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  1. Journey of Mr. Kane

    www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/dx-journey-mr-kane.pptx
    June 02, 2025 - Journey of Mr. Kane The Diagnostic Journey of Mr. Kane TeamSTEPPS® for Diagnosis Improvement Narrator: This story is about the diagnostic journey of Mr. Kane. The story outlines several areas where communication failures led to missed and delayed diagnosis that contributed to Mr. Kane’s death. The story is told fro…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49759/psn-pdf
    May 01, 2016 - Falling Through the Crack (in the Bedrails) May 1, 2016 Dykes PC, Vacca V, Leung WY. Falling Through the Crack (in the Bedrails). PSNet [internet]. 2016. https://psnet.ahrq.gov/web-mm/falling-through-crack-bedrails Case Objectives Review the epidemiology of patient falls and associated injuries in the hospital set…

  3. HCUP Statistical Brief #30: Hospital Stays for Prostate Cancer, 2004 (pdf file)

    hcup-us.ahrq.gov/reports/statbriefs/sb30.pdf
    May 01, 2007 - HCUP Statistical Brief #30: Hospital Stays for Prostate Cancer, 2004 HEALTHCARE COST AND UTILIZATION PROJECT Agen Res May 2007 In 2004 princip than 81 overall hospita cancer From 1 of hosp prostat 30 per prostat ondary 8 perce men ar cer and other c Hospit prostat million the ave males…

  4. Statistical Brief #28

    hcup-us.ahrq.gov/reports/statbriefs/sb28.jsp
    April 01, 2007 - Statistical Brief #28 An official website of the Department of Health & Human Services Search All AHRQ Websites Careers Contact Us Espanol FAQs Email Updates …

  5. HCUP Statistical Brief #28: Procedures with the Most Rapidly Increasing Hospital Costs, 2000–2004 (pdf file)

    hcup-us.ahrq.gov/reports/statbriefs/sb28.pdf
    April 01, 2007 - HCUP Statistical Brief #28: Procedures with the Most Rapidly Increasing Hospital Costs, 2000–2004 HEALTHCARE COST AND UTILIZATION PROJECT Agency for Healthcare Research and Quality STATISTICAL BRIEF #28 April 2007 Highlights From 2000 to 2004, overall hospital costs grew by 21.9 p…

  6. Final Progress Report: Infection Prevention in Emergency Care: A Systems Approach (pdf file)

    www.ahrq.gov/sites/default/files/2025-05/schuur-report.pdf
    January 01, 2025 - Final Progress Report: Infection Prevention in Emergency Care: A Systems Approach Title: Infection Prevention in Emergency Care: A Systems Approach Principal Investigator: Jeremiah D. Schuur, MD, MHS Team Members: Conference Co-Chair: Connie Price, MD Project Coordinator: Corine Sinnette, MA Organization: Brigh…

  7. A Fatal Twist in Pseudohyperkalemia | PSNet

    psnet.ahrq.gov/web-mm/fatal-twist-pseudohyperkalemia
    February 10, 2021 - SPOTLIGHT CASE A Fatal Twist in Pseudohyperkalemia Citation Text: Devera JL, Barnes DK, Lewis WR. A Fatal Twist in Pseudohyperkalemia. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2024. Copy Citation Format: …

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60268/psn-pdf
    April 29, 2020 - Complications of ECMO During Transport April 29, 2020 Broman M. Complications of ECMO During Transport. PSNet [internet]. 2020. https://psnet.ahrq.gov/web-mm/complications-ecmo-during-transport The Case A 54-year-old woman with end-stage chronic obstructive pulmonary disease (COPD) was admitted with acute on chro…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73128/psn-pdf
    July 01, 2022 - Hospital at Home? Care Reduces Costs, Readmissions, and Complications and Enhances Satisfaction for Elderly Patients. April 7, 2021 https://psnet.ahrq.gov/innovation/hospital-homesm-care-reduces-costs-readmissions-and-complications- and-enhances Summary The Hospital at Homesm program provides hospital-level care…

  10. Facilitator Guide: Build Your SSI Prevention Bundle (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/vae/vaesurveillance-facguide.docx
    January 01, 2017 - Facilitator Guide: Build Your SSI Prevention Bundle Slide Title and Commentary Slide Number and Slide Title Slide Ventilator-Associated Event Surveillance SAY: This module will focus on ventilator-associated event surveillance and how it can be used in your unit. Slide 1 Learning Objectives SAY: After this se…

