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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43687/psn-pdf
    November 12, 2014 - Changes in medical errors after implementation of a handoff program. November 12, 2014 Starmer AJ, Spector ND, Srivastava R, et al. Changes in medical errors after implementation of a handoff program. New Engl J Med. 2014;371(19):1803-1812. doi:10.1056/NEJMsa1405556. https://psnet.ahrq.gov/issue/changes-medical-er…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43049/psn-pdf
    October 31, 2014 - Vital signs: improving antibiotic use among hospitalized patients. October 31, 2014 Fridkin SK, Baggs J, Fagan R, et al. Vital signs: improving antibiotic use among hospitalized patients. MMWR Morb Mortal Wkly Rep. 2014;63(9):194-200. https://psnet.ahrq.gov/issue/vital-signs-improving-antibiotic-use-among-hospital…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39947/psn-pdf
    July 03, 2014 - Association between implementation of a medical team training program and surgical mortality. July 3, 2014 Neily J, Mills PD, Young-Xu Y, et al. Association between implementation of a medical team training program and surgical mortality. JAMA. 2010;304(15):1693-1700. doi:10.1001/jama.2010.1506. https://psnet.ahrq…
  4. www.ahrq.gov/evidencenow/projects/urinary/resources/practice-coaches-stun.html
    April 01, 2022 - Back to MUI Resources Barriers to Recruiting Primary Care Practices for Implementation Research During COVID-19: A Qualitative Study of Practice Coaches From the Stop Unhealthy (STUN) Alcohol Use Now Trial Resource Full Article Summary The COVID-19 pandemic has brought widesp…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45797/psn-pdf
    October 31, 2017 - Delayed workup of rectal bleeding in adult primary care: examining process-of-care failures. October 31, 2017 Weingart SN, Stoffel EM, Chung DC, et al. Delayed Workup of Rectal Bleeding in Adult Primary Care: Examining Process-of-Care Failures. The Joint Commission Journal on Quality and Patient Safety. 2016;43(1)…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46313/psn-pdf
    December 21, 2017 - Patient outcomes in dose reduction or discontinuation of long-term opioid therapy: a systematic review. December 21, 2017 Frank JW, Lovejoy TI, Becker WC, et al. Patient Outcomes in Dose Reduction or Discontinuation of Long- Term Opioid Therapy: A Systematic Review. Ann Intern Med. 2017;167(3):181-191. doi:10.7326/…
  7. www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/overview/background/measures-AC-10.pdf
    December 16, 2010 - MEASURE SUMMARY (CHIPRA Core Set Candidate Measures) - Control #: AC-10 Completed by: Page 1 12/16/2010 MEASURE SUMMARY CHIPRA Core Set Candidate Measures A. Control #: AC-10 B. Measure Name: ER Utilization - Average number of emergency room visits per member per reporting period C. Measure Definition…
  8. www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/overview/background/measures-PHP-2.pdf
    December 14, 2010 - MEASURE SUMMARY (CHIPRA Core Set Candidate Measures) - Control #: PHP-2 Completed by: Page 1 12/14/2010 MEASURE SUMMARY CHIPRA Core Set Candidate Measures A. Control #: PHP-2 B. Measure Name: Frequency of ongoing prenatal care C. Measure Definition a. Numerator: Adolescents in the denominator sample…
  9. www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/overview/background/measures-CC-13.pdf
    December 16, 2010 - MEASURE SUMMARY (CHIPRA Core Set Candidate Measures) - Control #: CC-13 Completed by: Page 1 12/16/2010 MEASURE SUMMARY CHIPRA Core Set Candidate Measures A. Control #: CC-13 Measure Name: Annual hemoglobin A1C testing (all children and adolescents diagnosed with diabetes) - (Not a HEDIS Measure; Diabe…
  10. www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/overview/background/measures-PHP-11.pdf
    December 14, 2010 - MEASURE SUMMARY (CHIPRA Core Set Candidate Measures) - Control #: PHP-11 Completed by: Page 1 12/14/2010 MEASURE SUMMARY CHIPRA Core Set Candidate Measures A. Control #: PHP-11 B. Measure Name: Adolescent Well-Care Visits C. Measure Definition a. Numerator: Adolescents in the denominator population …
