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psnet.ahrq.gov/web-mm/dnr-or-and-afterwards
July 01, 2003 - DNR in the OR and Afterwards
Citation Text:
Lo B. DNR in the OR and Afterwards. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2006.
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psnet.ahrq.gov/web-mm/back-basics
July 13, 2010 - Back to Basics
Citation Text:
Hellman R. Back to Basics. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2007.
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psnet.ahrq.gov/node/49572/psn-pdf
October 01, 2008 - Mistaken Identity
October 1, 2008
Hall LW. Mistaken Identity. PSNet [internet]. 2008.
https://psnet.ahrq.gov/web-mm/mistaken-identity
The Case
An 85-year-old Cantonese-speaking woman was admitted to the medical service with altered mental status
and a reported fall. After finding tenderness in her left hip, the p…
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psnet.ahrq.gov/web-mm/misplaced-vial-medication-kit-variability-contributes-medication-error-during-patient
March 12, 2021 - Misplaced Vial: Medication Kit Variability Contributes to Medication Error During Patient Transport
Citation Text:
MacDowell P, McGee E. Misplaced Vial: Medication Kit Variability Contributes to Medication Error During Patient Transport. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Q…
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psnet.ahrq.gov/node/853080/psn-pdf
August 30, 2023 - Virtual Nursing: Improving Patient Care and Meeting
Workforce Challenges
August 30, 2023
Sanford K, Schuelke S, Lee M, et al. Virtual Nursing: Improving Patient Care and Meeting Workforce
Challenges. PSNet [internet]. 2023.
https://psnet.ahrq.gov/perspective/virtual-nursing-improving-patient-care-and-meeting-workf…
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www.ahrq.gov/professionals/quality-patient-safety/patientsafetyculture/medical-office/2014/mosurv14chap6.html
June 01, 2014 - Medical Office Survey on Patient Safety Culture
Chapter 6. Comparing Your Results
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Table of Contents
Medical Office Survey on Patient Safety Culture
Executive Summary
Chapter 1. Introduction
Chapter 2. Survey Administration Statistics
Chapter 3. Medical Office Characte…
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hcup-us.ahrq.gov/db/vars/dshospid/nisnote.jsp
September 01, 2008 - Healthcare Cost and Utilization Project (HCUP) NIS Notes
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psnet.ahrq.gov/innovation/system-approaches-social-determinants-health-screening-and-intervention-innovation
July 23, 2024 - System Approaches to Social Determinants of Health Screening and Intervention Innovation Summary
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September 23, 2024
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June 16, 2021 - Looking for Meds in All the Wrong Places
Citation Text:
Manias E. Looking for Meds in All the Wrong Places. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2012.
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digital.ahrq.gov/sites/default/files/docs/transforming-guidelines-action-qas-06152023.pdf
June 15, 2023 - AHRQ Webinar: Transforming Guidelines Into Action: Clinical Decision Support at the Point of Care - Q&As
AHRQ National Webin…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/learn-from-defects-slides.pptx
January 01, 2017 - Presentation: Program Overview
Learn From Defects in Care of Mechanically Ventilated Patients
AHRQ Safety Program for Mechanically Ventilated Patients
AHRQ Pub. No. 16(17)-0018-34-EF
January 2017
Learn From Defects ‹#›
AHRQ Safety Program for Mechanically Ventilated Patients
1
Learning Objectives
After this ses…
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psnet.ahrq.gov/perspective/weekend-effect
April 01, 2008 - Annual Perspective
The Weekend Effect
Sumant Ranji, MD | January 1, 2017
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Citation Text:
Ranji SR. The Weekend Effect. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Hea…
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hcup-us.ahrq.gov/db/vars/dshospid/kidnote.jsp
September 01, 2008 - Healthcare Cost and Utilization Project (HCUP) KID Notes
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/a4a_combo_psi_casestudy.pdf
June 02, 2025 - Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
Case Study of Using the QI Toolkit for Quality Improvement
What is the purpose of this tool? This tool provides a case study from one hospital that
participated in the field test and evaluation of the QI Toolkit. It offers …
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hcup-us.ahrq.gov/reports/factsandfigures/2007/pdfs/section2_4.pdf
January 01, 2007 - HCUP Facts and Figures: Statistics on Hospital-Based Care in the United States, 2007 27
EXHIBIT 2.4 Most Frequent Comorbidities
2%
2%
2%
2%
3%
3%
3%
3%
3%
4%
6%
6%
7%
7%
7%
11%
14%
14%
16%
35%
0 10 20 30 40
Weight Loss
Chronic Blood Loss Anemia
Coagulopathy
Valvular Disease
Psychoses…
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psnet.ahrq.gov/node/46424/psn-pdf
March 20, 2018 - Electronic triggers to identify delays in follow-up of
mammography: harnessing the power of big data in
health care.
March 20, 2018
Murphy DR, Meyer AND, Vaghani V, et al. Electronic Triggers to Identify Delays in Follow-Up of
Mammography: Harnessing the Power of Big Data in Health Care. J Am Coll Radiol. 2018;15(…
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psnet.ahrq.gov/node/43539/psn-pdf
March 26, 2015 - Challenges and remediation for Patient Safety Indicators
in the transition to ICD-10-CM.
March 26, 2015
Boyd AD, Yang YM, Li J, et al. Challenges and remediation for Patient Safety Indicators in the transition to
ICD-10-CM. J Am Med Inform Assoc. 2015;22(1):19-28. doi:10.1136/amiajnl-2013-002491.
https://psnet.ahr…
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psnet.ahrq.gov/node/44180/psn-pdf
June 21, 2015 - "Never events" and the quest to reduce preventable harm.
June 21, 2015
Austin M, Pronovost P. "Never events" and the quest to reduce preventable harm. Jt Comm J Qual Patient
Saf. 2015;41(6):279-288.
https://psnet.ahrq.gov/issue/never-events-and-quest-reduce-preventable-harm
The introduction of the term never event…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-ginsberg-ahrq-program.pdf
June 02, 2025 - Understanding CAHPS® Surveys: A Primer for New Users - Slides 8-13
AHRQ’s CAHPS® Program
Caren Ginsberg, PhD
Director, CAHPS Division
Center for Quality Improvement & Patient Safety
www.ahrq.gov/cahps
AHRQ: A Research & Development Agency
• The Agency for Healthcare Research and Quality (AHRQ)
is the lead fede…
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www.ahrq.gov/hai/cauti-tools/impl-guide/implementation-guide-appendix-h.html
October 01, 2015 - Toolkit for Reducing Catheter-Associated Urinary Tract Infections in Hospital Units: Implementation Guide
Appendix H. Urinary Catheter Pocket Card
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Table of Contents
Toolkit for Reducing Catheter-Associated Urinary Tract Infections in Hospital Units: Implementation Guide
Ove…