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www.ahrq.gov/news/newsroom/press-releases/significant-patient-safety-improvement.html
July 01, 2022 - Major Study Finds Significant National Patient Safety Improvement
Press Release Date: July 12, 2022
A study published in JAMA: The Journal of the American Medical Association ( JAMA ) and funded and carried out by Health and Human Services (HHS) Agency for Healthcare Research and Quality (AHRQ) shows that rates…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/45-iscr-pathway-audit-tool.xlsx
June 01, 2023 - Introduction
The compliance tracking sheet is located in the other tab of this Excel file AHRQ Pub. No. 23-0052
June 2023
&G
Audit Tool
Purpose of this tool: To support your hospital’s AHRQ Safety Program for Improving Surgical Care and Recovery (ISCR) implementation, your hospital should begin r…
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www.ahrq.gov/research/findings/final-reports/index.html?page=12
January 01, 2024 - Grantee Final Reports: Patient Safety
Final reports from research grants administered since 2000 on a variety of patient safety topics, such as measure development, medication safety, and diagnostic safety.
The Agency for Healthcare Research and Quality Center for Quality Improvement and Patient Safety subdivis…
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/cad-women-diagnosis_executive.pdf
June 01, 2012 - 1
Comparative Effectiveness Review
Number 58
Noninvasive Technologies for the Diagnosis of
Coronary Artery Disease in Women
Executive Summary
Background
Cardiovascular disease is the leading
cause of mortality for women in the
United States.1 Coronary heart disease—
which includes coronary artery (or
atheroscl…
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hcup-us.ahrq.gov/db/nation/neds/stats/NEDS_2010_MaskedStats_ED.PDF
January 01, 2010 - please refer to the section on Description of Data Elements.
For more information about the coding of HCUP data elements,
HCUP Summary Statistics Report: NEDS 2010 - ED File 12:45 Monday, October 29, 2012 1
Means of Continuous Data Elements
please refer to the section on Description of Data Elements.
For more infor…
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hcup-us.ahrq.gov/db/nation/neds/stats/NEDS_2013_MaskedStats_ED.PDF
January 01, 2013 - please refer to the section on Description of Data Elements.
For more information about the coding of HCUP data elements,
HCUP Summary Statistics Report: NEDS 2013 - ED File 21:28 Thursday, November 5, 2015 1
Means of Continuous Data Elements
please refer to the section on Description of Data Elements.
For more inf…
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psnet.ahrq.gov/web-mm/misplaced-nasogastric-tube-resulting-aspiration
August 01, 2009 - Misplaced Nasogastric Tube Resulting in Aspiration
Citation Text:
Singh A, Huang C. Misplaced Nasogastric Tube Resulting in Aspiration. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2024.
Copy Citation
Format:
Google S…
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psnet.ahrq.gov/web-mm/too-many-cooks-kitchen
March 07, 2018 - SPOTLIGHT CASE
Too Many Cooks in the Kitchen
Citation Text:
Dutton RP. Too Many Cooks in the Kitchen. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2020.
Copy Citation
Format:
Google Scholar BibTeX EndNote X…
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www.ahrq.gov/hai/cusp/modules/understand/science-safety-notes.html
July 01, 2018 - Understand the Science of Safety
Facilitator Notes
The Understand the Science of Safety module of the CUSP Toolkit discusses the importance of understanding system design, safe design principles, and valuing diverse input from team members. By analyzing patient safety as a science, frontline providers will pr…
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hcup-us.ahrq.gov/reports/statbriefs/sb165.jsp
October 01, 2013 - Most Frequent Procedures Performed in U.S. Hospitals, 2011 - Statistical Brief #165
An official website of the Department of Health & Human Services
Search All AHRQ Websites
Careers
Cont…
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/chronic-urinary-retention_disposition-comments.pdf
September 15, 2014 - Disposition of Comments for Chronic Urinary Retention: Comparative Effectiveness and Harms of Treatments
Comparative Effectiveness Review Disposition of Comments Report
Research Review Title: Chronic Urinary Retention: Comparative Effectiveness
and Harms of Treatments
Draft review available for public…
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hcup-us.ahrq.gov/db/nation/neds/stats/NEDS_2016_ED_MaskedStats.PDF
January 01, 2016 - please refer to the section on Description of Data Elements.
