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psnet.ahrq.gov/web-mm/hazards-distraction-ticking-all-ehr-boxes
April 09, 2014 - SPOTLIGHT CASE
The Hazards of Distraction: Ticking All the EHR Boxes
Citation Text:
Easty AC. The Hazards of Distraction: Ticking All the EHR Boxes. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017.
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www.ahrq.gov/es/patient-safety/settings/hospital/vtguide/guide5.html
October 01, 2022 - Preventing Hospital-Associated Venous Thromboembolism
Chapter 5. Implement the VTE Prevention Protocol
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Table of Contents
Preventing Hospital-Associated Venous Thromboembolism
Preface
Executive Summary
Chapter 1. The Framework for Improvement
Chapter 2. Analyze Care De…
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www.uspreventiveservicestaskforce.org/uspstf/recommendation/aspirin-prophylaxis-pregnancy-1996
January 01, 1996 - Share to Facebook
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archived
Final Recommendation Statement
Aspirin Prophylaxis in Pregnancy: Preventive Medication, 1996
January 01, 1996
Recommendations made by the USPSTF are independen…
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www.ahrq.gov/sites/default/files/wysiwyg/data/SyH-DR-stat-brief-2-postpartum-opioid-rx.pdf
March 01, 2024 - State Variation in Opioid Prescription Fills After Childbirth Among Women Ages 18-44 With Commercial Insurance
1
Data
Innovations
State Variation in Opioid Prescription Fills After
Childbirth Among Women Ages 18-44 With
Commercial Insurance
Rhona Limcangco, Ph.D., Melike Yildirim, Ph.D., Frederick Ro…
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www.ahrq.gov/sites/default/files/wysiwyg/data/SyH-DR-stat-brief-4-statins.pdf
October 01, 2024 - Variability in Statin Use After Hospitalization for Cardiovascular Events or Procedures Among Medicare Beneficiaries Age 65 Years and Older
1
Data
Innovations
Variability in Statin Use After Hospitalization for
Cardiovascular Events or Procedures Among
Medicare Beneficiaries Age 65 Years and Older
Rh…
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www.ahrq.gov/sites/default/files/wysiwyg/data/data-innovations-statbrief-statins-commercial-insurance.pdf
October 02, 2024 - Variability in Statin Use After Hospitalization for Cardiovascular Events or Procedures Among Commercially Insured Beneficiaries Ages 45-64
Data
Innovations
Variability in Statin Use After Hospitalization for
Cardiovascular Events or Procedures Among
Commercially Insured Beneficiaries Ages 45-64
Rhona Limcangc…
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meps.ahrq.gov/data_files/publications/st491/stat491.shtml
July 01, 2016 - STATISTICAL BRIEF #491:
National Health Care Expenses in the U.S. Civilian Noninstitutionalized Population, Distributions by Type of Service and Source of Payment, 2013
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An official website of t…
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www.uspreventiveservicestaskforce.org/uspstf/recommendation/lung-cancer-screening-2004
May 15, 2004 - Share to Facebook
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archived
Final Recommendation Statement
Lung Cancer: Screening, May 2004
May 15, 2004
Recommendations made by the USPSTF are independent of the U.S. government. The…
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psnet.ahrq.gov/innovations
February 26, 2025 - Innovations
The PSNet Innovations page highlights pioneering advances that can improve patient safety. PSNet innovations are defined as “new or updated interventions, approaches, systems, tools, policies, organizational structures or business models implemented to improve or enhance quality of care and reduce harm.” …
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psnet.ahrq.gov/web-mm/treatment-challenges-after-discharge
January 03, 2017 - SPOTLIGHT CASE
Treatment Challenges After Discharge
Citation Text:
Coffey C. Treatment Challenges After Discharge. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2010.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/d4b_pdi02-pressureulcer-bestpractices.pdf
January 01, 2012 - Selected Best Practices and Suggestions for Improvement
Pediatric Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
1 Tool D.4b
Selected Best Practices and Suggestions for Improvement
PDI 02: Pressure Ulcer
Why focus on pressure ulcers in children?
• Although childre…
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hcup-us.ahrq.gov/reports/race/ReportcardsIB.jsp
May 01, 2016 - Using Report Cards to Measure Racial and Ethnic Health Disparities: State Experience
An official website of the Department of Health & Human Services
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Careers
Contact…
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www.uspreventiveservicestaskforce.org/uspstf/recommendation/sexually-transmitted-infections-behavioral-counseling-2008
October 15, 2008 - Share to Facebook
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archived
Final Recommendation Statement
Sexually Transmitted Infections: Behavioral Counseling
October 15, 2008
Recommendations made by the USPSTF are independent of th…
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-older-adults3.html
August 01, 2024 - State of the Science and Future Directions To Improve Diagnostic Safety in Older Adults
Implications for Practice Improvement, Research, and Policy
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Table of Contents
State of the Science and Future Directions To Improve Diagnostic Safety in Older Adults
Introduction
Uniqu…
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/improve/gap_analysis_tool.docx
November 01, 2019 - Gap Analysis for Antibiotic Stewardship Programs
AHRQ Safety Program for Improving Antibiotic Use
Gap Analysis for Antibiotic Stewardship Programs
Instructions: Complete this document to assess your antibiotic stewardship program (ASP) on an annual basis. The ASP areas addressed in this document are those that are d…
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psnet.ahrq.gov/sites/default/files/2023-08/spotlight_case_prolonged_dka_in_pregnancy_-_slides_-_revised.pdf
January 01, 2023 - Spotlight
Spotlight
Prolonged DKA in Pregnancy: A Case of Communication
Breakdown
Source and Credits
• This presentation is based on the August 2023 AHRQ WebM&M
Spotlight Case
o See the full article at https://psnet.ahrq.gov/webmm
o CME credit is available
o Commentary by: Sarah Marshall, MD and Nina M. …
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www.ahrq.gov/prevention/chronic-care/decision/mcc/mccpublications.html
May 01, 2014 - AHRQ Multiple Chronic Conditions Research Network Publications
This bibliography includes publications resulting from R18, R21 and R24 AHRQ Multiple Chronic Conditions Research Network grants funded between 2008 and 2010. The publications listed below are those that were published or in press as of August 2013.…
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psnet.ahrq.gov/node/49573/psn-pdf
January 01, 2009 - Dangerous Shift
November 1, 2008
Patterson ES. Dangerous Shift. PSNet [internet]. 2008.
https://psnet.ahrq.gov/web-mm/dangerous-shift
Case Objectives
Review the evidence base on erroneous actions related to shift changes.
Understand the limits of standardizing handoffs in preventing errors at shift change.
Expla…
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psnet.ahrq.gov/node/49819/psn-pdf
February 01, 2018 - Signout Fallout
February 1, 2018
Starmer AJ, Landrigan CP. Signout Fallout. PSNet [internet]. 2018.
https://psnet.ahrq.gov/web-mm/signout-fallout
Case Objectives
Understand the role of communication failures in medical errors and preventable adverse events.
Review the evidence in support of handoff improvement pr…
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www.ahrq.gov/research/findings/final-reports/ssi/ssiapu.html
September 01, 2018 - Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection
Appendix U. Improving the Measurement of Surgical Site Infection (SSI) Risk Stratification and Outcome Detection
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Table of Contents
Improving the Measurement of Surgical Site Infection R…