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  1. Selected Best Practices and Suggestions for Improvement (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4y_combo_nqi03-bsi-bestpractices.pdf
    May 17, 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.4y Selected Best Practices and Suggestions for Improvement NQI 03: Neonatal Blood Stream Infection Why focus on neonatal blood stream infection (BSI)? •…

  2. Applying the AHRQ Quality Indicators to Hospital Data (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/b1_combo_applyingqis.pdf
    March 01, 2016 - Applying the AHRQ Quality Indicators to Hospital Data Toolkit for Using the AHRQ Quality Indicators How To Improve Hospital Quality and Safety i Tool B.1 Applying the AHRQ Quality Indicators to Hospital Data What is the purpose of this tool? This tool provides guidance on how to calculate your hospital’s rat…

  3. Hospital-Level Gap Analysis for MRSA and SSI Prevention (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/132-gap-analysis-hospital-level.pdf
    April 01, 2025 - Hospital-Level Gap Analysis for MRSA and SSI Prevention AHRQ Safety Program for MRSA Prevention: Targeting SSI Hospital-Level Gap Analysis for MRSA and SSI Prevention Surgical Services For: Cardiac, Hip and Knee Joint Replacement, and Spinal F…

  4. Tool 2: How To Begin the Re-engineered Discharge Implementation at Your Hospital | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/settings/hospital/red/toolkit/redtool2.html
    March 01, 2013 - Re-Engineered Discharge (RED) Toolkit Tool 2: How To Begin the Re-engineered Discharge Implementation at Your Hospital Previous Page Next Page Table of Contents Re-Engineered Discharge (RED) Toolkit Tool 1: Overview Tool 2: How To Begin the Re-engineered Discharge Implementation at Your Hospital…

  5. Care Transitions and Teamwork in Pediatric Trauma: Implications for Health Information Technology Design | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/care-transitions-and-teamwork-pediatric-trauma-implications-health-information
    January 01, 2023 - Care Transitions and Teamwork in Pediatric Trauma: Implications for Health Information Technology Design Project Final Report ( PDF , 789.42 KB) Disclaimer Disclaimer The findings and conclusions in this document are those of the author(s), who are responsible for its content, …

  6. Patient Safety Events Involving Opioid Dose Stacking | PSNet

    psnet.ahrq.gov/web-mm/patient-safety-events-involving-opioid-dose-stacking
    July 08, 2022 - SPOTLIGHT CASE Patient Safety Events Involving Opioid Dose Stacking Citation Text: Porras H, Lammers C. Patient Safety Events Involving Opioid Dose Stacking. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2022. Copy Cita…

  7. Another Fall | PSNet

    psnet.ahrq.gov/web-mm/another-fall
    June 01, 2010 - SPOTLIGHT CASE Another Fall Citation Text: Bogardus SG. Another Fall. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2003. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagg…

  8. Tracking Patient Outcomes | The Academy

    integrationacademy.ahrq.gov/products/playbooks/moud-playbook/monitor-patient-outcomes/tracking-patient-outcomes
    October 01, 2025 - An official website of the Department of Health & Human Services Search All AHRQ Sites Careers Contact Us Español FAQs Email Updates The Academy Integrating Behavioral Health & Primary Care Expand Navi…

  9. Missing a Large Vessel Occlusion Stroke in a Patient with a History of Seizures. | PSNet

    psnet.ahrq.gov/web-mm/missing-large-vessel-occlusion-stroke-patient-history-seizures
    August 31, 2022 - SPOTLIGHT CASE Missing a Large Vessel Occlusion Stroke in a Patient with a History of Seizures. Citation Text: Keenan KJ, Nishijima DK. Missing a Large Vessel Occlusion Stroke in a Patient with a History of Seizures.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, U…

  10. HCUPAnalysisICD10Readmissions (pdf file)

    hcup-us.ahrq.gov/db/nation/nrd/HCUPAnalysisICD10Readmissions.pdf
    June 12, 2020 - HCUPAnalysisICD10Readmissions IMPACT OF THE ICD-10-CM/PCS TRANSITION ON READMISSION RATES Recommended Citation: Hensche MK, Barrett ML, Jiang HJ, Liang L, Heslin KC. Impact of the ICD-10-CM/PCS Transition on Readmission Rates, 2015-2017. ONLINE. June 12, 2020. Agency for Healthcare Research and Quality. Availabl…

