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7641. Late Anemia Following Rh Disease in a Newborn | PSNet
      psnet.ahrq.gov/web-mm/late-anemia-following-rh-disease-newborn
      June 17, 2010 - Late Anemia Following Rh Disease in a Newborn Citation Text: Newman TB, Maisels JM. Late Anemia Following Rh Disease in a Newborn. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2014. Copy Citation Format: Google Schola…

7642. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49513/psn-pdf
      July 01, 2006 - Moving Pains July 1, 2006 Schell H, Wachter R. Moving Pains. PSNet [internet]. 2006. https://psnet.ahrq.gov/web-mm/moving-pains Case Objectives Appreciate the risk posed by intrahospital transport Identify key features of current transport practice and policies Propose interventions that might improve safety of …

7643. Periodic Issue | PSNet
      psnet.ahrq.gov/periodic-issue/periodic-issue-471
      December 31, 2024 - January 22, 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, report…

7644. A Real Heartache | PSNet
      psnet.ahrq.gov/web-mm/real-heartache
      October 01, 2018 - A Real Heartache Citation Text: Polevoi SK. A Real Heartache. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2012. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

7645. Com-ICD10CMChgLg-v20211-v20221 (xls file)
      hcup-us.ahrq.gov/toolssoftware/comorbidityicd10/CMR-ChangeLog-v20211-v20221.xlsx
      October 01, 2021 - Com-ICD10CMChgLg-v20211-v20221 Table_of_Contents This Excel file enumerates the changes between the following releases of the Elixhauser Comorbidity Software Refined for ICD-10-CM diagnoses Compared versions: v2022.1 (released October 2021) to v2021.1 (released October 2020) Table of Contents Changes to the comor…

7646. Facilitator-Notes (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/long-term-modules/module6/facilitator-notes.docx
      March 01, 2017 - Facilitator Notes SAY: The Sustainability module of this toolkit helps an organization maintain and sustain a process that has worked well. SLIDE 1 SAY: In this module we will— · Define sustainability and understand the importance of maintaining positive change · Describe the link between sustainability and spr…

7647. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49470/psn-pdf
      December 01, 2004 - Discharge Fumbles December 1, 2004 Forster AJ. Discharge Fumbles. PSNet [internet]. 2004. https://psnet.ahrq.gov/web-mm/discharge-fumbles Case Objectives List the types of adverse events that occur at discharge Identify the characteristics that identify patients at high risk for errors at discharge Understand th…

7648. Diffusion of Responsibility Leads to Danger | PSNet
      psnet.ahrq.gov/web-mm/diffusion-responsibility-leads-danger
      November 08, 2013 - Diffusion of Responsibility Leads to Danger Citation Text: Balcezak TJ, Deshpande O. Diffusion of Responsibility Leads to Danger. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2018. Copy Citation Format: Google Scholar…

7649. CUSP Toolkit Spread Facilitator Notes | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cusp/modules/spread/notes.html
      December 01, 2012 - CUSP Toolkit Spread Facilitator Notes CUSP Toolkit The Spread module of the CUSP Toolkit helps an organization share, tailor, and implement the components of a process that have worked well at the unit level. The other CUSP Toolkit modules focus on quality improvement projects at the unit level, where culture…

7650. Federal Interagency Workgroup: Improving Diagnostic Safety and Quality in Healthcare, August 1, 2025 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/diagnostic/dx-safety-workgroup-meeting-notes-aug2025.pdf
      September 01, 2025 - Federal Interagency Workgroup: Improving Diagnostic Safety and Quality in Healthcare, August 1, 2025 Federal Interagency Workgroup: Improving Diagnostic Safety and Quality in Healthcare August 1, 2025, 10 AM–noon 1 Workgroup Goal: Established by Senate Report 115-150. The Senate Committee on Appropriation…

7651. References | Agency for Healthcare Research and Quality
      www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-patients-source-understanding-dx-error-vol1-references.html
      June 01, 2023 - Patient Experience as a Source for Understanding the Origins, Impact, and Remediation of Diagnostic Errors References Previous Page   Table of Contents Patient Experience as a Source for Understanding the Origins, Impact, and Remediation of Diagnostic Errors Executive Summary Introduction Past…

