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psnet.ahrq.gov/node/72693/psn-pdf
January 29, 2021 - Unintentional Ketamine Overdose in the Operating Room
– Mixing Up the Ampules
January 29, 2021
Bohringer C. Unintentional Ketamine Overdose in the Operating Room – Mixing Up the Ampules. PSNet
[internet]. 2021.
https://psnet.ahrq.gov/web-mm/unintentional-ketamine-overdose-operating-room-mixing-ampules
The Case
A…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/system/delivery-system-initiative/leanprimarycarewebinar/webinar_lean_redesigns-slides.pptx
March 01, 2017 - Implementation and Impacts of Lean Redesigns in Primary Care
October 28, 2016
Presenter: Dorothy Hung, Ph.D., Associate Scientist
Palo Alto Medical Foundation Research Institute
Moderator: Michael Harrison, Ph.D., Senior Social Scientist
Center for Delivery, Organization, and Markets, AHRQ
Discussant: Arlene Bierman…
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www.ahrq.gov/policy/foia/foiafy10.html
November 01, 2020 - HHS AHRQ Freedom of Information Annual Report - FY 2010
Freedom of Information Act Annual Report for Fiscal Year 2010.
Annual report on Freedom of Information Act (FOIA) requests and activities by the Department of Health & Human Services (HHS) Agency for Health Care Policy and Research (AHRQ).
I. Basic Inf…
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/labor-delivery-unit/tool-cord-prolapse.html
July 01, 2023 - Labor and Delivery Unit Safety: Umbilical Cord Prolapse
AHRQ Safety Program for Perinatal Care
Purpose of the tool: This tool describes the key perinatal safety elements that support safe umbilical cord prolapse management. The key safety elements are presented within the framework of the Compreh…
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meps.ahrq.gov/data_files/publications/mr36/mr36ug.shtml
February 24, 2023 - Methodology Report #36: Analyzing Medical Conditions in MEPS - User Guide (Part 1 of 2)
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An official website of the Department of Health & Human Services
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www.ahrq.gov/ncepcr/research-transform-primary-care/transform/final-impact/model.html
October 01, 2015 - AHRQ Infrastructure for Maintaining Primary Care Transformation (IMPaCT) Grants: A Synthesis Report
Model State Enhancement Efforts
Previous Page Next Page
Table of Contents
AHRQ Infrastructure for Maintaining Primary Care Transformation (IMPaCT) Grants: A Synthesis Report
Introduction
Methods
…
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www.ahrq.gov/hai/tools/mvp/modules/cusp/patient-family-care-slides.html
March 01, 2017 - Patient and Family Involvement in Care of Mechanically Ventilated Patients: Slide Presentation
AHRQ Safety Program for Mechanically Ventilated Patients
Slide 1: AHRQ Safety Program for Mechanically Ventilated Patients
Patient and Family Involvement in Care of Mechanically Ventilated Patients
Slide 2: Le…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/physician-staff-engagement-slides.pptx
January 01, 2017 - Presentation: Program Overview
Physician and Staff Engagement
AHRQ Safety Program for Mechanically Ventilated Patients
AHRQ Pub. No. 16(17)-0018-32-EF
January 2017
Physician and Staff Engagement ‹#›
AHRQ Safety Program for Mechanically Ventilated Patients
1
Learning Objectives
After this session, you will b…
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www.ahrq.gov/hai/tools/surgery/modules/on-boarding/data-into-action-fac-notes.html
December 01, 2017 - Turning Data Into Action—Using HSOPS and SSI Data as Part of a Meaningful Change: Facilitator Notes
AHRQ Safety Program for Surgery
Slide 1: Turning Data Into Action: Using HSOPS and SSI Data as Part of a Meaningful Change
Say:
In this module, you’ll learn about using data as part of your team’s improve…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4e_combo_psi08-postophipfx-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.4e
Selected Best Practices and Suggestions for Improvement
PSI 08: Postoperative Hip Fracture
Why Focus on Postoperative Hip Fracture?
• Hip fracture…
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www.ahrq.gov/ncepcr/reports/grants-impact/model-state.html
February 01, 2017 - AHRQ Infrastructure for Maintaining Primary Care Transformation (IMPaCT) Grants: A Synthesis Report
Model State Enhancement Efforts
Previous Page Next Page
Table of Contents
AHRQ Infrastructure for Maintaining Primary Care Transformation (IMPaCT) Grants: A Synthesis Report
Introduction
Methods
…
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psnet.ahrq.gov/node/33751/psn-pdf
January 01, 2014 - Strengthening the Business Case for Patient Safety
May 1, 2013
Lindenauer PK. Strengthening the Business Case for Patient Safety. PSNet [internet]. 2013.
https://psnet.ahrq.gov/perspective/strengthening-business-case-patient-safety
Perspective
After more than a decade in the national spotlight, the problem of pati…
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psnet.ahrq.gov/web-mm/wrong-blade-lack-familiarity-pediatric-emergency-equipment
June 01, 2018 - The Wrong Blade: A Lack of Familiarity With Pediatric Emergency Equipment
Citation Text:
Katznelson J. The Wrong Blade: A Lack of Familiarity With Pediatric Emergency Equipment. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2018.
…
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psnet.ahrq.gov/node/49466/psn-pdf
October 14, 2004 - Hard to Swallow
October 1, 2004
Driver J. Hard to Swallow. PSNet [internet]. 2004.
https://psnet.ahrq.gov/web-mm/hard-swallow
The Case
An elderly man underwent hernia surgery. Postoperatively, the patient developed a transient ischemic
attack (TIA) and respiratory difficulties. The nurses noted that the patient, …
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meps.ahrq.gov/survey_comp/standard_errors.jsp
January 01, 2005 - Medical Expenditure Panel Survey Computing Standard Errors for MEPS Estimates
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An official website of the Department of Health & Human Services
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meps.ahrq.gov/mepsweb/survey_comp/standard_errors.jsp
January 01, 2005 - Medical Expenditure Panel Survey Computing Standard Errors for MEPS Estimates
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An official website of the Department of Health & Human Services
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www.uspreventiveservicestaskforce.org/uspstf/recommendation/breastfeeding-counseling-2008
October 15, 2008 - Share to Facebook
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archived
Final Recommendation Statement
Breastfeeding: Counseling
October 15, 2008
Recommendations made by the USPSTF are independent of the U.S. government. They shoul…
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hcup-us.ahrq.gov/nrdoverview.jsp
September 01, 2025 - NRD Overview
An official website of the Department of Health & Human Services
Search All AHRQ Websites
Careers
Contact Us
Espanol
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digital.ahrq.gov/sites/default/files/docs/page/3_Data%20Collection%20Template_0.xls
June 16, 2021 - Cover
Tool 3. Data Collection Template
Scenario 1-Patient Care A
BP# Business Practice Short Name Business Practice Long Description Scenario Classification (Barrier v. Not a Barrier) Domain Policy: Short Description Policy: Long Description Stakeholder Organization Specify Other Stakeholder (if applicable) Cause…
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digital.ahrq.gov/sites/default/files/docs/page/3_Data%20Collection%20Template.xls
June 16, 2021 - Cover
Tool 3. Data Collection Template
Scenario 1-Patient Care A
BP# Business Practice Short Name Business Practice Long Description Scenario Classification (Barrier v. Not a Barrier) Domain Policy: Short Description Policy: Long Description Stakeholder Organization Specify Other Stakeholder (if applicable) Cause…