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9841. Final Progress Report: Oral Chemotherapy Safety in Ambulatory Oncology: A Proactive Risk Assessment (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/weingart-report.pdf
      January 01, 2024 - Final Progress Report: Oral Chemotherapy Safety in Ambulatory Oncology: A Proactive Risk Assessment Final Progress Report 1.0 TITLE PAGE Oral Chemotherapy Safety in Ambulatory Oncology: A Proactive Risk Assessment Principal Investigator Saul N. Weingart, MD, PhD Co-Investigators Maureen Connor, RN, MPH Syl…

9842. Final Progress Report: Profiling the Needs of Dying Children (pdf file)
      www.ahrq.gov/sites/default/files/2024-10/feudtner-report.pdf
      January 01, 2024 - Final Progress Report: Profiling the Needs of Dying Children FINAL PROGRESS REPORT Title of Project: Profiling the Needs of Dying Children Principal Investigator: Chris Feudtner, MD, PhD, MPH Organizations: The University of Washington (2000-2002) and The Children's Hospital of Philadelphia (2002-2006) Date…

9843. Implementing the SPPC-II Teamwork Toolkit (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_7-implementation-speaker-notes.pdf
      July 01, 2023 - Implementing the SPPC-II Teamwork Toolkit Hospital AI Tea Lea SPPC‐ M m ds II Implementing the SPPC‐II Teamwork Toolkit Module 7 of 8 SPPC‐II Toolkit SCRIPT Welcome to Module 7 of the SPPC‐II Teamwork Toolkit. In this module, we’ll discuss tactics and planning for the SPPC‐II Teamwork Toolkit implement…

9844. Implementing the SPPC‐II Teamwork Toolkit (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_7-implementation-speaker-notes.pdf
      July 01, 2023 - Implementing the SPPC‐II Teamwork Toolkit Hospital AIM Team Leads SPPC‐II Implementing the SPPC‐II Teamwork Toolkit Module 7 of 8 SPPC‐II Toolkit SCRIPT Welcome to Module 7 of the SPPC‐II Teamwork Toolkit. In this module, we’ll discuss tactics and planning for the SPPC‐II Teamwork Toolkit implementation…

9845. Appendix A: Tools and Resources | Agency for Healthcare Research and Quality
      www.ahrq.gov/es/patient-safety/settings/hospital/vtguide/appa.html
      July 01, 2018 - Preventing Hospital-Associated Venous Thromboembolism Appendix A: Tools and Resources 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 Delivery Chapter …

9846. Errors in Managing an Open Wound of the Elbow Leading to Multiple Complications and Operations | PSNet
      psnet.ahrq.gov/web-mm/errors-managing-open-wound-elbow-leading-multiple-complications-and-operations
      September 27, 2023 - SPOTLIGHT CASE Errors in Managing an Open Wound of the Elbow Leading to Multiple Complications and Operations Citation Text: Barnes DK, Utter GH. Errors in Managing an Open Wound of the Elbow Leading to Multiple Complications and Operations. PSNet [internet]. Agency for Healthcare Research and Qu…

9847. EMS Perils from Hospital Overcrowding | PSNet
      psnet.ahrq.gov/web-mm/ems-perils-hospital-overcrowding
      November 25, 2020 - EMS Perils from Hospital Overcrowding Citation Text: Brown S, Rose JS, Barnes DK. EMS Perils from Hospital Overcrowding. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2022. Copy Citation Format: Google Scholar BibTeX E…

9848. Implementing Shared Decision-Making: Barriers and Solutions—An Orthopedic Case Study | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/reports/liability/mincer.html
      August 01, 2017 - Advances in Patient Safety and Medical Liability Implementing Shared Decision-Making: Barriers and Solutions—An Orthopedic Case Study Previous Page Next Page Table of Contents Advances in Patient Safety and Medical Liability Preface Acknowledgments Prologue Silence A Commentary Reforming t…

9849. Methods Guide for Medical Test Reviews Chapter 10 (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pdf/methods-guidance-tests-decision-models_methods.pdf
      July 01, 2012 - Methods Guide for Medical Test Reviews Chapter 10 10-1 Chapter 10 Deciding Whether To Complement a Systematic Review of Medical Tests With Decision Modeling Thomas A. Trikalinos, M.D., Tufts Evidence-based Practice Center, Boston, MA Shalini Kulasingam, Ph.D., University of Minnesota School of Public He…

