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psnet.ahrq.gov/node/49780/psn-pdf
January 01, 2017 - ovaries in place cite an increased risk of cardiovascular mortality, higher risk of
osteoporosis, and decreased
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/chartbooks/carecoordination/qdr2015-chartbook-carecoordination.pptx
June 16, 2016 - From July-December 2010 to January-June 2013, the median 30-day risk-standardized readmission rate decreased … The rate for acute conditions decreased from 822.9 to 580.4 per 100,000 population, and the rate for … From 2003 to 2013, the rate of perforated appendixes in IHS hospitals decreased from 384.4 to 360.8 per … For Federal hospitals, the percentage decreased from 27.7% to 22.0%. … evidence exists that electronic documentation may be associated with improved patient outcomes and decreased
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digital.ahrq.gov/sites/default/files/docs/citation/r03hs027006-sun-final-report-2023.pdf
January 01, 2023 - nurse satisfaction as
well as reduced risk of adverse events such as patient falls, PUI, HAI, and decreased … then the amount of nurse-sensitive patient outcome (HAI, PUI, or patient fall) risk per unit time decreased … If the predictor is treated as
continuous, then the amount of outcome risk per unit time decreased or
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/cer-194-evidence-summary-corticosteroids-asthma.pdf
October 01, 2017 - Intermittent Inhalded Corticosteroids and Long-Acting Muscarinic Antagonists for Asthma
Comparative Effectiveness Review
Number 194
Intermittent Inhaled Corticosteroids and Long-Acting
Muscarinic Antagonists for Asthma
Executive Summary
Objectives and Rationale for the
Review
This report summarizes a systemati…
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psnet.ahrq.gov/node/865698/psn-pdf
April 24, 2024 - Patient Safety Amid Nursing Workforce Challenges
April 24, 2024
Leary KB, Lee M, Mossburg S. Patient Safety Amid Nursing Workforce Challenges . PSNet [internet]. 2024.
https://psnet.ahrq.gov/perspective/patient-safety-amid-nursing-workforce-challenges
Introduction
Nurses are essential to patient care, and having a…
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psnet.ahrq.gov/sites/default/files/2021-06/final_spotlight_miscommunication_possible_artifact_06.21.2021.pdf
January 01, 2021 - Spotlight
Spotlight
The Consequences of Miscommunication
Regarding a Possible Artifact
Source and Credits
• This presentation is based on the June 2021 AHRQ WebM&M
Spotlight Case
o See the full article at https://psnet.ahrq.gov/webmm
o CME credit is available
o Commentary by: Kriti Gwal, MD
o AHRQ WebM&M Edit…
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psnet.ahrq.gov/node/49709/psn-pdf
May 01, 2014 - Raise the Bar
May 1, 2014
Stotts J, Lyndon A. Raise the Bar. PSNet [internet]. 2014.
https://psnet.ahrq.gov/web-mm/raise-bar
The Case
A 57-year-old man presented to an ambulatory surgery center for excision of a right groin lipoma. The
patient was seen and evaluated by an anesthesiologist who was new to the cente…
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psnet.ahrq.gov/web-mm/listen-family
April 15, 2015 - Listen to the Family
Citation Text:
Campbell D. Listen to the Family. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2004.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId…
-
psnet.ahrq.gov/node/33701/psn-pdf
October 01, 2010 - What Makes a Good Checklist
October 1, 2010
McLaughlin AC. What Makes a Good Checklist. PSNet [internet]. 2010.
https://psnet.ahrq.gov/perspective/what-makes-good-checklist
Perspective
The use of checklists is a primitive yet remarkably effective strategy for ensuring accuracy in complex
tasks. Checklists have lo…
-
psnet.ahrq.gov/node/866846/psn-pdf
September 24, 2024 - Zero Harm: Striving to Reduce Preventable Harms – Point,
Counterpoint, and Areas of Agreement
September 24, 2024
Stockmeier CA, Thomas E, Mossburg S, et al. Zero Harm: Striving to Reduce Preventable Harms – Point,
Counterpoint, and Areas of Agreement. PSNet [internet]. 2023.
