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psnet.ahrq.gov/node/866839/psn-pdf
September 25, 2024 - Errors in Managing an Open Wound of the Elbow Leading
to Multiple Complications and Operations
September 25, 2024
Barnes DK, Utter GH. Errors in Managing an Open Wound of the Elbow Leading to Multiple Complications
and Operations. PSNet [internet]. 2024.
https://psnet.ahrq.gov/web-mm/errors-managing-open-wound-elb…
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psnet.ahrq.gov/sites/default/files/2024-09/final_spotlight_case_open_wound_of_the_elbow_slides_09.19.2024.pptx
January 01, 2024 - Spotlight
Spotlight
Errors in Managing an Open Wound of the Elbow Leading to Multiple Complications and Operations
1
Source and Credits
This presentation is based on the September 2024 AHRQ WebM&M Spotlight Case
See the full article at https://psnet.ahrq.gov/webmm
CME credit is available
Commentary by: David…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/improvement-guide/5-determining-focus/cahps-ambulatory-care-guide-section-5.pdf
May 01, 2017 - types of data you choose to use for further analysis will depend on the issues you
identified when examining … Examining and testing alternative changes to improve the process. … Do the same in the examining room. If a patient would undress,
you should undress.
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/plasma-cell-dyscrasias-sflc-assay-future_research.pdf
September 01, 2012 - Serum Free Light Chain Analysis for the Diagnosis, Management, and Prognosis of Plasma Cell Dyscrasias: Future Research Needs
Future Research Needs Paper
Number 23
Serum Free Light Chain
Analysis for the
Diagnosis, Management,
and Prognosis of Plasma
Cell Dyscrasias:
Future Research Needs
Future Research Nee…
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www.ahrq.gov/practiceimprovement/delivery-initiative/abstract-fischer.html
December 01, 2017 - Impact of Medicaid Policy on Cardiovascular Drug Use and Clinical Outcomes
Abstract
Principal Investigator: Michael A. Fischer, M.D., M.S.
Brigham and Women's Hospital
Purpose
This study evaluated the prevalence and effectiveness of different policy approaches used by State Medicaid programs to manage m…
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psnet.ahrq.gov/node/46068/psn-pdf
July 09, 2018 - A national survey assessing the number of records
allowed open in electronic health records at hospitals and
ambulatory sites.
July 9, 2018
Adelman JS, Berger MA, Rai A, et al. A national survey assessing the number of records allowed open in
electronic health records at hospitals and ambulatory sites. J Am Med In…
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psnet.ahrq.gov/node/48098/psn-pdf
July 10, 2019 - How often do prescribers include indications in drug
orders? Analysis of 4 million outpatient prescriptions.
July 10, 2019
Salazar A, Karmiy SJ, Forsythe KJ, et al. How often do prescribers include indications in drug orders?
Analysis of 4 million outpatient prescriptions. Am J Health Syst Pharm. 2019;76(13):970-97…
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-240-section-2-technical-specifications.pdf
June 02, 2025 - CHIPRA 240: Section 2, Technical Specifications
The percentage children with a BMI ≥85th percentile and an outpatient care visit whose parents were
surveyed and reported that their provider discussed their child’s weight or body mass index (BMI) in the
last 12 months. A higher proportion indicates bett…
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-241-bmi-communication-section-2-tech-specs.pdf
June 02, 2025 - CHIPRA 241: Section 2, Technical Specifications
The percentage of children aged 2 through 17 years with an outpatient care visit and BMI ≥85 percentile
who had documentation of communication of weight classification during the measurement year. A higher
proportion indicates better performance.
T…
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www.ahrq.gov/teamstepps-program/curriculum/situation/tools/whats.html
June 01, 2023 - Tool: The Five "Whats" of Diagnostic Reflective Practice (KAICS)
The five‐question mnemonic “KAICS” can help develop a reflective mindset and aid in the situation monitoring process.
