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9301. S13 (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/s13.pdf
      October 01, 2007 - ORIGINAL ARTICLE Methodologic Challenges to Studying Patient Safety and Comparative Effectiveness Brian L. Strom MD, MPH Abstract: Studies of patient safety and comparative effectiveness entail unique methodologic challenges. These studies may be sus- ceptible to systematic error, including selection bias, exposure …

9302. AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention Facilitator Training (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/fallspximpl-ig.pdf
      June 02, 2025 - AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention Facilitator Training AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention 1 On-Time Falls Prevention: Implementation AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention Facilitator Training Implementatio…

9303. Improving Uptake and Use of Personal Health Records - Final Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/publication/r18hs018656-bates-final-report-2012.pdf
      January 01, 2012 - Improving Uptake and Use of Personal Health Records - Final Report 1 Project Title: Improving Uptake and Use of Personal Health Records Principal Investigator: Bates, David W. M.D., M.Sc. Organization: Brigham and Women's Hospital Mechanism: PAR: HS08-270: Utilizing Health Information Technology (IT) to Impr…

9304. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49399/psn-pdf
      May 01, 2003 - Ectopic or Not? May 1, 2003 Givens VM, Lipscomb GH. Ectopic or Not? PSNet [internet]. 2003. https://psnet.ahrq.gov/web-mm/ectopic-or-not The Case The patient is a 24-year-old woman, gravida 4, para 1, ectopic 1, at 6 weeks from her last menstrual period. She presents to the emergency department with a 3-day histo…

9305. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49794/psn-pdf
      May 01, 2017 - Communication Error in a Closed ICU May 1, 2017 Haas B, Conn LG. Communication Error in a Closed ICU. PSNet [internet]. 2017. https://psnet.ahrq.gov/web-mm/communication-error-closed-icu The Case A 70-year-old man with a complex medical history including end-stage renal disease (status post kidney transplant), co…

9306. Final Progress Report: An Intervention to Reduce Falls Among Adults with Intellectual Disability (pdf file)
      www.ahrq.gov/sites/default/files/2024-04/bonardi-report.pdf
      January 01, 2024 - Final Progress Report: An Intervention to Reduce Falls Among Adults with Intellectual Disability Final Progress Report: An Intervention to Reduce Falls Among Adults with Intellectual Disability R03 HS022353-02 Title of Project: An Intervention to Reduce Falls Among Adults with Intellectual Disability Principal Inv…

9307. Allergy to Holter | PSNet
      psnet.ahrq.gov/web-mm/allergy-holter
      May 01, 2008 - Allergy to Holter Citation Text: Williams M. Allergy to Holter. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2004. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

9308. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49775/psn-pdf
      November 01, 2016 - Unexpected Drawbacks of Electronic Order Sets November 1, 2016 McGreevey JD. Unexpected Drawbacks of Electronic Order Sets. PSNet [internet]. 2016. https://psnet.ahrq.gov/web-mm/unexpected-drawbacks-electronic-order-sets The Case A 70-year-old man with stage 4 prostate cancer presented to the emergency department …

9309. 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-…

9310. How PSOs Help Health Care Organizations Improve Patient Safety Culture (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/npsd/npsd-patient-safety-culture-brief.pdf
      September 01, 2016 - How PSOs Help Health Care Organizations Improve Patient Safety Culture How PSOs Help Health Care Organizations Improve Patient Safety Culture Developing a culture of safety is an essential task for health care organizations as they strive to eliminate the factors that contribute to medical errors, patient harm, …

9311. 147-Cusp-Roles-Responsibilities-Tool (doc file)
      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…

9312. 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…

9313. No More CAUTI: Preventing Catheter-Associated Urinary Tract Infections | Agency for Healthcare Research and Quality
      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…

9314. No More CAUTI: Preventing Catheter-Associated Urinary Tract Infections | Agency for Healthcare Research and Quality
      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…

9315. No More Cauti Preventing Cauti Transcript (doc file)
      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…

9316. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49728/psn-pdf
      March 01, 2015 - Medication Mix-Up: From Bad to Worse March 1, 2015 Wollitz A, O'Connor MF. Medication Mix-Up: From Bad to Worse. PSNet [internet]. 2015. https://psnet.ahrq.gov/web-mm/medication-mix-bad-worse The Case A 69-year-old man with chronic kidney disease and essential hypertension was admitted to the hospital with chest …

9317. Understand the Science of Safety for Perinatal Safety (pdf file)
      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…

9318. Monitoring for Perinatal Safety: Electronic Fetal Monitoring | Agency for Healthcare Research and Quality
      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…

9319. AHRQ Safety Program for Perinatal Care: Sample Scenario or Uterine Tachysystole In Site Simulation (doc file)
      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…

9320. Sample Scenario for Severe Abdominal Pain/VBAC In Situ Simulation | Agency for Healthcare Research and Quality
      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…