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psnet.ahrq.gov/node/49501/psn-pdf
February 03, 2006 - Lost in Transition
February 1, 2006
Beach C. Lost in Transition. PSNet [internet]. 2006.
https://psnet.ahrq.gov/web-mm/lost-transition
Case Objectives
Provide an overview of transitions in continuously operating industries
Review cognitive error
Describe the complex dynamics of transitions in emergency care
Pro…
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www.ahrq.gov/sites/default/files/wysiwyg/chsp/compendium/2021-nh-linkage-techdoc.pdf
January 01, 2021 - Compendium of U.S. Health Systems, 2021, Nursing Home Linkage File, Technical Documentation
Comparative Health System Performance
Initiative: Compendium of U.S. Health Systems,
2021, Nursing Home Linkage File, Technical
Documentation
Prepared for:
Agency for Healthcare Research and Quality
U.S. Depa…
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www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/webinars/perinatal-care-experience-slides.pdf
March 06, 2025 - Factors that Impact Perinatal Care Experience and Outcomes: Slide Presentation
National Center for Excellence in Primary Care Research
Presents
Factors that Impact Perinatal Care Experience and Outcomes
March 6, 2025
Presented by:
Amy G. Cantor MD, MPH, FAAFP
Lindsay Kennedy Admon, MD, MSc
Mark Allen Clapp, …
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www.ahrq.gov/hai/tools/mvp/modules/technical/subglottic-slides.html
February 01, 2017 - Monitoring Ventilator-Associated Events: Slide Presentation
AHRQ Safety Program for Mechanically Ventilated Patients
Slide 1: AHRQ Safety Program for Mechanically Ventilated Patients
Monitoring Ventilator-Associated Events
Slide 2: Learning Objectives
After this session, you will be able to—
Des…
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www.ahrq.gov/ncepcr/care/coordination/atlas/chapter6w.html
June 01, 2014 - Care Coordination Measures Atlas Update
Chapter 6. Measure Maps and Profiles (continued, 24)
Previous Page Next Page
Table of Contents
Care Coordination Measures Atlas Update
Chapter 1: Background
Chapter 2. What is Care Coordination?
Chapter 3. Care Coordination Measurement Framework
Chapte…
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www.ahrq.gov/cahps/bibliography/index.html
November 01, 2024 - CAHPS Bibliography
Browse or search for publications about the development and use of CAHPS surveys and other topics related to assessing patients’ experiences with care.
Results
1-50 of 575 Bibliography Items Found
Pagination
1
2
3
4
5
6
7
8
9
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www.ahrq.gov/sites/default/files/2024-12/danforth-report.pdf
January 01, 2024 - Final Progress Report: Electronic Clinical Surveillance To Measure and Improve Safety in Ambulatory Care
Final Progress Report
November 2019
Title
Electronic Clinical Surveillance to Measure and Improve Safety in Ambulatory Care
Principal Investigator and Team Members
Kim N. Danforth,1 Erin E. Hahn,1 Brian S. Mi…
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www.ahrq.gov/sites/default/files/2024-11/ballard-report.pdf
January 01, 2024 - Final Progress Report: Using Performance Measurement To Improve the Quality and Safety of Healthcare
Element 1. Title Page:
Using Performance Measurement to Improve
the Quality and Safety of Healthcare
Report on The International Society for Quality in Health Care (ISQua) 6th International
Summit on Indic…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/medicaidmgmt/mm3a.html
October 01, 2014 - Designing and Implementing Medicaid Disease and Care Management Programs
Section 3: Selecting and Targeting Populations for a Care Management Program (continued)
Previous Page Next Page
Table of Contents
Designing and Implementing Medicaid Disease and Care Management Programs
Introduction
Sectio…
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www.ahrq.gov/sites/default/files/2025-03/smith2-report.pdf
January 01, 2025 - Final Progress Report: A Study of Narrative as the Cognitive Process Underlying Diagnostic Reasoning
A Study of Narrative as the Cognitive Process Underlying Diagnostic Reasoning
PI: Curtis Scott Smith, MD
Team: Chris Francovich, EdD
Magdalena Morris, RN, MSN
Andrew Turner, PhD
Bruce Robbins, PhD
Lynne Robins, …
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/qde-mmd-webinar-on_quality-measure-use.pdf
September 24, 2015 - Title of Presentation:
Putting Quality Measures to Work:
Presentation for the Association of Medicaid
Medical Directors
Lessons from the CHIPRA Quality
Demonstration Grant Program
Cindy Brach, M.P.P. • Joe Zickafoose, M.D., M.S. •
Francis Rushton, M.D., F.A.A.P. • David Kelley, M.D., M.P.A.
