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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49698/psn-pdf
    December 01, 2013 - SNFs: Opening the Black Box December 1, 2013 Ouslander JG, Bonner A. SNFs: Opening the Black Box. PSNet [internet]. 2013. https://psnet.ahrq.gov/web-mm/snfs-opening-black-box The Case An 88-year-old woman was admitted to a skilled nursing facility (SNF) after a lengthy hospitalization for a small bowel obstructio…

  2. Findings | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/reports/candor-demo-program/plan-grants/findings.html
    August 01, 2022 - Planning Grants Final Evaluation Report Findings Previous Page Next Page Table of Contents Planning Grants Final Evaluation Report Executive Summary Introduction Methodology Findings Appendix A. Grantee Profiles Appendix B. References Improving Communication Four planni…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33774/psn-pdf
    December 01, 2014 - In Conversation With… Edward Kelley, PhD December 1, 2014 In Conversation With… Edward Kelley, PhD. PSNet [internet]. 2014. https://psnet.ahrq.gov/perspective/conversation-edward-kelley-phd Editor's note: Edward Kelley, PhD, is Director of Service Delivery and Safety for the World Health Organization (WHO). He ha…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60745/psn-pdf
    October 01, 2020 - Multiple High-Risk Events Involving Workflow for Wasting of Medications Used by Anesthesia July 29, 2020 Nguyen DD, Harper TA, Cello R. Multiple High-Risk Events Involving Workflow for Wasting of Medications Used by Anesthesia. PSNet [internet]. 2020. https://psnet.ahrq.gov/web-mm/multiple-high-risk-events-involvi…

  5. AHRQ Statistical Brief 520 (pdf file)

    meps.ahrq.gov/data_files/publications/st520/stat520.pdf
    February 01, 2019 - AHRQ Statistical Brief 520 Statistical Brief #520 February 2019 Average Expense per Visit for Adults for Practices Identified as Usual Source of Care Providers during 2016, by Practice Characteristics—Results from the MEPS Medical Organizations Survey Marie N. Stagnitti, MPA and Monica L. Wolford, MA Introduction …

  6. Spinal Epidural Abscess | PSNet

    psnet.ahrq.gov/web-mm/spinal-epidural-abscess
    November 13, 2019 - Spinal Epidural Abscess Citation Text: Lu Y, Salvador D. Spinal Epidural Abscess. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tag…

  7. 2017 CAHPS Clinician & Group Survey Database Chartbook (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/cahps/cahps-database/2017_cg_cahps_chartbook.pdf
    January 01, 2017 - 2017 CAHPS Clinician & Group Survey Database Chartbook THE CAHPS DATABASE CAHPS Clinician & Group Survey Database 2017 Chartbook The content of this document may be used and reprinted without permission except for the following: Federal Government logos, items noted with specific restrictions, and thos…

  8. Rheumatology Informatics System for Effectiveness Patient-Reported Outcome (RISE PRO) Dissemination Project | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/rheumatology-informatics-system-effectiveness-patient-reported-outcome-rise-pro
    January 01, 2024 - Rheumatology Informatics System for Effectiveness Patient-Reported Outcome (RISE PRO) Dissemination Project Project Final Report ( PDF , 1.05 MB) Disclaimer Disclaimer The findings and conclusions in this document are those of the author(s), who are responsible for its content, a…

  9. Slow Down: Right Drug, Wrong Formulation | PSNet

    psnet.ahrq.gov/web-mm/slow-down-right-drug-wrong-formulation
    October 13, 2018 - Slow Down: Right Drug, Wrong Formulation Citation Text: Amato MG, Schiff G. Slow Down: Right Drug, Wrong Formulation. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2018. Copy Citation Format: Google Scholar BibTeX EndN…

  10. WITHIN 3 (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/shah.pdf
    May 29, 2025 - WITHIN 3 INNOVATIONS CONFERENCE -- WITHIN 3 SPEAKER: ATUL SHAH, SENIOR VICE PRESIDENT,STRATEGIC CLIENT DEVELOPMENT WITHIN 3 SHAH: It's great to have the opportunity to talk with you all about online communities. It's a topic that's near and dear to my heart. So, the -- the p…

