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psnet.ahrq.gov/node/33871/psn-pdf
December 22, 2018 - Maternal Safety
December 22, 2018
Lyndon A. Maternal Safety. PSNet [internet]. 2018.
https://psnet.ahrq.gov/perspective/maternal-safety
Annual Perspective 2018
The Context of Maternal Safety
Childbirth-related maternal health outcomes have been worsening for some time in the United States. After
a dramatic reduc…
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digital.ahrq.gov/bar-coded-medication-administration
January 01, 2023 - This information is for reference purposes only. It was current when produced and may now be outdated. Archive material is no longer maintained, and some links may not work. Persons with disabilities having difficulty accessing this information should contact us at: https://digital.ahrq.gov/contact-us . Let us know th…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.185_slideshow.ppt
October 01, 2008 - Spotlight Case July 2008
Spotlight Case
Recurrent Hypoglycemia:
A Care Transition Failure?
*
*
Source and Credits
This presentation is based on the October 2008 AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available
Commentary by: Ted Eytan, MD, MS, MPH
Editor, …
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integrationacademy.ahrq.gov/products/playbooks/opioid-use-disorder/plan-integrate-mat-for-oud/developing-implementation-plan
June 01, 2022 - An official website of the Department of Health & Human Services
Search All AHRQ Sites
Careers
Contact Us
Español
FAQs
Email Updates
The Academy
Integrating Behavioral Health & Primary Care
Expand Navi…
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psnet.ahrq.gov/node/49652/psn-pdf
May 01, 2012 - Double Dose at Transfer
May 1, 2012
Hackman JL. Double Dose at Transfer. PSNet [internet]. 2012.
https://psnet.ahrq.gov/web-mm/double-dose-transfer
The Case
A 74-year-old man with history of diabetes and hypertension was admitted to the emergency department
(ED) for left lower extremity pain, swelling, and erythe…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/asc/asc-survey-english.pdf
June 02, 2025 - Ambulatory Procedure/Surgery Center Survey on Patient Safety
SOPS
TM
Ambulatory Surgery Center Survey
Version: 1.0
Language: English
Note
• For more information on getting started, selecting a sample, determining data collection
methods, establishing data collection…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/management/observation/observation-component-kit.docx
May 01, 2017 - Module 4: Component Kit
Standard Work Observation Component Kit
Contents
1. Why Standard Work Observation? 2
Connections to Other Components 3
2. Tips 3
3. Plan-Do-Study-Act “Ramp”: Observe Checklist Use Regularly 5
4. Example 6
Using the Observations 6
1. Why Standard Work Observation?
As you’ve adapted a surgi…
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www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/pbrn/pbrn-irb-tipsheet.pdf
June 27, 2025 - AHRQ PBRN IRB Tip Sheet
Prepare IRB
application
IRB review, revise,
and approval
Provide IRB with
required updates
Conceptualize
study
IRB
Review Cycle
Institutional Review Board (IRB)
TIP SHEET
Peer-to-peer tips about working with IRBs for Primary Care
Practice-Based Research Networks (PBRNs)
Coopera…
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www.ahrq.gov/es/patient-safety/settings/hospital/red/toolkit/index.html
March 01, 2025 - Re-Engineered Discharge (RED) Toolkit
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" on the Hospital Compare Web Sit…
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/chipra-1416-p007-1-ef.pdf
November 01, 2015 - Timeliness of Confirmatory Testing for Sickle Cell Disease: Timeliness of Antibiotic Prophylaxis for Children with Sickle Cell Anemia
Timeliness of Confirmatory Testing
for Sickle Cell Disease
Timeliness of Antibiotic Prophylaxis for
Children with Sickle Cell Anemia
Measure Developer: Quality Measurement, Evalu…
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www.ahrq.gov/ncepcr/care/coordination/atlas/chapter4tab4.html
June 01, 2014 - Care Coordination Measures Atlas Update
Table 4. Meaningful Use Measures that Assess Care Coordination*
Previous Page Next Page
Table of Contents
Care Coordination Measures Atlas Update
Chapter 1: Background
Chapter 2. What is Care Coordination?
Chapter 3. Care Coordination Measurement Framewo…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/a4_pdi_casestudy.pdf
December 01, 2015 - Children’s Hospital Uses AHRQ’s Pediatric QI Toolkit To Bring Physicians Together To Reduce CLABSIs
Pediatric Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
Case Study of Using the Pediatric QI Toolkit for Quality Improvement
What is the purpose of this tool? This tool p…
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www.ahrq.gov/patient-safety/settings/hospital/red/toolkit/index.html
March 01, 2025 - Re-Engineered Discharge (RED) Toolkit
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" on the Hospital Compare Web Sit…
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www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/implementation-guides/implementation-guide1/impguide1step5.html
March 01, 2019 - Step 5: Assess the Quality and Results of the Engagement
Implementation Guide Number 1
This Implementation Guide includes suggested steps and tips for implementing initiatives for improving child health care quality from the CMS-funded national evaluation of the Children’s Health Insurance Program Reauthoriza…
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www.ahrq.gov/sites/default/files/wysiwyg/talkingquality/resources/checklist/checklist-explain-and-motivate.doc
December 26, 2018 - Explain and Motivate Complete Checklist
TalkingQuality
Note: You must use the UP and DOWN ARROW instead of TAB or SHIFT + TAB to fill out this form. This document contains sixteen links.
Your Project Checklist:
Explain and Motivate Use of Health Care Quality Reports
This document contains checklists for the follow…
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digital.ahrq.gov/ahrq-funded-projects/bringing-communities-and-technology-together-healthy-aging
January 01, 2023 - Bringing Communities and Technology Together for Healthy Aging
Project Final Report ( PDF , 205.08 KB) Disclaimer
Disclaimer
The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessarily represent the views…
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/dataspotlight-anemia-dialysis.pdf
December 02, 2019 - Anemia Increasing in Hemodialysis Patients, Especially for Blacks
1
Anemia Increasing in
Hemodialysis Patients,
Especially for Blacks
Hemoglobin is an iron-rich protein that attaches to oxygen in the lungs and carries it to tissues
throughout the body. Anemia is said to occur when hemoglobin levels …
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www.ahrq.gov/hai/tools/mvp/modules/cusp/science-of-safety-fac-guide.html
February 01, 2017 - Science of Safety and Identifying Defects in Care of Mechanically Ventilated Patients: Facilitator Guide
AHRQ Safety Program for Mechanically Ventilated Patients
Slide 1: Science of Safety and Identifying Defects in Care of Mechanically Ventilated Patients
Say:
Today, we will give you an overview of the…
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www.ahrq.gov/hai/cusp/toolkit/content-calls/small-hospitals/slides.html
October 01, 2014 - Small and Rural Critical Access Hospitals (Slide Presentation)
On the CUSP: Stop BSI
This PowerPoint slide presentation was shown on July 19, 2011.
Contents
Slide 1. Small and Rural Critical Access Hospitals
Slide 2. Agenda
Slide 3. Applying CUSP in the Small and Rural Critical Access Hospital
Sli…
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www.ahrq.gov/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/access/strategy6g-rapid-referral.html
April 01, 2023 - Strategy 6E: Rapid Referral Programs
Contents
6.E.1. The Problem
6.E.2. Intervention #1: The Referral Agreement
6.E.2.a. Key Elements
6.E.2.b. Example
6.E.3. Intervention #2: The Referral Expert
References
Download Strategy 6E:
Rapid Referral Programs
(PDF, 241 KB)
…