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psnet.ahrq.gov/node/44363/psn-pdf
May 05, 2018 - Selection of incorrect medication pump leads to
chemotherapy overdose.
May 5, 2018
ISMP Canada. August 26, 2015;15:1-4.
https://psnet.ahrq.gov/issue/selection-incorrect-medication-pump-leads-chemotherapy-overdose
Checklists are cognitive aids that help clinicians remember important steps to ensure safe practice. I…
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psnet.ahrq.gov/node/34753/psn-pdf
March 28, 2005 - Report on the Medical Insurance Feasibility Study.
March 28, 2005
Mills DH. San Francisco, CA: California Medical Association; 1977.
https://psnet.ahrq.gov/issue/report-medical-insurance-feasibility-study
Escalating professional liability costs prompted this study on the nature of adverse outcomes related to
medic…
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psnet.ahrq.gov/node/37789/psn-pdf
June 04, 2008 - The cost of nurse-sensitive adverse events.
June 4, 2008
Pappas SH. The cost of nurse-sensitive adverse events. J Nurs Adm. 2008;38(5):230-236.
doi:10.1097/01.NNA.0000312770.19481.ce.
https://psnet.ahrq.gov/issue/cost-nurse-sensitive-adverse-events
This study determined that the actual direct cost of an adverse ev…
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psnet.ahrq.gov/node/42437/psn-pdf
September 04, 2013 - Patient-led training on patient safety: a pilot study to test
the feasibility and acceptability of an educational
intervention.
September 4, 2013
Jha V, Winterbottom A, Symons J, et al. Patient-led training on patient safety: a pilot study to test the
feasibility and acceptability of an educational intervention. M…
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psnet.ahrq.gov/node/39531/psn-pdf
November 02, 2010 - Am I (un)safe here? Chemotherapy patients' perspectives
towards engaging in their safety.
November 2, 2010
Schwappach DLB, Wernli M. Am I (un)safe here? Chemotherapy patients' perspectives towards engaging
in their safety. BMJ Qual Saf. 2010;19(5). doi:10.1136/qshc.2009.033118.
https://psnet.ahrq.gov/issue/am-i-un…
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psnet.ahrq.gov/node/41762/psn-pdf
May 03, 2017 - Improving the Measurement of Surgical Site Infection
Risk Stratification/Outcome Detection: Final Contract
Report.
May 3, 2017
Price CS, Savitz LA. Rockville, MD: Agency for Healthcare Research and Quality; March 2012. AHRQ
Publication No. 12-0046-EF.
https://psnet.ahrq.gov/issue/improving-measurement-surgical-si…
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psnet.ahrq.gov/node/34036/psn-pdf
March 28, 2005 - National Center for Patient Safety Falls Toolkit 2004.
March 28, 2005
Department of Veterans Affairs (VA) National Center for Patient Safety
https://psnet.ahrq.gov/issue/national-center-patient-safety-falls-toolkit-2004
The National Center for Patient Safety created the Falls Toolkit to assist VA facilities in impl…
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digital.ahrq.gov/ahrq-funded-projects/designing-user-centered-decision-support-tools-chronic-pain-primary-care/citation/analysis
January 01, 2023 - An analysis of primary care clinician communication about risk, benefits, and goals related to chronic opioid therapy.
Citation
Danielson EC, Mazurenko O, Andraka-Christou BT, DiIulio J, Downs SM, Hurley RW, Harle CA. An analysis of primary care clinician communication about risk, benefits, and goals…
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digital.ahrq.gov/ahrq-funded-projects/scaling-equipped-clinical-decision-support/final-report
January 01, 2023 - Scaling E.Q.U.I.P.P.E.D. Clinical Decision Support - Final Report
Citation
Vandenberg A. Scaling E.Q.U.I.P.P.E.D. Clinical Decision Support - Final Report. (Prepared by Emory University under Grant No. R18 HS026877). Rockville, MD: Agency for Healthcare Research and Quality, 2022.
PDF
fi…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide50.html
October 01, 2014 - 50. What's New in 2008? 2000 Recommendations Changed for 2008 (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Children and Adolescents (Continued):
2000 Guideline: Recommendation #2: Clinicians in a pediatric setting should offer Smoking cessation advice…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide63.html
October 01, 2014 - 63. For the Patient Willing To Quit (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Strategy A3. Assess —Determine willingness to make a quit attempt
Action
Strategies for implementation
Assess every tobacco user's willingness to make a qui…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide64.html
October 01, 2014 - 64. For the Patient Willing To Quit (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Strategy A4. Assist —Aid the patient in quitting (provide counseling and medication
Action
Strategies for implementation
Help the patient with a quit plan. …
-
www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide65.html
October 01, 2014 - 65. For the Patient Willing To Quit (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Strategy A4. Assist —Aid the patient in quitting (provide counseling and medication) (Continued)
Recommend the use of approved medication,
except where contra…
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www.ahrq.gov/nursing-home/materials/leadership/emotional-wellness.html
March 01, 2022 - Emotional Wellness Resources for Nursing Home Staff
These emotional wellness resources for nursing home staff list programs nursing home staff can access to help cope with the stress and emotions they may be experiencing from working on the frontlines of the COVID-19 pandemic:
Emotional Wellness Resources f…
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www.ahrq.gov/nursing-home/resources/coordinating-access-options.html
October 01, 2021 - Long-term Care Administrators and Managers: Options for Coordinating Access to COVID-19 Vaccines
Resource: Long-term Care Administrators and Managers: Options for Coordinating Access to COVID-19 Vaccines
Long-term care (LTC) providers in settings such as nursing homes, assisted living, residential care comm…
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www.ahrq.gov/pqmp/measures/offered-assistance-scheduling.html
August 01, 2021 - Caregivers of children discharged from the hospital should report being offered assistance in scheduling within 72 hours of discharge from the hospital
Measure Domain: Management of Acute Conditions
Measure Sub-Domain: Transitions between Sites of Care: Hospital to Home
PQMP COE: COE4CCN
Associated NQF…
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www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit3-14.html
November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies
Exhibit 3.14. Project Team Composition—Hip and Knee Replacement Costs
Previous Page Next Page
Table of Contents
Improving Care Delivery Through Lean: Implementation Case Studies
Introduction to the Case Studies
Case 1. Lakeview He…
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psnet.ahrq.gov/node/49871/psn-pdf
August 10, 2019 - Renal Failure Due to Benign Prostatic Hyperplasia
August 10, 2019
Barry MJ, Garnick MB. Renal Failure Due to Benign Prostatic Hyperplasia. PSNet [internet]. 2019.
https://psnet.ahrq.gov/web-mm/renal-failure-due-benign-prostatic-hyperplasia
The Case
A 65-year-old man was referred to urology for a 5-year history of …
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psnet.ahrq.gov/web-mm/departure-central-line-ritual
October 13, 2018 - Departure From Central Line Ritual
Citation Text:
Ballard DW, Vinson DR, Mark DG. Departure From Central Line Ritual. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2015.
Copy Citation
Format:
Google Scholar BibTeX EndN…
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digital.ahrq.gov/sites/default/files/docs/citation/SecureMessagingPediatricRespiratorySettingHandbook.pdf
January 01, 2012 - Secure Messaging in a Pediatric Respiratory Medicine Setting Implementation Handbook
Secure Messaging in a
Pediatric Respiratory
Medicine Setting
Implementation
Handbook
Final ACTION Contract Report
This page intentio…