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2961. Serious Reportable Adverse Events in Health Care (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Kizer2.pdf
      December 01, 2000 - Serious Reportable Adverse Events in Health Care 339 Serious Reportable Adverse Events in Health Care Kenneth W. Kizer, Melissa B. Stegun Abstract Health care errors resulting in patient harm are a leading cause of morbidity and mortality in the United States, although there is no national reporting of such…

2962. Error Producing Conditions in the Intensive Care Unit (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Drews_15.pdf
      February 26, 2008 - Error Producing Conditions in the Intensive Care Unit Error Producing Conditions in the Intensive Care Unit Frank A. Drews, PhD; Adrian Musters, BS; Matthew H. Samore, MD Abstract Up to 98,000 patients die because of human error in U.S. hospitals each year. Among the areas where errors occur frequently is t…

2963. Screening for Asymptomatic Bacteriuria in Adults: US Preventive Services Task Force Recommendation Statement (pdf file)
      www.uspreventiveservicestaskforce.org/home/getfilebytoken/3R9N4ojm9Sk7qk8ybD3LU6
      October 11, 2019 - Screening for Asymptomatic Bacteriuria in Adults: US Preventive Services Task Force Recommendation Statement Screening for Asymptomatic Bacteriuria in Adults US Preventive Services Task Force Recommendation Statement US Preventive Services Task Force IMPORTANCE Among the general adult population, women (across all a…

2964. In Conversation With… Harlan Krumholz, MD, SM | PSNet
      psnet.ahrq.gov/perspective/conversation-harlan-krumholz-md-sm
      April 01, 2018 - In Conversation With… Harlan Krumholz, MD, SM April 1, 2018  Also Read an Essay Citation Text: In Conversation With… Harlan Krumholz, MD, SM. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. …

2965. The Risks of a Malpositioned Gastrostomy Tube and Poor Communication | PSNet
      psnet.ahrq.gov/web-mm/risks-malpositioned-gastrostomy-tube-and-poor-communication
      August 01, 2012 - SPOTLIGHT CASE The Risks of a Malpositioned Gastrostomy Tube and Poor Communication Citation Text: Hight RA. The Risks of a Malpositioned Gastrostomy Tube and Poor Communication. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Servic…

2966. A Sleep Promotion Toolkit for Hospitalized Patients - Final Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/citation/r21hs024330-ye-final-report-2018.pdf
      January 01, 2018 - A Sleep Promotion Toolkit for Hospitalized Patients - Final Report A Sleep Promotion Toolkit for Hospitalized Patients Principal Investigator: Lichuan Ye, PhD, RN Co-Investigator: Patricia C. Dykes, PhD, RN, FAAN, FACMI Grant No.: R21 HS24330 Project Period: 09/30/2015 - 09/29/2018 Or…

2967. In Conversation With… Didier Pittet, MD, MS | PSNet
      psnet.ahrq.gov/perspective/conversation-didier-pittet-md-ms
      May 01, 2014 - In Conversation With… Didier Pittet, MD, MS May 1, 2014  Also Read an Essay Citation Text: In Conversation With… Didier Pittet, MD, MS. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2014. …

2968. Casestudy Qdranalysis04072017 (pdf file)
      hcup-us.ahrq.gov/datainnovations/CaseStudy_QDRanalysis04072017.pdf
      April 07, 2017 - Recommended Citation: Barrett ML, Heslin KC, Yoon F, Moore BJ. Case Study: National Healthcare Quality and Disparities Report (QDR) Sensitivity Analysis on Developing AHRQ Quality Indicator Estimates For 2015 Using Only ICD-9-CM Data. ONLINE. April 7, 2017. U.S. Agency for Healthcare Research and Quality. Availa…

2969. Patient Safety During Hospital Discharge | PSNet
      psnet.ahrq.gov/perspective/patient-safety-during-hospital-discharge
      April 01, 2018 - Patient Safety During Hospital Discharge Katherine Liang and Eric Alper, MD | April 1, 2018  Also Read a Conversation View more articles from the same authors. Citation Text: Liang K, Alper E. Patient Safety During Hospital Discharge. PSNet [internet]. Rockville…

2970. Disposition of Comments for CERs 155 156 Contast-Induced Nephropathy (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/nephropathy-contrast-induced_disposition-comments.pdf
      January 07, 2016 - Disposition of Comments for CERs 155 156 Contast-Induced Nephropathy Comparative Effectiveness Review Disposition of Comments Report Research Review Titles: …

2971. Microsoft Word - AF_Report2006_fin.doc (pdf file)
      hcup-us.ahrq.gov/reports/methods/2008_04.pdf
      January 01, 2008 - Microsoft Word - AF_Report2006_fin.doc HCUP Methods Series kbr33831 Contact Information: Healthcare Cost and Utilization Project (HCUP) Agency for Healthcare Research and Quality 540 Gaither Road Rockville, MD 20850 http://www.hcup-us.ahrq.gov For Technical Assistance with HCUP Products: Email:…

