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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50769/psn-pdf
    February 15, 2017 - Cultural Competence and Patient Safety December 27, 2019 Brach C, Hall KK, Fitall E. Cultural Competence and Patient Safety. PSNet [internet]. 2019. https://psnet.ahrq.gov/perspective/cultural-competence-and-patient-safety Background   Culture can be defined as the “personal identification, language, thoughts, co…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/857260/psn-pdf
    November 30, 2023 - When Taking an SGLT2 inhibitor, Remember To SSTOP (Stop SGLT2 Inhibitor Three days bef-O-re Procedures)! November 30, 2023 Bagley B, Tan CL, Plante D. When Taking an SGLT2 inhibitor, Remember To SSTOP (Stop SGLT2 Inhibitor Three days bef-O-re Procedures)!. PSNet [internet]. 2023. https://psnet.ahrq.gov/web-mm/when…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49804/psn-pdf
    September 01, 2017 - Transfusion Thresholds in Gastrointestinal Bleeding September 1, 2017 Strate L, Swanson S. Transfusion Thresholds in Gastrointestinal Bleeding. PSNet [internet]. 2017. https://psnet.ahrq.gov/web-mm/transfusion-thresholds-gastrointestinal-bleeding Case Objectives Describe risk factors for poor outcome in patients w…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865984/psn-pdf
    May 29, 2024 - Fatal Oversight: Misdiagnosis of Nocturnal Chest Pain with Elevated D-dimer. May 29, 2024 Agusala V, Deen J, Schaefer S. Fatal Oversight: Misdiagnosis of Nocturnal Chest Pain with Elevated D- dimer. PSNet [internet]. 2024. https://psnet.ahrq.gov/web-mm/fatal-oversight-misdiagnosis-nocturnal-chest-pain-elevated-d-d…
  5. Spotlight (pdf file)

    psnet.ahrq.gov/sites/default/files/2022-10/spotlight_case_missed_pneumothorax_10.09.2022_-_final.pdf
    January 01, 2022 - Spotlight Spotlight False Assumptions Result in a Missed Pneumothorax after Bronchoscopy with Transbronchial Biopsy Source and Credits • This presentation is based on the September 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:…
  6. www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/involving-patients-families-in-safety-slides.pdf
    July 25, 2023 - Involving Patients and Families in Safety: Slide Presentation The National Action Alliance to Advance Patient Safety Summer Webinar Series Involving Patients and Families in Safety July 25, 2023 2:00-3:00 PM ET Special Guest Speakers Sue Sheridan, MIM, MBA, DHL Founding Member, Patients For Patient Safety U…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33743/psn-pdf
    December 01, 2012 - Quality and Safety Challenges in Critical Care: Preventing and Treating Delirium in the Intensive Care Unit December 1, 2012 Vasilevskis EE, Ely WE, Dittus RS. Quality and Safety Challenges in Critical Care: Preventing and Treating Delirium in the Intensive Care Unit. PSNet [internet]. 2012. https://psnet.ahrq.gov…
  8. www.ahrq.gov/policymakers/chipra/measure_retirement/measure_retirementapd.html
    July 01, 2018 - Background Report on 2013 Retirement of Measures from the Child Core Set Appendix D. Previous Page Next Page Table of Contents Background Report on 2013 Retirement of Measures from the Child Core Set Abstract Background Methods Results Conclusions References Appendix A. Appendix B.…
  9. www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/antibiotic-targets-facilitator-guide.docx
    June 01, 2021 - AHRQ Safety Program for Improving Antibiotic Use 1 Identifying Targets To Improve Antibiotic Use Long-Term Care Slide Title and Commentary Slide Number and Slide Identifying Targets To Improve Antibiotic Use Long-Term Care SAY: Hello and welcome to the presentation, “Identifying Targets To Improve Antibiotic…
  10. www.ahrq.gov/research/findings/nhqrdr/chartbooks/blackhealth/part2.html
