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9701. Final Progress Report: Diagnostic Error in Dystonia (pdf file)
      www.ahrq.gov/sites/default/files/2025-03/tanner-report.pdf
      January 01, 2025 - Final Progress Report: Diagnostic Error in Dystonia 5R01HS018413-02 REVISED Tanner CM I FINAL PROGRESS REPORT Project Title: Principal Investigator: Team Members: Project Dates: Federal Project Officer: Acknowledgment of Agency Support and Grant Number: DIAGNOSTIC ERROR IN DYSTONIA Tanner, Caroline M., MD, …

9702. Tool 4: How To Deliver the Re-Engineered Discharge to Diverse Populations | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/red/toolkit/redtool4.html
      March 01, 2025 - Re-Engineered Discharge (RED) Toolkit Tool 4: How To Deliver the Re-Engineered Discharge to Diverse Populations Previous Page Next Page Table of Contents Re-Engineered Discharge (RED) Toolkit Tool 1: Overview Tool 2: How To Begin the Re-engineered Discharge Implementation at Your Hospital How …

9703. From Science to Service: A Framework for the Transfer of Patient Safety Research into Practice (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Nieva.pdf
      January 07, 2005 - From Science to Service: A Framework for the Transfer of Patient Safety Research into Practice 441 From Science to Service: A Framework for the Transfer of Patient Safety Research into Practice Veronica F. Nieva, Robert Murphy, Nancy Ridley, Nancy Donaldson, John Combes, Pamela Mitchell, Christine Kovner…

9704. Developing a Taxonomy of Anesthetists’ Nontechnical Skills (ANTS) (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Patey.pdf
      January 01, 2004 - Developing a Taxonomy of Anesthetists’ Nontechnical Skills (ANTS) 325 Developing a Taxonomy of Anesthetists’ Nontechnical Skills (ANTS) Rona Patey, Rhona Flin, Georgina Fletcher, Nicola Maran, Ronnie Glavin Abstract Safety research in high-reliability industries, such as aviation, has clearly shown that t…

9705. Quality-Gap-Palliative-Hospice Executive (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/quality-gap-palliative-hospice_executive.pdf
      October 01, 2012 - Evidence-Based Practice Evidence-based Practice Program The Agency for Healthcare Research and Quality (AHRQ), through its Evidence- based Practice Centers (EPCs), sponsors the development of evidence reports and technology assessments to assist public- and private-sector organizations in their efforts to imp…

9706. Patient Monitors in Critical Care: Lessons for Improvement (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Drews_16.pdf
      January 01, 2003 - Patient Monitors in Critical Care: Lessons for Improvement Patient Monitors in Critical Care: Lessons for Improvement Frank A. Drews, PhD Abstract Unexpected incidents are common in intensive care medicine. One means of detecting, diagnosing, and treating these events is use of physiologic displays that sho…

9707. Hospital Language Services: Quality Improvement and Performance Measures (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Regenstein_54.pdf
      May 08, 2008 - Hospital Language Services: Quality Improvement and Performance Measures Hospital Language Services: Quality Improvement and Performance Measures Marsha Regenstein, PhD, MCP; Jennifer Huang, MS; Catherine West, MS, RN; Holly Mead, PhD; Jennifer Trott, MPH; Melissa Stegun, MA Abstract For a growing segment…

9708. The Potential of Hand-held Assistive Technology to Improve Safety for Elder Adults Aging in Place (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Becker_3.pdf
      January 09, 2008 - The Potential of Hand-held Assistive Technology to Improve Safety for Elder Adults Aging in Place The Potential of Hand-held Assistive Technology to Improve Safety for Elder Adults Aging in Place Shirley Ann Becker, PhD, MS; Frank M. Webbe, PhD Abstract Objective: We report on the first in-home test of “Buddy…

9709. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/866839/psn-pdf
      September 25, 2024 - Errors in Managing an Open Wound of the Elbow Leading to Multiple Complications and Operations September 25, 2024 Barnes DK, Utter GH. Errors in Managing an Open Wound of the Elbow Leading to Multiple Complications and Operations. PSNet [internet]. 2024. https://psnet.ahrq.gov/web-mm/errors-managing-open-wound-elb…

9710. Spotlight
      psnet.ahrq.gov/sites/default/files/2024-09/final_spotlight_case_open_wound_of_the_elbow_slides_09.19.2024.pptx
      January 01, 2024 - Spotlight Spotlight Errors in Managing an Open Wound of the Elbow Leading to Multiple Complications and Operations 1 Source and Credits This presentation is based on the September 2024 AHRQ WebM&M Spotlight Case See the full article at https://psnet.ahrq.gov/webmm  CME credit is available  Commentary by: David…