What do I KNOW? Review objective and subjective data given the evidence, possible biases, and assumptions.
What are the A…
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www.ahrq.gov/patient-safety/reports/sepsis/index.html
September 01, 2024 - An Assessment of Sepsis in the United States and Its Burden on Hospital Care
Report to Congress
Summary In the Fiscal Year 2023 Omnibus Spending Bill, the U.S. Congress directed the Agency for Healthcare Research and Quality (AHRQ) to "conduct a comprehensive set of studies that calculate the morb…
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pso.ahrq.gov/resources/ai-healthcare-safety
February 01, 2025 - SHARE:
More topics in this section
Resources
Resources
Resources About the Patient Safety and Quality Improvement Act of 2005
Resources for Improving Patient Safety and Healthcare Quality
Resources for Artificial Intelligence (AI) in …
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/teledx-6.html
August 01, 2020 - Telediagnosis for Acute Care: Implications for the Quality and Safety of Diagnosis
Implications for Research, Policy, and Practice
Previous Page Next Page
Table of Contents
Telediagnosis for Acute Care: Implications for the Quality and Safety of Diagnosis
Introduction
Evidence Base Supporting Te…
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxchecklists-4.html
September 01, 2020 - Evidence on Use of Clinical Reasoning Checklists for Diagnostic Error Reduction
Factors That Influence Effectiveness of Checklists
Previous Page Next Page
Table of Contents
Evidence on Use of Clinical Reasoning Checklists for Diagnostic Error Reduction
Introduction
Rationale for Use
Content-Sp…
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psnet.ahrq.gov/node/43802/psn-pdf
August 02, 2015 - Association of the 2011 ACGME resident duty hour
reforms with mortality and readmissions among
hospitalized Medicare patients.
August 2, 2015
Patel MS, Volpp KG, Small DS, et al. Association of the 2011 ACGME resident duty hour reforms with
mortality and readmissions among hospitalized Medicare patients. JAMA. 201…
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psnet.ahrq.gov/node/45892/psn-pdf
October 31, 2017 - Relationship between state malpractice environment and
quality of health care in the United States.
October 31, 2017
Bilimoria KY, Chung JW, Minami CA, et al. Relationship Between State Malpractice Environment and
Quality of Health Care in the United States. Jt Comm J Qual Patient Saf. 2017;43(5):241-250.
doi:10.1…
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psnet.ahrq.gov/node/46913/psn-pdf
May 09, 2018 - Factors associated with the use of cognitive aids in
operating room crises: a cross-sectional study of US
hospitals and ambulatory surgical centers.
May 9, 2018
Alidina S, Goldhaber-Fiebert SN, Hannenberg A, et al. Factors associated with the use of cognitive aids in
operating room crises: a cross-sectional study …
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psnet.ahrq.gov/node/44643/psn-pdf
July 21, 2016 - Differing perceptions of safety culture across job roles in
the ambulatory setting: analysis of the AHRQ Medical
Office Survey on Patient Safety Culture.
July 21, 2016
Hickner J, Smith SA, Yount N, et al. Differing perceptions of safety culture across job roles in the
ambulatory setting: analysis of the AHRQ Medic…
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psnet.ahrq.gov/node/43862/psn-pdf
March 20, 2015 - The Iatroref study: medical errors are associated with
symptoms of depression in ICU staff but not burnout or
safety culture.
March 20, 2015
Garrouste-Orgeas M, Perrin M, Soufir L, et al. The Iatroref study: medical errors are associated with
symptoms of depression in ICU staff but not burnout or safety culture. I…
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psnet.ahrq.gov/node/46990/psn-pdf
July 25, 2018 - Analysis of errors in dictated clinical documents assisted
by speech recognition software and professional
transcriptionists.
July 25, 2018
Zhou L, Blackley SV, Kowalski L, et al. Analysis of Errors in Dictated Clinical Documents Assisted by
Speech Recognition Software and Professional Transcriptionists. JAMA Netw…