2972. Effect of Recent Refresher Training on in Situ Simulated Pediatric Tracheal Intubation Psychomotor Skill Performance (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Nishisaki_44.pdf
      April 19, 2008 - Effect of Recent Refresher Training on in Situ Simulated Pediatric Tracheal Intubation Psychomotor Skill Performance Effect of Recent Refresher Training on in Situ Simulated Pediatric Tracheal Intubation Psychomotor Skill Performance Akira Nishisaki, MD; Louis Scrattish, MD; John Boulet, PhD; Mandip Kalsi, MD;…

2973. N3Veybr4Zdhzfqsw3Erlhe (pdf file)
      www.uspreventiveservicestaskforce.org/home/getfilebytoken/N3VeYbr4ZdhZfqsw3ErLHE
      November 01, 2014 - Screening for Asymptomatic Carotid Artery Stenosis: U.S. Preventive Services Task Force Recommendation Statement Michael L. LeFevre, MD, MSPH, on behalf of the U.S. Preventive Services Task Force* Description: Update of the 2007 U.S. Preventive Services Task Force (USPSTF) recommendation on screening for carotid arter…

2974. Management of CSF Leaks After Elective Spine Surgery: Routine Laminectomy Leads to Fatal Discitis and Sepsis | PSNet
      psnet.ahrq.gov/web-mm/management-csf-leaks-after-elective-spine-surgery-routine-laminectomy-leads-fatal-discitis
      March 09, 2022 - SPOTLIGHT CASE Management of CSF Leaks After Elective Spine Surgery: Routine Laminectomy Leads to Fatal Discitis and Sepsis Citation Text: Castillo JA, Price R, Kim KD. Management of CSF Leaks After Elective Spine Surgery: Routine Laminectomy Leads to Fatal Discitis and Sepsis. PSNet [internet]. …

2975. S81 (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/s81.pdf
      October 01, 2007 - ORIGINAL ARTICLE Developing Indicators of Inpatient Adverse Drug Events Through Nonlinear Analysis Using Administrative Data Jonathan R. Nebeker, MS, MD,*†‡§ Paul R. Yarnold, PhD,¶ Robert C. Soltysik, MS,� Brian C. Sauer, PhD,†‡ Shannon A. Sims, MD, MS,** Matthew H. Samore, MD,†‡§** Randall W. Rupper, MD, MPH,*†‡ Ka…

2976. Innovations in Promoting Hand Hygiene Compliance | PSNet
      psnet.ahrq.gov/perspective/innovations-promoting-hand-hygiene-compliance
      May 01, 2014 - Innovations in Promoting Hand Hygiene Compliance Alexandre R. Marra, MD and Michael B. Edmond, MD, MPH, MPA | May 1, 2014  Also Read a Conversation View more articles from the same authors. Citation Text: Marra AR, Edmond MB. Innovations in Promoting Hand Hygie…

2977. Evidence-based Practice Center Systematic Review Protocol (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/genitourinary-symptoms-protocol_0.pdf
      July 10, 2023 - Evidence-based Practice Center Systematic Review Protocol Evidence-based Practice Center Systematic Review Protocol Project Title: Genitourinary Syndrome of Menopause Publication Date: March 1, 2023 Amendment Date(s): April 10, 2023, May 3, 2023, July 10, 2023 (Amendments Details–see Section VII) I.…

2978. Case Example #5: WellMed | Agency for Healthcare Research and Quality
      www.ahrq.gov/ncepcr/tools/workforce-financing/case-example-5.html
      July 01, 2019 - Case Example #5: WellMed This report is based on research conducted by Abt Associates in partnership with the MacColl Center for Health Care Innovation and Bailit Health Purchasing, Cambridge, MA, under contract to the Agency for Healthcare Research and Quality (AHRQ), Rockville, MD (Contract Nos. 2…

2979. AHRQ Final report: Designing for Patient Safety: Developing Methods to Integrate Patient Safety Concerns in the Design Process (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/joseph1-report.pdf
      January 01, 2024 - AHRQ Final report: Designing for Patient Safety: Developing Methods to Integrate Patient Safety Concerns in the Design Process TITLE PAGE Project Title: Designing for Patient Safety: Developing Methods to Integrate Patient Safety Concerns in the Design Process Principal Investigator: Anjali Joseph, PhD, EDAC Tea…

2980. Learning From Defects Through Sensemaking: Facilitator Notes | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/surgery/modules/implementation/learn-from-defects-fac-notes.html
      December 01, 2017 - Learning From Defects Through Sensemaking: Facilitator Notes AHRQ Safety Program for Surgery Slide 1: Learning From Defects Through Sensemaking Say: This module focuses on the process of Learning From Defects Through Sensemaking. Slide 2: Learning Objectives Say: At the end of this module, you w…