-
psnet.ahrq.gov/node/49816/psn-pdf
January 01, 2018 - After the fall, a CT scan revealed a fracture of the cervical spine, which required
spinal fusion surgery
-
psnet.ahrq.gov/node/49712/psn-pdf
June 01, 2014 - He noted that the
diphenhydramine made him somewhat drowsy, but not enough to fall asleep.
-
psnet.ahrq.gov/node/33736/psn-pdf
September 01, 2012 - In Conversation With… Jack Needleman, PhD
September 1, 2012
In Conversation With… Jack Needleman, PhD. PSNet [internet]. 2012.
https://psnet.ahrq.gov/perspective/conversation-jack-needleman-phd
Editor's note: Jack Needleman, PhD, is a Professor in the Department of Health Policy and Management
at UCLA School of P…
-
psnet.ahrq.gov/node/49531/psn-pdf
March 01, 2007 - The contributory factors in this event fall into the environmental category.
-
psnet.ahrq.gov/node/49760/psn-pdf
May 01, 2016 - Mismanagement of Delirium
May 1, 2016
Merrilees J, Lee KP. Mismanagement of Delirium. PSNet [internet]. 2016.
https://psnet.ahrq.gov/web-mm/mismanagement-delirium
The Case
An 85-year-old man with early stage vascular dementia fell on the sidewalk and fractured his leg. Although
fitted with a cast at a regional ho…
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/urinary-catheter-indications.pptx
April 01, 2022 - She has chronic urinary incontinence and is a high fall risk.
-
psnet.ahrq.gov/node/49482/psn-pdf
May 01, 2005 - In the present case, the patient would fall into Category V (medical
complaint not related to pregnancy
-
psnet.ahrq.gov/node/49705/psn-pdf
January 01, 2020 - A "Reflexive" Diagnosis in Primary Care
April 1, 2014
Betjemann J, Josephson AS. A "Reflexive" Diagnosis in Primary Care. PSNet [internet]. 2014.
https://psnet.ahrq.gov/web-mm/reflexive-diagnosis-primary-care
Case Objectives
Appreciate that primary care doctors may be caring for an increasing number of patients wi…
-
www.ahrq.gov/sites/default/files/2024-10/smucker-report.pdf
January 01, 2024 - Final Progress Report: Patient Safety in Hospice Care
AHRQ Grant Final Progress Report
Title of Project: Patient Safety in Hospice Care
Principal Investigator: Douglas R. Smucker, MD, MPH, Adjunct Professor, University
of Cincinnati Department of Family and Community Medicine
Team Members:
• Nancy Elder, MD, Ass…
-
psnet.ahrq.gov/node/847934/psn-pdf
April 26, 2023 - Patient Safety Indicators
April 26, 2023
Tokareva I, Romano P. Patient Safety Indicators. PSNet [internet]. 2023.
https://psnet.ahrq.gov/primer/patient-safety-indicators
Background
Over the past 25 years, policymakers and providers, payers, and purchasers of health care have
increasingly focused attention on pati…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/training-tools/training-tools-slideset.pptx
May 01, 2017 - Improving Communication and Teamwork in the Surgical Environment
Sustainability Module
AHRQ Safety Program for Ambulatory Surgery
AHRQ Pub. No. 16(17)-0019-2-EF
May 2017
Sustainability | ‹#›
AHRQ Safety Program for Ambulatory Surgery
1
Learning Objectives
Sustainability | ‹#›
AHRQ Safety Program for Ambula…
-
cdsic.ahrq.gov/sites/default/files/2023-05/StakeholderCtr2023Q1Report3_final.pdf
January 01, 2023 - Initial
product development activities began in the Fall of 2022, with the Workgroup support team identifying
-
datatools.ahrq.gov/cahps/
January 01, 2022 - Skip to main content
An official website of the Department of Health and Human Services
Search All AHRQ Sites
Careers
Contact
Us
Español
FAQs
Email Updates
Data Tools Home
CAHPS
HCUP
…
-
digital.ahrq.gov/program-overview/research-reports/2022-year-review/research-themes-and-findings
January 01, 2022 - making
A Clinical Decision Support Tool for Preventing Falls
Tools like ASPIRE that integrate fall
-
psnet.ahrq.gov/web-mm/failure-latch
November 27, 2012 - The infant was nursing frequently for 30–45 minutes at a time, was quite fussy, and tended to fall asleep
-
psnet.ahrq.gov/toolkits
March 01, 2025 - Toolkits
Patient safety toolkits provide practical applications of PSNet research and concepts for front line providers to use in their day to day work. These toolkits contain resources necessary to implement patient safety systems and protocols.
Want to submit a Toolkit?
Has your organization deve…
-
psnet.ahrq.gov/web-mm/mechanical-prosthetic-valve-thrombosis-thromboembolism
August 21, 2005 - Mechanical Prosthetic Valve Thrombosis with Thromboembolism.
Citation Text:
Hedayati N, White RO. Mechanical Prosthetic Valve Thrombosis with Thromboembolism.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2022.
Copy Citation
…
-
hcup-us.ahrq.gov/db/nation/neds/nedsdde.jsp
March 01, 2024 - drowning or submersion
2018+
Core
Not available
I10_INJURY_FALL
Mechanism of injury: fall
-
psnet.ahrq.gov/primer/deprescribing-patient-safety-strategy
December 15, 2024 - Deprescribing as a Patient Safety Strategy
Citation Text:
Takhar S, Nelson N. Deprescribing as a Patient Safety Strategy. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2021.
Copy Citation
Format:
Google Scholar BibTeX …
-
digital.ahrq.gov/sites/default/files/docs/activity/measuring_the_value_of_2009_update_2.pdf
January 01, 2009 - Measuring the Value of Remote Intensive Care Unit Monitoring
Project Title: Measuring the Value of Remote Intensive Care Unit Monitoring
Principal Investigator: Thomas, Eric J., M.D., M.P.H.
Organization: University of…