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psnet.ahrq.gov/node/49778/psn-pdf
December 01, 2016 - One Dose, Two Errors
December 1, 2016
Filice GA. One Dose, Two Errors. PSNet [internet]. 2016.
https://psnet.ahrq.gov/web-mm/one-dose-two-errors
The Case
A 65-year-old woman was admitted to the intensive care unit (ICU) with severe sepsis and respiratory
failure secondary to community-acquired pneumonia. The pati…
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-pediatric-safety-3.html
August 01, 2023 - Pediatric Diagnostic Safety: State of the Science and Future Directions
Pediatric Diagnostic Safety Research and Initiatives Across the Care Continuum
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Table of Contents
Pediatric Diagnostic Safety: State of the Science and Future Directions
Introduction
Challenges in Appr…
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www.ahrq.gov/sites/default/files/wysiwyg/nursing-home/materials/observational-audits.pdf
March 01, 2021 - Observational Audits
Observational Audits
A Pathway to Improving Infection Prevention and Preventing the
Spread of COVID-19
Infection prevention is the vital first line of defense against COVID-19. Observational audits are the best way to
understand if your staff fully comply with infection prevention p…
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/gap-analysis.docx
June 01, 2021 - Gap Analysis for Antibiotic Stewardship Programs in Long-Term Care
Instructions: Complete this document to evaluate your antibiotic stewardship program (ASP) on an annual basis and to define areas for further improvement. The ASP areas addressed in this document are addressed throughout the AHRQ Safety Program Toolkit.…
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/infantile-hemangioma_clinician.pdf
June 01, 2016 - Management of Infantile Hemangioma
Management of Infantile Hemangioma
Background
Infantile hemangioma (IH) is the most common tumor of
childhood and is estimated to affect about 4 to 5 percent of
children, with higher prevalence in premature infants and
in whites. IH tends to go through growth and involution
ph…
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psnet.ahrq.gov/innovation/adverse-drug-event-ade-surveillance-and-pharmacist-counseling
June 28, 2023 - Adverse Drug Event (ADE) Surveillance and Pharmacist Counseling
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January 31, 2024
Innovation
Contact
…
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psnet.ahrq.gov/innovation/remote-response-team-and-customized-alert-settings-help-improve-management-sepsis
February 26, 2025 - Remote Response Team and Customized Alert Settings Help Improve Management of Sepsis
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May 31, 2023
Innovation
Contact
…
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integrationacademy.ahrq.gov/products/playbooks/moud-playbook/monitor-patient-outcomes/approaches-to-quality-improvement
January 01, 2018 - An official website of the Department of Health & Human Services
Search All AHRQ Sites
Careers
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Español
FAQs
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The Academy
Integrating Behavioral Health & Primary Care
Expand Navi…
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psnet.ahrq.gov/primer/discharge-planning-and-transitions-care
June 15, 2024 - Discharge Planning and Transitions of Care
Citation Text:
Bajorek SA, McElroy V. Discharge Planning and Transitions of Care. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2020.
Copy Citation
Format:
Google Scholar BibT…
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www.ahrq.gov/sites/default/files/wysiwyg/chsp/data/chsp-brief7-ma-plans.pdf
March 01, 2019 - Provider-Offered Medicare Advantage Plans Among U.S. Health Systems, 2016
1
Provider-Offered Medicare Advantage
Plans Among U.S. Health Systems, 2016
*This analysis is based on AHRQ’s Compendium of U.S. Health Systems, 2016. Developed as part of the Comparative Health System Performance
(CHSP) Initiative, the Com…
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psnet.ahrq.gov/node/861838/psn-pdf
January 31, 2024 - Adverse Drug Event (ADE) Surveillance and Pharmacist
Counseling
January 31, 2024
https://psnet.ahrq.gov/innovation/adverse-drug-event-ade-surveillance-and-pharmacist-counseling
Summary
Adverse events resulting from medications are a common occurrence that often go undetected, unreported,
and unaddressed.1 The imp…
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hcup-us.ahrq.gov/datainnovations/ICD10Imp_Romano_NAHDO_October2016.pdf
October 27, 2016 - Slide 1
ICD-10 IMPLEMENTATION:
OPPORTUNITIES AND CHALLENGES
FOR HEALTH DATA ORGANIZATIONS
1
Patrick S. Romano, MD MPH
Professor of Medicine and Pediatrics
UC Davis School of Medicine
Co-Editor in Chief, HSR
October 27, 2016
Outline
• Examples of opportunities and challenges in
ICD-10-CM/PCS specificatio…
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/rapid-review-masks-prevention-covid-version-2.pdf
December 01, 2021 - All were
retrospective and potentially susceptible to recall bias for determining mask use and other
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www.ahrq.gov/sites/default/files/2024-01/bates-report.pdf
January 01, 2024 - JAMA 1995;274:29-34.
15.Senst BL, Achusim LE, Genest RP et al, A practical approach to determining
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-0129-fullreport.pdf
December 31, 2015 - data source are not requested at this time, the availability of these
resources may be a factor in determining
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-139-fullreport.pdf
May 01, 2017 - data source are not requested at this time, the availability of these
resources may be a factor in determining
-
www.uspreventiveservicestaskforce.org/uspstf/sites/default/files/inline-files/2021-uspstf-annual-report-to-congress.pdf
January 01, 2021 - In determining whether this service is appropriate in
individual cases, patients and clinicians should
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/cer-210-breastfeeding-disposition-comments.pdf
January 01, 2020 - TEP Reviewer 8 Methods But I had a difficult time determining why the
study was assessed as imprecise … TEP Reviewer 9 Methods The criteria for determining strength of evidence
is comprehensively described
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psnet.ahrq.gov/perspective/conversation-ellen-deutsch-md-ms-facs-faap-fssh-cpps
December 14, 2022 - Safety-I is the approach to understanding something that went wrong by determining why it went wrong.
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www.ahrq.gov/ncepcr/tools/workforce-financing/case-example-4.html
July 01, 2019 - meeting that occurred during the site visit addressed workflow mapping for implementing the PAM and determining