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3901. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/867805/psn-pdf
      February 26, 2025 - In Conversation with David W. Bates about Are We Safer Today? February 26, 2025 Bates DW, Lee M, Mossburg SE. In Conversation with David W. Bates about Are We Safer Today? PSNet [internet]. 2025. https://psnet.ahrq.gov/perspective/conversation-david-w-bates-about-are-we-safer-today Editor’s note: David W. Bates, …

3902. Summary of the Design Plan for the National Evaluation of the CHIPRA Quality Demonstration Grant Program (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/design_plan_for_chipra.pdf
      July 01, 2012 - Summary of the Design Plan for the National Evaluation of the CHIPRA Quality Demonstration Grant Program Summary of the Design Plan for the National Evaluation of the CHIPRA Quality Demonstration Grant Program Prepared for: Agency for Healthcare Research and Quality Rockville, MD 20850 Contract No. …

3903. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33789/psn-pdf
      August 01, 2015 - In Conversation With… Robert M. Wachter, MD August 1, 2015 In Conversation With… Robert M. Wachter, MD. PSNet [internet]. 2015. https://psnet.ahrq.gov/perspective/conversation-robert-m-wachter-md Editor's note: Dr. Wachter is Professor and the Interim Chairman of the Department of Medicine at UCSF, where he also …

3904. 4. How do we implement best practices in our organization? | Agency for Healthcare Research and Quality
      www.ahrq.gov/es/patient-safety/settings/hospital/resource/pressureulcer/tool/pu4.html
      October 01, 2014 - Preventing Pressure Ulcers in Hospitals 4. How do we implement best practices in our organization? Previous Page Next Page Table of Contents Preventing Pressure Ulcers in Hospitals Overview Key Subject Area Index 1. Are we ready for this change? 2. How will we manage change? 3. What are th…

3905. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49415/psn-pdf
      September 01, 2003 - Intubation Mishap September 1, 2003 Weinger MB, Blike G. Intubation Mishap. PSNet [internet]. 2003. https://psnet.ahrq.gov/web-mm/intubation-mishap Case Objectives To understand and apply a structured method of human factors case analysis To describe the key components of effective teamwork To understand the imp…

3906. Importance of Following Safe Practices for Infant Feeding and Handling Expressed Breast Milk | PSNet
      psnet.ahrq.gov/web-mm/importance-following-safe-practices-infant-feeding-and-handling-expressed-breast-milk
      January 31, 2024 - Importance of Following Safe Practices for Infant Feeding and Handling Expressed Breast Milk Citation Text: Shauer M, Perez DG, Chagolla B. Importance of Following Safe Practices for Infant Feeding and Handling Expressed Breast Milk. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quali…

3907. CDSiC Stakeholder Center Progress Report (pdf file)
      cdsic.ahrq.gov/sites/default/files/2024-07/CDSiC%20Stakeholder%20Center%20Quarterly%20Report%20Q2%202024_7.18.24.pdf
      January 01, 2024 - CDSiC Stakeholder Center Progress Report STAKEHOLDER CENTER PROGRESS REPORT J U N E 2 0 2 4 CDSiC Stakeholder Community and Outreach Center: Quarterly Report Agency for Healthcare Research and Quality 5600 Fishers Lane Rockville, MD 20857 www.ahrq.gov Contract No: 75Q80120D00018 Prepared …

3908. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/867359/psn-pdf
      December 18, 2024 - Importance of Following Safe Practices for Infant Feeding and Handling Expressed Breast Milk December 18, 2024 Shauer M, Perez DG, Chagolla B. Importance of Following Safe Practices for Infant Feeding and Handling Expressed Breast Milk. PSNet [internet]. 2024. https://psnet.ahrq.gov/web-mm/importance-following-saf…

3909. Counseling and Other Psychosocial Supports | The Academy
      integrationacademy.ahrq.gov/products/playbooks/moud-playbook/implementing-treatment/counseling-and-other-psychosocial-supports
      January 01, 2025 - An official website of the Department of Health & Human Services Search All AHRQ Sites Careers Contact Us Español FAQs Email Updates The Academy Integrating Behavioral Health & Primary Care Expand Navi…

3910. Hidden Danger! Insidious Postpartum Bleeding After Emergency Cesarean Delivery. | PSNet
      psnet.ahrq.gov/web-mm/hidden-danger-insidious-postpartum-bleeding-after-emergency-cesarean-delivery
      November 25, 2020 - Hidden Danger! Insidious Postpartum Bleeding After Emergency Cesarean Delivery. Citation Text: Leiserowitz GS, Hedriana H. Hidden Danger! Insidious Postpartum Bleeding After Emergency Cesarean Delivery.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health an…

