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psnet.ahrq.gov/node/38705/psn-pdf
June 17, 2009 - Ambulance stretcher adverse events.
June 17, 2009
Wang HE, Weaver MD, Abo BN, et al. Ambulance stretcher adverse events. Qual Saf Health Care.
2009;18(3):213-216. doi:10.1136/qshc.2007.024562.
https://psnet.ahrq.gov/issue/ambulance-stretcher-adverse-events
This study analyzed more than 670 reported adverse events …
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psnet.ahrq.gov/node/60260/psn-pdf
April 22, 2020 - Joint Statement on Multiple Patients Per Ventilator.
April 22, 2020
The Anesthesia Patient Safety Foundation, Society of Critical Care Medicine, American Association for
Respiratory Care, American Society of Anesthesiologists, American Association of Critical?Care Nurses,
and American College of Chest Physicians. M…
-
psnet.ahrq.gov/node/42534/psn-pdf
August 28, 2013 - Risk factors for hospital admissions associated with
adverse drug events.
August 28, 2013
Kongkaew C, Hann M, Mandal J, et al. Risk factors for hospital admissions associated with adverse drug
events. Pharmacotherapy. 2013;33(8):827-37. doi:10.1002/phar.1287.
https://psnet.ahrq.gov/issue/risk-factors-hospital-admi…
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psnet.ahrq.gov/node/44269/psn-pdf
July 01, 2015 - Accidental overdoses involving fluorouracil infusions.
July 1, 2015
ISMP Medication Safety Alert! Acute Care Edition. June 18, 2015;20:1:5.
https://psnet.ahrq.gov/issue/accidental-overdoses-involving-fluorouracil-infusions
Describing three accidental overdoses of the antineoplastic drug fluorouracil which involved …
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www.ahrq.gov/nursing-home/resources/module-12a-preventing-respiratory-infection.html
May 01, 2022 - Module 12A—Preventing Respiratory Infection—Nursing Home Infection Preventionist Training Course
Resource: Module 12A—Preventing Respiratory Infection—Nursing Home Infection Preventionist Training Course
This module discusses strategies to diagnose, prevent, and control serious lower respiratory tract infec…
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www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit4-14.html
November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies
Exhibit 4.14. UTI Team Problem Statement
Previous Page Next Page
Table of Contents
Improving Care Delivery Through Lean: Implementation Case Studies
Introduction to the Case Studies
Case 1. Lakeview Healthcare
Case 2. Central Ho…
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www.ahrq.gov/antibiotic-use/ambulatory-care/best-practices/pharyngitis.html
September 01, 2022 - The "Sometimes Antibiotics" Diagnoses: Pharyngitis
After viewing or presenting this presentation, viewers will be able to—
Review common infection causes of pharyngitis.
Identify criteria for determining whether to test for streptococcal pharyngitis.
Describe the treatment of streptococcal pharyngitis…
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hcup-us.ahrq.gov/db/state/siddist/WALetter_PAY2_PAY2_X.pdf
August 01, 2008 - Microsoft Word - WALetter_PAY2_PAY2_X.doc
DEPARTMENT OF HEALTH AND HUMAN SERVICES Public Health Service
Agency for Healthcare
Research and Quality
540 Gaither Road
Rockville, MD 20850
The Washington HCUP Central Distributor State Inpatient Databases (SID) that were
purchased prior to August 2008 …
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www.ahrq.gov/es/patient-safety/settings/hospital/red/toolkit/dxpages.html
March 01, 2025 - Re-Engineered Discharge (RED) Toolkit
Tool 3 Continued
Previous Page Next Page
Table of Contents
Re-Engineered Discharge (RED) Toolkit
Tool 1: Overview
Tool 2: How To Begin the Re-engineered Discharge Implementation at Your Hospital
How CMS Measures the "30-Day All Cause Rehospitalization Rate…
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www.ahrq.gov/patient-safety/settings/hospital/red/toolkit/dxpages.html
March 01, 2025 - Re-Engineered Discharge (RED) Toolkit
Tool 3 Continued
Previous Page Next Page
Table of Contents
Re-Engineered Discharge (RED) Toolkit
Tool 1: Overview
Tool 2: How To Begin the Re-engineered Discharge Implementation at Your Hospital
How CMS Measures the "30-Day All Cause Rehospitalization Rate…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/018-ss-importance-ssi-mrsa-prevention.pptx
April 01, 2025 - Prevention
Evidence-based interventions should be used to prevent surgical site infections, including those caused
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/overviewmaterialspacket_1.pdf
November 30, 2013 - On-Time Preventable Hospital and Emergency Department Visits
AHRQ’s Safety Program for Nursing Homes: Overview Materials Packet
On-Time Preventable Hospital and Emergency Department Visits:
Electronic Reports
Five reports are described here. Each section presents a sample report followed by purpose,
description…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/overviewmaterialspacket.pdf
November 30, 2013 - On-Time Preventable Hospital and Emergency Department Visits
AHRQ’s Safety Program for Nursing Homes: Overview Materials Packet
On-Time Preventable Hospital and Emergency Department Visits:
Electronic Reports
Five sample reports are provided here. The reports are:
• High-Risk Transfer Report (a medium-risk rep…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Emanuel-Berwick_110.pdf
July 02, 2008 - What Exactly Is Patient Safety?