7652. Miscalculated Risk | PSNet
      psnet.ahrq.gov/web-mm/miscalculated-risk
      March 01, 2015 - Miscalculated Risk Citation Text: Strassels SA. Miscalculated Risk. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2006. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId R…

7653. Final Progress Report: IMPACTS: Improving Medical Performance during Acute Crises Through Simulation (pdf file)
      www.ahrq.gov/sites/default/files/2025-07/weinger3-report.pdf
      January 01, 2025 - Final Progress Report: IMPACTS: Improving Medical Performance during Acute Crises Through Simulation IMPACTS: Improving Medical Performance during Acute Crises Through Simulation Principal Investigator: Matthew B. Weinger, MD, MS IMPACTS Team: Anders, Shilo; Andreae, Michael; Banerjee, Arna; Boulet, Jack; Burden, A…

7654. MAINTAIN AND EXPAND (pdf file)
      hcup-us.ahrq.gov/db/nation/kid/reports/KID_2000_Design_Report.pdf
      January 01, 2000 - MAINTAIN AND EXPAND HEALTHCARE COST AND UTILIZATION PROJECT Design of the HCUP Kids’ Inpatient Database (KID), 2000 January 29, 2003 TABLE OF CONTENTS EXECUTIVE SUMMARY .....................................................…

7655. Health Information Exchange Utilization and Inter-hospital Transfer Outcomes - Final Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/citation/r01hs026732-usher-final-report-2023.pdf
      January 01, 2023 - Health Information Exchange Utilization and Inter-hospital Transfer Outcomes - Final Report AHRQ Grant Final Progress Report Title of Project Health Information Exchange Utilization and Inter-hospital Transfer Outcomes Principal Investigator and Team Members Michael Usher MD, PhD, Principal Investigator Gyor…

7656. Recommendation: Unhealthy Alcohol Use in Adolescents and Adults: Screening and Behavioral Counseling Interventions | United States Preventive Services Taskforce
      www.uspreventiveservicestaskforce.org/uspstf/recommendation/unhealthy-alcohol-use-in-adolescents-and-adults-screening-and-behavioral-counseling-interventions
      November 13, 2018 - Share to Facebook Share to X Share to WhatsApp Share to Email Print Final Recommendation Statement Unhealthy Alcohol Use in Adolescents and Adults: Screening and Behavioral Counseling Interventions November 13, 2018 Recommendations made by…

7657. AHRQ Issue Brief: Understanding the AI Wave: Foundational Knowledge for Improving Diagnosis and Beyond (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/diagnostic/resources/issue-briefs/dxsafety-brief-ai-wave.pdf
      June 01, 2025 - AHRQ Issue Brief: Understanding the AI Wave: Foundational Knowledge for Improving Diagnosis and Beyond Understanding the AI Wave: Foundational Knowledge for Improving Diagnosis and Beyond Issue Brief 27 This page is intentionally left blank. Issue Brief 27 Understanding the AI Wave: Foundational Knowl…

7658. Views of Emergency Medicine Trainees on Adverse Events and Negligence: Survey Results from an Emergency Medicine Training Program in a Regional Health Care System Following the National Standard of Care (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Shah_99.pdf
      March 23, 2008 - Views of Emergency Medicine Trainees on Adverse Events and Negligence: Survey Results from an Emergency Medicine Training Program in a Regional Health Care System Following the National Standard of Care Views of Emergency Medicine Trainees on Adverse Events and Negligence: Survey Results from an Emergency Medicine …

7659. Urinary-Incontinence-Treatment Executive (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/urinary-incontinence-treatment_executive.pdf
      April 01, 2012 - association with overactive bladders with or without sphincter dysfunction.1,7 Although UI can be diagnosed

7660. Primary Care and Patient Safety: Opportunities at the Interface | PSNet
      psnet.ahrq.gov/perspective/primary-care-and-patient-safety-opportunities-interface
      September 28, 2022 - Primary Care and Patient Safety: Opportunities at the Interface September 28, 2022  Also Read the Conversations In Conversation With... Freya Spielberg, MD, MPH In Conversation With... Jack Westfall, MD, MPH View more articles from the same authors. …