3911. Syringe Swap During Regional Block: A Case of Medication Error and Recovery | PSNet
      psnet.ahrq.gov/web-mm/syringe-swap-during-regional-block-case-medication-error-and-recovery
      July 22, 2020 - Syringe Swap During Regional Block: A Case of Medication Error and Recovery Citation Text: Beres K, Gutierrez MC. Syringe Swap During Regional Block: A Case of Medication Error and Recovery.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Serv…

3912. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/867022/psn-pdf
      October 30, 2024 - Delayed Symptomatic Subdural Hematoma Following an Initially Normal CT Head October 30, 2024 Martin R, Shahlaie K. Delayed Symptomatic Subdural Hematoma Following an Initially Normal CT Head. PSNet [internet]. 2024. https://psnet.ahrq.gov/web-mm/delayed-symptomatic-subdural-hematoma-following-initially-normal-ct-h…

3913. Always Check the Muscle Twitch: Residual Neuromuscular Block After Removal of a Gastric Balloon | PSNet
      psnet.ahrq.gov/web-mm/always-check-muscle-twitch-residual-neuromuscular-block-after-removal-gastric-balloon
      January 29, 2021 - Always Check the Muscle Twitch: Residual Neuromuscular Block After Removal of a Gastric Balloon Citation Text: Bohringer C, Ashley S. Always Check the Muscle Twitch: Residual Neuromuscular Block After Removal of a Gastric Balloon. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality,…

3914. Evidence Report on the (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pdf/antidepressants-update_research-protocol.pdf
      July 13, 2011 - Evidence Report on the Source: www.effectivehealthcare.ahrq.gov Published Online: July 13, 2011 Evidence-based Practice Center Systematic Review Protocol Project Title: Comparative Effectiveness of Second Generation Antidepressants in the Pharmacologic Treatment of Adult Depression – An Update to a 20…

3915. 26,000 Close Call Reports: Lessons from the University of Texas Close Call Reporting System (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Simmons_66.pdf
      April 03, 2008 - 26,000 Close Call Reports: Lessons from the University of Texas Close Call Reporting System 26,000 Close Call Reports: Lessons from the University of Texas Close Call Reporting System Debora Simmons, RN, MSN, CCRN, CCNS; JoAnn Mick, PhD, RN, MBA, AOCN, CNAA, BC; Krisanne Graves, RN, BSN, CPHQ; Sharon K. Martin, ME…

3916. The PeaceHealth Ambulatory Medication Safety Culture Survey (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Stock_72.pdf
      January 01, 2007 - The PeaceHealth Ambulatory Medication Safety Culture Survey The PeaceHealth Ambulatory Medication Safety Culture Survey Ronald Stock, MD; Eldon R. Mahoney, PhD Abstract Objective: The objective of this project was to construct a measure of medication safety culture in ambulatory settings. Methods: A 16-it…

3917. Disposition of Comments_Comparative Effectiveness Review No. 260: Nutrition as Prevention for Improved Cancer Health Outcomes (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/cer-260-improved-cancer-outcomes-disposition-comments.pdf
      May 22, 2023 - Disposition of Comments_Comparative Effectiveness Review No. 260: Nutrition as Prevention for Improved Cancer Health Outcomes Comparative Effectiveness Review Disposition of Comments Report Title: Nutrition as Prevention for Improved Cancer Health Outcomes Draft report available for public comment…

3918. Meeting Minutes, November 2022 | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/events/nac/2022-11-nac/nacmtg111722-minutes.html
      July 01, 2023 - Meeting Minutes, November 2022 Virtual Meeting Minutes from the November 17, 2022, meeting of the Agency for Healthcare Research and Quality's National Advisory Council. Contents Summary Call to Order and Approval of July 21, 2022, Meeting Summary AHRQ Director’s Highlights Update on AHRQ Efforts to…

3919. Translation Guidelines for the AHRQ Surveys on Patient Safety Culture™ (SOPS®) (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/Translation-Guidelines-SOPS-090222.pdf
      September 02, 2022 - Translation Guidelines for the AHRQ Surveys on Patient Safety Culture™ (SOPS®) Guidelines for Translating SOPS® Surveys - Updated 9/2/2022 1 Translation Guidelines for the AHRQ Surveys on Patient Safety Culture™ (SOPS®) Prepared by Westat 1600 Research Blvd. Rockville, MD 20850 under contract number HHSA 2…

3920. Assembleteam (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/assemble/assembleteam.docx
      June 02, 2025 - SAY: The “Assemble the Team” module of the Comprehensive Unit-based Safety Program (or CUSP) Toolkit addresses CUSP team composition for your quality improvement initiative. This module will help you understand five concepts: the importance of teamwork and team composition to the CUSP initiative, developing a strategy …