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6561. Antibiotics for URI/Sinusitis—A Simple Decision Gone Bad | PSNet
      psnet.ahrq.gov/web-mm/antibiotics-urisinusitis-simple-decision-gone-bad
      January 01, 2014 - Medicare's decision to withhold payment for hospital errors: the devil is in the details.

6562. Multiple High-Risk Events Involving Workflow for Wasting of Medications Used by Anesthesia | PSNet
      psnet.ahrq.gov/web-mm/multiple-high-risk-events-involving-workflow-wasting-medications-used-anesthesia
      August 29, 2021 - greatly reduce error, and utilization of barcoded medication administration (BCMA) not only confirms the details

6563. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49810/psn-pdf
      November 01, 2017 - The decision-making process ideally involves thorough and clear communication about the details of comfort-oriented

6564. Final Operations Center Operational Framework (pdf file)
      cdsic.ahrq.gov/sites/default/files/2022-05/Final%20Operations%20Center%20Operational%20Framework.pdf
      January 01, 2022 - responsible for supporting CDSiC strategic planning, operations, and oversight, this document also details

6565. Communication During Transitions of Care | PSNet
      psnet.ahrq.gov/perspective/communication-during-transitions-care
      July 10, 2024 - Unclear discharge summaries that omit important follow-up plan details or include unclear language such

6566. When the Lytes Go Out: A Case of Inpatient Cardiac Arrest | PSNet
      psnet.ahrq.gov/web-mm/when-lytes-go-out-case-inpatient-cardiac-arrest
      February 01, 2023 - and there is little in the way of evidence to support the use of one protocol over another, so the details

6567. A Double “Never Event”: Wrong Patient and Wrong Side. | PSNet
      psnet.ahrq.gov/web-mm/double-never-event-wrong-patient-and-wrong-side
      August 20, 2018 - are planned periods of quiet and interdisciplinary discussion focused on ensuring that key procedural details

6568. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49852/psn-pdf
      February 01, 2019 - https://psnet.ahrq.gov/web-mm/triaging-interhospital-transfers The details of the patient's current

6569. INTEGRATING CARDIOVASCULAR DISEASE RISK CALCULATORS INTO PRIMARY CARE (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/heart-health/cvd-risk-calculator.pdf
      February 01, 2022 - https://apps.apple.com/us/app/ascvd-risk-estimator-plus/id808875968 https://play.google.com/store/apps/details

6570. 2023 National Healthcare Quality and Disparities Report (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2023nhqdr-introduction-rev.pdf
      December 07, 2023 - Appendix B presents more than 550 of them (see the section on changes to the 2023 NHQDR below for more details

6571. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49588/psn-pdf
      August 01, 2009 - While we are not provided with details regarding the physiologic causes of this tragic outcome—it is

6572. Transforming the Morbidity and Mortality Conference into an Instrument for Systemwide Improvement (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Deis_82.pdf
      June 03, 2008 - order to highlight specific systems issues that might have contributed to the adverse event, the case details

6573. Availability and Use of State Medicaid HCBS | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/find3.html
      December 01, 2012 - any 1915(c) waiver services, or who used any State plan HCBS services; see Definitions for further details

6574. An Overview of the CANDOR Process
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module8/module8-organizational-learning-sustainability.pptx
      August 20, 2015 - Modules 4, 5, 6, and 7 provide additional details about the responsibilities of each of the implementation

6575. 7. Tools and Resources | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/pu7.html
      October 01, 2014 - Press for details.

6576. CUSP: A Framework for Success (Slide Presentation) | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cusp/toolkit/content-calls/framework-slides/slides.html
      October 01, 2014 - Implement teamwork tools that best meet the unit’s needs  Review details in the CUSP manual.

6577. Improving Communication and Teamwork in the Surgical Environment
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/training-tools/pf-engagement/pf-engagement-slide-set.pptx
      May 01, 2017 - and what to expect the day of surgery Describes health care provider roles Informed consent materials Details

6578. 2. Overview of AHRQ’s Recent Investments in Primary Care Research | Agency for Healthcare Research and Quality
      www.ahrq.gov/ncepcr/reports/2025-annual-report/overview.html
      August 01, 2025 - Approach and Methods for details about how we identified the grants and contracts included in this report

6579. Appendix B: Risk Assessment Models, Protocols, and Order Sets (continued) | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/vtguide/appb2.html
      January 01, 2020 - She had a mastectomy for breast cancer and radiation therapy about 10 months ago, but the details are

6580. Appendix I. Measure Mapping Strategy | Agency for Healthcare Research and Quality
      www.ahrq.gov/ncepcr/care/coordination/atlas/appendix1.html
      June 01, 2014 - When the setting is specified as “ambulatory care” without more specific details, the measure is mapped