-
psnet.ahrq.gov/primer/retained-surgical-items-definition-and-epidemiology
September 15, 2024 - For example, when reducing and repairing a fracture using plates or screws, the final construct is not
-
psnet.ahrq.gov/web-mm/consequences-miscommunication-regarding-possible-artifact
May 11, 2019 - Tension pneumothorax
Testicular/ovarian torsion
Unexplained pneumoperitoneum
Unstable spine fracture
-
hcup-us.ahrq.gov/reports/methods/2011_05.pdf
January 01, 2011 - Gastrointestinal Hemorrhage
Mortality Rate 0.026204 0.026381 1% 0.017073 0.018096 6%
IQI 19 Hip Fracture … For example, using
California data the PSIs for pressure ulcer and for post-operative hip fracture were … CVC Bloodstream
Infections 0.001783 0.002566 44% 0.000857 0.001317 54%
PSI 08 Postoperative Hip Fracture
-
hcup-us.ahrq.gov/db/nation/nrd/Introduction_NRD_2019.jsp
January 01, 2019 - 2.9
197: Skin and subcutaneous tissue infections
178,097
16.09
16.45
2.2
226: Fracture … 10.62
10.93
2.9
206: Osteoporosis
146
21.23
21.92
3.2
207: Pathological fracture … 225: Joint disorders and dislocations; trauma-related
6,439
11.14
11.34
1.8
226: Fracture … 17.69
19.09
7.9
228: Skull and face fractures
7,091
11.90
12.38
4.0
229: Fracture … of upper limb
43,161
11.92
12.33
3.5
230: Fracture of lower limb
61,816
13.59
-
hcup-us.ahrq.gov/db/nation/nrd/Introduction_NRD_2010-2017.jsp
January 01, 2017 - 2.9
197: Skin and subcutaneous tissue infections
178,097
16.09
16.45
2.2
226: Fracture … 10.62
10.93
2.9
206: Osteoporosis
146
21.23
21.92
3.2
207: Pathological fracture … 225: Joint disorders and dislocations; trauma-related
6,439
11.14
11.34
1.8
226: Fracture … 17.69
19.09
7.9
228: Skull and face fractures
7,091
11.90
12.38
4.0
229: Fracture … of upper limb
43,161
11.92
12.33
3.5
230: Fracture of lower limb
61,816
13.59
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/medicinelist-roleplay-final508.pdf
June 02, 2025 - Create a Safe Medicine List Together: Role Play Scenarios
The Guide to Improving Patient Safety in Primary Care
Settings by Engaging Patients and Families
Create a Safe
Medicine List Together
Role Play Scenario 1
Facilitator Instructions
1. Create props (index cards or post-it notes) to represent the medicine la…
-
hcup-us.ahrq.gov/reports/natstats/commdx/table1e.htm
February 11, 2011 - Most Common Diagnoses and Procedures in U.S. Community Hospitals, 1996
Table 1 (continued). The top 100
principal procedures and their associated principal diagnoses: HCUP
Nationwide Inpatient Sample, 1996 -------------------------------------------------------------------------------------------------------…
-
hcup-us.ahrq.gov/reports/natstats/commdx/table1g.htm
February 11, 2011 - Most Common Diagnoses and Procedures in U.S. Community Hospitals, 1996
Table 1 (continued). The top 100
principal procedures and their associated principal diagnoses: HCUP
Nationwide Inpatient Sample, 1996 -------------------------------------------------------------------------------------------------------…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/building-team-040814.pptx
January 01, 2013 - Nursing Intervention to Remove Non-necessary Urinary Catheters
Mohamad Fakih, MD, MPH
Professor of Medicine
Wayne State University School of Medicine
Medical Director, Infection Prevention and Control
St. John Hospital and Medical Center
Barbara Lucas, MD, MHSA
Project Consultant
Michigan Health & Hospital Associatio…
-
psnet.ahrq.gov/node/49436/psn-pdf
February 26, 2004 - Transfusion "Slip"
February 1, 2004
Kaplan HS. Transfusion "Slip". PSNet [internet]. 2004.
https://psnet.ahrq.gov/web-mm/transfusion-slip
The Case
A married couple, Mr. and Mrs. M, was brought to the emergency department (ED) of a Level 1 trauma
center after a half-ton truck that had skidded out of control struck…
-
psnet.ahrq.gov/node/49674/psn-pdf
December 01, 2012 - Preventing PICC Complications: Whose Line Is It?
