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  1. meps.ahrq.gov/data_files/publications/st370/stat370.shtml
    May 01, 2012 - STATISTICAL BRIEF #370: Health and Insurance Status, Health Care Use, and Expenditures for Male Veterans, 2008: Estimates for the U.S. Civilian Noninstitutionalized Population   Skip to main content An official website …
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49779/psn-pdf
    January 01, 2017 - The Empty Bag December 1, 2016 Vincent C. The Empty Bag. PSNet [internet]. 2016. https://psnet.ahrq.gov/web-mm/empty-bag The Case A 90-year-old woman with end-stage dementia was admitted to an acute care hospital for treatment of a hip fracture after a fall at a nursing home. During the hospitalization, her kidne…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49732/psn-pdf
    May 01, 2015 - Errors in Sepsis Management May 1, 2015 Shimabukuro D. Errors in Sepsis Management. PSNet [internet]. 2015. https://psnet.ahrq.gov/web-mm/errors-sepsis-management Case Objectives Define sepsis, severe sepsis, and septic shock. Describe the severe sepsis/septic shock resuscitation bundle. Recognize commonly encou…
  4. psnet.ahrq.gov/web-mm/safeguarding-diagnostic-testing-point-care
    September 30, 2011 - Safeguarding Diagnostic Testing at the Point of Care Citation Text: Kost GJ, Ehrmeyer SS. Safeguarding Diagnostic Testing at the Point of Care. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017. Copy Citation Format: …
  5. Spotlight (pdf file)

    psnet.ahrq.gov/sites/default/files/2023-08/spotlight_case_prolonged_dka_in_pregnancy_-_slides_-_revised.pdf
    January 01, 2023 - Spotlight Spotlight Prolonged DKA in Pregnancy: A Case of Communication Breakdown Source and Credits • This presentation is based on the August 2023 AHRQ WebM&M Spotlight Case o See the full article at https://psnet.ahrq.gov/webmm o CME credit is available o Commentary by: Sarah Marshall, MD and Nina M. …
  6. www.ahrq.gov/ncepcr/care/coordination/atlas/chapter6o.html
    June 01, 2014 - Care Coordination Measures Atlas Update Chapter 6. Measure Maps and Profiles (continued, 16) Previous Page Next Page Table of Contents Care Coordination Measures Atlas Update Chapter 1: Background Chapter 2. What is Care Coordination? Chapter 3. Care Coordination Measurement Framework Chapte…
  7. psnet.ahrq.gov/web-mm/communication-failure-whos-charge
    April 01, 2018 - Communication Failure—Who's in Charge? Citation Text: Fackler J, Schwartz JM. Communication Failure—Who's in Charge?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2011. Copy Citation Format: Google Scholar BibTeX EndN…
  8. digital.ahrq.gov/program-overview/research-reports/2021-year-review/research-overview
    January 01, 2021 - Research Overview Digital healthcare knowledge and tools can enhance the efforts of patients, clinicians, and health systems working to improve healthcare quality and safety. AHRQ’s DHR program funds research to create actionable findings on what and how digital healthcare works best for t…
  9. psnet.ahrq.gov/web-mm/complications-vascular-access-procedures-patients-kidney-disease
    November 15, 2023 - Complications of Vascular Access Procedures in Patients with Kidney Disease Citation Text: Young SR, Chen I. Complications of Vascular Access Procedures in Patients with Kidney Disease. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. …
  10. www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/final-report/section4.html
    October 01, 2015 - National Evaluation of the CHIPRA Quality Demonstration Grant Program: Final Project Report 4. Observations About the Evaluation Previous Page Next Page Table of Contents National Evaluation of the CHIPRA Quality Demonstration Grant Program: Final Project Report 1. Overview 2. Synthesis of Key F…
  11. www.ahrq.gov/practiceimprovement/delivery-initiative/rodriguez/index.html
    December 01, 2020 - Implementing Team Approaches for Improving Diabetes Care in Health Centers Slide Presentation by Hector P. Rodriguez Text version of a slide presentation made by Hector P. Rodriguez, PhD, MPH. Sign up: Quality Measure Tools Email updates Slide 1 Implementing Team Approaches for Improving Diabetes Ca…
  12. psnet.ahrq.gov/web-mm/fatal-oversight-misdiagnosis-nocturnal-chest-pain-elevated-d-dimer
    May 01, 2005 - Fatal Oversight: Misdiagnosis of Nocturnal Chest Pain with Elevated D-dimer. Citation Text: Agusala V, Deen J, Schaefer S. Fatal Oversight: Misdiagnosis of Nocturnal Chest Pain with Elevated D-dimer.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and H…
  13. hcup-us.ahrq.gov/reports/statbriefs/sb6.jsp
    May 01, 2006 - Statistical Brief #6 An official website of the Department of Health & Human Services Search All AHRQ Websites Careers Contact Us Espanol FAQs Email Updates …
  14. digital.ahrq.gov/organization/memorial-hospital-rhode-island
    January 01, 2023 - Memorial Hospital of Rhode Island eHealth Blood Pressure Control Program - 2012 Principal Investigator Eaton, Charles B. Project Name eHealth Blood Pressure Control Program eHealth BP Control Program - 2011 Principal Investigator …
  15. digital.ahrq.gov/ahrq-funded-projects/nursing-home-information-technology-it-optimal-medication-and-care-delivery-3
    January 01, 2023 - Practice-based evidence study design for comparative effectiveness research. Citation Horn SD, Gassaway J. Practice-based evidence study design for comparative effectiveness research. Med Care 2007 Oct;45(10 Supl 2):S50-7. Link Horn SD, Gassaway J. Practice-based evidence study design for comp…
  16. digital.ahrq.gov/organization/west-virginia-medical-institute
    January 01, 2023 - West Virginia Medical Institute Partnering to Improve Patient Safety in Rural WV Description Expanded the reporting of medical errors and near misses, monitored safety event reporting, and developed a learning network among small, rural hospitals and their associated ambulator…
  17. digital.ahrq.gov/location/usa-wv-charleston
    January 01, 2023 - USA, WV, Charleston Partnering to Improve Patient Safety in Rural WV Description Expanded the reporting of medical errors and near misses, monitored safety event reporting, and developed a learning network among small, rural hospitals and their associated ambulatory care facil…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38936/psn-pdf
    September 09, 2009 - Therapeutic errors involving adults in the community setting: nature, causes and outcomes. September 9, 2009 Taylor D, Robinson J, MacLeod D, et al. Therapeutic errors involving adults in the community setting: nature, causes and outcomes. Aust N Z J Public Health. 2009;33(4):388-94. doi:10.1111/j.1753- 6405.2009.…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43738/psn-pdf
    December 03, 2014 - Unverified patient-reported error: a false alarm can have real consequences. December 3, 2014 ISMP Medication Safety Alert! Acute care edition. November 20, 2014;19:1-3. https://psnet.ahrq.gov/issue/unverified-patient-reported-error-false-alarm-can-have-real-consequences Reviewing an incident involving a patient w…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73191/psn-pdf
    April 23, 2007 - The National Database of Nursing Quality Indicators(TM) (NDNQI®). April 23, 2007 Montalvo I. Online J Iss Nurs. 2007;12(3):Manuscript 2.  https://psnet.ahrq.gov/issue/national-database-nursing-quality-indicatorstm-ndnqir The quality of nursing care can impact patient outcomes and safety culture…