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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Teigland.pdf
March 01, 2004 - accurate, changing tools and protocols required investing time and resources and
did not seem worth the effort … risk reports into ongoing quality improvement
processes, and (3) a facility “champion” to keep the effort
-
digital.ahrq.gov/sites/default/files/docs/citation/r01hs020909-dixon-final-report-2017.pdf
January 01, 2017 - completeness impact both clinic reporters and public health workers who spend
significant time and effort … introduction of pre-populated electronic case reporting forms to routine primary care
settings in an effort
-
hcup-us.ahrq.gov/datainnovations/clinicalcontentenhancementtoolkit/hi25.jsp
September 01, 2014 - Conclusion
Providing detailed data specifications to guide the facilities minimized the effort required … two centralized laboratories
7 Hospital approval for VPN transmission was not granted.
8 This effort … subject to change following as we work with providers and work with data in more detail.
10 This effort
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hcup-us.ahrq.gov/datainnovations/clinicalcontentenhancementtoolkit/hi25.pdf
October 01, 2011 - Conclusion
Providing detailed data specifications to guide the facilities minimized the effort … such as inpatient mortality.8
8
This effort … final corrected test result.
10
This effort
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cds.ahrq.gov/sites/default/files/workgroups/211/dec-2016-cholesterol-wg-notes.docx
January 01, 2016 - Cholesterol Management Work Group
Meeting Summary
Date
12/09/16
Time
2:00 – 4:00 PM EST
AGENDA
· Welcome and Introductions
· CDS Connect Project Overview
· CDS Cholesterol Management Work Group Overview and Planning
· CDS Cholesterol Management Environmental Scan Findings and Artifacts
· CDS Cho…
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psnet.ahrq.gov/node/33715/psn-pdf
July 01, 2011 - Becoming a Patient Safety Organization
July 1, 2011
Jaffe R. Becoming a Patient Safety Organization. PSNet [internet]. 2011.
https://psnet.ahrq.gov/perspective/becoming-patient-safety-organization
Perspective
While I was the first employee of the California Hospital Patient Safety Organization (CHPSO), its story
…
-
digital.ahrq.gov/sites/default/files/docs/page/McColmSuccessStory2009_0.pdf
December 01, 2009 - Measuring Quality in Physicians’ Practices in Southwestern Missouri Using an Electronic Health Record
Measuring Quality in Physicians’ Practices in Southwestern
Missouri Using an Electronic Health Record
Current efforts to improve the efficiency and quality of
medical care while decreasing costs involve improving…
-
psnet.ahrq.gov/node/33735/psn-pdf
August 01, 2012 - Medication Safety in Nursing Homes: What's Wrong and
How to Fix It
August 1, 2012
Gurwitz JH. Medication Safety in Nursing Homes: What's Wrong and How to Fix It. PSNet [internet]. 2012.
https://psnet.ahrq.gov/perspective/medication-safety-nursing-homes-whats-wrong-and-how-fix-it
Perspective
At any point in time, …
-
hcup-us.ahrq.gov/datainnovations/raceethnicitytoolkit/or32.jsp
October 08, 2012 - Pregnancy Risk Factors and Birth Outcomes within Oregon's AI/AN Population, 2008-2010.
An official website of the Department of Health & Human Services
Search All AHRQ Websites
Careers
Conta…
-
effectivehealthcare.ahrq.gov/sites/default/files/related_files/cer-256-telehealth-women-preventive-services-executive-summary.pdf
June 01, 2022 - Executive Summary: Comparative Effectiveness Review No. 256_Effectiveness of Telehealth for Women's Preventive Services
Comparative Effectiveness Review
Number 256
Effectiveness of Telehealth for
Women’s Preventive Services
Executive Summary
Main Points
• Based on 16 studies, outcomes of telehealth intervent…
-
effectivehealthcare.ahrq.gov/sites/default/files/related_files/cer-264-maternal-morbidity-mortality-executive-summary.pdf
December 01, 2023 - Executive summary_Comparative Effectiveness Review No. 264_Social and Structural Determinants of Maternal Morbidity and Mortality: An Evidence Map
Comparative Effectiveness Review
Number 264
Social and Structural Determinants of
Maternal Morbidity and Mortality: An
Evidence Map
Executive Summary
Main Points
…
-
psnet.ahrq.gov/node/49866/psn-pdf
June 01, 2019 - If You Say So: Taking a Syringe at Face Value in the
Operating Room
June 1, 2019
Lyndon A, Lim S. If You Say So: Taking a Syringe at Face Value in the Operating Room. PSNet [internet].
2019.
https://psnet.ahrq.gov/web-mm/if-you-say-so-taking-syringe-face-value-operating-room
The Case
A 43-year-old woman was admi…
-
psnet.ahrq.gov/web-mm/confusion-acetaminophen
December 01, 2009 - Confusion With Acetaminophen
Citation Text:
Heubi JE. Confusion With Acetaminophen. 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 t…
-
psnet.ahrq.gov/node/49862/psn-pdf
May 01, 2019 - The Magnetic Deflection
May 1, 2019
Kanal E. The Magnetic Deflection. PSNet [internet]. 2019.
https://psnet.ahrq.gov/web-mm/magnetic-deflection
The Case
A 68-year-old woman with a prior history of cerebrovascular accident and hypertension presented to the
hospital with new left-sided weakness and hypertensive urg…
-
www.ahrq.gov/sites/default/files/2024-12/morgan-report.pdf
January 01, 2024 - Final Progress Report: Improving Patient Safety and Disease Management While on Contact Isolation
Final Progress Report
Improving Patient Safety and Disease Management While on Contact Isolation
Daniel Morgan (PI)
Anthony Harris (Mentor)
University of Maryland School of Medicine
Dates of Project: 7/01/09–6/30/14…
-
psnet.ahrq.gov/node/50697/psn-pdf
November 27, 2019 - Cardiac Arrest in a Woman with UTI: A Case of QT
Prolongation
November 27, 2019
Kulig CE, Ebong IA. Cardiac Arrest in a Woman with UTI: A Case of QT Prolongation. PSNet [internet].
2019.
https://psnet.ahrq.gov/web-mm/cardiac-arrest-woman-uti-case-qt-prolongation
The Case
A 36-year-old woman with a history of dep…
-
psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.203_slideshow.ppt
August 01, 2009 - Spotlight Case July 2008
Spotlight Case
Nurse Staffing Ratios:
The Crucible of Money, Policy, Research, and Patient Care
*
Source and Credits
This presentation is based on the August 2009 AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME/CEU credit is available
Commentary by: …
-
psnet.ahrq.gov/node/49439/psn-pdf
March 01, 2004 - Lethal Cap
March 1, 2004
Schillinger D. Lethal Cap. PSNet [internet]. 2004.
https://psnet.ahrq.gov/web-mm/lethal-cap
The Case
A 9-month-old child was seen by her pediatrician for a fever and decreased appetite. She was found to
have otitis media and was prescribed amoxicillin. The doctor gave the first dose to th…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/e1_combo_monitorprogress.pdf
June 02, 2025 - Monitoring Progress for Sustainable Improvement
Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
Monitoring Progress for Sustainable Impro…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/safetransitions/safetransitions.pptx
June 02, 2025 - Slide Presentation: An Introduction to Safe Transitions for Patients to New Appointments
An Introduction to Safe Transitions for Patients to New Appointments
Ambulatory Care Facility
Team Presentation
Overview
Purpose and Benefits
Toolkit Components
Team Member Roles and Responsibilities
Implementation Steps
Resourc…