December 1, 2012
Moureau N. Preventing PICC Complications: Whose Line Is It? PSNet [internet]. 2012.
https://psnet.ahrq.gov/web-mm/preventing-picc-complications-whose-line-it
The Case
A 55-year-old woman with myasthenia gravis, hypertension, and hypothyroidism prese…
-
psnet.ahrq.gov/node/49407/psn-pdf
July 01, 2003 - Bleeding Risk
July 1, 2003
Crowther MA. Bleeding Risk. PSNet [internet]. 2003.
https://psnet.ahrq.gov/web-mm/bleeding-risk
The Case
A frail 78-year-old woman fell at home and fractured her left hip. Her past medical history included atrial
fibrillation, hypertension, coronary artery disease, and stroke. The surgi…
-
hcup-us.ahrq.gov/news/awards_archive.jsp
November 01, 2024 - HCUP Award for Outstanding Research - Archive of Recipients
An official website of the Department of Health & Human Services
Search All AHRQ Websites
Careers
Contact Us
Espanol
F…
-
psnet.ahrq.gov/web-mm/cardiac-arrest-woman-uti-case-qt-prolongation
March 27, 2024 - Cardiac Arrest in a Woman with UTI: A Case of QT Prolongation
Citation Text:
Kulig CE, Ebong IA. Cardiac Arrest in a Woman with UTI: A Case of QT Prolongation. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
Copy Citation
…
-
psnet.ahrq.gov/web-mm/solution-iv-or-irrigation-fluid-administration-errors-operating-room
January 29, 2021 - Is that solution for IV or irrigation?: Fluid administration errors in the operating room.
Citation Text:
Bohringer C. Is that solution for IV or irrigation?: Fluid administration errors in the operating room.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of He…
-
psnet.ahrq.gov/web-mm/saline-flush-leads-acute-paralysis-awake-patient-risks-improper-medication-labeling
February 01, 2019 - Saline Flush Leads to Acute Paralysis of an Awake Patient: Risks of Improper Medication Labeling in an Operating Room
Citation Text:
Kriss RS. Saline Flush Leads to Acute Paralysis of an Awake Patient: Risks of Improper Medication Labeling in an Operating Room. PSNet [internet]. Rockville (MD): Agency for H…
-
psnet.ahrq.gov/web-mm/collegiality-vs-competence
August 28, 2024 - Collegiality vs. Competence
Citation Text:
Sagin T. Collegiality vs. Competence. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2006.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagg…
-
hcup-us.ahrq.gov/db/nation/nrd/Introduction_NRD_2019.pdf
January 01, 2019 - 10.62 10.93 2.9
197: Skin and subcutaneous
tissue infections
178,097 16.09 16.45 2.2
226: Fracture … back problems 178,614 10.62 10.93 2.9
206: Osteoporosis 146 21.23 21.92 3.2
207: Pathological fracture … 8.10 8.36 3.2
225: Joint disorders and
dislocations; trauma-related 6,439 11.14 11.34 1.8
226: Fracture … cord injury 2,420 17.69 19.09 7.9
228: Skull and face fractures 7,091 11.90 12.38 4.0
229: Fracture … of upper limb 43,161 11.92 12.33 3.5
230: Fracture of lower limb 61,816 13.59 13.96 2.7
231:
-
hcup-us.ahrq.gov/db/nation/nrd/Introduction_NRD_2020.pdf
January 01, 2020 - 10.62 10.93 2.9
197: Skin and subcutaneous
tissue infections
178,097 16.09 16.45 2.2
226: Fracture … back problems 178,614 10.62 10.93 2.9
206: Osteoporosis 146 21.23 21.92 3.2
207: Pathological fracture … 8.10 8.36 3.2
225: Joint disorders and
dislocations; trauma-related 6,439 11.14 11.34 1.8
226: Fracture … cord injury 2,420 17.69 19.09 7.9
228: Skull and face fractures 7,091 11.90 12.38 4.0
229: Fracture … of upper limb 43,161 11.92 12.33 3.5
230: Fracture of lower limb 61,816 13.59 13.96 2.7
231:
-
hcup-us.ahrq.gov/db/nation/nrd/Introduction_NRD_2010-2017.pdf
January 01, 2017 - 10.62 10.93 2.9
197: Skin and subcutaneous
tissue infections
178,097 16.09 16.45 2.2
226: Fracture … back problems 178,614 10.62 10.93 2.9
206: Osteoporosis 146 21.23 21.92 3.2
207: Pathological fracture … 8.10 8.36 3.2
225: Joint disorders and
dislocations; trauma-related 6,439 11.14 11.34 1.8
226: Fracture … cord injury 2,420 17.69 19.09 7.9
228: Skull and face fractures 7,091 11.90 12.38 4.0
229: Fracture … of upper limb 43,161 11.92 12.33 3.5
230: Fracture of lower limb 61,816 13.59 13.96 2.7
231: