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www.ahrq.gov/news/newsletters/e-newsletter/953.html
April 01, 2025 - Two New Issue Briefs Examine Diagnosis Improvement and Healthcare Excellence
Issue Number
953
AHRQ News Now is a weekly newsletter that highlights agency research and program activities.
April 15, 2025
AHRQ Stats: Trends in Ventilator-Associated Pneumonia by Hospital Type Overall, the rate of ventilator…
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www.uspreventiveservicestaskforce.org/uspstf/document/final-research-plan/vitamin-d-calcium-or-combined-supplementation-for-the-primary-prevention-of-fractures-in-adults-preventive-medication
June 23, 2016 - Share to Facebook
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Final Research Plan
Vitamin D, Calcium, or Combined Supplementation for the Primary Prevention of Fractures in Community-Dwelling Adults: Preventive Medication
June 23, 2016…
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digital.ahrq.gov/sites/default/files/docs/page/2006Wang_051611comp.pdf
January 01, 2006 - Errors in Paramedic Endotracheal Intubation
Errors in Paramedic
Endotracheal Intubation
Henry E. Wang, MD, MPH
Assistant Professor
Department of Emergency Medicine
University of Pittsburgh School of Medicine
University of Pittsburgh School of Medicine - Department of Emergency Medicine
Disclosures
AHRQ Cli…
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psnet.ahrq.gov/node/33613/psn-pdf
May 01, 2005 - Organizational Change in the Face of Highly Public
Errors—II. The Duke Experience
May 1, 2005
Frush K. Organizational Change in the Face of Highly Public Errors—II. The Duke Experience. PSNet
[internet]. 2005.
https://psnet.ahrq.gov/perspective/organizational-change-face-highly-public-errors-ii-duke-experience
Pe…
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psnet.ahrq.gov/node/33571/psn-pdf
March 15, 2025 - Reporting Patient Safety Events
March 15, 2025
Reporting Patient Safety Events. PSNet [internet]. 2019.
https://psnet.ahrq.gov/primer/reporting-patient-safety-events
PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that
they reflect current research and practice in th…
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www.ahrq.gov/patient-safety/quality-resources/tools/chtoolbx/emerging/index.html
June 01, 2020 - Emerging Measures
Child Health Care Quality Toolbox
The Child Health Toolbox contains concepts, tips, and tools for evaluating the quality of health care for children.
The increasing demand for and use of quality measurement information generates interest in developing new measures in areas for which none e…
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psnet.ahrq.gov/primer/culture-safety
September 15, 2024 - Culture of Safety
Citation Text:
Culture of Safety. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
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Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS
Dow…
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/quality-measures/qsrs/qsrs-aiml-presentation.pdf
January 05, 2005 - QSRS AI/ML Clinical Data Abstraction: Final Presentation
1
QSRS
AI/ML Clinical Data Abstraction
MOVING CMS TO A NEW AGE OF AUTOMATION
2
Future State Vision
3
High Level OCR and AI/ML Process
4
What do the
Numbers Say?
5
AI/ML Advantages
If patient case files are completed, AWS Services
can be auto…
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www.ahrq.gov/sites/default/files/wysiwyg/news/events/ahrq-research-summit/brady-summit2016-breakout.pdf
September 28, 2016 - Breakout Session: Use of Data and Measurement in Improving Diagnostic Safety
Breakout Session:
Use of Data and Measurement in
Improving Diagnostic Safety
Jeffrey Brady, MD, MPH
Director, Center for Quality Improvement and Patient Safety
AHRQ Research Summit on Diagnostic Safety
September 28, 2016
Discussant…
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psnet.ahrq.gov/node/33561/psn-pdf
September 15, 2024 - Never Events
September 15, 2024
Never Events. PSNet [internet]. 2019.
https://psnet.ahrq.gov/primer/never-events
PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that
they reflect current research and practice in the patient safety field. Last reviewed in 2024.
