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psnet.ahrq.gov/node/866621/psn-pdf
August 28, 2024 - Application of Safety-II Principles
August 28, 2024
Venkatesan C, Helak K, Sousane Z, et al. Application of Safety-II Principles. PSNet [internet]. 2024.
https://psnet.ahrq.gov/perspective/application-safety-ii-principles
Traditional approaches to patient safety have often been reactive rather than proactive, seeki…
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digital.ahrq.gov/ahrq-funded-projects/data-flow-clinical-outcomes-perinatal-continuum-care-system
January 01, 2023 - Data Flow & Clinical Outcomes in a Perinatal Continuum of Care System
Project Final Report ( PDF , 533.13 KB) Disclaimer
Disclaimer
The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessarily represent th…
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www.uspreventiveservicestaskforce.org/uspstf/document/published-comments-and-response/aspirin-for-the-prevention-of-cardiovascular-disease-preventive-medication-2009
October 15, 2009 - Share to Facebook
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archived
Published Comments and Response
Aspirin for the Prevention of Cardiovascular Disease: Preventive Medication
October 15, 2009
Recommendations made by the USPSTF are i…
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psnet.ahrq.gov/node/49598/psn-pdf
February 01, 2010 - Medication Reconciliation Pitfalls
February 1, 2010
Weber RJ. Medication Reconciliation Pitfalls. PSNet [internet]. 2010.
https://psnet.ahrq.gov/web-mm/medication-reconciliation-pitfalls
The Case
A 90-year-old woman who lived alone suffered a mechanical fall with subsequent hip fracture and was
brought to the eme…
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psnet.ahrq.gov/sites/default/files/2020-09/final_slides_sept_spotlight_case_when_the_lytes_go_out_slides_08.25.2020-revised.pdf
January 01, 2020 - Microsoft PowerPoint - FINAL SLIDES Sept_Spotlight Case_When the Lytes Go Out_SLIDES_08.25.2020-revised.pptx
Spotlight
When the Lytes Go Out: A Case
of Inpatient Cardiac Arrest
Source and Credits
• This presentation is based on the September 2020 AHRQ WebM&M
Spotlight Case
o See the full article at https://psne…
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digital.ahrq.gov/sites/default/files/docs/page/ImpactHealthITPrimaryCareWorkflow.pdf
September 19, 2011 - Impact of Health IT on Primary Care Workflow and Financial Measures
Impact of Health IT on
Primary Care Workflow and
Financial Measures
Neil S. Fleming, PhD, CQE;
Funded by AHRQ (R03HS018220-01)
Track F: Economic Analysis of Health IT
AHRQ 2011 Annual Conference
September 19, 2011
Contact: Neil.Fle…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.287_slideshow.ppt
December 01, 2012 - Spotlight Case July 2008
Spotlight Case
The Lung Nodule That Refused To Grow
*
*
Source and Credits
This presentation is based on the December 2012
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available
Commentary by: Alex A. Balekian, MD, MSHS, Keck School of Med…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/urinary-retention.pdf
April 01, 2022 - Making It Work Tip Sheet: Managing Urinary Retention and Catheterization in Intensive Care Unit Patients With Primary Neurologic Disorders
AHRQ Safety Program for Intensive Care Units:
Preventing CLABSI and CAUTI
Making It Work Tip Sheet
Managing Urinary Retention and Catheterization in Intensive
Care …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/subglottic-slides.pptx
January 01, 2017 - Presentation: Program Overview
AHRQ Safety Program for Mechanically Ventilated Patients
Benefits of
Subglottic Secretion Drainage
Endotracheal Tubes
AHRQ Pub. No. 16(17)-0018-45-EF
January 2017
SSD-ETT Benefits ‹#›
AHRQ Safety Program for Mechanically Ventilated Patients
Learning Objectives
After this session, y…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/162-example-completed-learning-defects-tool.docx
October 01, 2024 - AHRQ Safety Program for MRSA Prevention
Learning From Defects Tool - Example
ICU & Non-ICU
Problem statement: Healthcare organizations can increase the extent to which they learn from defects. We define this learning as reducing the probability that future patients will be harmed.
