-
www.ahrq.gov/patient-safety/resources/learning-lab/transdisciplinary-learning-long-desc.html
June 01, 2020 - Transdisciplinary Learning Lab To Eliminate Patient Harm and Reduce Waste
Long Description
Principal Investigator: Adam Sapirstein, M.D., Johns Hopkins University, Baltimore, MD
AHRQ Grant No.: HS23553
Project Period: 09/30/14–03/29/19
Description: The goal of the Johns Hopkins Armstrong Institute L…
-
www.ahrq.gov/nhguide/toolkits/determine-whether-to-treat/toolkit2-communications-and-decisionmaking.html
November 01, 2016 - Toolkit 2. Common Suspected Infections: Communication and Decisionmaking for Four Infections
Toolkit Effectiveness
When tested in six nursing homes in an intervention group and six in a comparison group, this toolkit demonstrated a small reduction in prescribing in the intervention group relative to the compa…
-
www.ahrq.gov/hai/cauti-tools/impl-guide/implementation-guide-appendix-o.html
October 01, 2015 - Toolkit for Reducing Catheter-Associated Urinary Tract Infections in Hospital Units: Implementation Guide
Appendix O. CAUTI Event Report Template
Previous Page Next Page
Table of Contents
Toolkit for Reducing Catheter-Associated Urinary Tract Infections in Hospital Units: Implementation Guide
Over…
-
www.ahrq.gov/talkingquality/translate/scores/framing.html
March 01, 2016 - Framing Health Care Quality Scores as Positive or Negative
Every time you make a decision on how to present an individual score or composite, you are “framing” the presentation. Framing refers to the emotional tone of the message you are communicating to consumers. For example:
A positive frame would accent…
-
digital.ahrq.gov/ahrq-funded-projects/quality-indicators-care-coordination-measures-project/publication/care
January 01, 2023 - Care coordination measures atlas
Citation
McDonald KM, Schultz E, Albin L, et al. Care coordination measures atlas (Prepared by Stanford University under subcontract to Battelle on Contract No. 290-04-0020). AHRQ Publication No. 11-0023-EF. Rockville, MD: Agency for Healthcare Research and Quality. No…
-
psnet.ahrq.gov/node/41399/psn-pdf
May 23, 2012 - Rapid response team in a rural hospital.
May 23, 2012
Brown S, Anderson MA, Hill PD. Rapid response team in a rural hospital. Clin Nurse Spec. 2012;26(2):95-
102. doi:10.1097/NUR.0b013e31824590fb.
https://psnet.ahrq.gov/issue/rapid-response-team-rural-hospital
This survey of nurses at a rural hospital found that a…
-
psnet.ahrq.gov/node/35010/psn-pdf
May 18, 2005 - Hospital-error oversight called lax: state takes too long to
investigate mistakes, patient advocates say.
May 18, 2005
Galloway A. Seattle Post-Intelligencer. May 4, 2005.
https://psnet.ahrq.gov/issue/hospital-error-oversight-called-lax-state-takes-too-long-investigate-mistakes-
patient
This article explores…
-
digital.ahrq.gov/ahrq-funded-projects/preventing-wrong-drug-and-wrong-patient-errors-indication-alerts-cpoe-systems/citation/beyond
January 01, 2023 - Beyond mixed case lettering: Reducing the risk of wrong drug errors requires a multimodal response.
Citation
Lambert BL, Schroeder SR, Cohen MR, Paparella S. Beyond mixed case lettering: Reducing the risk of wrong drug errors requires a multimodal response. BMJ Qual Saf. 2023 Jan;32(1):6-9. doi: 10.11…
-
www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-143-section-7c.pdf
June 02, 2025 - Section 7C
Table VII.C.1 – Distribution of insurance types and adverse events across sites based on
GAPPS study analytic sample (n = 3,151)
Insurance n (%) AE rate P-Value
Medicaid 1,216 (38.6%) 0.14 Refe…
-
www.ahrq.gov/sites/default/files/wysiwyg/data/SyH-DR-stat-brief-2-postpartum-opioid-rx.pdf
March 01, 2024 - The data indicate that the lowest rate was 1.5% in
Delaware, and the state with the highest rate was
-
hcup-us.ahrq.gov/reports/statbriefs/sb154.pdf
March 01, 2013 - Readmissions to U.S. Hospitals by Procedure, 2010
1
April 2013
Readmissions to U.S. Hospitals by
Procedure, 2010
Audrey J. Weiss, Ph.D., Anne Elixhauser, Ph.D., and Claudia
Steiner, M.D., M.P.H.
