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psnet.ahrq.gov/web-mm/unintended-consequences-cpoe
September 01, 2004 - SPOTLIGHT CASE
Unintended Consequences of CPOE
Citation Text:
Wears RL. Unintended Consequences of CPOE. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2016.
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hcup-us.ahrq.gov/reports/statbriefs/sb17.pdf
November 01, 2006 - HCUP Statistical Brief #17: Hospital Stays among Patients with Diabetes, 2004
HEALTHCARE COST AND
UTILIZATION PROJECT
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psnet.ahrq.gov/web-mm/patient-safety-events-involving-opioid-dose-stacking
July 08, 2022 - SPOTLIGHT CASE
Patient Safety Events Involving Opioid Dose Stacking
Citation Text:
Porras H, Lammers C. Patient Safety Events Involving Opioid Dose Stacking. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2022.
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psnet.ahrq.gov/node/33752/psn-pdf
August 01, 2013 - In Conversation With… J. Bryan Sexton, PhD, MA
August 1, 2013
In Conversation With… J. Bryan Sexton, PhD, MA. PSNet [internet]. 2013.
https://psnet.ahrq.gov/perspective/conversation-j-bryan-sexton-phd-ma
Editor's note: J. Bryan Sexton, PhD, is associate professor and director of the Patient Safety Center for
the D…
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psnet.ahrq.gov/node/49657/psn-pdf
July 01, 2012 - Not-So-Therapeutic Tap
July 1, 2012
Barsuk JH. Not-So-Therapeutic Tap. PSNet [internet]. 2012.
https://psnet.ahrq.gov/web-mm/not-so-therapeutic-tap
Case Objectives
Describe current issues with training clinicians to perform procedures.
Understand how simulation can be used to ensure trainees are competent in proc…
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www.ahrq.gov/research/findings/final-reports/stpra/stpraapd2.html
April 01, 2018 - Proactive Risk Assessment of Surgical Site Infection in Ambulatory Surgery Centers
Appendix D, Table D2
Previous Page Next Page
Table of Contents
Proactive Risk Assessment of Surgical Site Infection in Ambulatory Surgery Centers
Executive Summary
Chapter 1. Introduction
Chapter 2. ST-PRA Devel…
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/o7FfN6a6DA5LqDsfMgBxkk
June 01, 2003 - Counseling to Prevent Skin Cancer - Recommendations and Rationale
Summary of
Recommendation
The U.S. Preventive Services Task Force
concludes that the evidence is insufficient to
recommend for or against routine counseling by
primary care clinicians to prevent skin cancer.
I recommendation.
The USPSTF found insuffi…
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs026803-wells-final-report-2022.pdf
January 01, 2022 - A Direct-to-Patient Alert for Glycated Hemoglobin Screening Using Prediction Modeling and Mobile Health (mHealth) - Final Report
A Direct-to-Patient Alert for Glycated Hemoglobin Screening Using Prediction Modeling and Mobile Health (mHealth)
Principal Investig…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module2/module2_managingchange.docx
June 02, 2025 - Module 2: How To Manage Change
Module 2: How To Manage Change
Module Aim
The aim of this module is to support change in your organization to maximize the possibility of successful implementation of the Pressure Injury Prevention Program.
Module Goals
The goals of Module 2 are to identify necessary actions to improve …
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www.ahrq.gov/cahps/quality-improvement/improvement-guide/5-determining-focus/index.html
February 01, 2020 - Section 5: Determining Where To Focus Efforts To Improve Patient Experience (Page 1 of 2)
Contents
5.A. Analyze CAHPS Survey Results
5.B. Analyze Other Sources of Information for Related Information
On Page 2 of 2:
5.C. Evaluate the Process of Care Delivery
5.D. Gather Input from Stakeholders
Refer…
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www.ahrq.gov/hai/cusp/toolkit/content-calls/framework-slides/slides.html
October 01, 2014 - CUSP: A Framework for Success (Slide Presentation)
On the CUSP: Stop BSI
This PowerPoint slide presentation was shown on March 7, 2012
Contents
Slide 1. CUSP: A Framework for Success
Slide 2. Today's Speakers
Slide 3. Working Together – The Players
Slide 4. Learning Objectives
Slide 5. The Mic…
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www.ahrq.gov/healthsystemsresearch/hspc-research-study/summary.html
July 01, 2021 - Summary
Health Services and Primary Care Research Study: Comprehensive Report
Background
On March 23, 2018, when H.R. 1625, the Consolidated Appropriations Act 2018, became law, Congress directed and authorized the Agency for Healthcare Research and Quality (AHRQ) to contract with an independent entity for …
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/man4.html
December 01, 2017 - The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities
Chapter 4. Long Term Management
Previous Page Next Page
Table of Contents
The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities
Chapter 1. Introduction and Program Overview
Chapt…
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www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-29-implementing-care-teams.pdf
September 01, 2015 - Primary Care Practice Facilitation Curriculum Module 29: Implementing Care Teams
Primary Care
Practice Facilitation
Curriculum
Module 29: Implementing Care Teams
Agency for Healthcare Research and Quality
Advancing Excellence in Health Care www.ahrq.gov
…
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psnet.ahrq.gov/node/33776/psn-pdf
January 01, 2015 - In Conversation With… Mark Graban, MS, MBA
January 1, 2015
In Conversation With… Mark Graban, MS, MBA. PSNet [internet]. 2015.
https://psnet.ahrq.gov/perspective/conversation-mark-graban-ms-mba
Editor's note: Mark Graban, MS, MBA, is an internationally recognized expert in Lean Healthcare, which
has become one of…
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psnet.ahrq.gov/web-mm/duty-disclose-someone-elses-error
June 01, 2004 - SPOTLIGHT CASE
Duty to Disclose Someone Else's Error?
Citation Text:
Gallagher TH. Duty to Disclose Someone Else's Error?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2011.
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psnet.ahrq.gov/web-mm/triple-handoff
March 01, 2004 - SPOTLIGHT CASE
Triple Handoff
Citation Text:
Vidyarthi A. Triple Handoff. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2006.
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Format:
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hcup-us.ahrq.gov/reports/statbriefs/sb17.jsp
November 17, 2006 - Statistical Brief #17
An official website of the Department of Health & Human Services
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Careers
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psnet.ahrq.gov/web-mm/uterine-artery-injury-during-cesarean-delivery-leads-cardiac-arrests-and-emergency
September 30, 2020 - SPOTLIGHT CASE
Uterine Artery Injury during Cesarean Delivery Leads to Cardiac Arrests and Emergency Hysterectomy
Citation Text:
Lopez C, Tache V. Uterine Artery Injury during Cesarean Delivery Leads to Cardiac Arrests and Emergency Hysterectomy. PSNet [internet]. Rockville (MD): Agency for Healt…
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hcup-us.ahrq.gov/reports/statbriefs/sb10.jsp
July 10, 2006 - Statistical Brief #10
An official website of the Department of Health & Human Services
Search All AHRQ Websites
Careers
Contact Us
Espanol
FAQs
Email Updates
…