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  1. NPSD Data Spotlight: Patterns of Fall Interventions (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/spotlights/spotlight-patterns-fall-interventions.pdf
    September 01, 2023 - impact among patients with different risk factors and highlight the need for further research in the area … Therapy Sitter Sitter Supplemental environmental or area lighting (when usual facility lighting

  2. Primary Hypofractionated Radiation Therapy for Localized Prostate Cancer: Research Protocol (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/related_files/hypofractionated-radiation-therapy-protocol.pdf
    April 17, 2024 - Focal intraprostatic boost: An additional dose of radiation delivered to a specific area within the prostate … Organs at risk (OARs): Critical normal tissues near the target area of radiation that must be protected

  3. Failure Modes and Effects Analysis Based on In Situ Simulations: A Methodology to Improve Understanding of Risks and Failures (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Davis_60.pdf
    April 07, 2008 - scoring based on risk priority numbers, and (5) determination of an action plan.6 A failure mode is an area … Detectability Is the area of failure readily known, or is it discovered only when a bad outcome

  4. CDS Connect Work Group Agenda - December 2021 (pdf file)

    cds.ahrq.gov/sites/default/files/workgroups/38971/CDS_Connect_WG_December_2021_Summary.pdf
    January 01, 2021 - CDS Connect Work Group Agenda - December 2021 Clinical Decision Support (CDS) Connect Work Group (WG) Meeting Summary December 16, 2021 3:00 – 4:00 pm ET Attendees: 39 people, including 5 phone dial-ins Organization Attendees AHRQ Sponsors Chris Dymek, Edward Lomotan, Mario Teran, James Swiger (4) …

  5. Co-Occurring Behavioral Health Conditions | The Academy

    integrationacademy.ahrq.gov/products/playbooks/opioid-use-disorder/implement-mat-for-oud/co-occurring-behavioral-health-conditions
    January 01, 2012 - 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…

  6. Citrate Mix-Up | PSNet

    psnet.ahrq.gov/web-mm/citrate-mix
    February 01, 2010 - Citrate Mix-Up Citation Text: Weber RJ. Citrate Mix-Up. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2006. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

  7. Organizational Change in the Face of Highly Public Errors—II. The Duke Experience | PSNet

    psnet.ahrq.gov/perspective/organizational-change-face-highly-public-errors-ii-duke-experience
    July 20, 2010 - Organizational Change in the Face of Highly Public Errors—II. The Duke Experience Karen Frush, MD | May 1, 2005  View more articles from the same authors. Citation Text: Frush K. Organizational Change in the Face of Highly Public Errors—II. The Duke Experience. PSN…

  8. 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/slides.html
    December 01, 2014 - AHRQ's Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention Facilitator Training Slide Presentation Text version of slide presentation. Slide 1: Overview of On-Time AHRQ's Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention Facilitator Training Overview of On-Time Slid…

  9. Understanding Drivers of Health Care Disparities and Developing Targeted Interventions

    hcup-us.ahrq.gov/datainnovations/raceethnicitytoolkit/ca9.jsp
    July 01, 2014 - Understanding Drivers of Health Care Disparities and Developing Targeted Interventions An official website of the Department of Health & Human Services Search All AHRQ Websites Careers Conta…

  10. Discharged Blindly | PSNet

    psnet.ahrq.gov/web-mm/discharged-blindly
    October 26, 2022 - Discharged Blindly Citation Text: Iezzoni LI. Discharged Blindly. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2005. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS…

  11. Staff Roles and Training forYour Pressure Ulcer Prevention Program (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/webinars/webinar3_pu_staffroles.pdf
    January 01, 2014 - Staff Roles and Training forYour Pressure Ulcer Prevention Program Staff Roles and Training for Your Pressure Ulcer Prevention Program Presented by Elizabeth A. Ayello Ph.D., RN, ACNS-BC, CWON, ETN, MAPWCA, FAAN Excelsior College School of Nursing Welcome! Thank you for joining this webinar about staff role…

