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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Escobar.pdf
February 01, 2005 - Also, in-hospital deaths of
neonates have been grouped with those infants with LOAV ≥ 5 days, making … Identification of neonatal deaths in a large managed
care organization. … Structured review of neonatal deaths in a managed
care organisation.
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hcup-us.ahrq.gov/reports/CountyHighOpioidHospitalRates.pdf
December 01, 2020 - in 2016, reported opioid misuse was highest among whites, and rates of
prescription opioid overdose deaths … hospitalizations were located
in urban areas, consistent with CDC statistics on opioid misuse and opioid overdose deaths … Drug Overdose Deaths in the United States, 1999–
2017. NCHS Data Brief, no 329.
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effectivehealthcare.ahrq.gov/products/cancer-ovarian-contraceptives/research-protocol
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www.ahrq.gov/sites/default/files/2024-01/fernandez-rosenman-report.pdf
January 01, 2024 - ; it is the fifth most common cause of mortality overall in the US and
accounts for the majority of deaths … Deaths: Leading causes for 2009. National Vital Statistics Reports. Vol 16(7),2012.
2. … Patterns of errors contributing to trauma mortality: Lessons
learned from 2594 deaths. Ann. Surg.
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psnet.ahrq.gov/web-mm/signout-fallout
November 16, 2022 - SPOTLIGHT CASE
Signout Fallout
Citation Text:
Starmer AJ, Landrigan CP. Signout Fallout. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2018.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNote…
-
psnet.ahrq.gov/node/49729/psn-pdf
April 01, 2015 - Dissecting the Presentation
April 1, 2015
Suat-Ooi SB. Dissecting the Presentation. PSNet [internet]. 2015.
https://psnet.ahrq.gov/web-mm/dissecting-presentation
Case Objectives
Define aortic dissection.
Describe the epidemiology of acute aortic dissection.
State the common and uncommon presentation of acute aor…
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psnet.ahrq.gov/web-mm/weighing-surgical-safety
August 04, 2021 - SPOTLIGHT CASE
Weighing In on Surgical Safety
Citation Text:
Brodsky JB, Margarson M. Weighing In on Surgical Safety. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2010.
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Format:
Google Scholar …
-
hcup-us.ahrq.gov/datainnovations/clinicalcontentenhancementtoolkit/hi24.pdf
September 01, 2013 - eHHIC: Hospital Engagement
1 | P a g e
Hawaii Health Information Corporation
Enhancing Hawaii Hospital Information Content (eHHIC)
Deliverable 1:
Hospital Engagement
2 | P a g e
TABLE OF CONTENTS
I. OBJECTIVE……………………………….………………..…………………………………………3
a. HOSPITAL RECRUITMENT…
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digital.ahrq.gov/sites/default/files/docs/publication/r21hs021794-lakshiminarayan-final-report-2015.pdf
January 01, 2015 - Promoting Self-Management in Stroke Survivors Using Health-IT - Final Report
Promoting Self-Management in Stroke Survivors Using Health-IT
AHRQ R21 HS21794
Principal Investigator: Kamakshi Lakshminarayan MBBS, PhD, MS (kamakshi@umn.edu)
Co-investigators: Sarah Westberg PharmD, David Pieczkiewicz PhD, Farah …
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psnet.ahrq.gov/web-mm/transfer-troubles
December 29, 2014 - SPOTLIGHT CASE
Transfer Troubles
Citation Text:
Hains IM. Transfer Troubles. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2012.
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Format:
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-
psnet.ahrq.gov/perspective/conversation-karl-bilimoria-md-ms
April 19, 2023 - In Conversation With… Karl Bilimoria, MD, MS
August 1, 2017
Citation Text:
In Conversation With… Karl Bilimoria, MD, MS. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017.
Copy Citation
…
-
psnet.ahrq.gov/node/73642/psn-pdf
August 25, 2021 - Sudden Collapse During Upper Gastrointestinal
Endoscopy: Expect the Unexpected
August 25, 2021
Wieck M. Sudden Collapse During Upper Gastrointestinal Endoscopy: Expect the Unexpected. PSNet
[internet]. 2021.
https://psnet.ahrq.gov/web-mm/sudden-collapse-during-upper-gastrointestinal-endoscopy-expect-
unexpected
…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/grandrounds/mod01-grand-rounds-slides.pdf
April 01, 2016 - Say:
This presentation will introduce you to Communication and Optimal Resolution,
or the CANDOR process. Some organizations struggle to improve the way they
and their care teams respond to medical harm. The CANDOR process aims to
change that.
Slide 1
Say:
To get started, let’s watch this video.
Video: Do Less…
-
www.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/pu1.html
October 01, 2014 - Preventing Pressure Ulcers in Hospitals
1. Are we ready for this change?
Previous Page Next Page
Table of Contents
Preventing Pressure Ulcers in Hospitals
Overview
Key Subject Area Index
1. Are we ready for this change?
2. How will we manage change?
3. What are the best practices in pressu…
-
www.ahrq.gov/patient-safety/settings/hospital/candor/grand-rounds.html
August 01, 2022 - Grand Rounds Presentation
AHRQ Communication and Optimal Resolution Toolkit
Say:
This presentation will introduce you to Communication and Optimal Resolution, or the CANDOR process. Some organizations struggle to improve the way they and their care teams respond to medical harm. The CANDOR process a…
-
www.ahrq.gov/sites/default/files/2024-12/moyer-report.pdf
January 01, 2024 - Final Progress Report: Crossing an Invisible Quality Chasm: From NICU to Ambulatory Care
AHRQ Grant Final Progress Report
Title:
Crossing An Invisible Quality Chasm: From NICU to Ambulatory Care
Principal Investigator:
Virginia A. Moyer, MD, MPH
Team Members:
Papile, Lucille A., MD, Co-Investigator
Guillory, Char…
-
psnet.ahrq.gov/web-mm/hemorrhagic-shock-after-elective-spine-surgery-failure-rescue-after-limited-response-nursing
October 31, 2023 - SPOTLIGHT CASE
Hemorrhagic Shock after Elective Spine Surgery: Failure to Rescue after Limited Response to Nursing Concerns.
Citation Text:
Zakaluzny S. Hemorrhagic Shock after Elective Spine Surgery: Failure to Rescue after Limited Response to Nursing Concerns.. PSNet [internet]. Rockville (MD):…
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psnet.ahrq.gov/web-mm/medication-safety-events-related-diagnostic-imaging
January 26, 2022 - Medication Safety Events Related to Diagnostic Imaging
Citation Text:
Sanchez L, Porras H, Lammers C. Medication Safety Events Related to Diagnostic Imaging. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2022.
Copy Citation
Fo…
-
www.ahrq.gov/es/patient-safety/settings/hospital/resource/pressureulcer/tool/pu1.html
October 01, 2014 - Preventing Pressure Ulcers in Hospitals
1. Are we ready for this change?
Previous Page Next Page
Table of Contents
Preventing Pressure Ulcers in Hospitals
Overview
Key Subject Area Index
1. Are we ready for this change?
2. How will we manage change?
3. What are the best practices in pressu…
-
www.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes6.html
August 01, 2022 - Module 6: Care for the Caregiver
AHRQ Communication and Optimal Resolution Toolkit
Facilitator Notes
Say:
Module 6 includes information on the Care for the Caregiver component of the CANDOR process, which focuses on providing emotional support to caregivers following a CANDOR event. This module …