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3021. From Insight to Implementation: Lessons from a Multi-site Trial of a PDA-based Warfarin Dose Calculator (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Kravitz.pdf
      February 09, 2005 - From Insight to Implementation: Lessons from a Multi-site Trial of a PDA-based Warfarin Dose Calculator 395 From Insight to Implementation: Lessons from a Multi-site Trial of a PDA-based Warfarin Dose Calculator Richard L. Kravitz, Jonathan D. Neufeld, Michael A. Hogarth, Debora A. Paterniti, William Dager, …

3022. Final Progress Report: Physician Perspectives Regarding the Use of Shared Decision Making in the Emergency Department (pdf file)
      www.ahrq.gov/sites/default/files/2024-05/schoenfeld-report.pdf
      January 01, 2024 - Final Progress Report: Physician Perspectives Regarding the Use of Shared Decision Making in the Emergency Department Title Page Title: Physician Perspectives Regarding the Use of Shared Decision Making in the Emergency Department PI: Elizabeth Schoenfeld, MD, MS Team: Peter Lindenauer, MD, MSc, Kathleen Mazur, Ed…

3023. Analysis of Patient Safety: Converting Complex Pediatric Chemotherapy Ordering Processes from Paper to Electronic Systems (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Baker_107.pdf
      March 30, 2008 - Analysis of Patient Safety: Converting Complex Pediatric Chemotherapy Ordering Processes from Paper to Electronic Systems Analysis of Patient Safety: Converting Complex Pediatric Chemotherapy Ordering Processes from Paper to Electronic Systems Donald K. Baker, PharmD; James M. Hoffman, PharmD; Gregory A. Hal…

3024. 7-Implementation-Guide (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/7-implementation-guide.docx
      June 01, 2023 - AHRQ Safety Program for Improving Surgical Care and Recovery Implementation Guide Purpose of This Guide This guide intends to help hospitals integrate an enhanced recovery pathway into their perioperative area as part of the AHRQ Safety Program for Improving Surgical Care and Recovery (ISCR). ISCR is a collaborativ…

3025. Caution, Interrupted | PSNet
      psnet.ahrq.gov/web-mm/caution-interrupted
      October 01, 2016 - Caution, Interrupted Citation Text: Wears RL. Caution, Interrupted. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2004. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId R…

3026. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73953/psn-pdf
      October 27, 2021 - Deprescribing as a Patient Safety Strategy October 27, 2021 Takhar S, Nelson N. Deprescribing as a Patient Safety Strategy. PSNet [internet]. 2021. https://psnet.ahrq.gov/primer/deprescribing-patient-safety-strategy Background Polypharmacy is defined as the act of taking five or more medications on a regular basis…

3027. TeamSTEPPS® Diagnosis Improvement: Module 1 Introduction (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/module1-presenters-notes.pdf
      January 12, 2022 - TeamSTEPPS® Diagnosis Improvement: Module 1 Introduction Slide 1 TeamSTEPPS® for Diagnosis Improvement                                                                                                                                                                                                               …

3028. TeamSTEPPS® Diagnosis Improvement: Module 1 Introduction
      www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/module1-introduction.pptx
      January 12, 2022 - TeamSTEPPS® Diagnosis Improvement: Module 1 Introduction Module 1 Introduction TeamSTEPPS® for Diagnosis Improvement Welcome to the TeamSTEPPS for Diagnosis Improvement Course. This presentation will cover the introduction to the TeamSTEPPS for Diagnosis Improvement material that you will review with the course par…

3029. Identifying Adverse Events Not Present on Admission: Can We Do It? | PSNet
      psnet.ahrq.gov/perspective/identifying-adverse-events-not-present-admission-can-we-do-it
      October 01, 2008 - Identifying Adverse Events Not Present on Admission: Can We Do It? James M. Naessens, ScD | October 1, 2008  Also Read a Conversation View more articles from the same authors. Citation Text: Naessens JM. Identifying Adverse Events Not Present on Admission: Can W…

3030. 5. Improving Data Collection Across the Health Care System (continued) | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/iomracereport/reldata5a.html
      May 01, 2018 - Race, Ethnicity, and Language Data: Standardization for Health Care Quality Improvement 5. Improving Data Collection Across the Health Care System (continued) Previous Page Next Page Table of Contents Race, Ethnicity, and Language Data: Standardization for Health Care Quality Improvement Summary …

