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meps.ahrq.gov/data_files/publications/st33/stat33.pdf
June 01, 2004 - Statistical Brief #33: Outpatient Prescribed Medicines: A Comparison of Use and Expenditures, 1987 and 2001
Agency for Healthcare
Medical Expenditure Panel Survey Research and Quality
STATISTICAL BRIEF #33
June 2004
Outpatient Prescribed Medicines:
A Comparison of Use and Expenditures,
1987 and 2001
Ma…
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psnet.ahrq.gov/node/33882/psn-pdf
June 01, 2019 - Building a Safety Program Using Principles of Resilience
Engineering
June 1, 2019
Hegde S, Fairbanks RJ, Bisantz A. Building a Safety Program Using Principles of Resilience Engineering.
PSNet [internet]. 2019.
https://psnet.ahrq.gov/perspective/building-safety-program-using-principles-resilience-engineering
Persp…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/prevention-chronic-care/improve/coordination/webinar02/spc_slides.pptx
June 04, 2013 - Statistical Process Control Slides
Advanced Methods in Delivery System Research –
Planning, Executing, Analyzing, and
Reporting Research on
Delivery System Improvement
Webinar #2: Statistical Process Control
Presenter: Jill Marsteller, PhD, MPP
Discussant: Stephen Alder, PhD
Moderator: Cindy Brach, MPP
Sponsored b…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/054-dec-guide-pre-launch-activities.docx
October 01, 2024 - AHRQ Safety Program for MRSA Prevention
Decolonization
Pre-Launch Activities
ICU & Non-ICU
Develop a CUSP Team
The Comprehensive Unit-based Safety Program, or CUSP, is a proven patient safety and quality improvement framework that is integrated into the AHRQ Toolkit for MRSA Prevention. A core element of CUSP is the C…
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psnet.ahrq.gov/node/49500/psn-pdf
January 01, 2006 - Confusion With Acetaminophen
January 1, 2006
Heubi JE. Confusion With Acetaminophen. PSNet [internet]. 2006.
https://psnet.ahrq.gov/web-mm/confusion-acetaminophen
The Case
Parents brought their 5-year-old son to the emergency department (ED) with a 24-hour history of fever,
cough, and frontal headache. Physical e…
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psnet.ahrq.gov/node/49509/psn-pdf
April 01, 2006 - Insert Omission
April 1, 2006
Darney P. Insert Omission. PSNet [internet]. 2006.
https://psnet.ahrq.gov/web-mm/insert-omission
The Case
A multiparous woman presented to the gynecology clinic requesting intrauterine contraceptive (IUC)
placement (Figure). She was appropriately counseled on the risks and benefits o…
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psnet.ahrq.gov/node/49425/psn-pdf
November 01, 2003 - Misread Label
November 1, 2003
Franklin BD. Misread Label. PSNet [internet]. 2003.
https://psnet.ahrq.gov/web-mm/misread-label
The Case
An infant was born with sluggish respirations. During labor the infant’s mother had received meperidine
[Demerol, a pain medication], a narcotic with a half-life of 2.5-4.0 hours…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.143_slideshow.ppt
January 01, 2015 - Spotlight Case [MONTH] 2003
Spotlight Case February 2007
The ‘Customer’ Is Always Right
Source and Credits
This presentation is based on the February 2007
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available through the Web site
Commentary by: Niraj L. Sehgal,…
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www.ahrq.gov/hai/tools/surgery/modules/on-boarding/data-into-action-slides.html
December 01, 2017 - Turning Data Into Action—Using HSOPS and SSI Data as Part of a Meaningful Change: Slide Presentation
AHRQ Safety Program for Surgery
Slide 1: AHRQ Safety Program for Surgery—Onboarding
Turning Data Into Action:
Using HSOPS and SSI Data as Part of a Meaningful Change
Slide 2: Using Safety Culture Surv…
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psnet.ahrq.gov/node/49421/psn-pdf
October 01, 2003 - Urine a Tough Position
October 1, 2003
Gandhi TK. Urine a Tough Position. PSNet [internet]. 2003.
