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2881. Module 3: Best Practices in Pressure Injury Prevention (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module3/module3_pu-bestpractices.docx
      June 02, 2025 - Module 3: Best Practices in Pressure Injury Prevention Module 3: Best Practices in Pressure Injury Prevention Module Aim The aim of this module is to support your efforts to use best practices as outlined in the Preventing Pressure Ulcers in Hospitals Toolkit in this hospital’s Pressure Injury Prevention Program. Mo…

2882. Amended Protocol: Interventions for Breathlessness in Patients with Advanced Cancer (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pdf/dyspnea-protocol-amended.pdf
      May 19, 2020 - Amended Protocol: Interventions for Breathlessness in Patients with Advanced Cancer Evidence-based Practice Center Systematic Review Protocol Project Title: Interventions for Breathlessness in Patients with Advanced Cancer Amendment Date: May 19, 2020 (Amendments Details–see Section VII) I. Background…

2883. Agitated Delirium Contributes to Missed Testing and Delayed Diagnosis of Gastric Perforation | PSNet
      psnet.ahrq.gov/web-mm/agitated-delirium-contributes-missed-testing-and-delayed-diagnosis-gastric-perforation
      June 28, 2023 - SPOTLIGHT CASE Agitated Delirium Contributes to Missed Testing and Delayed Diagnosis of Gastric Perforation Citation Text: Trask J, Carlsen KM, Kuhn BT. Agitated Delirium Contributes to Missed Testing and Delayed Diagnosis of Gastric Perforation. PSNet [internet]. Rockville (MD): Agency for Healt…

2884. Complications of ECMO During Transport | PSNet
      psnet.ahrq.gov/web-mm/complications-ecmo-during-transport
      January 27, 2021 - Complications of ECMO During Transport Citation Text: Broman M. Complications of ECMO During Transport. 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 X3 XML End…

2885. Interventions-Horizon-Scan-High-Impact-1306 (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/interventions-horizon-scan-high-impact-1306.pdf
      June 01, 2013 - AHRQ Healthcare Horizon Scanning System – Potential High-Impact Interventions Report Crosscutting 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. HHS…

2886. Crosscutting-Horizon-Scan-High-Impact-1312 (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/crosscutting-horizon-scan-high-impact-1312.pdf
      December 01, 2013 - AHRQ Healthcare Horizon Scanning System – Potential High-Impact Interventions Report Crosscutting 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. HHS…

2887. Background Report for the Request for Public Comment on Initial, Recommended Core Set of Children's Healthcare Quality Measures for Voluntary Use by Medicaid and CHIP Programs | Agency for Healthcare Research and Quality
      www.ahrq.gov/policymakers/chipra/overview/background/next-steps.html
      December 01, 2009 - Background Report for the Request for Public Comment on Initial, Recommended Core Set of Children's Healthcare Quality Measures for Voluntary Use by Medicaid and CHIP Programs Background Report on request for public comment on initial, recommended core set of Children's Healthcare Quality Measures for voluntary…

2888. Retained Surgical Items: Causation and Prevention | PSNet
      psnet.ahrq.gov/primer/retained-surgical-items-causation-and-prevention
      January 04, 2024 - Retained Surgical Items: Causation and Prevention Citation Text: Gibbs V, Romano P. Retained Surgical Items: Causation and Prevention. PSNet [internet]. Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2025. Copy Citation Format: Google Scholar BibTeX End…

2889. Final Progress Report: Development Validation and Implementation of Customized Checklists for Safe Surgery (pdf file)
      www.ahrq.gov/sites/default/files/2024-03/gawande-report.pdf
      January 01, 2024 - Final Progress Report: Development Validation and Implementation of Customized Checklists for Safe Surgery Development Validation and Implementation of Customized Checklists for Safe Surgery Atul Gawande, MD, MPH, Principal Investigator Team Members: Alex Arriaga, MD, MPH, ScD Angela Bader, MD, MPH William Berry,…

2890. Final Progress Report: The National Quality Forum National Annual Policy Conference 2006 (pdf file)
      www.ahrq.gov/sites/default/files/2024-12/nishimi-report.pdf
      January 01, 2024 - Final Progress Report: The National Quality Forum National Annual Policy Conference 2006 The National Quality Forum National Annual Policy Conference 2006 Principal Investigator: Robyn Y. Nishimi, PhD Team Members: D. Feeney, L. Gorban, J. Lewis, M. Stegun, L. Thompson 09/30/06 – 09/29/07 Federal Project Offi…

