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  1. Spotlight (pdf file)

    psnet.ahrq.gov/sites/default/files/2022-01/final_spotlight_stacked_opioid_administration_01.03.2022.pdf
    January 01, 2022 - Spotlight Spotlight Patient Safety Events Involving Opioid Dose Stacking Source and Credits • This presentation is based on the January 2022 AHRQ WebM&M Spotlight Case o See the full article at https://psnet.ahrq.gov/webmm o CME credit is available o Commentary by: Hollie Porras, PharmD, BCPS and Cathy Lammers…

  2. AHRQ's Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/exercises3.html
    December 01, 2017 - AHRQ's Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention Facilitator Training—Additional Exercises (continued) Trigger Summary Report Information Exercises Objective: Facilitators will understand criteria and rules that determine information that displays on the Trigger Summary Report. …

  3. Instructions for Extracting and Submitting (pdf file)

    hcup-us.ahrq.gov/datainnovations/clinicalcontentenhancementtoolkit/ny10.pdf
    July 31, 2012 - Instructions for Extracting and Submitting Data Submission Instructions 2/22/2012 Page 1 Instructions for Extracting and Submitting Laboratory Data for the Study Using Clinically- Enhanced Claims Data to Guide the Selection of Coronary Procedures A Summary of the Steps…

  4. AHRQ Evidence-based Practice Center Program Research Gaps Summary: Telehealth (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/related_files/ehc-research-gaps-telehealth.pdf
    April 01, 2023 - AHRQ Evidence-based Practice Center Program Research Gaps Summary: Telehealth AHRQ EVIDENCE-BASED PRACTICE CENTER (EPC) PROGRAM RESEARCH GAPS SUMMARY: TELEHEALTH An AHRQ EPC Program publication summarizing evidence gaps identified across recent EPC Program reviews for select healthcare topics addressing telehea…

  5. Promoting Self-Management in Stroke Survivors Using Health-IT - Final Report (pdf file)

    digital.ahrq.gov/sites/default/files/docs/publication/r21hs021794-lakshiminarayan-final-report-2015.pdf
    January 01, 2015 - Promoting Self-Management in Stroke Survivors Using Health-IT - Final Report Promoting Self-Management in Stroke Survivors Using Health-IT AHRQ R21 HS21794 Principal Investigator: Kamakshi Lakshminarayan MBBS, PhD, MS (kamakshi@umn.edu) Co-investigators: Sarah Westberg PharmD, David Pieczkiewicz PhD, Farah …

  6. Final Progress Report: Emergency Physician Workload (pdf file)

    www.ahrq.gov/sites/default/files/2024-09/kellogg-report.pdf
    January 01, 2024 - Final Progress Report: Emergency Physician Workload Emergency Physician Workload Grant Award Number: R03-HS024801 Principal Investigator: Kathryn M. Kellogg, MD, MPH Team: Allan Fong, MS Raj Ratwani, PhD Rollin J. Fairbanks, MD, MS Amy Will Tracy Kim Organization: MedStar Health MedStar Institute for Inno…

  7. Final Progress Report: Patient-centered approach to reducing harm from VTE (pdf file)

    www.ahrq.gov/sites/default/files/2024-07/rothberg-report.pdf
    January 01, 2024 - Final Progress Report: Patient-centered approach to reducing harm from VTE Title: Patient-centered approach to reducing harm from VTE Principal Investigator: Michael Rothberg, MD, MPH Team Members: Aaron Hamilton, Bo Hu, Michael Kattan, Phuc Le, Lei Kou, Jacqueline Fox Organization: Cleveland Clinic Foundation In…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/854849/psn-pdf
    October 31, 2023 - “Copy and Paste” Notes and Autopopulated Text in the Electronic Health Records October 31, 2023 MacDonald S. “Copy and Paste” Notes and Autopopulated Text in the Electronic Health Records. PSNet [internet]. 2023. https://psnet.ahrq.gov/web-mm/copy-and-paste-notes-and-autopopulated-text-electronic-health-record Th…

  9. PowerPoint Presentation (ppt file)

    digital.ahrq.gov/sites/default/files/docs/page/Crandall.ppt
    September 01, 2005 - PowerPoint Presentation Effective IT Implementation in Health Care Patient Safety and National Resource Center Annual Conference June 2005 Donald Crandall, MD, FACS Trinity Health – Our Communities Sixth largest tax-exempt health system in the United States Operating revenues of $5.3 billion 44,000…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33765/psn-pdf
    April 01, 2014 - In Conversation With… Leah Binder, MA, MGA April 1, 2014 In Conversation With… Leah Binder, MA, MGA. PSNet [internet]. 2014. https://psnet.ahrq.gov/perspective/conversation-leah-binder-ma-mga Editor's note: Leah Binder is President and CEO of The Leapfrog Group, a national nonprofit representing employers and oth…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/840174/psn-pdf
    August 28, 2024 - Missed CANDOR Implementation Opportunities. November 16, 2022 Schweitzer L. Missed CANDOR Implementation Opportunities. PSNet [internet]. 2022. https://psnet.ahrq.gov/web-mm/missed-candor-implementation-opportunities The Case A 58-year-old man with a history of type 2 diabetes mellitus, hypertension, morbid obesit…