https://psnet.ahrq.gov/web-mm/urine-tough-position
The Case
A 22-year-old unmarried woman came to her doctor’s office worried that she might be pregnant. Although
she did not want to have a baby at that time, she sta…
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/communicating-decisions-slides.pptx
September 01, 2022 - Communicating with Patients and Families around Antibiotic Decisions - Slides
Communicating With Patients and Families About Antibiotic Decisions
Ambulatory Care
AHRQ Safety Program for Improving Antibiotic Use
AHRQ Pub. No. 17(22)-0030
September 2022
Communicating With Patients and Families
AHRQ Safety Program for …
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.251_slideshow.ppt
October 01, 2011 - Spotlight Case [MONTH] 2003
Spotlight Case
Mobility Lost in the ICU
*
*
Source and Credits
This presentation is based on the October 2011
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available
Commentary by: Jim Smith, PT, DPT, MA; Associate Professor of Physical …
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.64_slideshow.ppt
June 01, 2004 - Spotlight Case [MONTH] 2003
Spotlight Case June 2004
The Wrong Shot:
Error Disclosure
Source and Credits
This presentation is based on the June 2004
AHRQ WebM&M Spotlight Case in Pediatrics
CME credit is available through the Web site
See the full article at http://webmm.ahrq.gov
Commentary by: Thomas H. …
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/urinary-catheter-maintenance-notes.docx
April 01, 2022 - Indwelling Urinary Catheter Maintenance Facilitator Notes
CAUTI Module:
Indwelling Urinary Catheter Maintenance
Facilitator Guide
Slide Number and Image
This module, titled “Indwelling Urinary Catheter Maintenance,” is part of the Agency for Healthcare Research and Quality’s Safety Program for Intensive Care Un…
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-0198-table10-figures1-2.pdf
July 16, 2015 - Overuse of Computed Tomography Scans for the Evaluation of Children with a First Generalized Afebrile, Atraumatic Seizure: Table 10 and Figures 1 & 2
Table 10: Evidence Regarding Overuse of Imaging for the Evaluation of Children with Afebrile, Atraumatic
Seizures
Type of
Evidence
Key Findings
Level of
Ev…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.299_slideshow.ppt
May 01, 2013 - Spotlight Case July 2008
Spotlight Case
Right Regimen, Wrong Cancer: Patient Catches Medical Error
*
*
Source and Credits
This presentation is based on the May 2013
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available
Commentary by: Joseph O. Jacobson, MD, MSc…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.326_slideshow.ppt
June 01, 2014 - PowerPoint Presentation
Spotlight
Wandering Off the Floors: Safety and Security Risks of Patient Wandering
1
This presentation is based on the June 2014
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available
Commentary by: Thomas A. Smith, CHPA, CPP, President, Healthc…
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www.ahrq.gov/news/newsletters/e-newsletter/961.html
June 01, 2025 - Researcher Akira Nishisaki Designs Quality Improvement Processes To Reduce Harm in Pediatric ICUs
Issue Number
961
AHRQ News Now is a weekly newsletter that highlights agency research and program activities.
June 10, 2025
AHRQ Stats: Annual Expenditures for Diet-Related Health Conditions Treatment for m…
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www.ahrq.gov/patient-safety/settings/hospital/resource/qitool/index.html
March 01, 2017 - Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
The Toolkit for Using the AHRQ Quality Indicators (QI Toolkit) is a free and easy-to-use resource for hospitals planning to use the AHRQ Quality Indicators (QIs), including the Patient Safety Indicators (PSIs), to track a…
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www.ahrq.gov/news/newsletters/e-newsletter/928.html
September 01, 2024 - Applicants Sought to Establish State-Based Healthcare Extension Cooperatives
Issue Number
928
AHRQ News Now is a weekly newsletter that highlights agency research and program activities.
September 10, 2024
AHRQ Stats: Sepsis Treatment Locations 2019 to 2021 About 85 percent of sepsis cases were treated…