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www.ahrq.gov/evidencenow/projects/alcohol/webinar-uau-evaluation.html
August 01, 2024 - EvidenceNOW: Managing Unhealthy Alcohol Use Webinar
In 2019, AHRQ launched the Managing Unhealthy Alcohol Use in Primary Care Initiative to help primary care practices increase efforts to address patients' unhealthy alcohol use (UAU). As a leading cause of preventable death, UAU is associated with a wide range …
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www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/training-tools/defects.html
May 01, 2017 - Learn From Defects - Implementation Guide
Purpose: To identify the types of systems that contributed to the defect (an event or situation that you do not want to happen again) and to plan the followup steps needed to improve safety.
Who should use this tool? Senior leaders, facility team leads, …
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www.ahrq.gov/patient-safety/settings/hospital/red/toolkit/ahcp-components.html
March 01, 2013 - 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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psnet.ahrq.gov/perspective/conversation-poonam-sharma-md-mph-senior-clinical-data-analyst-atrium-health-and-rhonda
January 12, 2022 - and concern for frontline staff, policymakers, and researchers of how the unique situational factors caused
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www.uspreventiveservicestaskforce.org/uspstf/document/evidence-summary-dyslipidemia/statin-use-in-adults-preventive-medication-november-2016
November 13, 2016 - is estimated at 20,000 for men aged 35 to 44 and 5000 for women aged 35 to 44 years. 4 In 2011, CHD caused
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psnet.ahrq.gov/perspective/patient-safety-events-and-role-patient-safety-organizations-during-covid-19-pandemic
January 12, 2022 - and concern for frontline staff, policymakers, and researchers of how the unique situational factors caused
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www.uspreventiveservicestaskforce.org/uspstf/document/evidence-summary-screening-for-breast-cancer/breast-cancer-screening-january-2016
January 11, 2016 - Share to Facebook
Share to X
Share to WhatsApp
Share to Email
Print
archived
Evidence Summary: Screening for Breast Cancer
Breast Cancer: Screening
January 11, 2016
Recommendations made by the USPSTF are independent of the U.S. government. …
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs025238-xie-final-report-2020.pdf
January 01, 2020 - Development of a Clinical Decision Support Tool for Facilitating Naturalistic Decision-Making and Improving Blood Culture Utilization - Final Report
Development of a Clinical Decision Support Tool for Facilitating Naturalistic Decision-Making and
Improving Blood Culture Utilization
Progress Report (4/1/2019…
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effectivehealthcare.ahrq.gov/sites/default/files/dementia-horizon-scan-high-impact-1312.pdf
December 01, 2013 - DEMENTIA INCLUDING ALZHEIMER'S #04
AHRQ Healthcare Horizon Scanning System – Potential
High-Impact Interventions Report
Priority Area 04: Dementia (Including Alzheimer’s
Disease)
Prepared for:
Agency for Healthcare Research and Quality
U.S. Department of Health and Human Services
540 Gaither Road
R…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/fallpxreports.pptx
October 01, 2017 - PowerPoint Presentation
AHRQ’s Safety Program for
Nursing Homes:
On-Time Falls Prevention
Facilitator Training
Introduction to Falls Reports
Falls Prevention
Electronic Reports
Electronic Reports
Falls High-Risk Report
Summary of Fall Risk Factors (by Unit or Facility)
Contextual Factors Report (by Unit or Facilit…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/ereports.html
December 01, 2014 - AHRQ's Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention
Electronic Reports
On-Time Nutrition Risk Reports
There are two Nutritional Risk Reports: medium-risk and high-risk resident reports.
Table 1: Sample On-Time Nutrition Risk Report: High Risk
Resident
Room Number
Decre…
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psnet.ahrq.gov/web-mm/perioperative-anaphylaxis-after-insertion-latex-drain-patient-known-latex-allergy
July 08, 2022 - SPOTLIGHT CASE
Perioperative Anaphylaxis After Insertion of a Latex Drain in a Patient with Known Latex Allergy
Citation Text:
Kelly KJ. Perioperative Anaphylaxis After Insertion of a Latex Drain in a Patient with Known Latex Allergy. PSNet [internet]. Rockville (MD): Agency for Healthcare Resear…
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psnet.ahrq.gov/node/866839/psn-pdf
September 25, 2024 - Errors in Managing an Open Wound of the Elbow Leading
to Multiple Complications and Operations
September 25, 2024
Barnes DK, Utter GH. Errors in Managing an Open Wound of the Elbow Leading to Multiple Complications
and Operations. PSNet [internet]. 2024.
https://psnet.ahrq.gov/web-mm/errors-managing-open-wound-elb…
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psnet.ahrq.gov/sites/default/files/2024-09/final_spotlight_case_open_wound_of_the_elbow_slides_09.19.2024.pptx
January 01, 2024 - Spotlight
Spotlight
Errors in Managing an Open Wound of the Elbow Leading to Multiple Complications and Operations
1
Source and Credits
This presentation is based on the September 2024 AHRQ WebM&M Spotlight Case
See the full article at https://psnet.ahrq.gov/webmm
CME credit is available
Commentary by: David…
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psnet.ahrq.gov/perspective/assessing-safety-electronic-health-records-what-have-we-learned
September 01, 2017 - Orders on file but no labs drawn: investigation of machine and human errors caused by an interface idiosyncrasy … 2019
Orders on file but no labs drawn: investigation of machine and human errors caused
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Nosek.pdf
March 01, 2004 - The percentage of inpatient errors that
caused harm in DoD was very similar to the national data. … comparison to the 2002 MEDMARXSM national database
Products that reached the patient Products that caused
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www.ahrq.gov/sites/default/files/publications/files/ltcmodule1.pdf
June 01, 2012 - This can be caused by a bloodstream infection, a stroke, or simply not
doing well with the social setting
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digital.ahrq.gov/sites/default/files/docs/publication/uc1hs015096-davison-final-report-2008.pdf
January 01, 2008 - In fact, there is some indication that the disruption caused by the Patient
Care Documentation system … Second, the disruption caused by changing workflow and
processes during implementation may effect employee … In fact, there is some indication that the disruption caused by the
Patient Care Documentation system
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digital.ahrq.gov/sites/default/files/docs/page/THQITvalue020612.pdf
June 01, 2010 - Two articles describe software systems designed to mitigate problems caused by the
movement of patients … takes a hard look at prescribing practices in long-
term care, where adverse events are frequently caused … utilities to ensure appropriate management, and a mitigation of the differences in care
frequently caused
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www.ahrq.gov/sites/default/files/2024-01/lo-report.pdf
January 01, 2024 - Scope
Background & Context
Drug-induced hepatotoxicity, defined as liver injury caused by exposure to … Etiology of new-onset jaundice: how
often is it caused by idiosyncratic drug-induced liver injury in … document_library/Press_release/2013/07/WC500146613.pdf
Drug-induced hepatotoxicity, defined as liver injury caused