3031. Patient Characteristics of Opioid-Related Inpatient Stays and Emergency Department Visits Nationally and by State, 2014 #224
      hcup-us.ahrq.gov/reports/statbriefs/sb224-Patient-Characteristics-Opioid-Hospital-Stays-ED-Visits-by-State.jsp
      June 01, 2017 - Patient Characteristics of Opioid-Related Inpatient Stays and Emergency Department Visits Nationally and by State, 2014 #224 An official website of the Department of Health & Human Services Search All A…

3032. 2021 National Healthcare Quality and Disparities Report Appendixes (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2021qdr-appendixes.pdf
      December 01, 2021 - 2021 National Healthcare Quality and Disparities Report Appendixes 2021 National Healthcare Quality and Disparities Report Appendixes Appendix A: Data Sources Used for 2021 NHQDR Appendix B: Definitions and Abbreviations Used in 2021 NHQDR Appendix C: Measures Used in the 2021 State Maps U.S. DEPARTMENT OF …

3033. Chapter 2 | Agency for Healthcare Research and Quality
      www.ahrq.gov/prevention/resources/vision/resources/vision2.html
      October 01, 2002 - Chapter 2 Vision Rehabilitation: Care and Benefit Plan Models: Literature Review Applying the Framework to Vision Rehabilitation The American Occupational Therapy Association (AOTA) 28 describes two national systems that exist to serve people with visual impairments—the blindness system and the health ca…

3034. Microsoft Word - CaseforPOAIndicator_final_060806 _2_.doc (pdf file)
      hcup-us.ahrq.gov/reports/methods/2007_05.pdf
      January 01, 2007 - Microsoft Word - CaseforPOAIndicator_final_060806 _2_.doc HCUP Methods Series kbr33831 Contact Information: Healthcare Cost and Utilization Project (HCUP) Agency for Healthcare Research and Quality 540 Gaither Road Rockville, MD 20850 http://www.hcup-us.ahrq.gov For Technical Assistance with HCUP P…

3035. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/74120/psn-pdf
      November 30, 2021 - Culture Clash No More: Integration and Coordination of Disease Treatment and Palliative Care November 30, 2021 Spero H, Usher AE, Howard B, et al. Culture Clash No More: Integration and Coordination of Disease Treatment and Palliative Care . PSNet [internet]. 2021. https://psnet.ahrq.gov/web-mm/culture-clash-no-mo…

3036. Situational (Un)Awareness | PSNet
      psnet.ahrq.gov/web-mm/situational-unawareness
      August 01, 2009 - Situational (Un)Awareness Citation Text: Abramson EL, Kaushal R. Situational (Un)Awareness. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2011. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML E…

3037. Denver Health: How a Safety Net System Maximizes Its Value (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/lhs/lhs_case_studies_denver_health.pdf
      April 01, 2019 - Denver Health: How a Safety Net System Maximizes Its Value Denver Health: How a Safety Net System Maximizes Its Value The Agency for Healthcare Research and Quality (AHRQ) has developed a series of case studies to help health system chief executive officers (CEOs) and other C-suite leaders better understand t…

3038. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49465/psn-pdf
      December 22, 2021 - Electronic Err October 1, 2004 Tang PC. Electronic Err. PSNet [internet]. 2004. https://psnet.ahrq.gov/web-mm/electronic-err The Case A 75-year-old woman with coronary artery disease presented to the emergency department (ED) with chest pain that that had not responded to three sublingual nitroglycerin tablets at…

3039. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49782/psn-pdf
      January 01, 2017 - A Potent Medication Administered in a Not So Viable Route January 1, 2017 Loubani O. A Potent Medication Administered in a Not So Viable Route. PSNet [internet]. 2017. https://psnet.ahrq.gov/web-mm/potent-medication-administered-not-so-viable-route The Case A 55-year-old man with history of nonischemic cardiomyop…

3040. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49854/psn-pdf
      February 01, 2019 - Diagnostic Failure: The Growing Deficit February 1, 2019 Chang R, Flanders S. Diagnostic Failure: The Growing Deficit. PSNet [internet]. 2019. https://psnet.ahrq.gov/web-mm/diagnostic-failure-growing-deficit The Case A 65-year-old woman with a history of diabetes and hypertension was admitted to a hospital's telem…