  11. www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/overview/background/measures-AS-1.pdf
    December 16, 2010 - MEASURE SUMMARY (CHIPRA Core Set Candidate Measures) - Control #: AS-1 Completed by: Page 1 12/16/2010 MEASURE SUMMARY CHIPRA Core Set Candidate Measures A. Control #: AS-1 B. Measure Name: Access to primary care practitioners, by age and total C. Measure Definition a. Numerator: For 12-24 months, 2…
  12. www.ahrq.gov/talkingquality/measures/setting/health-plan/examples.html
    December 01, 2022 - Examples of Health Plan Quality Measures for Consumers Health plan quality measures typically reported to consumers are a combination of clinical quality (doing the right thing, at the right time, to the right patient) and the health plan member’ experiences with care. Here are some examples of health plan qual…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40013/psn-pdf
    July 24, 2011 - Patient participation in surgical site marking: can this be an additional tool to help avoid wrong-site surgery? July 24, 2011 Bergal LM, Schwarzkopf R, Walsh M, et al. Patient participation in surgical site marking: can this be an additional tool to help avoid wrong-site surgery? J Patient Saf. 2010;6(4):221-5. h…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48130/psn-pdf
    August 07, 2019 - Adverse events in long-term care residents transitioning from hospital back to nursing home. August 7, 2019 Kapoor A, Field T, Handler S, et al. Adverse Events in Long-term Care Residents Transitioning From Hospital Back to Nursing Home. JAMA Intern Med. 2019;179(9):1254-1261. doi:10.1001/jamainternmed.2019.2005. …
  15. www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-current-state1.html
    January 01, 2024 - Current State of Diagnostic Safety: Implications for Research, Practice, and Policy 1. Introduction Previous Page Next Page Table of Contents Current State of Diagnostic Safety: Implications for Research, Practice, and Policy 1. Introduction 2. Methods 3. Results 4. Discussion References …
  16. www.ahrq.gov/research/findings/final-reports/ptflow/acknowledgements.html
    July 01, 2018 - Improving Patient Flow and Reducing Emergency Department Crowding: A Guide for Hospitals Acknowledgments Previous Page Next Page Table of Contents Improving Patient Flow and Reducing Emergency Department Crowding: A Guide for Hospitals Acknowledgments Executive Summary Section 1. The Need to A…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41175/psn-pdf
    December 31, 2014 - Design and implementation of an automated email notification system for results of tests pending at discharge. December 31, 2014 Dalal A, Schnipper JL, Poon EG, et al. Design and implementation of an automated email notification system for results of tests pending at discharge. J Am Med Inform Assoc. 2012;19(4):52…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46232/psn-pdf
    February 10, 2018 - Implications of electronic health record downtime: an analysis of patient safety event reports. February 10, 2018 Larsen E, Fong A, Wernz C, et al. Implications of electronic health record downtime: an analysis of patient safety event reports. J Am Med Inform Assoc. 2018;25(2):187-191. doi:10.1093/jamia/ocx057. ht…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45419/psn-pdf
    June 29, 2017 - Risk-adjusted survival for adults following in-hospital cardiac arrest by day of week and time of day: observational cohort study. June 29, 2017 Robinson EJ, Smith GB, Power GS, et al. Risk-adjusted survival for adults following in-hospital cardiac arrest by day of week and time of day: observational cohort study.…
  20. www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/aom-discussion-guide.docx
    September 01, 2022 - Acute Otitis Media (AOM) – Discussion Guide Acute Otitis Media: Discussion Guide During a regularly scheduled staff meeting, the stewardship leader(s) should ask all clinical staff which of the components of the AHRQ Toolkit To Improve Antibiotic Use in Ambulatory Care related to acute…