  11. Navigating Complications: The Unintended Journey of a Guidewire During Dialysis Catheter Placement | PSNet

    psnet.ahrq.gov/web-mm/navigating-complications-unintended-journey-guidewire-during-dialysis-catheter-placement
    February 23, 2022 - Navigating Complications: The Unintended Journey of a Guidewire During Dialysis Catheter Placement Citation Text: Vuyyuru S, Kapa N. Navigating Complications: The Unintended Journey of a Guidewire During Dialysis Catheter Placement. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Qualit…

  12. Medication Mix-Up Leads to Patient Death | PSNet

    psnet.ahrq.gov/web-mm/medication-mix-leads-patient-death
    July 08, 2022 - Medication Mix-Up Leads to Patient Death Citation Text: Sanchez L, Romano PS. Medication Mix-Up Leads to Patient Death. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2023. Copy Citation Format: Google Scholar BibTeX En…

  13. Optimizing the Value of Patient-Reported Outcome Measures in Improving Care Delivery through Health Information Technology | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/optimizing-value-patient-reported-outcome-measures-improving-care-delivery
    January 01, 2024 - Optimizing the Value of Patient-Reported Outcome Measures in Improving Care Delivery through Health Information Technology Project Final Report ( PDF , 473.77 KB) Disclaimer Disclaimer The findings and conclusions in this document are those of the author(s), who are responsible f…

  14. Periodic Issue | PSNet

    psnet.ahrq.gov/periodic-issue/periodic-issue-469
    December 31, 2024 - January 8, 2025 Weekly Issue PSNet highlights the latest patient safety literature, news, and expert commentary, including Weekly Updates, WebM&M, and Perspectives on Safety. The current issue highlights what's new this week in patient safety literature, news, conferences, reports…

  15. Deprescribing as a Patient Safety Strategy | PSNet

    psnet.ahrq.gov/primer/deprescribing-patient-safety-strategy
    December 15, 2024 - Deprescribing as a Patient Safety Strategy Citation Text: Takhar S, Nelson N. Deprescribing as a Patient Safety Strategy. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2021. Copy Citation Format: Google Scholar BibTeX …

  16. About the CAHPS® Health Literacy Item Set for Hospitals (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/item-sets/literacy/about_the_health_literacy_item_set_for_hospitals_911.pdf
    October 01, 2015 - About the CAHPS® Health Literacy Item Set for Hospitals CAHPS® Adult Hospital Survey: Supplemental Items About the CAHPS Health Literacy Item Set for Hospitals Document No. 911 10/01/2015 About the CAHPS® Health Literacy Item Set for Hospitals Introduction...............................................…

  17. HCUP-US NIS Overview

    hcup-us.ahrq.gov/nisoverview.jsp
    July 01, 2025 - HCUP-US NIS Overview An official website of the Department of Health & Human Services Search All AHRQ Websites Careers Contact Us Espanol FAQs Email Updates …

  18. Chapter 5. Implement the VTE Prevention Protocol | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/settings/hospital/vtguide/guide5.html
    October 01, 2022 - Preventing Hospital-Associated Venous Thromboembolism Chapter 5. Implement the VTE Prevention Protocol Previous Page Next Page Table of Contents Preventing Hospital-Associated Venous Thromboembolism Preface Executive Summary Chapter 1. The Framework for Improvement Chapter 2. Analyze Care De…

  19. Selected Best Practices and Suggestions for Improvement (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4p_combo_pdi02-pressureulcer-bestpractices.pdf
    January 01, 2012 - Selected Best Practices and Suggestions for Improvement Toolkit for Using the AHRQ Quality Indicators How To Improve Hospital Quality and Safety 1 Tool D.4p Selected Best Practices and Suggestions for Improvement PDI 02: Pressure Ulcer Why focus on pressure ulcers in children? • Although children are typi…

  20. Inappropriate Antibiotic Use | PSNet

    psnet.ahrq.gov/web-mm/inappropriate-antibiotic-use
    September 22, 2010 - Inappropriate Antibiotic Use Citation Text: Babcock HM, Fraser VJ. Inappropriate Antibiotic Use. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2003. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 …
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