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9861. Strategy 6K: Cultivating Cultural Competence | Agency for Healthcare Research and Quality
      www.ahrq.gov/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/communication/strategy6kculturalcompetence.html
      March 01, 2020 - Strategy 6K: Cultivating Cultural Competence Contents 6.K.1. The Problem 6.K.2. Interventions    6.K.2.a. Maintaining Complete and Accurate Information on Enrollees    6.K.2.b. Building a Provider Network to Meet the Community’s Linguistic and Cultural Needs    6.K.2.c. Training Providers on Cultural…

9862. 2019 National Healthcare Quality and Disparities Report Executive Summary (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2019qdr-final-es-cs061721.pdf
      December 01, 2020 - 2019 National Healthcare Quality and Disparities Report Executive Summary 2019 NATIONAL HEALTHCARE QUALITY & DISPARITIES REPORT Executive Summary 2019 This document is in the public domain and may be used and reprinted without permission. Citation of the source is appreciated. Suggested citation: 2019 Nati…

9863. Eptifibatide Epilogue | PSNet
      psnet.ahrq.gov/web-mm/eptifibatide-epilogue
      March 04, 2011 - Eptifibatide Epilogue Citation Text: Churchill WW, Fiumara K. Eptifibatide Epilogue. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2009. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote …

9864. The Other Side | PSNet
      psnet.ahrq.gov/web-mm/other-side
      May 01, 2007 - SPOTLIGHT CASE The Other Side Citation Text: Vincent CA. The Other Side. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2003. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote t…

9865. The Consequences of Miscommunication Regarding a Possible Artifact | PSNet
      psnet.ahrq.gov/web-mm/consequences-miscommunication-regarding-possible-artifact
      May 11, 2019 - SPOTLIGHT CASE The Consequences of Miscommunication Regarding a Possible Artifact Citation Text: Gwal K. The Consequences of Miscommunication Regarding a Possible Artifact. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 20…

9866. Spotlight
      psnet.ahrq.gov/sites/default/files/2024-08/spotlight_case_a_fatal_twist_in_pseudohyperkalemia_slides.pptx
      January 01, 2024 - Spotlight Spotlight A Fatal Twist in Pseudohyperkalemia 1 Source and Credits This presentation is based on the August 2024 AHRQ WebM&M Spotlight Case See the full article at https://psnet.ahrq.gov/webmm  CME credit is available  Commentary by: Justin L. Devera, MD, David K. Barnes, MD, FACEP, and William R. Le…

9867. Misuse of Prescription Stimulants in Adults (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/misuse-prescription-protocol.pdf
      September 13, 2024 - Misuse of Prescription Stimulants in Adults Evidence-based Practice Center (EPC) Rapid Review Protocol Project Title: Misuse of Prescription Stimulants in Adults I. Background and Objectives for the Systematic Review The U.S. Food and Drug Administration (FDA) has commissioned a rapid review on the misuse of att…

9868. Spotlight
      psnet.ahrq.gov/sites/default/files/2024-10/spotlight_case_a_cognitive_and_communication_blind_spot_slides.pptx
      January 01, 2024 - Spotlight Spotlight A Cognitive and Communication Blind Spot Contributes to Permanent Paralysis 1 Source and Credits This presentation is based on the October 2024 AHRQ WebM&M Spotlight Case See the full article at https://psnet.ahrq.gov/webmm  CME credit is available  Commentary by: Garth Utter, MD, MSc, FACS…

9869. Coming Undone: Failure of Closure Device | PSNet
      psnet.ahrq.gov/web-mm/coming-undone-failure-closure-device
      April 01, 2006 - Coming Undone: Failure of Closure Device Citation Text: Baez-Escudero JL, Levine GN. Coming Undone: Failure of Closure Device. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2007. Copy Citation Format: Google Scholar Bi…

9870. Gap Analysis for MRSA and SSI Prevention (Surgical Services) (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/146-gap-analysis-surgical-services.pdf
      April 01, 2025 - Gap Analysis for MRSA and SSI Prevention (Surgical Services) AHRQ Safety Program for MRSA Prevention: Targeting SSI Surgical Services Gap Analysis for …

