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www.ahrq.gov/sites/default/files/wysiwyg/npsd/npsd-portfolios-summary-profile-2014.pdf
January 01, 2014 - Patient Safety Organizations: A Summary of 2014 Profiles
Patient Safety Organizations:
A Summary of 2014 Profiles
The safety of patients in health care settings remains
a national priority and an important challenge. The
Patient Safety Organization (PSO) program, which
was authorized by the Patient Safety and Qu…
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www.ahrq.gov/patient-safety/settings/hospital/candor/demo-program/grants/summary.html
August 01, 2022 - Demonstration Grants Final Evaluation Report
Executive Summary
Previous Page Next Page
Table of Contents
Demonstration Grants Final Evaluation Report
Executive Summary
Detailed Findings
Evaluation Issues
Contributions to Patient Safety and Medical Liability
Lessons Learned From Implement…
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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…
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psnet.ahrq.gov/node/49624/psn-pdf
May 01, 2011 - Duty to Disclose Someone Else's Error?
May 1, 2011
Gallagher TH. Duty to Disclose Someone Else's Error? PSNet [internet]. 2011.
https://psnet.ahrq.gov/web-mm/duty-disclose-someone-elses-error
Case Objectives
State the rationale for disclosing medical errors.
Describe key principles in effective error disclosure.
…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/diagnostic-safety-resources.pdf
May 01, 2023 - Diagnostic Safety Resource List
Improving Diagnostic Safety in Medical Offices:
A Resource List for Users of the AHRQ Diagnostic
Safety Supplemental Item Set
I. Purpose
This document provides a list of references to websites and other publicly available resources that
medical offices can use to improve the ex…
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psnet.ahrq.gov/node/49825/psn-pdf
April 01, 2018 - When Patients and Providers Speak Different Languages
April 1, 2018
Karliner LS. When Patients and Providers Speak Different Languages. PSNet [internet]. 2018.
https://psnet.ahrq.gov/web-mm/when-patients-and-providers-speak-different-languages
Case Objectives
Understand the legal and regulatory obligations to prov…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/023-ss-cusp-learning-from-defects-fg.docx
April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI
Learning From Defects
Surgical Services
For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries
Slide Title and Commentary
Slide Number and Slide
Learning From Defects
SAY:
Welcome to this presentation on Learning From Defects as part of an o…
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/ASB-UTI-slides.pptx
November 01, 2019 - PowerPoint Presentation: Best Practices in the Diagnosis and Treatment of Asymptomatic Bacteriuria and Urinary Tract Infections
Best Practices in the Diagnosis and Treatment of Asymptomatic Bacteriuria and Urinary Tract Infections
Acute Care
AHRQ Safety Program for Improving Antibiotic Use
AHRQ Pub. No. 17(20)-0028-EF…
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digital.ahrq.gov/ahrq-funded-projects/computer-based-provider-order-entry-cpoe-implementation-intensive-care-units
January 01, 2023 - Computer-Based Provider Order Entry (CPOE) Implementation in Intensive Care Units (ICUs)
Project Final Report ( PDF , 157.47 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 neces…
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/cer-272-genitourinary-syndrome-executive-summary.pdf
July 01, 2024 - Comparative Effectiveness Review No. 272_Genitourinary Syndrome of Menopause: A Systematic Review
Comparative Effectiveness Review
Number 272
Genitourinary Syndrome of
Menopause: A Systematic Review
Executive Summary
Main Points
• One hundred seven publications of hormonal, non-hormonal moisturiz…
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psnet.ahrq.gov/node/33607/psn-pdf
September 27, 2022 - Burnout
September 27, 2022
Yellowlees P, Rea M. Burnout. PSNet [internet]. 2022.
https://psnet.ahrq.gov/primer/burnout
Originally published in December 2011 by researchers at the University of California, San Francisco.
Updated in September 2022 by Peter Yellowlees, MD and Margaret Rea, PhD. PSNet primers are regu…
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psnet.ahrq.gov/web-mm/near-miss-bedside-medications
February 01, 2006 - SPOTLIGHT CASE
Near Miss with Bedside Medications
Citation Text:
Wu AW. Near Miss with Bedside Medications. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2011.
Copy Citation
Format:
Google Scholar BibTeX End…
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/telehealth-commentary-white-paper.pdf
May 01, 2020 - White Paper Commentary: The Evidence Base for Telehealth: Reassurance in the Face of Rapid Expansion During the COVID-19 Pandemic
White Paper Commentary
The Evidence Base for
Telehealth: Reassurance in the
Face of Rapid Expansion
During the COVID-19 Pandemic
Introduction
In a very short time, healthcare in the…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Arroyo.pdf
June 11, 2003 - A Nonpunitive, Computerized System for Improved Reporting of Medical Occurrences
71
A Nonpunitive, Computerized System for
Improved Reporting of Medical Occurrences
Dale A. Arroyo
Abstract
To improve the patient safety program at the Naval Hospital at Oak Harbor, the
facility instituted a new computerized s…
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digital.ahrq.gov/sites/default/files/docs/survey/eldertree-baseline-survey.pdf
October 16, 2014 - ElderTree Baseline Survey
Elder Tree Baseline Survey
University of Wisconsin – Madison; Madison, WI
This is a questionnaire designed to be completed by elderly patients or their caregivers in the
patient home. The tool includes questions to assess attitudes of social media and mobile
homes.…
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hcup-us.ahrq.gov/reports/statbriefs/sb33.pdf
June 01, 2007 - Statistical Brief #33: Reasons for Being Admitted to the Hospital through the Emergency Department for Children and Adolescents, 2004
HEALTHCARE COST AND
UTILIZATION PROJECT
Agen
Res
June 2007
Reasons for Being Admitted to the
Hospital through the Emergency
Department for Children and
…
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psnet.ahrq.gov/node/866995/psn-pdf
October 30, 2024 - A Cognitive and Communication Blind Spot Contributes
to Permanent Paralysis
October 30, 2024
Utter GH. A Cognitive and Communication Blind Spot Contributes to Permanent Paralysis. PSNet
[internet]. 2024.
https://psnet.ahrq.gov/web-mm/cognitive-and-communication-blind-spot-contributes-permanent-paralysis
Disclosur…
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/-UMtbPLHkQKcQCbeQ3gTuJ
September 01, 2013 - Raising the threshold for nodule
sizes to consider positive will increase specificity for lung
cancer but decrease
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effectivehealthcare.ahrq.gov/sites/default/files/dementia-horizon-scan-high-impact-1312.pdf
December 01, 2013 - improve the functional capabilities of patients with AD, experts
noted, the costs of patient care would decrease
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digital.ahrq.gov/sites/default/files/docs/citation/ahrq-step-up-app-challenge-final-report-2020.pdf
January 01, 2020 - Lessons Learned
• Identify all key technical requirements for each phase before launch to decrease