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421. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/865429/psn-pdf
     April 24, 2024 - Unintended mechanical overdistension of the atria when blood is re-infused from the bypass machine back … For this reason, the clinicians in this case were trying to rapidly cardiovert the patient back to sinus … As soon as electrocautery is no longer needed, the setting on the pacing box should be changed back … in VF, the team would have had to re-cannulate the right atrium, re-heparinize the patient and go back … Cardiac OR staff should always be prepared to put their patient back on bypass urgently if VF or other

422. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33822/psn-pdf
     January 01, 2017 - PO: I have to go back in my career a little bit. … I have a long-standing engagement with health and medical care going back to the 1960s. … PO: When I was at Alcoa, I created the Alcoa University and offered to teach people in the community … So you're no longer taking care of four patients; you're sitting on your butt waiting for your back … One thing you have to do is beat back the legal staff who don't want you to tell anybody that there

423. Improving Nonsurgical Management of Urinary Incontinence in Women (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/projects/urinary/managing-urinary-incontinence-slides.pdf
     October 14, 2022 - Identify, Teach and Treat (IT2) Kimberly Kenton MD, MS, FACOG, FACS Arthur Hale Curtis Professor of … UI Resource Pocket Card Front and Back UI Information Sheet for Providers Front and Back … Project Goal Populations of Focus Project Features Patient Impact Provider Impact Identify, Teach

424. Spotlight (pdf file)
     psnet.ahrq.gov/sites/default/files/2024-04/spotlight_case_missed_connection-a_case_of_inadequate_ecg_oversight_in_cardiac_surgery_slides_-_final.pdf
     January 01, 2024 - Unintended mechanical overdistension of the atria when blood is re-infused from the bypass machine back … • For this reason, the clinicians in this case were trying to rapidly cardiovert the patient back … – As soon as electrocautery is no longer needed, the setting on the pacing box should be changed back … restored rapidly, the right atrial appendage should be re-cannulated so the patient can be placed back … in VF, the team would have had to re-cannulate the right atrium, re-heparinize the patient and go back

425. Health literacy and medication understanding among hospitalized adults. | PSNet
     psnet.ahrq.gov/issue/health-literacy-and-medication-understanding-among-hospitalized-adults
     April 05, 2013 - Study Health literacy and medication understanding among hospitalized adults. Citation Text: Marvanova M, Roumie CL, Eden SK, et al. Health literacy and medication understanding among hospitalized adults. J Hosp Med. 2011;6(9):488-93. doi:10.1002/jhm.925. Copy Citation Format: …

426. Spotlight (ppt file)
     psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.461_slideshow.ppt
     November 01, 2018 - The medical student remained for the 2-hour scan and helped transport the patient back upstairs. … Med Teach. 2007;29:2-19. https://www.ncbi.nlm.nih.gov/pubmed/17538823 * The Entrustment Decision

427. The Literature on Health Care Simulation Education: What Does It Show? | PSNet
     psnet.ahrq.gov/perspective/literature-health-care-simulation-education-what-does-it-show
     March 01, 2013 - feedback.( 2 ) While these assertions have prima facie credibility, it seems reasonable to take a step back … Med Teach. 2013;35:e844-e875. [go to PubMed] 6. Cook DA, Hatala R, Brydges R, et al. … If you teach them, they will learn: why medical education needs comparative effectiveness research. … Some people push back and say, "The evidence is not strong enough and doing it is too expensive," despite … would probably be no reason for doing it with relatively experienced people and we'd just let them go back

428. Final Progress Report: Development of an Education Intervention for Triage Interruption Management (pdf file)
     www.ahrq.gov/sites/default/files/2024-05/johnson-ying-report.pdf
     January 01, 2024 - developed and preliminary test a short (2- hour) simulation scenario with an educational component to teach … experts in operations management, emergency nursing, and education agree that creating simulations to teach … We have shown the feasibility of using these simulation experiences to teach strategies to manage interruptions … of LI Headings Rule Name Status Description Appropriate nesting Passed Appropriate nesting Back

429. Sources of NIS Data and State-Specific Restrictions 2005
     hcup-us.ahrq.gov/db/nation/nis/nis_2005_stspecific_restr.jsp
     January 01, 2005 - Privacy Notice , Viewers & Players Last modified 7/23/07 Back to Top

430. The critical incident technique. | PSNet
     psnet.ahrq.gov/issue/critical-incident-technique
     January 07, 2015 - describes the development of the "critical incident technique," the history of its evolution dating back

431. Best Practices: How Successful Units Engaged Their Senior Executive Leaders (Transcript) | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cusp/toolkit/content-calls/best-practices.html
     April 01, 2013 - You know, this all got started way back for us in September of 2009 when we had identified through our … One thing I want to kind of get back into as far as challenges in senior leadership: we were very fortunate … While we started our project way back when, and it seems like decades ago when, in fact, that wasn’t … And all of that information is pressed down and also shared back up again to a senior admin and board … You talk about you teach the process to new graduate nurses during their orientation so they start out

432. HCUP Sample Design: National Databases - Accessible Version
     hcup-us.ahrq.gov/tech_assist/sampledesign/508_compliance/index508_2018.jsp
     January 01, 2018 - Privacy Notice , Viewers & Players Last modified 11/5/18 Back to Top

433. Section 2: Explanation of Key Concepts and Tools | Agency for Healthcare Research and Quality
     www.ahrq.gov/teamstepps-program/curriculum/situation/tools/index.html
     June 01, 2023 - If you teach this content or want additional insights on how the material can be more fully learned, … Enabling team members to back up and fill in for each other.  … If someone holds back information or is ignored by other team members, patient care can be compromised

434. Strategy 2: Communicating to Improve Quality (Tool 3) (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy2/Strat2_Tool_3_Get_to_Know_508.docx
     June 02, 2025 - If they don’t have the answers, they will find out and get back to you.

435. Strategy 2: Communicating to Improve Quality (Tool 3) (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy2/Strat2_Tool_3_Get_to_Know_508.pdf
     June 02, 2025 - If they don’t have the answers, they will find out and get back to you.

436. The Comprehensive Unit-based Safety Program (CUSP) for MRSA Prevention | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/mrsa-prevention/toolkit/cusp.html
     October 01, 2024 - In this section, we take a step back and observe the impact of medical errors and preventable harm and

437. Prologue: Laying the Foundation (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Prologue_Henriksen_Vol1.pdf
     June 02, 2025 - disappear into data graveyards, and that useful information for system improvement is faithfully reported back

438. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33644/psn-pdf
     December 01, 2006 - Health Policy, Management, and BehaviorSchool of Public Health, University of Albany, SUNY References Back … Table Back to Top Incremental Change Leading to Permanent Culture Change: An Example Using the Residents

439. Creating a Learning Health Care System: The Role of Practice Facilitators in Primary Care (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/webinar_summary.pdf
     August 02, 2017 - That critical information can then be brought back to clinicians at the point of care. … PFs can teach models and techniques that encourage learning, like the Model for Improvement. … Webinar Summary 8 AHRQ | EvidenceNOW Overall, practice facilitation is best when it’s a “teach

440. Establishing a Safety Culture: Thinking Small | PSNet
     psnet.ahrq.gov/perspective/establishing-safety-culture-thinking-small
     December 01, 2006 - Policy, Management, and BehaviorSchool of Public Health, University of Albany, SUNY References Back … Table Back to Top Incremental Change Leading to Permanent Culture Change: An Example Using the Residents … RW: How do you relate this back to a policy level? BS: Keep it evidence based, period.