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4361. Chapter-3 - Sepsis Recognition (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/sepsis-1.pdf
      March 01, 2020 - Chapter-3 - Sepsis Recognition Sepsis Recognition 3-1 3. Sepsis Recognition Authors: Bryan Gale, M.A., and Kendall K. Hall, M.D., M.S. Introduction Sepsis has been a leading cause of hospitalization and death in U.S. healthcare settings for many years, and accounts for more hospital admissions and spending than…

4362. Medication Mix-Up: From Bad to Worse | PSNet
      psnet.ahrq.gov/web-mm/medication-mix-bad-worse
      March 01, 2018 - Medication Mix-Up: From Bad to Worse Citation Text: Wollitz A, O'Connor MF. Medication Mix-Up: From Bad to Worse. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2015. Copy Citation Format: Google Scholar BibTeX EndNote …

4363. Disposition of Comments for Technical Brief 27 Patient Safety (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/ambulatory-safety_disposition-comments.pdf
      October 19, 2016 - Reviewer #7 Findings Excellent recap of communications problems, fragmented care, pros and cons of EHRs … forward; there was however little in the next steps section on how the usability and usefulness of EHRs

4364. Long Term Care e-Prescribing Standards Pilot Study - Final Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/page/Long%20Term%20Care%20e-Prescribing%20Standards%20Pilot%20Study%20-%20Final%20Report_0.pdf
      August 01, 2007 - Long Term Care e-Prescribing Standards Pilot Study - Final Report Long Term Care e-Prescribing Standards Pilot Study Table of Contents Executive Summary ........................................................................................................... 1 1.0 Description of the Pilot ........…

4365. Continuity of Insurance: Duration of First Observed Enrollment (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/duration/chipra-156-fullreport.pdf
      June 01, 2018 - Continuity of Insurance: Duration of First Observed Enrollment 1 Continuity of Insurance: Duration of First Observed Enrollment Section 1. Basic Measure Information 1.A. Measure Name Continuity of Insurance: Duration of First Observed Enrollment 1.B. Measure Number 0156 1.C. Measure Description Please …

4366. Continuity of Insurance: Informed Participation (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/duration/chipra-153-fullreport.pdf
      May 23, 2018 - Continuity of Insurance: Informed Participation 1 Continuity of Insurance: Informed Participation Section 1. Basic Measure Information 1.A. Measure Name Continuity of Insurance: Informed Participation 1.B. Measure Number 0153 1.C. Measure Description Please provide a non-technical description of the me…

4367. Rate of Emergency Department Visit Use for Children Managed for Identifiable Asthma (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-113-fullreport.pdf
      May 01, 2018 - Rate of Emergency Department Visit Use for Children Managed for Identifiable Asthma 1 Rate of Emergency Department Visit Use for Children Managed for Identifiable Asthma Section 1. Basic Measure Information 1.A. Measure Name CAPQuaM PQMP Asthma I: Rate of Emergency Department Visit Use for Children Managed for…

4368. Improving Medication Management Practices and Care Transitions through Technology - Final Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/publication/r18hs017837-feldman-final-report-2012.pdf
      January 01, 2012 - Although one main tool used in EHRs is the medication database that checks for drug-to-drug interactions

4369. Final Progress Report: Identifying and Reducing Errors in Perioperative Anesthesia Medication Delivery (pdf file)
      www.ahrq.gov/sites/default/files/2025-02/catchpole2-report.pdf
      January 01, 2025 - Providers reported using the EHRs, anesthesia monitor, and vital signs monitoring more often than other

4370. Be Picky about your PICCs—Fragmented Care and Poor Communication at Discharge Leads to a PICC without a Plan. | PSNet
      psnet.ahrq.gov/web-mm/be-picky-about-your-piccs-fragmented-care-and-poor-communication-discharge-leads-picc
      July 19, 2023 - Be Picky about your PICCs—Fragmented Care and Poor Communication at Discharge Leads to a PICC without a Plan. Citation Text: Marti CS, Reese SK, Brown-McManus M. Be Picky about your PICCs—Fragmented Care and Poor Communication at Discharge Leads to a PICC without a Plan.. PSNet [internet]. Rockville (MD): A…

4371. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/72911/psn-pdf
      March 15, 2021 - The Impact of Communication on Medication Errors March 15, 2021 Branch J, Hiner D, Jackson V. The Impact of Communication on Medication Errors. PSNet [internet]. 2021. https://psnet.ahrq.gov/web-mm/impact-communication-medication-errors The Case   A 93-year-old man with a history of chronic systolic heart failure…