  11. In Conversation With… Paul McGann, MD | PSNet

    psnet.ahrq.gov/perspective/conversation-paul-mcgann-md
    July 10, 2024 - In Conversation With… Paul McGann, MD March 1, 2016  Citation Text: In Conversation With… Paul McGann, MD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2016. Copy Citation Format: …

  12. Facilitator-Notes (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/long-term-modules/module2/facilitator-notes.docx
    March 01, 2017 - Facilitator Notes SAY: The Senior Leader Engagement module focuses on the role and responsibilities of the senior leader within the facility safety team. Engaging a senior leader will bridge the gap between senior management and frontline providers, and will help to get a system-level perspective on safety challenge…

  13. Meeting Minutes, April 2016 | Agency for Healthcare Research and Quality

    www.ahrq.gov/news/events/nac/2016-04-nac/nacmtg0416-minutes.html
    August 01, 2016 - Meeting Minutes, April 2016 National Advisory Council Minutes from the April 20, 2016, meeting of the Agency for Healthcare Research and Quality's National Advisory Council. Contents Summary Call to Order and Approval of November 3, 2015, Summary Report Acting Director's Update AHRQ’S Work in Primar…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33804/psn-pdf
    March 03, 2016 - In Conversation With… Paul McGann, MD March 1, 2016 In Conversation With… Paul McGann, MD. PSNet [internet]. 2016. https://psnet.ahrq.gov/perspective/conversation-paul-mcgann-md Editor's note: Dr. McGann is the Chief Medical Officer for Quality Improvement at the Centers for Medicare & Medicaid Services (CMS). He…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867497/psn-pdf
    February 26, 2025 - Retained Surgical Items: Causation and Prevention February 26, 2025 Gibbs V, Romano P. Retained Surgical Items: Causation and Prevention. PSNet [internet]. 2025. https://psnet.ahrq.gov/primer/retained-surgical-items-causation-and-prevention Background A retained surgical item (RSI) is a surgical patient safety pro…

  16. Icd-10 Pcs Trends 11022017 (pdf file)

    hcup-us.ahrq.gov/datainnovations/ICD-10_PCS_Trends_11022017.pdf
    November 02, 2017 - Recommended Citation: Moore BJ, Owens PL, Elixhauser A, Casto AB. ICD-10-PCS Procedure Coding in HCUP Data: Comparisons With ICD-9-CM and Precautions for Trend Analyses. ONLINE. November 2, 2017. U.S. Agency for Healthcare Research and Quality. Available at https://www.hcup-us.ahrq.gov/datainnovations/icd10_reso…

  17. Labor Dystocia | Effective Health Care (EHC) Program

    effectivehealthcare.ahrq.gov/products/labor-dystocia/research

  18. Crosscutting-Horizon-Scan-High-Impact-1412 (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/crosscutting-horizon-scan-high-impact-1412.pdf
    December 01, 2014 - AHRQ Healthcare Horizon Scanning System – Potential High-Impact Interventions Report Cross-Cutting Interventions and Programs Prepared for: Agency for Healthcare Research and Quality U.S. Department of Health and Human Services 540 Gaither Road Rockville, MD 20850 www.ahrq.gov Contract No. HH…

  19. Statistical Brief #103: Hospital Utilization among Oldest Adults, 2008 (pdf file)

    hcup-us.ahrq.gov/reports/statbriefs/sb103.pdf
    December 01, 2010 - Statistical Brief #103: Hospital Utilization among Oldest Adults, 2008 1 From December 2010 Hospital Utilization among Oldest Adults, 2008 Lauren Wier, M.P.H., Anne Pfuntner, B.U.E.P., and Claudia Steiner, M.D., M.P.H. Introduction Between 2010 and 2030, the U.S. population age 65 and …

  20. 2018 National Healthcare Quality and Disparities Report: Appendix A (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2018qdr-appa6.pdf
    January 01, 2018 - 2018 National Healthcare Quality and Disparities Report: Appendix A 2018 National Healthcare Quality and Disparities Report | A.6-1 APPENDIX A. LIST OF MEASURES AND SUMMARY OF RESULTS FOR FIGURES A.6. Disparities: Residence Location Measures included in Figure 128. Number and percentage of quality measures for wh…
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