https://psnet.ahrq.gov/perspective/zero…
-
psnet.ahrq.gov/node/33705/psn-pdf
January 01, 2011 - Risk Management and Patient Safety
December 1, 2010
Manuel BM, McCarthy JL, Berry WR, et al. Risk Management and Patient Safety. PSNet [internet]. 2010.
https://psnet.ahrq.gov/perspective/risk-management-and-patient-safety
Perspective
In 1990, a Harvard-based research team reported the incidence of medical errors …
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/painmgmt-facguide.docx
January 01, 2017 - Facilitator Guide: Build Your SSI Prevention Bundle
Slide Title and Commentary
Slide Number and Slide
Title Slide
Evidence Behind Pain, Agitation, and Delirium: Assessments and Sedation Management
SAY:
In this module, you will learn about the evidence behind pain, agitation, and delirium. You will also learn abou…
-
digital.ahrq.gov/sites/default/files/docs/transforming-guidelines-action-qas-06152023.pdf
June 15, 2023 - AHRQ Webinar: Transforming Guidelines Into Action: Clinical Decision Support at the Point of Care - Q&As
AHRQ National Webin…
-
psnet.ahrq.gov/sites/default/files/2020-06/final_june-spotlight_case_slides_06.12.2020.pdf
January 01, 2020 - Microsoft PowerPoint - FINAL June-Spotlight Case Slides_06.12.2020.pptx
Spotlight
When the Indications for Drug
Administration Blur
Source and Credits
• This presentation is based on the June 2020 AHRQ
WebM&M Spotlight Case
o See the full article at https://psnet.ahrq.gov/webmm
• Commentary by: Julia Munsch,…
-
psnet.ahrq.gov/web-mm/chemotherapy-administration-safety-standards
March 30, 2016 - Chemotherapy Administration Safety Standards
Citation Text:
Bergsbaken J. Chemotherapy Administration Safety Standards. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2018.
Copy Citation
Format:
Google Scholar BibTeX En…
-
psnet.ahrq.gov/node/864868/psn-pdf
March 27, 2024 - Inpatient Transitions of Care: Challenges and Safety
Practices
March 27, 2024
Satake A, McElroy V. Inpatient Transitions of Care: Challenges and Safety Practices. PSNet [internet].
2024.
https://psnet.ahrq.gov/primer/inpatient-transitions-care-challenges-and-safety-practices
Background
Transitions of care occur …
-
effectivehealthcare.ahrq.gov/sites/default/files/crosscutting-horizon-scan-high-impact-1312.pdf
December 01, 2013 - an effective transition can lead to lapses in the quality of care, bad outcomes, readmission,
and decreased … increased, signifying appropriate admissions and return emergency department visits within
72 hours decreased … for seniors who came back within 30 days of treatment for the same illness or
13
injury had decreased … Experts anticipated shorter lengths of stay, fewer medication errors, improved communication, and
decreased
-
effectivehealthcare.ahrq.gov/sites/default/files/related_files/measuring-blood-pressure-surveillance-160412.pdf
May 29, 2025 - $Compared$to$the$
usual$care$group,$systolic$BP$
decreased$more$from$baseline$
among$patients$in$the … $Compared$with$the$usual$care$group,$systolic$BP$decreased$more$from$baseline$among$patients$in$the$telemonitoring … $Compared$with$the$usual$care$group,$diastolic$BP$decreased$
more$from$baseline$among$patients$in$the … $After$12$months,$the$mean$blood$pressure$had$
decreased$to$128.2/73.8$mm$Hg$in$the$intervention$group … the$
usual$care$group$at$6,$12,$
and$18$months.$
Compared$to$the$usual$
care$group,$systolic$BP$
decreased
-
digital.ahrq.gov/sites/default/files/docs/publication/uc1hs015135-arora-final-report-2008.pdf
January 01, 2008 - Provider outcome data demonstrated increased provider knowledge, self-efficacy in
treating HCV patients, decreased
-
hcup-us.ahrq.gov/reports/statbriefs/sb74.pdf
June 01, 2009 - Rates of obstetrical trauma
occurring during vaginal birth with instrument and during cesarean section decreased