4372. Disposition of Comments_Comparative Effectiveness Review No. 260: Nutrition as Prevention for Improved Cancer Health Outcomes (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/cer-260-improved-cancer-outcomes-disposition-comments.pdf
      May 22, 2023 - Disposition of Comments_Comparative Effectiveness Review No. 260: Nutrition as Prevention for Improved Cancer Health Outcomes Comparative Effectiveness Review Disposition of Comments Report Title: Nutrition as Prevention for Improved Cancer Health Outcomes Draft report available for public comment…

4373. Anesthesiology Control Tower: Feedback Alerts to Supplement Treatment (ACTFAST) - Final Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/citation/r21hs024581-avidan-final-report-2020.pdf
      January 01, 2020 - Anesthesiology Control Tower: Feedback Alerts to Supplement Treatment (ACTFAST) - Final Report 1. TITLE PAGE Title: Anesthesiology Control Tower: Feedback Alerts to Supplement Treatment (ACTFAST) Principal Investigator: Michael Avidan, MBBCh Key Team Members: Arbi Ben Abdallah, PhD; Yixin Chen, PhD; Brad Fritz…

4374. Module 1: Preventing Pressure Injuries in Hospitals—Understanding Why Change Is Needed | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/workshop/guide1.html
      October 01, 2017 - Module 1: Preventing Pressure Injuries in Hospitals—Understanding Why Change Is Needed Training Guide Module Aim The aim of Module 1 is to introduce the Preventing Pressure Ulcers in Hospitals Toolkit training. Module Goals The goals of this introductory module are to identify the overall objectives…

4375. The “Great Pretender” (Syphilis) is Still Stumping Healthcare Providers | PSNet
      psnet.ahrq.gov/web-mm/great-pretender-syphilis-still-stumping-healthcare-providers
      January 07, 2022 - The “Great Pretender” (Syphilis) is Still Stumping Healthcare Providers Citation Text: Glaser K, Vongspanich-Dray J. The “Great Pretender” (Syphilis) is Still Stumping Healthcare Providers. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Servic…

4376. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/867805/psn-pdf
      February 26, 2025 - In Conversation with David W. Bates about Are We Safer Today? February 26, 2025 Bates DW, Lee M, Mossburg SE. In Conversation with David W. Bates about Are We Safer Today? PSNet [internet]. 2025. https://psnet.ahrq.gov/perspective/conversation-david-w-bates-about-are-we-safer-today Editor’s note: David W. Bates, …

4377. Enhancing Hawaii Hospital Information Content: Hospital Engagement.
      hcup-us.ahrq.gov/datainnovations/clinicalcontentenhancementtoolkit/hi24.jsp
      July 01, 2016 - Enhancing Hawaii Hospital Information Content: Hospital Engagement. An official website of the Department of Health & Human Services Search All AHRQ Websites Careers Contact Us Espanol…

4378. Co-producing a Diagnosis
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/resources/diagnostic-toolkit/08-diagnostic-cap-provider-training-slides.pptx
      August 01, 2021 - Co-producing a Diagnosis Provider Training Slides Toolkit for Engaging Patients and Families To Improve Diagnosis AHRQ Publication No. 21-0047-7-EF August 2021 1 "Just listen to your patient, he is telling you the diagnosis."1 - Sir William Osler This quote from Sir William Osler, who is also commonly referred …

4379. Creating and Maintaining a Culture of Safety Series (Session 3): Measuring and Responding to Safety Culture Across Healthcare (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/measuring-safety-culture.pdf
      May 13, 2025 - Creating and Maintaining a Culture of Safety Series (Session 3): Measuring and Responding to Safety Culture Across Healthcare Creating and Maintaining a Culture of Safety Series (Session 3) Measuring and Responding to Safety Culture Across Healthcare NATIONAL WEBINAR SERIES April 15, 2025 Housekeeping Instructi…

4380. Pre-intervention Assessment: Adapting and Implementing Patient Safety Practices in Ambulatory Care (xls file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/safetransitions/hret-preinterventionasst.xlsx
      June 02, 2025 - Pre-intervention Assessment: Adapting and Implementing Patient Safety Practices in Ambulatory Care Introduction Pre-Intervention Assessment Purpose The purpose for this self-assessment is to: -Highlight current efforts to promote safe transitions of care and engage patients; -Identify gaps or opportunities for…