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  1. Dropping to New Lows | PSNet

    psnet.ahrq.gov/web-mm/dropping-new-lows
    December 18, 2024 - SPOTLIGHT CASE Dropping to New Lows Citation Text: Juang PC, Kulasa K. Dropping to New Lows. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2016. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML End…

  2. Monitoring Intensification of Treatment for Hyperglycemia and Hyperlipidemia in Patients with Diabetes (pdf file)

    digital.ahrq.gov/sites/default/files/docs/publication/r18hs017030-turchin-final-report-2011.pdf
    January 01, 2011 - Monitoring Intensification of Treatment for Hyperglycemia and Hyperlipidemia in Patients with Diabetes Grant Final Report Grant ID: 1R18HS017030 Monitoring Intensification of Treatment for Hyperglycemia and Hyperlipidemia in Patients with Diabetes Inclusive dates: 09/30/07 - 09/29/10 Principal…

  3. Evidence Summary_Comparative Effectiveness Review No. 247_Interventional Treatments for Acute and Chronic Pain: Systematic Review (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/related_files/cer-247-interventional-treatments-acute-chronic-pain-evidence-summary_0.pdf
    September 01, 2021 - Evidence Summary_Comparative Effectiveness Review No. 247_Interventional Treatments for Acute and Chronic Pain: Systematic Review Comparative Effectiveness Review Number 247 Interventional Treatments for Acute and Chronic Pain: Systematic Review Evidence Summary Main Points • Vertebroplasty …

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49801/psn-pdf
    August 01, 2017 - Despite Clues, Failed to Rescue August 1, 2017 Ghaferi AA. Despite Clues, Failed to Rescue. PSNet [internet]. 2017. https://psnet.ahrq.gov/web-mm/despite-clues-failed-rescue Case Objectives Define failure to rescue. Identify the main contributors to failure-to-rescue events. Appreciate the ongoing areas of scien…

  5. Home Heart Failure (HF) Care Comparing Patient-Driven Technology Models (pdf file)

    digital.ahrq.gov/sites/default/files/docs/publication/r01hs015459-goldberg-final-report-2008.pdf
    January 01, 2008 - Home Heart Failure (HF) Care Comparing Patient-Driven Technology Models Grant Final Report Grant ID: 5R01HS015459 Home Heart Failure (HF) Care Comparing Patient-Driven Technology Models Inclusive Dates: 09/30/04 - 09/09/08 Principal Investigator: Lee R. Goldberg, MD, MPH Team Members…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33855/psn-pdf
    April 01, 2018 - In Conversation With… Harlan Krumholz, MD, SM April 1, 2018 In Conversation With… Harlan Krumholz, MD, SM. PSNet [internet]. 2018. https://psnet.ahrq.gov/perspective/conversation-harlan-krumholz-md-sm Editor's note: Dr. Krumholz, Harold H. Hines, Jr. Professor of Medicine at the Yale School of Medicine and Directo…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/849679/psn-pdf
    June 28, 2023 - Under Pressure: Tracheostomy Cuff Over Inflation Leading to Tissue Necrosis and Cuff Rupture June 28, 2023 Gould E, Carlsen K, Trask J, et al. Under Pressure: Tracheostomy Cuff Over Inflation Leading to Tissue Necrosis and Cuff Rupture. PSNet [internet]. 2023. https://psnet.ahrq.gov/web-mm/under-pressure-tracheost…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/857258/psn-pdf
    November 30, 2023 - Always Check the Muscle Twitch: Residual Neuromuscular Block After Removal of a Gastric Balloon November 30, 2023 Bohringer C, Ashley S. Always Check the Muscle Twitch: Residual Neuromuscular Block After Removal of a Gastric Balloon. PSNet [internet]. 2023. https://psnet.ahrq.gov/web-mm/always-check-muscle-twitch-…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49491/psn-pdf
    September 01, 2005 - Time of Death? September 1, 2005 Taekman JM, Wright MC. Time of Death? PSNet [internet]. 2005. https://psnet.ahrq.gov/web-mm/time-death The Case An 80-year-old woman with multiple illnesses, including chronic obstructive pulmonary disease (COPD), was found pulseless and cyanotic in her hospital bed. A code was ca…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49750/psn-pdf
    January 01, 2016 - A Room Without Orders January 1, 2016 Vogelsmeier A, Despins L. A Room Without Orders. PSNet [internet]. 2016. https://psnet.ahrq.gov/web-mm/room-without-orders Case Objectives Review a common process for planned direct hospital admissions. Describe challenges of prioritizing day-to-day patient care activities wi…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49681/psn-pdf
    April 01, 2013 - Total Parenteral Nutrition, Multifarious Errors April 1, 2013 Boullata JI. Total Parenteral Nutrition, Multifarious Errors. PSNet [internet]. 2013. https://psnet.ahrq.gov/web-mm/total-parenteral-nutrition-multifarious-errors Case Objectives Define parenteral nutrition (PN). Describe the PN-use process. Identify …

