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201. Views of Emergency Medicine Trainees on Adverse Events and Negligence: Survey Results from an Emergency Medicine Training Program in a Regional Health Care System Following the National Standard of Care (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Shah_99.pdf
     March 23, 2008 - test Injury: Death from ruptured ectopic “Patient with wrist pain after a fall, no x-ray, wrist fracture … test Injury: Death from ruptured ectopic “Patient with wrist pain after a fall, no x-ray, wrist fracture

202. 2018 National Healthcare Quality and Disparities Report: Appendix A (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2018qdr-appa6.pdf
     January 01, 2018 - more days, adults age 18 and over or obstetric admissions 0.00 0.00 HCUP 2016 Postoperative hip fracture … inappropriate prescription medications for older adults 24.25 1.22 MEPS 2016 Postoperative hip fracture … procedure per 1,000 medical and surgical admissions, children 27.59 1.11 HCUP 2016 Postoperative hip fracture … Deaths per 1,000 hospital admissions with expected low-mortality 19.05 1.26 HCUP 2016 Postoperative hip fracture … abdominopelvic- surgery admissions of length 2 or more days, adults 90.91 4.27 HCUP 2016 Postoperative hip fracture

203. Final Progress Report: Training Leaders to Improve Healthcare Quality in Emergency Settings for Children (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/macias-report.pdf
     January 01, 2024 - poster Cross, K Kosair Children's Hospital Introducing Ultrasound-Guided Nerve Blocks for Femur Fracture

204. AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and Emergency Department Visits Training | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/prevhosp/ereport-slides.html
     September 01, 2017 - 11/13/2013 COPD Resident G 11/2/2013 Gastroenteritis Resident G 11/11/2013 Fracture

205. 2018 National Healthcare Quality and Disparities Report: Appendix A (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2018qdr-appa2.pdf
     January 01, 2018 - 0.028 OASIS 4 (2013- 2016) Inpatient adverse events in adults receiving hip joint replacement due to fracture

206. Toolkit for Using the AHRQ Quality Indicators - A “How to” Guide for Improving Hospital Quality and Safety | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/resource/qitool/webinar080116/index.html
     December 01, 2017 - PSI 07: Central Venous Catheter-­‐Related Bloodstream Infection PSI 08: In-­‐Hospital Fall With Hip Fracture

207. Prompting Removal of Unnecessary Indwelling Urinary Catheters
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/urinary-catheter-removal.pptx
     April 01, 2022 - Prompting Removal of Unnecessary Indwelling Urinary Catheters Indwelling Urinary Catheter Removal Maintaining Catheter Awareness and Prompting Removal AHRQ Pub. No. 17-0019-5-EF March 2018 AHRQ Safety Program for Intensive Care Units: Preventing CLABSI and CAUTI AHRQ Pub. No. 17(22)-0019 April 2022 AHRQ Safety Prog…

208. From Quality Measures to Quality Care: Examples of Quality Improvement at Work | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/quality-measures/21st-century/challenges.html
     June 01, 2018 - The Challenge and Potential for Assuring Quality Health Care for the 21st Century From Quality Measures to Quality Care: Examples of Quality Improvement at Work Previous Page Next Page Table of Contents The Challenge and Potential for Assuring Quality Health Care for the 21st Century From Quality …

209. Making Healthcare Safer Practices: 15. Care Transitions (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/care-transitions-1.pdf
     March 01, 2020 - disease, cardiac arrhythmias, chronic obstructive pulmonary disease, diabetes, spinal stenosis, hip fracture … cardiac arrhythmias, chronic obstructive pulmonary disease, diabetes mellitus, spinal stenosis, hip fracture

210. 2018 National Healthcare Quality and Disparities Report: Appendix A (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2018qdr-appa5.pdf
     January 01, 2018 - Privately Insured People Relative Difference Z Score Data Source Data Year Postoperative hip fracture … procedure per 1,000 medical and surgical admissions, children -21.9 -0.97 HCUP 2016 Postoperative hip fracture

211. Final Progress Report: Mining complex clinical data for patient safety research (pdf file)
     www.ahrq.gov/sites/default/files/2024-07/hripcsak-report.pdf
     January 01, 2024 - perfusion scan done post-surgically to rule out pulmonary embolism, or a radiology report to rule out a fracture

212. 7-Implementation-Guide (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/7-implementation-guide.docx
     June 01, 2023 - appendectomy, cholecystectomy, major abdominal surgery such as hernia repair) · Gynecologic surgery · Hip fracture

213. AHRQ Issue Brief: Understanding the AI Wave: Foundational Knowledge for Improving Diagnosis and Beyond (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/diagnostic/resources/issue-briefs/dxsafety-brief-ai-wave.pdf
     June 01, 2025 - Convolutional Neural Networks for Automated Fracture Detection and Localization on Wrist Radiographs

214. Chapter 2 | Agency for Healthcare Research and Quality
     www.ahrq.gov/prevention/resources/vision/resources/vision2.html
     October 01, 2002 - Chapter 2 Vision Rehabilitation: Care and Benefit Plan Models: Literature Review Applying the Framework to Vision Rehabilitation The American Occupational Therapy Association (AOTA) 28 describes two national systems that exist to serve people with visual impairments—the blindness system and the health ca…

215. Safe Medication Administration: Magnesium Sulfate | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/medication/tool-safe-mgso4.html
     July 01, 2023 - Safe Medication Administration: Magnesium Sulfate AHRQ Safety Program for Perinatal Care Purpose of the tool: This tool describes the key perinatal safety elements with examples for the safe administration of magnesium sulfate during labor. The key elements are presented within the framework of t…

216. Patient Experience as a Source for Understanding the Origins, Impact, and Remediation of Diagnostic Errors, Volume 2: Eliciting Patient Narratives (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/topics/dxsafety-patient-experience-vol2.pdf
     July 01, 2023 - Patient Experience as a Source for Understanding the Origins, Impact, and Remediation of Diagnostic Errors, Volume 2: Eliciting Patient Narratives PATIENT SAFETY e Issue Brief 12 Patient Experience as a Source for Understanding the Origins, Impact, and Remediation of Diagnostic Errors Volume 2: Eliciting Patie…

217. Primary Care Practice Facilitation Curriculum Module 3: The Primary Care Landscape (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-3-primary-care-landscape.pdf
     September 01, 2015 - specific amount for all the care a patient receives in the course of treatment of a heart attack or knee fracture

218. Final Progress Report: Safety in the Home Healthcare Sector: A Pilot Study (pdf file)
     www.ahrq.gov/sites/default/files/2024-11/gershon-report.pdf
     January 01, 2024 - also have a high incidence of serious injuries when they do fall, and even minor falls can result in fracture … but also a high incidence of serious injuries when they do fall, and even minor falls can result in fracture

219. Final Progress Report: Proactive Risk Assessment of Primary Care of the Elderly (pdf file)
     www.ahrq.gov/sites/default/files/2024-12/karsh-report.pdf
     January 01, 2024 - -Physician misses cervical fracture in busy emergency room, stops doing full- scope family practice,

220. Overuse of Computed Tomography Scans for the Evaluation of Children with a First Generalized Afebrile, Atraumatic Seizure: Report (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-0198-fullreport.pdf
     November 01, 2019 - o Trauma such as skull fracture, concussion, intracranial hemorrhage, and suspected abuse. … codes: partial seizure; fever; complex febrile seizure; post-traumatic seizure; trauma such as skull fracture