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7021. Microsoft PowerPoint - Spotlight Case_A Missed Bowel Perforation - SLIDES_FINAL.pptx (pdf file)
      psnet.ahrq.gov/sites/default/files/2023-09/a_missed_bowel_perforation_-_the_importance_of_diagnostic_reasoning.pdf
      January 01, 2023 - Microsoft PowerPoint - Spotlight Case_A Missed Bowel Perforation - SLIDES_FINAL.pptx Spotlight A Missed Bowel Perforation – the Importance of Diagnostic Reasoning Source and Credits • This presentation is based on the September 2023 AHRQ WebM&M Spotlight Case o See the full article at https://psnet.ahrq.gov/web…

7022. Sensemakingnotes (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/identify/sensemakingnotes.docx
      June 02, 2025 - SAY: The “Identify Defects Through Sensemaking” module of the Comprehensive Unit-based Safety Program (or CUSP) Toolkit will help you identify recurring defects in your system and apply CUSP and Sensemaking tools to help reduce the risk of future harm to your patients. Slide 1 SAY: Some of the tools that will help…

7023. PowerPoint Presentation
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/educational-bundles/infection-prevention/environment-and-equipment/environment-equipment.pptx
      March 01, 2017 - PowerPoint Presentation Clean Equipment and Environment Promotes Safe Resident Care Training Module 2 AHRQ Pub. No. 16(17)-0003-9-EF March 2017 AHRQ Safety Program for Long-Term Care: HAIs/CAUTI Welcome to training module two titled, “Clean Equipment and Environment Promotes Safe Resident Care.” This is the sec…

7024. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/846126/psn-pdf
      March 09, 2023 - Medication Handling and Compounding Errors in the Operating Room. March 15, 2023 Chaudhry J, Manning C, Dakwa D, et al. Medication Handling and Compounding Errors in the Operating Room. PSNet [internet]. 2023. https://psnet.ahrq.gov/web-mm/medication-handling-and-compounding-errors-operating-room The Case A 62-y…

7025. Medicamentos para tratar el trastorno por consumo de alcohol: Revisión de la investigación para adultos (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pdf/alcohol-misuse-drug-therapy_espanol.pdf
      November 01, 2016 - Medicamentos para tratar el trastorno por consumo de alcohol: Revisión de la investigación para adultos Medicamentos para tratar el trastorno por consumo de alcohol: Revisión de la investigación para adultos � ¿Es esta información apropiada para mí? Sí, esta información es apropiada para usted si: � Su médic…

7026. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/867497/psn-pdf
      February 26, 2025 - Retained Surgical Items: Causation and Prevention February 26, 2025 Gibbs V, Romano P. Retained Surgical Items: Causation and Prevention. PSNet [internet]. 2025. https://psnet.ahrq.gov/primer/retained-surgical-items-causation-and-prevention Background A retained surgical item (RSI) is a surgical patient safety pro…

7027. Spotlight (pdf file)
      psnet.ahrq.gov/sites/default/files/2022-08/final_spotlight_latex_allergies-slides.pdf
      January 01, 2022 - Spotlight Spotlight Perioperative Anaphylaxis After Insertion of a Latex Drain in a Patient with Known Latex Allergy Source and Credits • This presentation is based on the August 2022 AHRQ WebM&M Spotlight Case o See the full article at https://psnet.ahrq.gov/webmm o CME credit is available o Commentary by K…

7028. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/866261/psn-pdf
      July 10, 2024 - Missed Compartment Syndrome after Steep Lithotomy Position for Laparoscopic Gynecological Surgery July 10, 2024 Bohringer C, Chavez G. Missed Compartment Syndrome after Steep Lithotomy Position for Laparoscopic Gynecological Surgery. PSNet [internet]. 2024. https://psnet.ahrq.gov/web-mm/missed-compartment-syndrome…

7029. A Fatal Twist in Pseudohyperkalemia | PSNet
      psnet.ahrq.gov/web-mm/fatal-twist-pseudohyperkalemia
      February 10, 2021 - SPOTLIGHT CASE A Fatal Twist in Pseudohyperkalemia Citation Text: Devera JL, Barnes DK, Lewis WR. A Fatal Twist in Pseudohyperkalemia. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2024. Copy Citation Format: …