2891. 2018 National Healthcare Quality and Disparities Report: Appendix A (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2018qdr-appa5.pdf
      January 01, 2018 - 2018 National Healthcare Quality and Disparities Report: Appendix A 2018 National Healthcare Quality and Disparities Report | A.5-1 APPENDIX A. LIST OF MEASURES AND SUMMARY OF RESULTS FOR FIGURES A.5. Disparities: Insurance Status Measures included in Figure 116: Number and percentage of quality measures for whic…

2892. Final Progress Report: Factors Associated with Effective Implementation of a Surgical Safety Checklist (pdf file)
      www.ahrq.gov/sites/default/files/2024-04/singer-report.pdf
      January 01, 2024 - Final Progress Report: Factors Associated with Effective Implementation of a Surgical Safety Checklist Factors Associated with Effective Implementation of a Surgical Safety Checklist Sara J. Singer, MBA, PhD, Principal Investigator Team Members: William Berry Dante Foster Conley Lizabeth Edmondson Atul Gawa…

2893. Presentation: Program Overview
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_overview_impmodel.pptx
      December 01, 2017 - Presentation: Program Overview Program Overview AHRQ Safety Program for Surgery Onboarding AHRQ Pub No. 16(18)-0004-15-EF December 2017 Overview ‹#› AHRQ Safety Program for Surgery – Onboarding SAY: You have embarked on a unique journey. 1 Never doubt that a small group of thoughtful, committed citizens ca…

2894. Research White Paper - Assessing the Predictive Validity of Strength of Evidence Grades: A Meta-Epidemiological Study (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pdf/grades-predictive-values_white-paper.pdf
      September 01, 2015 - Research White Paper - Assessing the Predictive Validity of Strength of Evidence Grades: A Meta-Epidemiological Study Research White Paper Assessing the Predictive Validity of Strength of Evidence Grades: A Meta-Epidemiological Study Research White Paper Assessing the Predict…

2895. Evidence-based Practice Center Systematic Review Protocol (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pdf/vte-prophyalaxis_research-protocol.pdf
      March 01, 2011 - Evidence-based Practice Center Systematic Review Protocol Source: www.effectivehealthcare.ahrq.gov Published Online: January 12, 2012 Evidence-based Practice Center Systematic Review Protocol Project Title: Comparative Effectiveness of Pharmacologic and Mechanical Prophylaxis of Venous Thromboembolism …

2896. Statistical Brief #86: Hospital-Based Ambulatory Surgery, 2007 (pdf file)
      hcup-us.ahrq.gov/reports/statbriefs/sb86.pdf
      February 01, 2010 - Statistical Brief #86: Hospital-Based Ambulatory Surgery, 2007 From HEALTHCARE COST AND UTILIZATION PROJECT Agency for Healthcare Research and Quality STATISTICAL BRIEF #86 February 2010 Hospital-Based Ambulatory Surgery, 2007 Allison Russo, M.P.H., Anne Elixhauser, Ph.D., Claudia Steiner,…

2897. Neds 2006 Maskedstats Ip (pdf file)
      hcup-us.ahrq.gov/db/nation/neds/stats/NEDS_2006_MaskedStats_IP.PDF
      January 01, 2006 - 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 2006 - IP File 12:13 Friday, June 19, 2009 1 Means of Continuous Data Elements please refer to the section on Description of Data Elements. For more informat…

2898. Neds 2006V2 Maskedstats Ip (pdf file)
      hcup-us.ahrq.gov/db/nation/neds/stats/NEDS_2006v2_MaskedStats_IP.PDF
      April 08, 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 2006 - IP File 23:09 Thursday, April 8, 2010 1 Means of Continuous Data Elements please refer to the section on Description of Data Elements. For more inform…

2899. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/852807/psn-pdf
      August 30, 2023 - Sleep Deprivation Leads to Medication Error During Spinal Epidural Anesthesia August 30, 2023 Bohringer C, Osborne R. Sleep Deprivation Leads to Medication Error During Spinal Epidural Anesthesia. PSNet [internet]. 2023. https://psnet.ahrq.gov/web-mm/sleep-deprivation-leads-medication-error-during-spinal-epidural-…

2900. Final Progress Report: Utility of Predictive Systems in Diagnostic Errors (UPSIDE) (pdf file)
      www.ahrq.gov/sites/default/files/2025-02/auerbach-report.pdf
      January 01, 2025 - Final Progress Report: Utility of Predictive Systems in Diagnostic Errors (UPSIDE) 1. Title Page Title: Utility of Predictive Systems in Diagnostic Errors (UPSIDE) Principal Investigator and Team Members Research Team UCSF Andrew Auerbach, MD, MPH (PI) Tiffany Lee, BA Gilmer Valdes, PhD, DABR Colin Hubbard, Ph…