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  1. 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 …
  2. 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, …
  3. 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…
  4. 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
  5. 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
  6. 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
  7. 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. …
  8. 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…
  9. 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…
  10. 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…
  11. 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…
  12. 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…
  13. Psn-Pdf (pdf file)

    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…
  14. 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…
  15. 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
  16. 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
  17. 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
  18. 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
  19. 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
  20. 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