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49813/psn-pdf
    January 01, 2018 - Dying in the Hospital With Advanced Dementia December 1, 2017 Umscheid CA, McGreevey JD, Greysen RS. Dying in the Hospital With Advanced Dementia. PSNet [internet]. 2017. https://psnet.ahrq.gov/web-mm/dying-hospital-advanced-dementia Case Objectives Recognize the importance of eliciting patient preferences and go…

  13. Parisetal Hfes2008 (pdf file)

    digital.ahrq.gov/sites/default/files/docs/publication/Parisetal_HFES2008.pdf
    January 01, 2008 - Safety of the Antibiotic Medication Use Process in the Intensive Care Unit Bonnie Paris�, Pascale Carayon�, Tosha Wetterneck� Department of Industrial & Systems Engineering, University of Wisconsin-Madison�; University of Wisconsin School of Medicine and Public Health�; Center for Quality & Productivity Improvem…

  14. National Web-Based Teleconference on Utilizing Health IT to Improve Medication Management for the Care of Elderly Patients (pdf file)

    digital.ahrq.gov/sites/default/files/docs/medication-management-elderly-slides-081811.pdf
    August 18, 2011 - National Web-Based Teleconference on Utilizing Health IT to Improve Medication Management for the Care of Elderly Patients National Web-Based Teleconference on Utilizing Health IT to Improve Medication Management for the Care of Elderly Patients August 18, 2011 Moderator: Angela Lavanderos Agency for Healthcare…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49721/psn-pdf
    December 01, 2014 - Ebola: Are We Ready? December 1, 2014 Barsuk JH, Barnard C. Ebola: Are We Ready? PSNet [internet]. 2014. https://psnet.ahrq.gov/web-mm/ebola-are-we-ready The Case A 28-year-old man, well-appearing but pale, walked into the emergency department (ED) on a Wednesday afternoon at 3 PM complaining of nausea, vomiting,…

  16. CAUTI Event Reporting Tool (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/clabsi-event-reporting_revised.docx
    April 01, 2022 - CAUTI Event Reporting Tool CLABSI Event Report Tool: Data for Event Analysis This event report template is designed to be used as a guide through the initial investigation for a defects analysis where the primary goal is to learn what happened and factors that may have contributed to the central line-associated blo…

  17. Daily Care Processes Data Collection Tool | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/tools/mvp/modules/technical/daily-care-processes-tool.html
    January 01, 2017 - Daily Care Processes Data Collection Tool AHRQ Safety Program for Mechanically Ventilated Patients Hospital # ___________     Unit # ___________     Date (mm/dd/yyyy) ___________ Fill out for all beds Complete if patient is intubated or has tracheostomy and is mechanically ventilated …

  18. Chapter 1. The Framework for Improvement | Agency for Healthcare Research and Quality

    www.ahrq.gov/es/patient-safety/settings/hospital/vtguide/guide1.html
    February 01, 2016 - Preventing Hospital-Associated Venous Thromboembolism Chapter 1. The Framework for Improvement Previous Page Next Page Table of Contents Preventing Hospital-Associated Venous Thromboembolism Preface Executive Summary Chapter 1. The Framework for Improvement Chapter 2. Analyze Care Delivery …

  19. Daily-Care-Processes-Tool (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/daily-care-processes-tool.docx
    January 01, 2017 - AHRQ Safety Program for Mechanically Ventilated Patients Daily Care Processes Data Collection Tool AHRQ Safety Program for Mechanically Ventilated Patients Daily Care Data Tool 17 Hospital ID# ___________ Unit ID#___________ Date (mm/dd/yyyy) ___________ Fill out for all beds Comple…

  20. AHRQ Safety Program for Perinatal Care: Establishing a Program of In Situ Simulations (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/situ/simulation_facguide.pdf
    May 01, 2017 - AHRQ Safety Program for Perinatal Care: Establishing a Program of In Situ Simulations AHRQ Safety Program for Perinatal Care Establishing a Program of In Situ Simulations AHRQ Publication No. 17-0003-22-EF May 2017 SAY: Establishing a Program of In Situ Simulations is a pillar of the AHRQ Safety Program for…
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