  12. Errors in Sepsis Management | PSNet

    psnet.ahrq.gov/web-mm/errors-sepsis-management
    November 03, 2015 - SPOTLIGHT CASE Errors in Sepsis Management Citation Text: Shimabukuro D. Errors in Sepsis Management. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2015. Copy Citation Format: Google Scholar BibTeX EndNote X…

  13. Improving Safety Using Teamwork and Patient Safety Norms (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/teamwork-ptsafety-norms-slides.pdf
    June 30, 2025 - Improving Safety Using Teamwork and Patient Safety Norms Creating and Maintaining a Culture of Safety Series (Session 2) Improving Safety Using Teamwork and Patient Safety Norms NATIONAL WEBINAR SERIES March 18, 2025 Housekeeping Instructions • This webinar will be recorded and available for viewing on the NAA…

  14. Final Progress Report: Preventing/Managing C. Diff for Nursing Home Residents, Admissions, and Discharges (pdf file)

    www.ahrq.gov/sites/default/files/2024-01/phillips-report.pdf
    January 01, 2024 - Final Progress Report: Preventing/Managing C. Diff for Nursing Home Residents, Admissions, and Discharges FINAL PROGRESS REPORT Project Title: Preventing/Managing C. Diff for Nursing Home Residents, Admissions, and Discharges Principal Investigator: Charles D. Phillips, PhD, MPH, Regents Professor, Texas A&M …

  15. Final Progress Report: Nurse Staffing Policy, Hospital Occupancy, Market Structure, and Patient Outcomes (pdf file)

    www.ahrq.gov/sites/default/files/2024-10/mchugh-report.pdf
    January 01, 2024 - Final Progress Report: Nurse Staffing Policy, Hospital Occupancy, Market Structure, and Patient Outcomes Final Progress Report Title: Nurse Staffing Policy, Hospital Occupancy, Market Structure, and Patient Outcomes Principal Investigator: Matthew D. McHugh Team Members: Linda H. Aiken (primary mentor); Jeffrey H.…

  16. Appendix B: Risk Assessment Models, Protocols, and Order Sets (continued) | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/settings/hospital/vtguide/appb2.html
    January 01, 2020 - Preventing Hospital-Associated Venous Thromboembolism Appendix B: Risk Assessment Models, Protocols, and Order Sets (continued) Previous Page Next Page Table of Contents Preventing Hospital-Associated Venous Thromboembolism Preface Executive Summary Chapter 1. The Framework for Improvement C…

  17. U.S. Department of Veterans Affairs Medical Center, Houston, TX, and Baylor College of Medicine Revised Safer Diagnosis (Safer Dx) Instrument | PSNet

    psnet.ahrq.gov/innovation/us-department-veterans-affairs-medical-center-houston-tx-and-baylor-college-medicine
    February 26, 2025 - U.S. Department of Veterans Affairs Medical Center, Houston, TX, and Baylor College of Medicine Revised Safer Diagnosis (Safer Dx) Instrument Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL January …

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74252/psn-pdf
    January 12, 2022 - In Conversation With... Poonam Sharma, MD, MPH, the Senior Clinical Data Analyst at Atrium Health, and Rhonda Dickman, MSN, RN, CPHQ, the Director of the Tennessee Hospital Association PSO January 12, 2022 In Conversation With.. Poonam Sharma, MD, MPH, the Senior Clinical Data Analyst at Atrium Health, and Rhonda…

  19. 5. Moving Toward Sustainability | Agency for Healthcare Research and Quality

    www.ahrq.gov/evidencenow/projects/state/how-to-guide/guide5.html
    August 01, 2024 - Developing and Sustaining State-Based Infrastructure To Support Primary Care Quality Improvement 5. Moving Toward Sustainability Previous Page Next Page Table of Contents Developing and Sustaining State-Based Infrastructure To Support Primary Care Quality Improvement Using This Guide 1. Backgrou…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74691/psn-pdf
    January 01, 2021 - U.S. Department of Veterans Affairs Medical Center, Houston, TX, and Baylor College of Medicine Revised Safer Diagnosis (Safer Dx) Instrument January 26, 2022 https://psnet.ahrq.gov/innovation/us-department-veterans-affairs-medical-center-houston-tx-and-baylor- college-medicine Summary The Revised Safer Dx Instr…
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