  11. Statistical Brief #127: 30-Day Readmissions following Hospitalizations for Chronic vs. Acute Conditions, 2008 (pdf file)

    hcup-us.ahrq.gov/reports/statbriefs/sb127.pdf
    February 01, 2012 - Statistical Brief #127: 30-Day Readmissions following Hospitalizations for Chronic vs. Acute Conditions, 2008 1 February 2012 30-Day Readmissions following Hospitalizations for Chronic vs. Acute Conditions, 2008 Jennifer Podulka, M.P.Aff., Marguerite Barrett, M.S., H. Joanna Jiang, Ph.D., and…

  12. C- Evidence-based Practice Center Technical Brief Protocol (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/pdf/musculoskeletal-disorders-imaging_research-protocol.pdf
    August 05, 2010 - C- Evidence-based Practice Center Technical Brief Protocol Source: www.effectivehealthcare.ahrq.gov Published Online: August 05, 2010 1 Evidence-based Practice Center Technical Brief Protocol Project Title: Technical Brief - Use and Safety of Positional MRI in the Management of Patients with Musculos…

  13. Unintended Consequences of CPOE | PSNet

    psnet.ahrq.gov/web-mm/unintended-consequences-cpoe
    September 01, 2004 - SPOTLIGHT CASE Unintended Consequences of CPOE Citation Text: Wears RL. Unintended Consequences of CPOE. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2016. Copy Citation Format: Google Scholar BibTeX EndNot…

  14. Nurse Staffing Ratios: The Crucible of Money, Policy, Research, and Patient Care | PSNet

    psnet.ahrq.gov/web-mm/nurse-staffing-ratios-crucible-money-policy-research-and-patient-care
    June 01, 2003 - SPOTLIGHT CASE Nurse Staffing Ratios: The Crucible of Money, Policy, Research, and Patient Care Citation Text: Rich V. Nurse Staffing Ratios: The Crucible of Money, Policy, Research, and Patient Care. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of H…

  15. Draft Recommendation: Perinatal Depression: Preventive Interventions | United States Preventive Services Taskforce

    www.uspreventiveservicestaskforce.org/uspstf/draft-recommendation/perinatal-depression-interventions-to-prevent
    April 22, 2025 - Share to Facebook Share to X Share to WhatsApp Share to Email Print in progress Draft Recommendation Statement Perinatal Depression: Preventive Interventions April 22, 2025 Recommendations made by the USPSTF are independent of the U.S…

  16. Sponsored Health IT and Evidence-Based Prescribing among Medical Residents - Final Report (pdf file)

    digital.ahrq.gov/sites/default/files/docs/citation/r21hs022927-primack-final-report-2017.pdf
    January 01, 2017 - Sponsored Health IT and Evidence-Based Prescribing among Medical Residents - Final Report Title of Project: Sponsored Health IT and Evidence-Based Prescribing among Medical Residents Principal Investigator: Brian A. Prima…

  17. Web-Based Intervention for Alcohol Use in Women of Childbearing Potential (pdf file)

    digital.ahrq.gov/sites/default/files/docs/publication/r36hs018071-delrahim-howlett-final-report-2010.pdf
    January 01, 2010 - Web-Based Intervention for Alcohol Use in Women of Childbearing Potential Grant Final Report Grant ID: R36HS18071 Web-Based Intervention for Alcohol Use in Women of Childbearing Potential Inclu…

  18. Hypoxemia after Emergency Intubation | PSNet

    psnet.ahrq.gov/web-mm/hypoxemia-after-emergency-intubation
    March 24, 2019 - Hypoxemia after Emergency Intubation Citation Text: Bohringer C, Liu H. Hypoxemia after Emergency Intubation. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2024. Copy Citation Format: Google Scholar BibTeX EndNote X3 X…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851099/psn-pdf
    June 28, 2023 - Misconnection Leading to Arterial Thrombosis June 28, 2023 Bohringer C, Lee G. Misconnection Leading to Arterial Thrombosis. PSNet [internet]. 2023. https://psnet.ahrq.gov/web-mm/misconnection-leading-arterial-thrombosis The Case A 55-year-old man with chronic obstructive pulmonary disease (COPD) was brought by am…

  20. The Forgotten Turn | PSNet

    psnet.ahrq.gov/web-mm/forgotten-turn
    August 01, 2018 - SPOTLIGHT CASE The Forgotten Turn Citation Text: Barbour S. The Forgotten Turn. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2010. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML En…
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