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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851555/psn-pdf
    July 31, 2023 - Bandemia as a Harbinger of Stercoral Colitis and Impending Perforation July 31, 2023 Flynn S, Barnes DK. Bandemia as a Harbinger of Stercoral Colitis and Impending Perforation. PSNet [internet]. 2023. https://psnet.ahrq.gov/web-mm/bandemia-harbinger-stercoral-colitis-and-impending-perforation The Case A 56-year-…
  2. www.ahrq.gov/sites/default/files/2024-09/etchegaray3-report.pdf
    January 01, 2024 - Linking Characteristics of High-Performing Hospitals With Patient Safety Linking characteristics of high-performing hospitals with patient safety Principal Investigator: Jason M. Etchegaray, PhD Mentor: Eric J. Thomas, MD, MPH The University of Texas Medical School at Houston and The University of Texas H…
  3. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/147-cusp-roles-responsibilities-tool.docx
    June 02, 2025 - AHRQ Safety Program for MRSA Prevention Core CUSP Team Member Roles & Responsibilities How To Use This Tool This tool identifies core Comprehensive Unit-based Safety Program (CUSP) team members and describes individual roles and responsibilities. For best results, each team member should: · Review expectations associa…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49706/psn-pdf
    January 01, 2015 - Clostridium Difficile Relapse Secondary to Medication Access Issue April 1, 2014 Walker PC, Nagel J. Clostridium Difficile Relapse Secondary to Medication Access Issue. PSNet [internet]. 2014. https://psnet.ahrq.gov/web-mm/clostridium-difficile-relapse-secondary-medication-access-issue The Case A 24-year-old wom…
  5. www.ahrq.gov/hai/cauti-tools/archived-webinars/no-more-cauti-preventing-cauti-transcript.html
    November 01, 2015 - No More CAUTI: Preventing Catheter-Associated Urinary Tract Infections Webinar Transcript On the CUSP: Stop CAUTI in the ED ED Mini-Presentation to Accompany May 5, 2015 ED Coaching Call Jeannine: Hello everyone, and thank you for listening today. My name is Jeannine [Risinger 00:04], and I'm a program man…
  6. www.ahrq.gov/hai/cauti-tools/archived-webinars/no-more-cauti-transcript.html
    December 01, 2017 - No More CAUTI: Preventing Catheter-Associated Urinary Tract Infections Webinar Transcript On the CUSP: Stop CAUTI in the ED ED Mini-Presentation to Accompany May 5, 2015 ED Coaching Call Jeannine: Hello everyone, and thank you for listening today. My name is Jeannine [Risinger 00:04], and I'm a program m…
  7. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/No_More_CAUTI_Preventing_CAUTI_transcript.docx
    May 05, 2015 - On the CUSP: Stop CAUTI in the ED ED Mini-Presentation to Accompany May 5, 2015 ED Coaching Call Jeannine: Hello everyone, and thank you for listening today. My name is Jeannine [Risinger 00:04], and I'm a program manager with the health research and educational trust. Welcome to the third mini presentation and the CA…
  8. www.ahrq.gov/hai/tools/mvp/modules/cusp/assess-psc-hsop-fac-guide.html
    February 01, 2017 - Assess Patient Safety Culture Using the Hospital Survey on Patient Safety: Facilitator Guide AHRQ Safety Program for Mechanically Ventilated Patients Slide 1: Assess Patient Safety Culture Using the Hospital Survey on Patient Safety Say: In this module, we will introduce the Hospital Survey on Patient S…
  9. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/understand/understand-facilitator-guide.pdf
    May 01, 2017 - Understand the Science of Safety for Perinatal Safety AHRQ Safety Program for Perinatal Care Understand the Science of Safety for Perinatal Safety AHRQ Publication No. 17-0003-4-EF May 2017 SAY: The Understand the Science of Safety module of the AHRQ Safety Program for Perinatal Care discusses the importan…
  10. www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/safe-electronic-tool.html
    July 01, 2023 - Monitoring for Perinatal Safety: Electronic Fetal Monitoring AHRQ Safety Program for Perinatal Care Purpose of the tool: This tool describes the key perinatal safety elements that support the use of electronic fetal monitoring (EFM). The key safety elements are presented within the framework of t…
  11. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/situ/simulation_ut-tachysystole.docx
