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digital.ahrq.gov/ahrq-funded-projects/using-precision-performance-measurement-conduct-focused-quality-improvement
January 01, 2023 - Using Precision Performance Measurement to Conduct Focused Quality Improvement
Project Final Report ( PDF , 195.22 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 rep…
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/heart-failure-transition-care_clinician.pdf
October 01, 2015 - Transitional Care Interventions To Prevent
Readmissions for People With Heart Failure
Focus of This Summary
This is a summary of a systematic review evaluating the evidence regarding the efficacy, comparative
effectiveness, and harms of transitional care interventions (defined in Table 1) that aim to reduce readmiss…
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psnet.ahrq.gov/node/33644/psn-pdf
December 01, 2006 - Establishing a Safety Culture: Thinking Small
December 1, 2006
Hoff TJ. Establishing a Safety Culture: Thinking Small. PSNet [internet]. 2006.
https://psnet.ahrq.gov/perspective/establishing-safety-culture-thinking-small
Perspective
Safety cultures are the holy grail in any risky industry. Like all holy grails, th…
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psnet.ahrq.gov/web-mm/double-dose-transfer
November 01, 2012 - Double Dose at Transfer
Citation Text:
Hackman JL. Double Dose at Transfer. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2012.
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psnet.ahrq.gov/node/49824/psn-pdf
March 01, 2018 - Missing ECG and Missed Diagnosis Lead to Dangerous
Delay
March 1, 2018
O'Connor RE. Missing ECG and Missed Diagnosis Lead to Dangerous Delay. PSNet [internet]. 2018.
https://psnet.ahrq.gov/web-mm/missing-ecg-and-missed-diagnosis-lead-dangerous-delay
The Case
A 35-year-old woman with no prior cardiac history calle…
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digital.ahrq.gov/sites/default/files/docs/resource/Real_Time_and_On_Time_Lessons_Learned_9_6_06.pdf
June 16, 2021 - lessons learned, successes, and barriers for the ‘Real-Time’ and QIO ‘ON-Time’ projects
1
LESSONS LEARNED, SUCCESSES, AND BARRIERS FOR THE
‘REAL-TIME’ AND QIO ‘ON-TIME’ PROJECTS
LESSONS LEARNED
1. Partnerships are effective to initiate and support change.
Partnerships within facilities (multi-disciplina…
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www.uspreventiveservicestaskforce.org/uspstf/document/final-evidence-summary/carotid-artery-stenosis-screening
February 02, 2021 - Share to Facebook
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Evidence Summary
Asymptomatic Carotid Artery Stenosis: Screening
February 02, 2021
Recommendations made by the USPSTF are independent of the U.S. government. They should not b…
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psnet.ahrq.gov/node/33735/psn-pdf
August 01, 2012 - Medication Safety in Nursing Homes: What's Wrong and
How to Fix It
August 1, 2012
Gurwitz JH. Medication Safety in Nursing Homes: What's Wrong and How to Fix It. PSNet [internet]. 2012.
https://psnet.ahrq.gov/perspective/medication-safety-nursing-homes-whats-wrong-and-how-fix-it
Perspective
At any point in time, …
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/functspecs3.html
December 01, 2017 - AHRQ's Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention
Functional Specifications (continued)
3. Specifications for Each Pressure Ulcer Prevention Report
3.1. Nutrition Risk Reports: High Risk and Medium Risk
3.1.1. Report Description
The weekly reports display resident-level nutritio…
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psnet.ahrq.gov/node/867427/psn-pdf
December 18, 2024 - The Ongoing Journey to Prevent Patient Falls
December 18, 2024
Dykes PC, Sousane Z, Mossburg SE. The Ongoing Journey to Prevent Patient Falls. PSNet [internet].
2024.
https://psnet.ahrq.gov/perspective/ongoing-journey-prevent-patient-falls
Falls are not a new issue, especially among older adults. The Centers for D…
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hcup-us.ahrq.gov/datainnovations/raceethnicitytoolkit/or19.jsp
July 01, 2014 - Record Linkage Concepts
An official website of the Department of Health & Human Services
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effectivehealthcare.ahrq.gov/sites/default/files/cer-237-evidence-summary-palliative-care-ambulatory.pdf
February 01, 2021 - Evidence Summary: CER 237_Integrating Palliative Care in Ambulatory Care of Noncancer Serious Chronic Illness
Comparative Effectiveness Review
Number 237
Integrating Palliative Care in Ambulatory
Care of Noncancer Serious Illness
Evidence Summary
Main Points
Background and Purpose
In the Unit…
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psnet.ahrq.gov/node/49866/psn-pdf
June 01, 2019 - If You Say So: Taking a Syringe at Face Value in the
Operating Room
June 1, 2019
Lyndon A, Lim S. If You Say So: Taking a Syringe at Face Value in the Operating Room. PSNet [internet].
2019.
https://psnet.ahrq.gov/web-mm/if-you-say-so-taking-syringe-face-value-operating-room
The Case
A 43-year-old woman was admi…
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meps.ahrq.gov/data_files/publications/st437/stat437.shtml
May 01, 2014 - STATISTICAL BRIEF #437:
Health Insurance Status of Young Adults, Ages 19-25, 2012
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meps.ahrq.gov/data_files/publications/st437/stat437.pdf
May 01, 2014 - Statistical Brief #437: Health Insurance Status of Young Adults, Ages 19-25, 2012
1
STATISTICAL BRIEF #437
May 2014
Health Insurance Status of Young Adults Ages 19-25, 2012
Jeffrey A. Rhoades, Ph.D.
Introduction
Estimates of the health insurance status of the U.S. civilian noninstitutionalized
population are criti…
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psnet.ahrq.gov/web-mm/confusion-acetaminophen
December 01, 2009 - Confusion With Acetaminophen
Citation Text:
Heubi JE. Confusion With Acetaminophen. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2006.
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psnet.ahrq.gov/node/49393/psn-pdf
April 01, 2003 - Which End Is Which?
April 1, 2003
Campbell AR. Which End Is Which? PSNet [internet]. 2003.
https://psnet.ahrq.gov/web-mm/which-end-which
The Case
A 39-year-old woman with chronic peri-anal fistulas and infected anal sinuses underwent laparoscopic
diverting colostomy to divert her fecal stream and allow the perine…
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psnet.ahrq.gov/web-mm/charcoal-lavage-lungs
January 01, 2016 - Charcoal Lavage of the Lungs
Citation Text:
Wigton RS. Charcoal Lavage of the Lungs. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2003.
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psnet.ahrq.gov/node/33850/psn-pdf
January 01, 2018 - EHR Copy and Paste and Patient Safety
January 1, 2018
Dean SM. EHR Copy and Paste and Patient Safety. PSNet [internet]. 2018.
https://psnet.ahrq.gov/perspective/ehr-copy-and-paste-and-patient-safety
Perspective
Although the ability to copy and paste text is a central benefit of computing in general, and electronic…
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/improve/antibiotic-time-out-tool.docx
November 01, 2019 - AHRQ Safety Program for Improving Antibiotic Use
Antibiotic Time Out Tool
Date:
Patient Name or Identifier:
Directions: This form should be completed by frontline clinicians on a daily basis for patients receiving antibiotics.
Note: A table of commonly recommended durations of therapy can be found on the…