September 24…
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www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/qde-mmd-webinar-slides.html
January 01, 2016 - Putting Quality Measures to Work: Lessons from the CHIPRA Quality Demonstration Grant Program
Presentation for the Association of Medicaid Medical Directors
Slide 1
Putting Quality Measures to Work: Lessons from the CHIPRA Quality Demonstration Grant Program
Presentation for the Association of Medicaid …
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/improve/gap_analysis_tool.docx
November 01, 2019 - Gap Analysis for Antibiotic Stewardship Programs
AHRQ Safety Program for Improving Antibiotic Use
Gap Analysis for Antibiotic Stewardship Programs
Instructions: Complete this document to assess your antibiotic stewardship program (ASP) on an annual basis. The ASP areas addressed in this document are those that are d…
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psnet.ahrq.gov/node/49654/psn-pdf
June 01, 2012 - Transfer Troubles
June 1, 2012
Hains IM. Transfer Troubles. PSNet [internet]. 2012.
https://psnet.ahrq.gov/web-mm/transfer-troubles
Case Objectives
Recognize that transfer of patients between hospitals is common.
Understand the frequency of errors and adverse events in the transfer of patients between hospitals.
…
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psnet.ahrq.gov/node/853773/psn-pdf
September 27, 2023 - A Double “Never Event”: Wrong Patient and Wrong Side.
September 27, 2023
Bellini A, Salcedo ES. A Double “Never Event”: Wrong Patient and Wrong Side. PSNet [internet]. 2023.
https://psnet.ahrq.gov/web-mm/double-never-event-wrong-patient-and-wrong-side
The Case
A first-year orthopedic surgery resident was consulted…
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psnet.ahrq.gov/node/49779/psn-pdf
January 01, 2017 - The Empty Bag
December 1, 2016
Vincent C. The Empty Bag. PSNet [internet]. 2016.
https://psnet.ahrq.gov/web-mm/empty-bag
The Case
A 90-year-old woman with end-stage dementia was admitted to an acute care hospital for treatment of a
hip fracture after a fall at a nursing home. During the hospitalization, her kidne…
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psnet.ahrq.gov/node/49531/psn-pdf
March 01, 2007 - Failure to Report
March 1, 2007
Spath P. Failure to Report. PSNet [internet]. 2007.
https://psnet.ahrq.gov/web-mm/failure-report
Case Objectives
List common causes of medical errors.
Appreciate the magnitude of underreporting of adverse events.
List the common barriers to reporting adverse events and near misses…
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psnet.ahrq.gov/node/73434/psn-pdf
June 30, 2021 - The Consequences of Miscommunication Regarding a
Possible Artifact
June 30, 2021
Gwal K. The Consequences of Miscommunication Regarding a Possible Artifact. PSNet [internet]. 2021.
https://psnet.ahrq.gov/web-mm/consequences-miscommunication-regarding-possible-artifact
Disclosure of Relevant Financial Relationships…
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/pxMbTT69NULYZRaZ9xs7Du
May 01, 2004 - Screening for Suicide Risk - Recommendation and Rationale
Summary of
Recommendation
The U.S. Preventive Services Task Force
(USPSTF) concludes that the evidence is
insufficient to recommend for or against routine
screening by primary care clinicians to detect suicide
risk in the general population. I recommendation.…
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hcup-us.ahrq.gov/partners.jsp
August 01, 2025 - HCUP Partners
An official website of the Department of Health & Human Services
Search All AHRQ Websites
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