For more information about the coding of HCUP data elements,
HCUP Summary Statistics Report: NEDS 2016 ED File
Means of Continuous Data Elements
please refer to the section on Description of Data Elements.
For more information about the coding of HCUP data…
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hcup-us.ahrq.gov/db/nation/neds/stats/NEDS_2009_MaskedStats_ED.PDF
January 01, 2009 - please refer to the section on Description of Data Elements.
For more information about the coding of HCUP data elements,
HCUP Summary Statistics Report: NEDS 2009 - ED File
23:07 Saturday, September 10, 2011 1
Means of Continuous Data Elements
please refer to the section on Description of Data Elements.
For more i…
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hcup-us.ahrq.gov/db/nation/neds/stats/NEDS_2014_MaskedStats_ED.PDF
January 01, 2014 - please refer to the section on Description of Data Elements.
For more information about the coding of HCUP data elements,
HCUP Summary Statistics Report: NEDS 2014 - ED File 18:01 Thursday, December 1, 2016 1
Means of Continuous Data Elements
please refer to the section on Description of Data Elements.
For more inf…
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psnet.ahrq.gov/node/49711/psn-pdf
June 01, 2014 - Wandering Off the Floors: Safety and Security Risks of
Patient Wandering
June 1, 2014
Smith TA. Wandering Off the Floors: Safety and Security Risks of Patient Wandering. PSNet [internet].
2014.
https://psnet.ahrq.gov/web-mm/wandering-floors-safety-and-security-risks-patient-wandering
Case Objectives
Define patie…
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psnet.ahrq.gov/node/33763/psn-pdf
March 01, 2014 - How Does Infection Prevention Fit Into a Safety Program?
March 1, 2014
Huang SS. How Does Infection Prevention Fit Into a Safety Program? PSNet [internet]. 2014.
https://psnet.ahrq.gov/perspective/how-does-infection-prevention-fit-safety-program
Perspective
In 1999, the Institute of Medicine (IOM) released the To …
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psnet.ahrq.gov/node/33701/psn-pdf
October 01, 2010 - What Makes a Good Checklist
October 1, 2010
McLaughlin AC. What Makes a Good Checklist. PSNet [internet]. 2010.
https://psnet.ahrq.gov/perspective/what-makes-good-checklist
Perspective
The use of checklists is a primitive yet remarkably effective strategy for ensuring accuracy in complex
tasks. Checklists have lo…
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psnet.ahrq.gov/node/840255/psn-pdf
November 16, 2022 - Using Human Factors Engineering and the SEIPS Model
to Advance Patient Safety in Care Transitions
November 16, 2022
Carayon P, Werner N, Makkenchery A, et al. Using Human Factors Engineering and the SEIPS Model to
Advance Patient Safety in Care Transitions . PSNet [internet]. 2022.
https://psnet.ahrq.gov/perspecti…
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hcup-us.ahrq.gov/db/nation/neds/stats/NEDS_2008_MaskedStats_ED.PDF
January 01, 2008 - please refer to the section on Description of Data Elements.
For more information about the coding of HCUP data elements,
HCUP Summary Statistics Report: NEDS 2008 - ED File
10:09 Tuesday, August 10, 2010 1
Means of Continuous Data Elements
please refer to the section on Description of Data Elements.
For more infor…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/spread/spreadnotes.docx
June 02, 2025 - SAY:
The Spread module of the Comprehensive Unit-based Safety Program (or CUSP) Toolkit helps all or part of an organization share, tailor, and use the components of a process that have worked well at the unit level. The other CUSP Toolkit modules focus on quality improvement projects at the unit level, where culture i…