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psnet.ahrq.gov/node/49491/psn-pdf
September 01, 2005 - Time of Death?
September 1, 2005
Taekman JM, Wright MC. Time of Death? PSNet [internet]. 2005.
https://psnet.ahrq.gov/web-mm/time-death
The Case
An 80-year-old woman with multiple illnesses, including chronic obstructive pulmonary disease (COPD),
was found pulseless and cyanotic in her hospital bed. A code was ca…
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psnet.ahrq.gov/node/49591/psn-pdf
October 01, 2009 - Difficult Encounters: A CMO and CNO Respond
October 1, 2009
Ring EJ, Hirsch JE. Difficult Encounters: A CMO and CNO Respond. PSNet [internet]. 2009.
https://psnet.ahrq.gov/web-mm/difficult-encounters-cmo-and-cno-respond
Case Objectives
Appreciate the risk of disruptive behavior and understand institutional respons…
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psnet.ahrq.gov/node/33787/psn-pdf
January 01, 2018 - In Conversation With… Maureen Bisognano
June 1, 2015
In Conversation With… Maureen Bisognano. PSNet [internet]. 2015.
https://psnet.ahrq.gov/perspective/conversation-maureen-bisognano
Editor's note: Maureen Bisognano is President and CEO of the Institute for Healthcare Improvement
(IHI). We spoke with her about I…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/man4.html
December 01, 2017 - Every effort should be made to determine what health conditions may be increasing the resident's fall
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/medicaidmgmt/mm5.html
October 01, 2014 - Designing and Implementing Medicaid Disease and Care Management Programs
Section 5: Selecting a Care Management Program Model
Previous Page Next Page
Table of Contents
Designing and Implementing Medicaid Disease and Care Management Programs
Introduction
Section 1: Planning a Care Management Prog…
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psnet.ahrq.gov/node/33867/psn-pdf
October 01, 2018 - In Conversation With… Michael Cohen, RPh, MS, ScD
(hon)
October 1, 2018
In Conversation With… Michael Cohen, RPh, MS, ScD (hon). PSNet [internet]. 2018.
https://psnet.ahrq.gov/perspective/conversation-michael-cohen-rph-ms-scd-hon-0
Editor's note: Dr. Cohen is President of the Institute for Safe Medication Practice…
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psnet.ahrq.gov/print/pdf/node/865308
January 01, 2024 - PSNet
Curated Library
AHRQ: Agency for Healthcare Research and Quality
Organizational Learning
Curated Library
Foundations
Organizational learning: health care leaders need to design structures and processes that enhance
collective learning.
Bohmer RM, Edmondson AC. Health Forum J. 2001;44:32-35.
This comment…
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psnet.ahrq.gov/web-mm/chest-pain-rural-hospital
June 02, 2021 - SPOTLIGHT CASE
Chest Pain in a Rural Hospital
Citation Text:
MacKinney CA, Mohr NM. Chest Pain in a Rural Hospital. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2018.
Copy Citation
Format:
Google Scholar Bi…
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psnet.ahrq.gov/web-mm/crushing-chest-pain-missed-opportunity
February 01, 2007 - remarkably effective in helping us reach a correct diagnosis rapidly, accurately, and with little conscious effort
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pso.ahrq.gov/sites/default/files/wysiwyg/PSO_ContinuedListing.pdf
September 30, 2024 - PSO: Certification of Continued Listing
Form Approved
OMB Control No: 0935-0143
Exp. date: 09/30/2024
PATIENT SAFETY ORGANIZATION:
CERTIFICATION FOR CONTINUED LISTING
The Patient Safety and Quality Improvement Act of 2005 (Patient Safety Act) authorizes the creation of Patient Safety
Organizations (PSOs). The …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/d4j_pdi12-crbsi-bestpractices.pdf
May 17, 2016 - Selected Best Practices and Suggestions for Improvement
Pediatric Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
1 Tool D.4j
Selected Best Practices and Suggestions for Improvement
PDI 12: Central Venous Catheter (CVC)-Related Bloodstream Infection Rate (BSIs)
Why …
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www.ahrq.gov/pqmp/implementation-qi/toolkit/tcd/about.html
July 01, 2021 - programs, health plans, and health systems, and as it is claims-based, there is very little cost or effort
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www.ahrq.gov/research/findings/final-reports/diabetesnetwork/diabnet4.html
October 01, 2014 - Hispanic Diabetes Disparities Learning Network in Community Health Centers
Chapter 4. Evaluation Design
Previous Page Next Page
Table of Contents
Hispanic Diabetes Disparities Learning Network in Community Health Centers
Chapter 1. Introduction
Chapter 2. Project Description
Chapter 3. Structu…
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www.ahrq.gov/research/findings/final-reports/stpra/stpraapc.html
April 01, 2018 - Which ones require the most effort to ensure infection control?
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www.uspreventiveservicestaskforce.org/uspstf/sites/default/files/inline-files/estalishing-maintaining-trust-commentary.pdf
May 26, 2023 - Building Trust Through Strategic
Communications
A highly coordinated strategic communications
effort
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4x_combo_pdi12-crbsi-bestpractices.pdf
May 17, 2016 - Selected Best Practices and Suggestions for Improvement
Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
1 Tool D.4x
Selected Best Practices and Suggestions for Improvement
PDI 12: Central Venous Catheter (CVC)-Related Bloodstream Infection Rate (BSIs)
Why focus on c…
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psnet.ahrq.gov/web-mm/anchoring-bias-critical-implications
June 15, 2022 - In one controlled study, if extra effort was expended to obtain clinically irrelevant information, 11%
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hcup-us.ahrq.gov/reports/statbriefs/sb144.pdf
August 01, 2011 - Overview of Hospital Stays in the United States, 2010
1
December 2012
Overview of Hospital Stays in the United
States, 2010
Anne Pfuntner, Lauren M. Wier, M.P.H., and Anne Elixhauser,
Ph.D.
Introduction
Inpatient hospital care is a significant component of the health
care system, account…
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hcup-us.ahrq.gov/reports/statbriefs/sb140.pdf
August 01, 2011 - Statistical Brief #140: Readmissions for Heart Attack, 2009
August 2
Readm
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M.P.H., an
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and costly
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to improve
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and Medic
readmissi
hospitaliza
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regardless
…
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psnet.ahrq.gov/web-mm/challenges-diabetes-management-and-medication-reconciliation
March 15, 2023 - responsibilities regarding medication reconciliation is necessary at the institution level, to avoid unnecessary effort