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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865376/psn-pdf
    March 27, 2024 - Navigating Chaos: Fatal Iatrogenic Liver Injury in a Patient Admitted for Leg Fractures March 27, 2024 Loseth C. Navigating Chaos: Fatal Iatrogenic Liver Injury in a Patient Admitted for Leg Fractures. PSNet [internet]. 2024. https://psnet.ahrq.gov/web-mm/navigating-chaos-fatal-iatrogenic-liver-injury-patient-admi…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49676/psn-pdf
    February 01, 2013 - Death by PCA February 1, 2013 Hicks RW. Death by PCA. PSNet [internet]. 2013. https://psnet.ahrq.gov/web-mm/death-pca The Case A healthy 21-year-old pregnant woman delivered a healthy baby via Caesarean section after an uncomplicated pregnancy. Two hours after delivery, the post-anesthesia care unit (PACU) nurse …
  3. psnet.ahrq.gov/web-mm/safeguarding-diagnostic-testing-point-care
    September 30, 2011 - Safeguarding Diagnostic Testing at the Point of Care Citation Text: Kost GJ, Ehrmeyer SS. Safeguarding Diagnostic Testing at the Point of Care. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017. Copy Citation Format: …
  4. psnet.ahrq.gov/sites/default/files/2024-03/uterine_artery_injury.pdf
    January 01, 2024 - Microsoft PowerPoint - Spotlight Case_Uterine Artery Injury during Cesarean Delivery - FINAL.pptx Spotlight Uterine Artery Injury during Cesarean Delivery Leads to Cardiac Arrests and Emergency Hysterectomy Source and Credits • This presentation is based on the March 2024 AHRQ WebM&M Spotlight Case o See the ful…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49699/psn-pdf
    February 01, 2014 - Multifactorial Medication Mishap February 1, 2014 Yang A. Multifactorial Medication Mishap. PSNet [internet]. 2014. https://psnet.ahrq.gov/web-mm/multifactorial-medication-mishap Case Objectives Understand the system-based causes of medication errors. Describe a model for a systems approach to error analysis. Id…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/841139/psn-pdf
    December 14, 2022 - Open wider: Failure to use an interpreter results in fractured teeth and hypoxia during a simple elective operation. December 14, 2022 Bohringer C, Godoy L. Open wider: Failure to use an interpreter results in fractured teeth and hypoxia during a simple elective operation. PSNet [internet]. 2022. https://psnet.ah…
  7. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-0138-fullreport.pdf
    April 01, 2018 - Validity Face validity is the degree to which the measure construct characterizes the concept being assessed … administrative claims data; therefore, the validity of the coded data reported in Medicaid claims was assessed … This measure has not been assessed for comprehension.
  8. www.ahrq.gov/sites/default/files/2024-02/pace-report.pdf
    January 01, 2024 - Samples Use Card Study This study assessed the frequency, motivation for, and safety of manufacturer-provided … A card study assessed provider motivation and sample dispensing. … A simultaneous card study assessed patient knowledge of their sample(s).
  9. www.ahrq.gov/sites/default/files/2025-03/chaudhry-report.pdf
    January 01, 2025 - Staff Experience survey: This survey assessed MICU, ED, and GM clinicians’ experiences with sending and … Our evaluation plan assessed patient outcomes, intervention fidelity, and participant experience. … • YNHH Patient Discharges to SNFs survey: This survey assessed SNF clinicians’ experiences with hospital
  10. digital.ahrq.gov/sites/default/files/docs/citation/r18hs017191-pohl-final-report-2011.pdf
    January 01, 2011 - with Influenza Vaccine • % with 2 HbA1c values in last yr (3+ mths apart) • % with HbA1c value • % assessed … This survey assessed computer literacy and attitudes/expectations regarding the effect of ‘computers … inhibitors or ARBs; on Statins; blood pressure measured; taking Aspirin or Antithrombotic; smoking status assessed
  11. digital.ahrq.gov/sites/default/files/docs/citation/r01hs025429-aguilera-final-report-2022.pdf
    January 01, 2022 - After 6 months, we again assessed the most recent HbA1c (pulling from patients’ EHR), ensuring that … such as (1) times that the app was opened (2) time spent reading the messages (3) usability data, assessed … algorithm (an area of machine learning) based on previous work.28 On a daily basis, this algorithm assessed
  12. www.uspreventiveservicestaskforce.org/home/getfilebytoken/k-btyK4W2-v9KnemTK8WDx
    September 14, 2021 - Two investigators independently assessed study quality. … Two independent investigators assessed the quality of each study as good, fair, or poor using predefined … Data Synthesis Two independent reviewers assessed the internal validity (quality) of the body of evidence
  13. effectivehealthcare.ahrq.gov/sites/default/files/related_files/juvenile-arthritis-dmards_disposition-comments.pdf
    September 01, 2011 - comparison have a high likelihood of adequate protection against bias (i.e., good internal validity), assessed … No other studies that assessed uveitis met the inclusion criteria. … Will refer to standard joint count, with 71 joints assessed throughout.
  14. www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/exercises2.html
    December 01, 2017 - AHRQ's Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention Facilitator Training—Additional Exercises (continued) Risk Change Report Information Exercises Objective: Facilitators will understand the process to prioritize residents on the Risk Change Report for use in On‐Time process improvem…
  15. www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/6.html
    December 01, 2017 - AHRQ's Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention Functional Specifications 3. Specifications for Each Pressure Ulcer Prevention Report (continued) 3.6. Risk Change Report (formerly Priority Report) 3.6.1. Report Description The On-Time Risk Change Report (formerly Priority Repo…
  16. www.ahrq.gov/news/newsletters/e-newsletter/924.html
    August 01, 2024 - Intervention Leads to Increase in Lung Cancer Screenings Issue Number 924 AHRQ News Now is a weekly newsletter that highlights agency research and program activities. August 6, 2024 AHRQ Stats Access more data on this topic in AHRQ's 2023 Chartbook on Patient Safety (PDF, 4 MB), plus additional AHRQ …
  17. www.ahrq.gov/faqs/index.html?page=5
    June 12, 2025 - Frequently Asked Questions Check to find the answers to your questions about the Agency for Healthcare Research and Quality (AHRQ) programs and activities. You can search by category or key words. You can also send us your questions or website feedback here. We will respond to your requests based on the bes…
  18. www.ahrq.gov/hai/cusp/cauti-interim/cauti-interim5.html
    July 01, 2013 - Eliminating CAUTI: Interim Data Report Conclusions Previous Page   Table of Contents Eliminating CAUTI: Interim Data Report Executive Summary Introduction and Objectives Methods Results Outcome and Process Measures Culture Measures Conclusions The national project team …
  19. www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/04-SOPS_101_Webcast-FAMOLARO.pdf
    January 01, 2020 - Understanding SOPS Surveys: A Primer for New Users (Webcast) - Famolaro The SOPS Databases Theresa Famolaro, MPS, MS, MBA Senior Study Director User Network for the AHRQ Surveys on Patient Safety Culture (SOPS) Westat 23 SOPS Databases Hospital 630 Hospitals Nursing Home 191 Nursing Homes Medical Office…
  20. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/resources/tools/improve/discussion-guide.docx
    March 01, 2017 - BLADDER SCAN – POLICY #2202 12/11/06 AHRQ Safety Program for Long-Term Care: HAIs/CAUTI AHRQ Safety Program for Reducing CAUTI in Hospitals Appendix B. Guide to Administering the AHRQ Nursing Home Survey on Patient Safety Culture and Reviewing Results The purpose of this guide is to provide you with information on h…