pay-for-Performance Program Supported by a grant from the Agency for Healthcare Research and …

3813. Static Teach-back Interactive Module (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/teachback-module-accessible.pdf
      January 01, 2013 - Static Teach-back Interactive Module Teach-back 1. Title Teach-Back Improving Patient Safety by Engaging Patients and Families in Effective Clinician- Patient Communication 1 Teach-back Interactive Module 2. AHRQ Sponsored by the Agency for Healthcare Research and Quality (AHRQ), this tea…

3814. 4. Observations About the Evaluation | Agency for Healthcare Research and Quality
      www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/final-report/section4.html
      October 01, 2015 - National Evaluation of the CHIPRA Quality Demonstration Grant Program: Final Project Report 4. Observations About the Evaluation Previous Page Next Page Table of Contents National Evaluation of the CHIPRA Quality Demonstration Grant Program: Final Project Report 1. Overview 2. Synthesis of Key F…

3815. Facilitator Guide: Build Your SSI Prevention Bundle (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/overview-cuspmvp-facguide.docx
      January 01, 2017 - Facilitator Guide: Build Your SSI Prevention Bundle Slide Title and Commentary Slide Number and Slide Title Slide Overview of the Comprehensive Unit-based Safety Program for Application to Mechanically Ventilated Patients SAY: Today, we will be giving you an overview of the Comprehensive Unit-based Safety Program…

3816. Changing-System-Facilitator-Guide (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/changing-system-facilitator-guide.docx
      June 01, 2021 - AHRQ Safety Program for Improving Antibiotic Use 1 Changing the System To Improve Patient Safety Long-Term Care Slide Title and Commentary Slide Number and Slide Changing the System To Improve Patient Safety SAY: Hello, and welcome to this presentation: “Changing the System To Improve Patient Safety.” Sl…

3817. Indwelling Urinary Catheter Indications Facilitator Notes (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/urinary-catheter-indications-notes.docx
      April 01, 2022 - Indwelling Urinary Catheter Indications Facilitator Notes CAUTI Module: Indwelling Urinary Catheter Indications Facilitator Guide Slide Number and Image This module, titled “Indwelling Urinary Catheter Indications” is part of the Agency for Healthcare Research and Quality’s Safety Program for Intensive Care Uni…

3818. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49543/psn-pdf
      September 01, 2007 - Medication Reconciliation: Whose Job Is It? September 1, 2007 Poon EG. Medication Reconciliation: Whose Job Is It? PSNet [internet]. 2007. https://psnet.ahrq.gov/web-mm/medication-reconciliation-whose-job-it Case Objectives Appreciate the prevalence and impact of medication discrepancies at times of transition in …

3819. Chapter 6. Measure Maps and Profiles (continued, 20) | Agency for Healthcare Research and Quality
      www.ahrq.gov/ncepcr/care/coordination/atlas/chapter6s.html
      June 01, 2014 - Care Coordination Measures Atlas Update Chapter 6. Measure Maps and Profiles (continued, 20) Previous Page Next Page Table of Contents Care Coordination Measures Atlas Update Chapter 1: Background Chapter 2. What is Care Coordination? Chapter 3. Care Coordination Measurement Framework Chapte…

3820. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49606/psn-pdf
      August 01, 2010 - Weighing In on Surgical Safety August 1, 2010 Brodsky JB, Margarson M. Weighing In on Surgical Safety. PSNet [internet]. 2010. https://psnet.ahrq.gov/web-mm/weighing-surgical-safety Case Objectives Identify the comorbidites associated with obesity that place patients at higher risk for surgical complications. Un…