What is a defect? A defect is any cli…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/d4d_pdi05-nqi01-pneumothorax-bestpractices.pdf
May 16, 2016 - Selected Best Practices and Suggestions for Improvement
Pediatric Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
1 Tool D.4d
Selected Best Practices and Suggestions for Improvement
NQI 01/PDI 05: Iatrogenic Pneumothorax
Why focus on iatrogenic pneumothorax in neonat…
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www.ahrq.gov/research/findings/nhqrdr/2014chartbooks/womenhealth/wm-comm.html
September 01, 2015 - Chartbook on Women's Health Care
Communication and Care Coordination
Previous Page Next Page
Table of Contents
Chartbook on Women's Health Care
Acknowledgments
Women's Health Care
Key Findings of the 2014 QDR
2014 Chartbooks
Access to Health Care
Affordability
Communication and Care …
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psnet.ahrq.gov/perspective/burnout-among-health-professionals-and-its-effect-patient-safety
December 22, 2018 - Annual Perspective
Burnout Among Health Professionals and Its Effect on Patient Safety
Audrey Lyndon, PhD | January 1, 2015
View more articles from the same authors.
Citation Text:
Lyndon A. Burnout Among Health Professionals and Its Effect on Patient Safety…
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/statesummaries/nm-statesum.pdf
July 01, 2015 - CHIPRA - Spotlight on New Mexico
July 2015
This brief highlights the major strategies, lessons learned,
and outcomes from New Mexico’s experience in the quality
demonstration funded by the Centers for Medicare &
Medicaid Services (CMS) through the Children’s Health
Insurance Program Reauthorization Act of 2009 (…
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www.ahrq.gov/sites/default/files/2024-01/baker-report.pdf
January 01, 2024 - Final Report: Modeling Risk and Reducing Liability through Better Communication and Teamwork
Agency for Healthcare Research and Quality
Modeling Risk and Reducing Liability through
Better Communication and Teamwork
FINAL REPORT
April 2012
Presented to:
James Battles
Agency for Healthcare Research and Quality
…
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/amplify-impact-webinar.pdf
June 01, 2017 - Amplify Your Impact on Child Health Care Quality: Learning from the CHIPRA Quality Demonstration Grant Program
Amplify Your Impact on Child Health
Care Quality:
Webinar
Learning from the CHIPRA Quality
Demonstration Grant Program
February 11, 2016
22
Agenda
• Welcome and introductions: Renee Fox, CMS, and…
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www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/reports/2024-annual-report/ncepcr-grant-summaries-table.pdf
January 01, 2024 - AHRQ Primary Care Grant Summaries: Research Profiles and Emerging Research Spotlights
Research Profiles: Title and Description Principal Investigator(s)
and Institution
P1 Does A New Care Model Improve Care for Patients with Acute Kidney Injury After Hospital Discharge?
This grant funded the implementation of a p…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4r_combo_pdi05-nqi01-pneumothorax-bestpractices.pdf
May 16, 2016 - Selected Best Practices and Suggestions for Improvement
Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
1 Tool D.4r
Selected Best Practices and Suggestions for Improvement
NQI 01/PDI 05: Iatrogenic Pneumothorax
Why focus on iatrogenic pneumothorax in neonates and chi…
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/cer-217-infertility-evidence-summary.pdf
May 01, 2019 - Although an increasing
number of studies are using live birth rate as the
primary outcome, the majority … The frequency with which oocyte
donors are used is increasing, and evidence from
the SART CORS database
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digital.ahrq.gov/sites/default/files/docs/July%20Teleconference%20Transcript.pdf
June 16, 2021 - which is shown on the right here as pulmonary vascular
congestion, change increase, that means it’s increasing