What Exactly Is Patient Safety?
Linda Emanuel, MD, PhD; Don Berwick, MD, MPP; James Conway, MS; John Combes, MD;
Martin Hatlie, JD; Lucian Leape, MD; James Reason, PhD; Paul Schyve, MD;
Charles Vincent, MPhil, PhD; Merrilyn Walton, PhD
Abstract
We articulate an intellectual h…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/imp-handouts.pdf
June 02, 2025 - AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and ED Visits 1
On-Time
Preventable Hospital
and ED Visits:
Implementation
On-Time Preventable Hospital and ED Visits
Self-Assessment Scripted Exercise
Team consists of:
Facilitator [Tom]
Program Champion (Quality Assessment and…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Weinberg.pdf
March 01, 2004 - respondents claimed to have been personally
affected by an AE, and 32 percent indicated that the error had caused … For example, disparities in
the health care system are errors of omission because are frequently caused … Many statutes recognize that not all AEs are caused by errors, and attempt to
incorporate some non-injurious
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meps.ahrq.gov/data_stats/nhc/hlthstat.pdf
September 30, 1997 - she/he} was treated, please look at this list
and tell me what was the main reason or diagnosis that caused … (BOX HSU2a)
61
HB5
What were the primary symptoms that caused {SP} to be admitted to the hospital … AND DISCHARGE DATES (OR
NUMBER OF NIGHTS IF EITHER DATE UNKNOWN) AND DIAGNOSES (SHOW CARD HB2) THAT CAUSED … AND DISCHARGE DATES (OR
NUMBER OF NIGHTS IF EITHER DATE UNKNOWN), AND DIAGNOSES (SHOW CARD HB2) THAT CAUSED … or tastes things others do not
76
HEALTH STATUS HELP SCREENS
HA41
PRESSURE ULCER - any lesion caused
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/7ZSKduUYHWKe7q_tTY9xbF
April 01, 2013 - CI, 1.15 to 2.23]; 2 trials; 7 cases in 1000 women) com-
pared with placebo (7, 10), and raloxifene caused … Tamoxifen caused more cases of endometrial cancer
(RR, 2.13 [CI, 1.36 to 3.32]; 3 trials; 4 cases in … In STAR, raloxifene caused fewer cases of endo-
metrial cancer (RR, 0.55 [CI, 0.36 to 0.83]; 5 cases … Raloxifene did not increase risk for cataracts or cataract
surgery compared with placebo (7, 10) and caused … Both caused undesirable side effects for some women.
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/tx-for-localized-prostate-cancer_surveillanceassesment_20120614.pdf
May 01, 2012 - CER #13:
Comparative Effectiveness of Therapies for Clinically
Localized Prostate Cancer
Original release date:
February 2008
Surveillance Report:
May 2012
Key Findings:
• The PIVOT trial was identified, making many of the
existing key conclusions out of date.
• Key questions 1, 2, and 4 were found t…
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www.ahrq.gov/sites/default/files/2024-01/aparasu-report.pdf
January 01, 2024 - Final progress Report: Anticholinergics and Cognitive Decline in the Elderly with Depression
FINAL PROGRESS REPORT
ANTICHOLINERGICS AND COGNITIVE DECLINE IN THE ELDERLY WITH DEPRESSION
TITLE: Anticholinergics and Cognitive Decline in the Elderly with Depression
PRINICIPAL INVESTIGATOR: Aparasu, Rajender R.1
TEAM…