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The Patient Safety Group has compiled the latest in health, quality, and safety, news and reports.
AHRQ Innovations Exchange
Culturally Tailored Chronic Disease Education Program Improves African American Patients' Self-Management Behaviors, Blood Pressure and Blood Glucose Control, and Quality of Life
Sep-10-2014
A nine-session, culturally tailored program to educate minority populations with diabetes, hypertension, or overweight/obesity about appropriate disease management improves self-care behaviors, leading to improved blood pressure and blood glucose control and better quality of life.
Emergency Department–Based Asthma Clinic Improves Self-Management Behaviors and Reduces Acute Episodes for Low-Income, Inner-City Children and Teenagers
Sep-10-2014
An asthma clinic located within the emergency department of a children’s hospital provides education, nonurgent medical care, referrals to primary care providers, and followup support to low-income, inner-city children and teenagers, leading to improvements in self-management behaviors, fewer acute asthma episodes, and better quality of life.
Go4Life Materials To Share
Sep-10-2014
The Go4Life Web site of the National Institute on Aging presents materials health care professionals can share with patients 50 and older who want to fit exercise and physical activity into their daily lives.
Inclusive Design Process and Extensive Promotion and Support Generate Widespread Use of Health Information Exchange, Leading to Improvements in Health Outcomes
Sep-10-2014
Use of an inclusive design process and the investment of significant time and resources in promoting and supporting use of a health information exchange generates widespread participation by providers, which in turn leads to more patients having an electronic health record, better management of high cholesterol, and increased provision of tobacco cessation counseling and screening for depression and breast cancer.
Integrating Primary Care Practices and Community-Based Resources To Manage Obesity: A Bridge-Building Toolkit for Rural Primary Care Practices
Sep-10-2014
The Integrating Primary Care Practices and Community-Based Resources To Manage Obesity toolkit provides obesity management tools and materials based on experiences of practices in rural Oregon.
Partnering in Self-Management Support: A Toolkit for Clinicians
Sep-10-2014
This toolkit is intended to give busy clinical practices an introduction to a set of activities and changes that support patients and families in the day-to-day management of chronic conditions.
POWER Program Curriculum
Sep-10-2014
The POWER Program is an innovative project designed to help participating veterans manage high blood pressure and other chronic conditions.
Self-Management Support Resource Library
Sep-10-2014
The Self-Management Support Resource Library was developed to help primary care team members learn about self-management support and develop their self-management support skills in working with chronically ill patients. 

AHRQ WEBMM
SPOTLIGHT CASE AND COMMENTARY: Pitfalls in Diagnosing Necrotizing Fasciitis
Admitted with bruising from a fall and persistent pain on his left side, a patient was kept in the emergency department overnight due to crowding. After being reevaluated by the surgical service the next day, the patient was urgently taken to the operating room for probable necrotizing fasciitis and pyomysitis.
CASE AND COMMENTARY: Liver Biopsy: Proceed With Caution
Presenting with jaundice and epigastric pain, a woman with a history of multiple malignancies was admitted directly for an ultrasound-guided liver biopsy. After the procedure, the patient had low blood pressure and complained of new abdominal pain, which worsened over the next 2 hours. The bedside nurse soon found the patient unresponsive.
CASE AND COMMENTARY: Benefits vs. Risks of Intraosseous Vascular Access
During a code blue, an intraosseous line was placed in the left tibia of an elderly woman after several unsuccessful attempts to obtain peripheral venous access. Following chest compressions and advanced cardiovascular life support protocol, spontaneous circulation returned and the patient was transferred to the intensive care unit. A few hours later, the left leg was dusky purple with sluggish distal pulses.
In Conversation with...Urmimala Sarkar, MD, MPH
Dr. Sarkar is an associate professor of medicine at UCSF whose research has focused on ambulatory patient safety, including missed and delayed diagnosis, adverse drug events, and monitoring failures for outpatients with chronic diseases. We spoke with her about patient safety in the ambulatory setting.
Beyond the Hospital: the New Frontier of Patient Safety
This piece describes the new landscape of patient safety in outpatient care, including elements adapted from hospital settings and the growing evidence base for ambulatory-specific efforts.



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