  12. Surveillance Report: Masks for Prevention of COVID-19 in Community and Healthcare Settings (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/pdf/masks-prevention-covid-surveillance-report.pdf
    July 17, 2020 - Surveillance Report: Masks for Prevention of COVID-19 in Community and Healthcare Settings Surveillance Report: July 17, 2020 Masks for Prevention of COVID-19 in Community and Healthcare Settings: Surveillance Report Background This surveillance report summarizes the search and update for the rapid review and l…

  13. Computer Literacy Survey (pdf file)

    digital.ahrq.gov/sites/default/files/docs/survey/computer-literacy-survey.pdf
    June 16, 2021 - Computer Literacy Survey Computer Literacy Survey: Michigan Public Health Institute Michigan Public Health Institute, Ann Arbor, MI This is a questionnaire designed to be completed by clinical staff in an ambulatory setting. The tool includes questions to assess the current state of electronic health records. Pe…

  14. Slide 1 (ppt file)

    digital.ahrq.gov/sites/default/files/docs/page/SRD%20Call%208.30.06.ppt
    August 22, 2006 - Slide 1 Volunteer eHealth Initiative SW Tennessee’s experience The Legal Side of the Project Vicki Estrin – Program Manager vicki.y.estrin@vanderbilt.edu Funding: AHRQ Contract 290-04-0006; State of Tennessee; Vanderbilt University. This presentation has not been approved by the Agency for Healthcare Research…

  15. Disposition of Comments Report for Multigene Panels in Prostate Cancer Risk Assessment (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/related_files/prostate-cancer-risk-assessment-genes_disposition-comments.pdf
    July 03, 2012 - Disposition of Comments Report for Multigene Panels in Prostate Cancer Risk Assessment Source: http://effectivehealthcare.ahrq.gov/search-for-guides-reviews-and- reports/?pageaction=displayproduct&productID=1171 Published Online: July 3, 2012 Comparative Effectiveness Research Review Disposition of Comme…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867655/psn-pdf
    February 26, 2025 - Learning Health Systems for Patient Safety February 26, 2025 Savitz LA, Sousane Z, Mossburg SE. Learning Health Systems for Patient Safety. PSNet [internet]. 2025. https://psnet.ahrq.gov/perspective/learning-health-systems-patient-safety Despite an observable decrease in adverse events in health care over time, rat…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49574/psn-pdf
    November 01, 2008 - A Mid-Summer Fog November 1, 2008 Braddock CH. A Mid-Summer Fog. PSNet [internet]. 2008. https://psnet.ahrq.gov/web-mm/mid-summer-fog The Case A 33-year-old woman with type I diabetes mellitus was admitted for symptoms of left flank pain, dysuria, and emesis, concerning for pyelonephritis. The patient was taking …

  18. STATISTICAL BRIEF #435: Premiums and Employee Contributions for Employer-Sponsored Health Insurance: Private versus Public Sector, 2012

    meps.ahrq.gov/data_files/publications/st435/stat435.shtml
    April 01, 2014 - STATISTICAL BRIEF #435: Premiums and Employee Contributions for Employer-Sponsored Health Insurance: Private versus Public Sector, 2012   Skip to main content An official website of the Department of Health & Human Ser…

  19. References | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/universal-icu-decolonization/universal-icu-refs.html
    September 01, 2013 - Universal ICU Decolonization: An Enhanced Protocol References Previous Page Next Page Table of Contents Universal ICU Decolonization: An Enhanced Protocol Introduction and Welcome Universal ICU Decolonization Protocol Overview Scientific Rationale References Appendix A. Flow Chart for Impl…

  20. References | Agency for Healthcare Research and Quality

    www.ahrq.gov/es/hai/universal-icu-decolonization/universal-icu-refs.html
    September 01, 2013 - Universal ICU Decolonization: An Enhanced Protocol References Previous Page Next Page Table of Contents Universal ICU Decolonization: An Enhanced Protocol Introduction and Welcome Universal ICU Decolonization Protocol Overview Scientific Rationale References Appendix A. Flow Chart for Impl…
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