    May 01, 2017 - AHRQ Safety Program for Perinatal Care: Sample Scenario or Uterine Tachysystole In Site Simulation AHRQ Safety Program for Perinatal Care Sample Scenario for Uterine Tachysystole In Situ Simulation Sample Scenario for Uterine Tachysystole In Situ Simulation Purpose of the tool: The Uterine Tachysystole In Situ Simul…
  12. www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/situ/simulation-vbac-ab-pain.html
    July 01, 2023 - Sample Scenario for Severe Abdominal Pain/VBAC In Situ Simulation AHRQ Safety Program for Perinatal Care Purpose of the tool: The Severe Abdominal Pain/VBAC (vaginal birth after cesarean) In Situ Simulation tool provides a sample scenario for labor and delivery (L&D) staff to practice teamwork, c…
  13. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/situ/simulation_vbac-abpain.docx
    May 01, 2017 - Sample Scenario for Magnesium Toxicity In Situ Simulation AHRQ Safety Program for Perinatal Care Sample Scenario for Severe Abdominal Pain/VBAC In Situ Simulation Sample Scenario for Severe Abdominal Pain/VBAC In Situ Simulation Purpose of the tool: The Severe Abdominal Pain/VBAC (vaginal birth after cesarean) In Si…
  14. www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/situ/simulation-ut-tachysystole.html
    July 01, 2023 - Sample Scenario for Uterine Tachysystole In Situ Simulation AHRQ Safety Program for Perinatal Care Purpose of the tool: The Uterine Tachysystole In Situ Simulation tool provides a sample scenario for labor and delivery (L&D) staff to practice teamwork, communication, and technical skills in the …
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33733/psn-pdf
    July 01, 2012 - Patient Safety and Health Information Technology: Learning from Our Mistakes July 1, 2012 Koppel R. Patient Safety and Health Information Technology: Learning from Our Mistakes. PSNet [internet]. 2012. https://psnet.ahrq.gov/perspective/patient-safety-and-health-information-technology-learning-our-mistakes Perspe…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49863/psn-pdf
    May 01, 2019 - Good Catch in the Operating Room May 1, 2019 Day J, Paige JT. Good Catch in the Operating Room. PSNet [internet]. 2019. https://psnet.ahrq.gov/web-mm/good-catch-operating-room The Case A 46-year-old woman with extensive history of back pain from lumbar stenosis was scheduled for an elective laminectomy and spinal…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49662/psn-pdf
    August 01, 2012 - Wrong Turn through Colon: Misplaced PEG August 1, 2012 Sorokin R, Conn M. Wrong Turn through Colon: Misplaced PEG. PSNet [internet]. 2012. https://psnet.ahrq.gov/web-mm/wrong-turn-through-colon-misplaced-peg The Case An 87-year-old man was admitted for congestive heart failure (CHF) exacerbation. In addition, a pa…
  18. psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.323_slideshow.ppt
    May 01, 2014 - PowerPoint Presentation Spotlight Medication Reconciliation With a Twist (or Dare We Say, a Patch?) This presentation is based on the May 2014 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available Commentary by: Janice Kwan, MD, Department of Medicine, University of Tor…
  19. cds.ahrq.gov/sites/default/files/cds/artifact/76/Implementation%20Guide_Longitudinal%20ASCVD%20Risk%20Assessment%20Tool%20for%20Shared%20Decision%20Making_Final_0.docx
    October 01, 2017 - Suggested Citation Suggested citation: Ricciardelli P, Sebastian S, Teich, J. … Summary of the Clinical Statement 2 Primary Use Cases 3 Additional Use Cases 5 Recommendations and Suggested … and provide access to CDS artifacts, including text and computable versions of the decision logic; suggested … trigger events; text recommendations and suggested actions; and metadata, including original evidence … Recommendations and Suggested Actions The recommendations, warnings, and interventions provided by this
  20. cds.ahrq.gov/sites/default/files/cds/artifact/81/Implementation%20Guide_Longitudinal%20ASCVD%20Risk%20Assessment%20Tool%20for%20Updated%20Risk_Final_0.docx
    October 01, 2017 - Suggested Citation Suggested citation: Ricciardelli P, Sebastian S, Teich, J. … Summary of the Clinical Statement 2 Primary Use Cases 3 Additional Use Cases 4 Recommendations and Suggested … and provide access to CDS artifacts, including text and computable versions of the decision logic; suggested … trigger events; text recommendations and suggested actions; and metadata, including original evidence … Recommendations and Suggested Actions The recommendations, warnings, and interventions provided by this