    June 01, 2018 - Chartbook on Health Care for Blacks Part 2: Trends in Priorities of the Heckler Report Previous Page Next Page Table of Contents Chartbook on Health Care for Blacks Health Care for Blacks Acknowledgments Part 1: Overviews of the Report and the Black Population Part 2: Trends in Priorities of…
  11. www.ahrq.gov/ncepcr/research-transform-primary-care/transform/cost/guide.html
    October 01, 2015 - Estimating the Costs of Primary Care Transformation: A Practical Guide and Synthesis Report A Practical Guide for Estimating the Costs of Primary Care Transformation Previous Page Next Page Table of Contents Estimating the Costs of Primary Care Transformation: A Practical Guide and Synthesis Report …
  12. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/medmanage_quickstartfull.pdf
    December 15, 2016 - Implementation Quick Start Guide: Medication Mangement Implementation Quick Start Guide Medication Management The Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families Implementation Quick Start Guide: Medication Management Table of Contents What Is the Medication Man…
  13. digital.ahrq.gov/sites/default/files/ahrq-dhr-2023-year-in-review-at-a-glance.pdf
    January 01, 2023 - AHRQ Digital Healthcare Research Program - AT A Glance 2023 AHRQ Digital Healthcare Research Program AT A GLANCE 2023 Our Purpose AHRQ’s Digital Healthcare Research (DHR) program’s mission is to determine how the various components of the ever-evolving digital healthcare ecosystem can best come together to posit…
  14. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4n_combo_iqi-mortalityreview-bestpractices.pdf
    May 20, 2016 - Selected Best Practices and Suggestions for Improvement Toolkit for Using the AHRQ Quality Indicators How To Improve Hospital Quality and Safety 1 Tool D.4n Selected Best Practices and Suggestions for Improvement IQI: Mortality Review of Select Procedures and Conditions Why Focus on Mortality Review? …
  15. psnet.ahrq.gov/web-mm/case-patient-flow-management
    February 23, 2019 - The Case for Patient Flow Management Citation Text: Litvak E, Bernheim SA. The Case for Patient Flow Management. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2011. Copy Citation Format: Google Scholar BibTeX EndNote X…
  16. www.ahrq.gov/ncepcr/tools/obesity/obpcp3.html
    May 01, 2014 - Integrating Primary Care Practices and Community-based Resources to Manage Obesity Chapter 3: Getting Patients Excited About Crossing the Bridge Previous Page Next Page Table of Contents Integrating Primary Care Practices and Community-based Resources to Manage Obesity Acknowledgements Support …
  17. psnet.ahrq.gov/web-mm/managing-care-challenges-group-home-setting-staffing-adequate-unplanned-incidents
    April 27, 2022 - Managing Care Challenges in a Group Home Setting: Is Staffing Adequate for Unplanned Incidents? Citation Text: Ordona R, Bakerjian D. Managing Care Challenges in a Group Home Setting: Is Staffing Adequate for Unplanned Incidents?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality,…
  18. www.ahrq.gov/ncepcr/reports/cost-guide/practical-guide.html
    February 01, 2017 - Estimating the Costs of Primary Care Transformation: A Practical Guide and Synthesis Report A Practical Guide for Estimating the Costs of Primary Care Transformation Previous Page Next Page Table of Contents Estimating the Costs of Primary Care Transformation: A Practical Guide and Synthesis Report …
  19. Obesity (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/obesity_hi_impact.pdf
    April 17, 2012 - for a temporary treatment such as EndoBarrier to ultimately be effective, patients would need to transition … unlikely to be reimbursed by third-party payers unless long-term outcomes on metabolic outcomes and transition
  20. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/impl-guide/implementation-guide.pdf
    September 01, 2015 - Patients who are being transferred within or from an acute care facility—Any handoff transition when … Reminders are especially useful at the time of transition of AHRQ Safety Program for Reducing CAUTI