7030. Fiscal Year 2011 Research on Child and Adolescent Health | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/factsheets/children/new-starts/2011.html
      October 01, 2014 - Fiscal Year 2011 Research on Child and Adolescent Health New Starts This fact sheet summarizes new grants and contracts focused on child and adolescent health and health care—including research, conference, and training projects, as well as other initiatives—funded in FY 2011 by the Agency for Hea…

7031. Patient-Centered Outcomes Research Clinical Decision Support (CDS) Connect | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/patient-centered-outcomes-research-clinical-decision-support-cds-connect
      August 29, 2024 - Patient-Centered Outcomes Research Clinical Decision Support (CDS) Connect Project Final Report ( PDF , 803.9 KB) Disclaimer Disclaimer The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessarily represent…

7032. CDSiC Innovation Center: Quarterly Report (pdf file)
      cdsic.ahrq.gov/sites/default/files/2024-05/Innovation%20Center%20Q1%202024%20Progress%20Report.pdf
      January 01, 2024 - CDSiC Innovation Center: Quarterly Report INNOVATION CENTER PROGRESS REPORT M A R C H 2 0 2 4 CDSiC Innovation Center: Quarterly Report Agency for Healthcare Research and Quality 5600 Fishers Lane Rockville, MD 20857 www.ahrq.gov Contract No: 75Q80120D00018 Prepared by: NORC at the Univer…

7033. AHRQ Projects Funded by the Patient-Centered Outcomes Research Trust Fund | Agency for Healthcare Research and Quality
      www.ahrq.gov/funding/training-grants/pcor/pcortf-di.html
      January 01, 2016 - AHRQ Projects Funded by the Patient-Centered Outcomes Research Trust Fund Dissemination and Implementation The Agency for Healthcare Research and Quality's (AHRQ) Patient-Centered Outcomes Research Trust Fund projects for training and career development and dissemination and implementation AHRQ uses some of…

7034. Meeting Minutes, July 2021 | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/events/nac/2021-07-nac/nacmtg071421-minutes.html
      December 01, 2021 - Meeting Minutes, July 2021 Virtual Meeting Minutes from the July 14, 2021, virtual meeting of the Agency for Healthcare Research and Quality's National Advisory Council. Contents Summary Call to Order and Approval of March 18, 2021, Meeting Summary Recent AHRQ Accomplishments AHRQ Budget Opportuniti…

7035. 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,…

7036. AHRQ Safety Program for MRSA Prevention: Targeting SSI
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/014-ss-cleaning.pptx
      April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI AHRQ Safety Program for MRSA Prevention: Targeting SSI Optimizing Environmental Cleaning Surgical Services For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries AHRQ Pub. No. 25-0029 April 2025 AHRQ Safety Program for MRSA Prevention | Surgic…

7037. 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…

7038. Risk Reduction and Systematic Error Management: Standardization of the Pediatric Chemotherapy Process (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-David_13.pdf
      March 19, 2008 - Risk Reduction and Systematic Error Management: Standardization of the Pediatric Chemotherapy Process Risk Reduction and Systematic Error Management: Standardization of the Pediatric Chemotherapy Process Beverly Ann David, PhD; Ana Rodriguez, PharmD; Stanley W. Marks, MD Abstract There is an urgent need to m…

7039. Evidence Report on the (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pdf/arthritis-psoriatric_research-protocol.pdf
      December 06, 2010 - Evidence Report on the Source: www.effectivehealthcare.ahrq.gov Published Online: December 6, 2010 Evidence-based Practice Center Systematic Review Protocol Project Title: Comparative Effectiveness of Drug Therapy for Psoriatic Arthritis in Adults – Update Amendment Date(s) if applicable: (Amendments…

7040. Computerized Definitions Showed High Positive Predictive Values for Identifying Reasons for Hospitalizations in a Medicaid Population with Rheumatoid Arthritis (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pdf/rheumatoid-arthritis-hospitalizations_research.pdf
      October 01, 2008 - Computerized Definitions Showed High Positive Predictive Values for Identifying Reasons for Hospitalizations in a Medicaid Population with Rheumatoid Arthritis The DEcIDE (Developing Evidence to Inform Decisions about Effectiveness) network is part of AHRQ’s Effective Health Care Program. It is a collaborative ne…