Backg…
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digital.ahrq.gov/ahrq-funded-projects/use-electronic-referral-system-improve-outpatient-primary-care-specialty-care/annual-summary/2009
January 01, 2009 - Use of Electronic Referral System to Improve the Outpatient Primary Care–Specialty Care Interface - 2009
Project Name
Use of Electronic Referral System to Improve the Outpatient Primary Care-Specialty Care Interface
Principal Investigator
Bell, Douglas
Organization
RAND Corpo…
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hcup-us.ahrq.gov/reports/spotlights.jsp
June 01, 2018 - Research Spotlights
An official website of the Department of Health & Human Services
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www.ahrq.gov/patient-safety/resources/learning-lab/neonatal-interfacility-transfers-long-desc.html
January 01, 2025 - Patient Safety Learning Laboratory to Enhance the Value and Safety of Neonatal Interfacility Transfers in a Regional Care Network
Principal Investigator: Rachel Umoren, M.B.B.Ch., M.S., University of Washington, Seattle, WA AHRQ Grant No.: HS027259 Project Period : 09/03/19-08/31/23 Description: The lab’s…
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/medication-adherence-interventions_executive.pdf
September 01, 2012 - Evidence-Based
Practice
Evidence-based Practice
Program
The Agency for Healthcare Research and
Quality (AHRQ), through its Evidence-
based Practice Centers (EPCs), sponsors
the development of evidence reports and
technology assessments to assist public-
and private-sector organizations in their
efforts to imp…
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2018qdr-appa4.pdf
January 01, 2018 - 2018 National Healthcare Quality and Disparities Report: Appendix A
2018 National Healthcare Quality and Disparities Report | A.4-1
APPENDIX A. LIST OF MEASURES AND SUMMARY OF RESULTS FOR FIGURES
A.4. Disparities: Income
Measures included in Figure 101: Number and percentage of quality measures for which income…
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www.ahrq.gov/sites/default/files/publications/files/confidreportguide_0.pdf
March 01, 2016 - Identify implementation failures (Grimshaw, 2015). … As much can be learned from
implementation failures as from successes yet null findings on any topic … To better
enable the identification of failures, efforts to more systematically identify and centrally
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/traumatic-brain-injury-rehabilitation_disposition-comments.pdf
October 07, 2012 - Multidisciplinary Postacute Rehabilitation for Moderate to Severe Traumatic Brain Injury in Adults Disposition of Comments
Source: http://effectivehealthcare.ahrq.gov/search-for-guides-reviews-and-
reports/?pageaction=displayproduct&productID=1141
Published Online: April 2012
Comparative Effectiveness Resea…
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digital.ahrq.gov/sites/default/files/docs/citation/r01hs015274-carayon-final-report-2009.pdf
January 01, 2009 - CPOE Implementation in ICUs - Final Report
Grant Final Report
Grant ID: R01 HS15274-03
CPOE Implementation in ICUs
Inclusive dates: 09/01/04 - 08/31/09
Principal Investigators:
Pascale Carayon and Kenneth E. Wood…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Implement_Hndbook_508_v2.pdf
April 01, 2011 - Strategy 4: IDEA Discharge Planning (Implementation Handbook)
Strategy 4: IDEAL Discharge Planning (Implementation Handbook)
Guide to Patient and Family Engagement
Care Transitions from
Hospital to Home:
IDEAL Discharge Planning
Implementation Handbook
Strategy 4: IDEAL Discharge Planning (Implementation …
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digital.ahrq.gov/sites/default/files/docs/citation/r01hs026732-usher-final-report-2023.pdf
January 01, 2023 - Health Information Exchange Utilization and Inter-hospital Transfer Outcomes - Final Report
AHRQ Grant Final Progress Report
Title of Project
Health Information Exchange Utilization and Inter-hospital Transfer Outcomes
Principal Investigator and Team Members
Michael Usher MD, PhD, Principal Investigator
Gyor…