Introduction
Readmissions—revisits to the hospital within a certain time
frame following an…
-
effectivehealthcare.ahrq.gov/sites/default/files/related_files/fetal-surgery_disposition-comments.pdf
July 05, 2011 - We have added a statement to indicate
that septostomy is not a standard
treatment. … Changed the statement to indicate that
"Greater than 90 percent of pregnancies
presenting with severe … We have corrected the text
Peer Reviewer
#7
Results It is important to indicate that the conclusion … Thank you - we have revised the text to
delete this sentence and to indicate that
survival was greater
-
psnet.ahrq.gov/node/846171/psn-pdf
July 26, 2022 - include coiling in the throat or mouth, incessant
coughing or respiratory compromise (which could indicate
-
psnet.ahrq.gov/web-mm/see-patient-first
September 27, 2023 - instability, suspected catheter infection, skin and soft tissue infection, pneumonia, or severe mucositis can indicate
-
www.ahrq.gov/sites/default/files/2024-01/hollingsworth-report.pdf
January 01, 2024 - Values closer to 1 indicate higher levels of clustering in the network.
-
digital.ahrq.gov/location/usa-il-mattoon
January 01, 2023 - USA, IL, Mattoon
Ambulatory Electronic Medical Record and Shared Access
Description
Implements an emergency medical records system that will provide shared access to patient records across various community health care providers and incorporates electronic tools for prescripti…
-
psnet.ahrq.gov/node/42184/psn-pdf
December 18, 2013 - Why don't we know whether care is safe?
December 18, 2013
Pham JC, Frick KD, Pronovost P. Why don't we know whether care is safe? Am J Med Qual.
2013;28(6):457-63. doi:10.1177/1062860613479397.
https://psnet.ahrq.gov/issue/why-dont-we-know-whether-care-safe
This commentary discusses barriers to understanding and m…
-
cds.ahrq.gov/sites/default/files/cds/artifact/logic/2023-10/CQL%20to%20CDS%20Hooks%20cards_0.txt
January 01, 2023 - Mapping of CQL conditions to CDS Hooks cards
Condition: NoDDimerNoWells
Card: It is recommended to assess the patient's risk for pulmonary embolism (PE) and evaluate D-dimer levels before proceeding with a CTPA order. Use the following link to evaluate the risk.
Launch Questionnaire: Yes
Condition: NoDDimerWellsLessT…
-
psnet.ahrq.gov/node/34815/psn-pdf
January 31, 2011 - The role of anesthesia in surgical mortality.
January 31, 2011
DRIPPS RD, LAMONT A, ECKENHOFF JE. The role of anesthesia in surgical mortality. JAMA.
1961;178:261-6.
https://psnet.ahrq.gov/issue/role-anesthesia-surgical-mortality
The authors of this study characterized the attributable mortality rate from anesthes…
-
digital.ahrq.gov/sites/default/files/docs/resource/Logan_QMforColonoscopy_Narrative_v4.pdf
December 12, 2008 - in "Depth of insertion : Actually reached"
by values 'Cecum' or 'Terminal ileum'; any other values indicate … 'Carcinoma' in the Results field of the Pathology list on the Postprocedure page
contains the will indicate … in "Depth of insertion : Actually reached"
by values 'Cecum' or 'Terminal ileum'; any other values indicate … • Details that indicate polypectomy may include choosing 'Totally removed' or
'Removed piecemeal' … in "Depth of insertion : Actually reached"
by values 'Cecum' or 'Terminal ileum'; any other values indicate