9711. Catching those who fall through the cracks: integrating a follow-up process for emergency department patients with incidental radiologic findings. | PSNet
      psnet.ahrq.gov/innovation/catching-those-who-fall-through-cracks-integrating-follow-process-emergency-department
      September 09, 2020 - EMERGING INNOVATIONS Catching those who fall through the cracks: integrating a follow-up process for emergency department patients with incidental radiologic findings. Citation Text: Catching those who fall through the cracks: integrating a follow-up process for emergency department patients with …

9712. Advances in Patient Safety | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/reports/advances/index.html
      July 01, 2022 - Volumes 1-4 Advances in Patient Safety: From Research to Implementation describes what federally funded

9713. THE HCUP NATIONWIDE AMBULATORY SURGERY SAMPLE (NASS) 2018
      hcup-us.ahrq.gov/db/nation/nass/NASS_Introduction_2018.jsp
      January 01, 2018 - the HCUP Nationwide Ambulatory Surgery Sample (NASS) 2018 , summarizes the content of the NASS and describes … This tutorial also describes how to verify that the data have loaded correctly. … elements Additional Resources for NASS Data Elements HCUP Quality Control Procedures - describes … procedures used to assess data quality HCUP Coding Practices - describes how HCUP data elements are

9714. HCUP_methods_series_cover.ai (pdf file)
      hcup-us.ahrq.gov/reports/methods/2005_02.pdf
      January 01, 2005 - In the second publication, Righini describes two commonly used methods of integrating electronic information

9715. 15 Crosscutting Potential High Impact June 2012 (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/15_crosscutting_potential_high_impact_june_2012.pdf
      January 01, 2012 - AHRQ Healthcare Horizon Scanning System – Potential High Impact Interventions Report Crosscutting Interventions and Programs Prepared for: Agency for Healthcare Research and Quality U.S. Department of Health and Human Services 540 Gaither Road Rockville, MD 20850 www.ahrq.gov Contract No.…

9716. Implementation Guide: Statin Use for the Primary Prevention of CVD in Adults: Patient-Facing CDS Intervention (pdf file)
      cds.ahrq.gov/sites/default/files/cds/artifact/1056/2023_CDS_Connect_IG_Statin_CVD_Patient_Facing.pdf
      January 01, 2023 - Implementation Guide: Statin Use for the Primary Prevention of CVD in Adults: Patient-Facing CDS Intervention Implementation Guide Statin Use for the Primary Prevention of CVD in Adults: Patient-Facing CDS Intervention Agency for Healthcare Research and Quality 5600 Fishers Lane Rockville, MD 20857 www.ahrq.…

9717. Implementation, Adoption, and Scaling Workgroup: Key Factors and Considerations for Assessing the Value of Patient-Centered Clinical Decision Support (pdf file)
      digital.ahrq.gov/sites/default/files/IAS_Key%20Factors%20and%20Considerations%20for%20Assessing%20the%20Value%20of%20PC%20CDS.pdf
      October 01, 2024 - Implementation, Adoption, and Scaling Workgroup: Key Factors and Considerations for Assessing the Value of Patient-Centered Clinical Decision Support Implementation, Adoption, and Scaling Workgroup: Key Factors and Considerations for Assessing the Value of Patient-Centered Clinical Decision Support …

9718. Implementation, Adoption, and Scaling Workgroup: Key Factors and Considerations for Assessing the Value of Patient-Centered Clinical Decision Support (pdf file)
      cdsic.ahrq.gov/sites/default/files/2024-10/IAS_Key%20Factors%20and%20Considerations%20for%20Assessing%20the%20Value%20of%20PC%20CDS.pdf
      January 01, 2024 - Implementation, Adoption, and Scaling Workgroup: Key Factors and Considerations for Assessing the Value of Patient-Centered Clinical Decision Support Implementation, Adoption, and Scaling Workgroup: Key Factors and Considerations for Assessing the Value of Patient-Centered Clinical Decision Support …

9719. Evidence-based Practice Center Systematic Review Protocol (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/fetal-surgery_disposition-comments.pdf
      July 05, 2011 - Evidence-based Practice Center Systematic Review Protocol Source: www.effectivehealthcare.ahrq.gov Published Online: July 5, 2011 Technical Brief Research Review Disposition of Comments Report Research Review Title: Maternal-Fetal Surgical Procedures Draft review available for public comm…

9720. Evidence-based Practice Center Systematic Review Protocol (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pdf/antiplatelet-treatment_research-protocol.pdf
      November 22, 2011 - Search Strategies for Identification of Relevant Studies to Answer the Key Questions Appendix 1 describes