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  1. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/educational-bundles/infection-prevention/environment-and-equipment/environment-equipment.pptx
    March 01, 2017 - PowerPoint Presentation Clean Equipment and Environment Promotes Safe Resident Care Training Module 2 AHRQ Pub. No. 16(17)-0003-9-EF March 2017 AHRQ Safety Program for Long-Term Care: HAIs/CAUTI Welcome to training module two titled, “Clean Equipment and Environment Promotes Safe Resident Care.” This is the sec…
  2. psnet.ahrq.gov/perspective/equity-patient-safety
    September 24, 2024 - Annual Perspective Equity in Patient Safety Angela D. Thomas, DrPH, MPH, MBA; Merton Lee, PhD, PharmD; Sarah Mossburg, RN, PhD | March 27, 2024  View more articles from the same authors. Citation Text: Thomas A, Lee M, Mossburg S. Equity in Patient Safety. …
  3. meps.ahrq.gov/data_files/publications/st515/stat515.shtml
    September 01, 2018 - STATISTICAL BRIEF #515: Any Use and Frequent Use of Opioids among Elderly Adults in 2015–2016, by Socioeconomic Characteristics   Skip to main content An official website of the Department of Health & Human Service…
  4. meps.ahrq.gov/data_files/publications/cb8/cb8.shtml
    November 01, 2001 - Chartbook #8: Disparities and Gender Gaps in Women’s Health, 1996   Skip to main content An official website of the Department of Health & Human Services More Back Sear…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49483/psn-pdf
    June 01, 2005 - Getting to the Root of the Matter June 1, 2005 Saint S, Flanders S. Getting to the Root of the Matter. PSNet [internet]. 2005. https://psnet.ahrq.gov/web-mm/getting-root-matter Case Objectives Appreciate the goals and limitations of root cause analysis Outline the steps to conduct root cause analysis The Case A…
  6. psnet.ahrq.gov/sites/default/files/2025-01/spotlight_case_misdiagnosis_of_small_bowel_obstruction_-_slides_-_final.pptx
    January 01, 2025 - Spotlight Spotlight Misdiagnosis of Small Bowel Obstruction in the Setting of Previous Abdominal Operations  1 Source and Credits This presentation is based on the January 2025 AHRQ WebM&M Spotlight Case See the full article at https://psnet.ahrq.gov/webmm CME credit is available Commentary by: Samantha Brown…
  7. www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/highlight07.pdf
    September 08, 2015 - Evaluation Highlight No. 7: How are CHIPRA quality demonstration States designing and implementing caregiver peer support programs? The CHIPRA Quality Demonstration Grant Program In February 2010, the Centers for Medicare & Medicaid Services (CMS) awarded 10 grants, funding 18 States, to improve the quality of h…
  8. www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/highlight08.html
    June 01, 2014 - CHIPRA quality demonstration States help school-based health centers strengthen their medical home features Evaluation Highlight No. 8 Authors: Mynti Hossain, Rebecca Coughlin, and Joseph Zickafoose Contents Key Messages Background Findings Conclusions Implications Learn More Endnotes …
  9. www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/Translation-Guidelines-SOPS-090222.pdf
    September 02, 2022 - Translation Guidelines for the AHRQ Surveys on Patient Safety Culture™ (SOPS®) Guidelines for Translating SOPS® Surveys - Updated 9/2/2022 1 Translation Guidelines for the AHRQ Surveys on Patient Safety Culture™ (SOPS®) Prepared by Westat 1600 Research Blvd. Rockville, MD 20850 under contract number HHSA 2…
  10. www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/qdr-data-spotlight-opioids-edvisits-tx.pdf
    August 11, 2021 - Emergency Visits for Opioid Use Rose White Treatment for Illicit Drug Use Remained Unchanged Emergency Visits for Opioid Use Rose While Treatment for Illicit Drug Use Remained Unchanged This data spotlight was developed by AHRQ in collaboration with the Substance Abuse a…
  11. psnet.ahrq.gov/web-mm/getting-root-matter
    September 01, 2005 - SPOTLIGHT CASE Getting to the Root of the Matter Citation Text: Saint S, Flanders S. Getting to the Root of the Matter. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2005. Copy Citation Format: Google Schola…
  12. effectivehealthcare.ahrq.gov/sites/default/files/related_files/patient-monitoring-systems-protocol.pdf
    July 01, 2023 - EHC Protocol: Addressing Social Isolation To Improve Health of Older Adults: A Rapid Evidence Review Evidence-based Practice Center Rapid Review Protocol Project Title: Making Healthcare Safer (MHS) IV: Patient Monitoring Systems to Prevent Failure to Rescue Review Questions Review Question: Based on t…
  13. www.ahrq.gov/news/events/nac/2016-04-nac/nacmtg0416-minutes.html
    August 01, 2016 - Meeting Minutes, April 2016 National Advisory Council Minutes from the April 20, 2016, meeting of the Agency for Healthcare Research and Quality's National Advisory Council. Contents Summary Call to Order and Approval of November 3, 2015, Summary Report Acting Director's Update AHRQ’S Work in Primar…
  14. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-David_13.pdf
    March 19, 2008 - Risk Reduction and Systematic Error Management: Standardization of the Pediatric Chemotherapy Process Risk Reduction and Systematic Error Management: Standardization of the Pediatric Chemotherapy Process Beverly Ann David, PhD; Ana Rodriguez, PharmD; Stanley W. Marks, MD Abstract There is an urgent need to m…
  15. hcup-us.ahrq.gov/reports/statbriefs/sb143.pdf
    March 01, 2012 - Statistical Brief #143: Emergency Department Visits for Dental-Related Conditions, 2009 1 November 2012 Emergency Department Visits for Dental- Related Conditions, 2009 Krystle Seu, M.H.A., Kendall K. Hall, M.D., M.S, Ernest Moy, M.D. Introduction Tooth decay is one of the most prevalent…
  16. hcup-us.ahrq.gov/reports/statbriefs/sb24.pdf
    January 01, 2007 - HCUP Statistical Brief #24: Hospitalizations for Birth Defects, 2004 HEALTHCARE COST AND UTILIZATION PROJECT Agency for Healthcare Research and Quality STATISTICAL BRIEF #24 January 2007 Highlights In 2004, birth defects account- ed for more than 139,000 hos- pitalizations, representing 47.4 stays per 100,0…
  17. hcup-us.ahrq.gov/reports/statbriefs/sb35.jsp
    July 01, 2007 - Statistical Brief #35 An official website of the Department of Health & Human Services Search All AHRQ Websites Careers Contact Us Espanol FAQs Email Updates …
  18. hcup-us.ahrq.gov/reports/statbriefs/sb24.jsp
    January 01, 2007 - Statistical Brief #24 An official website of the Department of Health & Human Services Search All AHRQ Websites Careers Contact Us Espanol FAQs Email Updates …
  19. psnet.ahrq.gov/web-mm/syringe-swap-during-regional-block-case-medication-error-and-recovery
    July 22, 2020 - Syringe Swap During Regional Block: A Case of Medication Error and Recovery Citation Text: Beres K, Gutierrez MC. Syringe Swap During Regional Block: A Case of Medication Error and Recovery.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Serv…
  20. digital.ahrq.gov/sites/default/files/docs/citation/r01hs022894-pratt-final-report-2020.pdf
    January 01, 2020 - Patients as Safeguards: Understanding the Information Needs of Hospitalized Patients in Voicing Safety Concerns - Final Report AHRQ Final Report Patients as Safeguards: Understanding the Information Needs of Hospitalized Patients in Voicing Safety Concerns Principal I…