9850. The Risks of a Malpositioned Gastrostomy Tube and Poor Communication | PSNet
      psnet.ahrq.gov/web-mm/risks-malpositioned-gastrostomy-tube-and-poor-communication
      August 01, 2012 - SPOTLIGHT CASE The Risks of a Malpositioned Gastrostomy Tube and Poor Communication Citation Text: Hight RA. The Risks of a Malpositioned Gastrostomy Tube and Poor Communication. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Servic…

9851. Fundamentals of Medicare Patient Safety Surveillance: Intent, Relevance, and Transparency (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Hunt.pdf
      July 01, 2004 - Fundamentals of Medicare Patient Safety Surveillance: Intent, Relevance, and Transparency 105 Fundamentals of Medicare Patient Safety Surveillance: Intent, Relevance, and Transparency David R. Hunt, Nancy Verzier, Susan L. Abend, Courtney Lyder, Lisa J. Jaser, Nancy Safer, Paul Davern Abstract The Medicar…

9852. Medical Injury Identification Using Hospital Discharge Data (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Layde.pdf
      January 01, 2003 - Medical Injury Identification Using Hospital Discharge Data 119 Medical Injury Identification Using Hospital Discharge Data Peter M. Layde, Linda N. Meurer, Clare Guse, John R. Meurer, Hongyan Yang, Prakash Laud, Evelyn M. Kuhn, Karen J. Brasel, Stephen W. Hargarten Abstract Objective: Determine the feasi…

9853. Appendix A: Tools and Resources | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/vtguide/appa.html
      July 01, 2018 - Preventing Hospital-Associated Venous Thromboembolism Appendix A: Tools and Resources 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 Delivery Chapter …

9854. Making Healthcare Safer Practices: 11. Patient Identification Errors in the Operating Room (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/patient-id-errors-1.pdf
      March 01, 2020 - Making Healthcare Safer Practices: 11. Patient Identification Errors in the Operating Room Patient Identification Errors in the Operating Room 11-1 11. Patient Identification Errors in the Operating Room Authors: Cori Sheedy, Ph.D., and Sonja Richard, M.P.H. Introduction In the first Making Health Care Safer …

9855. Trauma Informed Care (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/trauma-informed-care-protocol.pdf
      April 19, 2023 - Trauma Informed Care Evidence-based Practice Center Systematic Review Protocol Project Title: Trauma Informed Care I. Background and Objectives for the Systematic Review Exposure to adverse and potentially traumatic experiences is common and may influence the health of millions of individuals. Trauma exp…

9856. Can an Academic Health Care System Overcome Barriers to Clinical Guideline Implementation? (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Quinn.pdf
      January 01, 2004 - Can an Academic Health Care System Overcome Barriers to Clinical Guideline Implementation? 291 Can an Academic Health Care System Overcome Barriers to Clinical Guideline Implementation? Debra Quinn, Mary Cooper, Lynn Chevalier, Jerry Balentine, Lawrence Kadish, Steven Walerstein, Fredric Weinbaum, Mark Ca…

9857. Implementation Guide: Factors to Consider in Managing Chronic Pain: A Pain Management Summary (pdf file)
      digital.ahrq.gov/sites/default/files/docs/citation/implementation-guide.pdf
      December 01, 2018 - Semi-structured text that describes the recommendation logic for implementation as CDS, often created

9858. 2. Description of the Intervention | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/crcscreeningrpt/crcscreen2.html
      April 01, 2018 - The presentation describes the intervention and provides information about currently recommended CRC

9859. June 2022 CDS Connect Work Group Presentation (pdf file)
      cds.ahrq.gov/sites/default/files/workgroups/184656/CDS_Connect_WG_June_2022_Presentation.pdf
      January 01, 2022 - June 2022 CDS Connect Work Group Presentation June 2022 CDS Connect Work Group Call Agenda Schedule Topic 3:00 – 3:02 Roll Call, Michelle Lenox (MITRE) 3:02 – 3:05 Review of the Agenda, Maria Michaels (CDC) 3:05 – 3:25 CDS Connect Past, Present and Future (MITRE and AHRQ) 3:25 – 3:55 Celebrating CDS Connect a…

9860. Case Study: Developing a State Medicaid Health IT Plan (SMHP): Lessons Learned From Oklahoma Medicaid (pdf file)
      digital.ahrq.gov/sites/default/files/docs/medicaid/OK_CaseStudy_FINAL.pdf
      February 01, 2011 - Case Study: Developing a State Medicaid Health IT Plan (SMHP): Lessons Learned From Oklahoma Medicaid Case Study Developing a State Medicaid Health IT Plan (SMHP): Lessons Learned From Oklahoma Medicaid Prepared for: Agency for Healthcare Research and Quality U.S. Department of Health and Human Services …