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6581. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34778/psn-pdf
      December 23, 2008 - Anesthetic mishaps: breaking the chain of accident evolution. December 23, 2008 Gaba DM, Maxwell M, DeAnda A. Anesthetic mishaps: breaking the chain of accident evolution. Anesthesiology. 1987;66(5):670-6. https://psnet.ahrq.gov/issue/anesthetic-mishaps-breaking-chain-accident-evolution A review of anesthesia saf…

6582. Spotlight (pdf file)
      psnet.ahrq.gov/sites/default/files/2020-03/final_spotlight_case_delays_in_the_ed_powerpoint_for_cme_review_03.09.2020.pdf
      January 01, 2020 - Spotlight Spotlight Some Patients Can’t Wait: Improving Timeliness of Emergency Department Care Source and Credits • This presentation is based on the 2020 AHRQ WebM&M Spotlight Case ○ See the full article at https://psnet.ahrq.gov/webmm • Commentary by: David K. Barnes, MD, FACEP and Rita Chang, MD ○ Editor…

6583. How are CHIPRA quality demonstration States working together to improve the quality of health care for children? | Agency for Healthcare Research and Quality
      www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/highlight06.html
      January 01, 2014 - How are CHIPRA quality demonstration States working together to improve the quality of health care for children? Evaluation Highlight No. 6 Authors: Dana Petersen, Henry Ireys, Grace Ferry, and Leslie Foster Contents Key Messages Background Findings Conclusion Implications Learn More Endno…

6584. An Overview of the CANDOR Process
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module4/module4-event-reporting-investigation-analysis.pptx
      September 10, 2015 - An Overview of the CANDOR Process Communication and Optimal Resolution (CANDOR) Toolkit Module 4: Event Reporting, Event Investigation and Analysis Module 4 of the CANDOR Toolkit covers the Event Reporting, Event Investigation, and Analysis component of the CANDOR process. 1 Objectives Define the key elements …

6585. Mod01-Grand-Rounds-Slides (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/grandrounds/mod01-grand-rounds-slides.pdf
      April 01, 2016 - Say: This presentation will introduce you to Communication and Optimal Resolution, or the CANDOR process. Some organizations struggle to improve the way they and their care teams respond to medical harm. The CANDOR process aims to change that. Slide 1 Say: To get started, let’s watch this video. Video: Do Less…

6586. Grand Rounds Presentation | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/candor/grand-rounds.html
      August 01, 2022 - Grand Rounds Presentation AHRQ Communication and Optimal Resolution Toolkit Say: This presentation will introduce you to Communication and Optimal Resolution, or the CANDOR process. Some organizations struggle to improve the way they and their care teams respond to medical harm. The CANDOR process a…

6587. INTEGRATING CARDIOVASCULAR DISEASE RISK CALCULATORS INTO PRIMARY CARE (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/heart-health/cvd-risk-calculator.pdf
      February 01, 2022 - INTEGRATING CARDIOVASCULAR DISEASE RISK CALCULATORS INTO PRIMARY CARE NATIONAL CENTER FOR EXCELLENCE IN PRIMARY CARE RESEARCH INTEGRATING CARDIOVASCULAR DISEASE RISK CALCULATORS INTO PRIMARY CARE This brief guide is designed for practice facilitators and primary care practices who may be intere…

6588. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49636/psn-pdf
      October 01, 2011 - Mobility Lost in the ICU October 1, 2011 Smith J. Mobility Lost in the ICU. PSNet [internet]. 2011. https://psnet.ahrq.gov/web-mm/mobility-lost-icu Case Objectives Describe the role of the physical therapist in the hospital and ICU. Compare the risks from immobility with the benefits gained from a program of ther…

6589. Interdisciplinary teamwork | PSNet
      psnet.ahrq.gov/curated-library/interdisciplinary-teamwork
      November 10, 2025 - Breadcrumb Home The PSNet Collection Curated Libraries Subscribed Interdisciplinary teamwork  Download  Share Facebook Twitter Linkedin Copy URL Subscribe Created By: Lorri Zipperer, Cybrarian, AHRQ PSNet T…

6590. Payment and Reimbursement | The Academy
      integrationacademy.ahrq.gov/products/playbooks/moud-playbook/implementing-treatment/payment-and-reimbursement
      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…

6591. Project ECHO: Extension for Community Healthcare Outcomes | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/project-echo-extension-community-healthcare-outcomes
      January 01, 2023 - Project ECHO: Extension for Community Healthcare Outcomes Project Final Report ( PDF , 1.59 MB) 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 the views of AHR…

6592. CLABSI Investigation Process: Walk the Process (Transcript) | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cusp/toolkit/content-calls/clabsi-invest.html
      April 01, 2013 - CLABSI Investigation Process: Walk the Process (Transcript) September 14, 2010 Operator: Good day, ladies and gentlemen and welcome to the CUSP content call. At this time, all participants are in a listen-only mode. Later, we will have a question-and-answer session, and instructions will be given at that tim…

6593. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49723/psn-pdf
      January 01, 2015 - Having a centralized monitoring station with insufficient number of available, well trained, vigilant

6594. NAA National Webinar May 2024 - Understanding and Operationalizing the National Action Alliance Aim #1: Advance Organizational Safety Strategies Using National Action Plan Foundations (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/advance-organizational-safety-strategies-slides.pdf
      June 18, 2024 - Committee - Micro, Meso, Macro - Safety Events o Aligned with Patient Safety Event Response o Trained

6595. Advancing the Science and Implementation of Patient Narratives: Summary of Presentations (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-patient-narratives-presentations-summary.pdf
      January 01, 2022 - They trained the tool to identify key themes in a given narrative by using a training file that included

6596. Documentation and Coding for Patient Safety Indicators (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/b4_combo_documentationcoding.pdf
      March 15, 2016 - Hospitals may choose to form a CDI team consisting of trained nurses, coders, and other specialists

6597. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37134/psn-pdf
      March 23, 2011 - Effect of crew resource management on diabetes care and patient outcomes in an inner-city primary care clinic. March 23, 2011 Taylor CR, Hepworth JT, Buerhaus P, et al. Effect of crew resource management on diabetes care and patient outcomes in an inner-city primary care clinic. Qual Saf Health Care. 2007;16(4):244…

6598. Patient Self-Management | Agency for Healthcare Research and Quality
      www.ahrq.gov/topics/patient-self-management.html
      Topic: Patient Self-Management AHRQ has resources to help primary care clinicians and teams learn about and implement self-management support, which includes involving the whole care team in planning, carrying out, and following up on a patient visit; planning patient visits that focus on prevention and care manageme…

6599. Figure 3: Framework for AMD Rehabilitation | Agency for Healthcare Research and Quality
      www.ahrq.gov/prevention/resources/vision/visfig3.html
      October 01, 2002 - Figure 3: Framework for AMD Rehabilitation Vision Rehabilitation: Care and Benefit Plan Models: Literature Review Text Description Figure 3 applies the rehabilitation framework illustrated in Figure 1 to age-related macular degeneration (AMD). People with AMD usually do not receive medical interventions…

6600. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47892/psn-pdf
      March 27, 2019 - Addressing medicine's bias against patients who are overweight. March 27, 2019 Rubin R. Addressing Medicine's Bias Against Patients Who Are Overweight. JAMA. 2019;321(10):925-927. doi:10.1001/jama.2019.0048. https://psnet.ahrq.gov/issue/addressing-medicines-bias-against-patients-who-are-overweight Patients with o…