9871. A New Model of Tracheostomy Care: Closing the Research–Practice Gap (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Clair.pdf
      January 01, 2004 - A New Model of Tracheostomy Care: Closing the Research–Practice Gap 521 A New Model of Tracheostomy Care: Closing the Research–Practice Gap Joel St. Clair Abstract Performance improvements have brought about fundamental changes in the past year at Walter Reed Army Medical Center (WRAMC), where a concerted …

9872. Improving Error Reporting in Ambulatory Pediatrics with a Team Approach (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Neuspiel_43.pdf
      March 05, 2008 - Improving Error Reporting in Ambulatory Pediatrics with a Team Approach Improving Error Reporting in Ambulatory Pediatrics with a Team Approach Daniel R. Neuspiel, MD, MPH; Margo Guzman, RN, MSN; Cari Harewood, MPA Abstract Objective: We aimed to determine the effectiveness of team-based reporting, system…

9873. Impact of Staff-Led Safety Walk Rounds (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Montgomery_42.pdf
      March 05, 2008 - Impact of Staff-Led Safety Walk Rounds Impact of Staff-Led Safety Walk Rounds Vicki L. Montgomery, MD, FAAP, FCCM Abstract Objectives: The primary objectives of this study were to provide a venue for discussing safety concerns and to facilitate finding solutions for everyday safety issues. Methods: The mul…

9874. Summary of Patient Safety Research Opportunities | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/news-events/summit-research-2020/questions.html
      March 01, 2021 - Summary of Patient Safety Research Opportunities AHRQ Summit and Roundtable on Research Priorities for Patient Safety Improvement Research questions, topics, and key themes that were addressed as part of the Patient Safety Roundtable and Patient Safety Summit included the items listed below. It is important t…

9875. Failure to Latch | PSNet
      psnet.ahrq.gov/web-mm/failure-latch
      November 27, 2012 - Failure to Latch Citation Text: Rodriguez M, Mannel R, Frye DR. Failure to Latch. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2008. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tag…

9876. HCUP Statistical Brief #18: Frequency and Costs of Hospital Admissions for Injury, 2004 (pdf file)
      hcup-us.ahrq.gov/reports/statbriefs/sb18.pdf
      November 01, 2006 - HCUP Statistical Brief #18: Frequency and Costs of Hospital Admissions for Injury, 2004 HEALTHCARE COST AND UTILIZATION PROJECT Agen Res November 2006 Frequency and Costs of Hospital Admissions for Injury, 2004 Pamela L. Owens, Ph.D., C. Allison Russo, M.P.H., and Carol Stocks, R.N., M.…

9877. Statistical Brief #18
      hcup-us.ahrq.gov/reports/statbriefs/sb18.jsp
      May 18, 2016 - Statistical Brief #18 An official website of the Department of Health & Human Services Search All AHRQ Websites Careers Contact Us Espanol FAQs Email Updates …

9878. Person-Centered Care | Agency for Healthcare Research and Quality
      www.ahrq.gov/ncepcr/reports/2024-annual-report/recent-grants-person-centered.html
      May 01, 2024 - Investments in Primary Care Research for 2021 and 2022 Person-Centered Care Previous Page Next Page Table of Contents Investments in Primary Care Research for 2021 and 2022 Acknowledgments and Authors Message from the Acting Director of AHRQ's National Center for Excellence in Primary Care Resea…

9879. Department of Health and Human Services National Institutes of Health - National Institute for Research on Safety and Quality (NIRSQ) (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cpi/about/mission/budget/2021/FY_2021_CJ_NIRSQ.pdf
      January 01, 2021 - dissemination-of-pcor/cardiac-rehabilitation.html https://millionhearts.hhs.gov/tools-protocols/action-guides … https://millionhearts.hhs.gov/tools-protocols/action-guides/cardiac-change-package/index.html NIRSQ

9880. Management of Suicidal Thoughts and Behaviors in Youth: A Systematic Review (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/suicidal-thoughts-young-people-exe-sum.pdf
      April 01, 2025 - Management of Suicidal Thoughts and Behaviors in Youth: A Systematic Review Systematic Review Management of Suicidal Thoughts and Behaviors in Youth: A Systematic Review Executive Summary Main Points • The current body of evidence is derived primarily from racially and ethnically diverse f…