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psnet.ahrq.gov/web-mm/transfusion-slip
June 14, 2011 - Transfusion "Slip"
Citation Text:
Kaplan HS. Transfusion "Slip". PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2004.
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psnet.ahrq.gov/web-mm/suicidal-man-gun
May 01, 2005 - Suicidal Man With Gun
Citation Text:
Simon RI. Suicidal Man With Gun. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2003.
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psnet.ahrq.gov/web-mm/premature-or-overdue
December 23, 2020 - Premature or Overdue?
Citation Text:
Thomas J, Hannah M. Premature or Overdue?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2003.
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digital.ahrq.gov/sites/default/files/docs/citation/p30hs021678-ornstein-final-report-2017.pdf
January 01, 2017 - Research Centers in Primary Care Practice Based Research and Learning - Final Report
Project Title: Research Centers in Primary Care Pr actice B ased Research and Learning
Principal Investigator: Steven Ornstein, MD
Team Members: Andrea We…
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psnet.ahrq.gov/web-mm/incomplete-orders-hypertonic-saline-treat-hyponatremia
February 23, 2022 - Incomplete Orders for Hypertonic Saline to Treat Hyponatremia
Citation Text:
Wiegley N, Morfín JA. Incomplete Orders for Hypertonic Saline to Treat Hyponatremia. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2020.
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psnet.ahrq.gov/web-mm/milliliters-vs-milligrams
September 01, 2004 - Milliliters vs. Milligrams
Citation Text:
Poole RL, Dixon T. Milliliters vs. Milligrams. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2010.
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psnet.ahrq.gov/node/33711/psn-pdf
May 01, 2011 - The Second Victim Phenomenon: A Harsh Reality of
Health Care Professions
May 1, 2011
Scott SD. The Second Victim Phenomenon: A Harsh Reality of Health Care Professions. PSNet [internet].
2011.
https://psnet.ahrq.gov/perspective/second-victim-phenomenon-harsh-reality-health-care-professions
Perspective
The Instit…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/pfphac.pdf
September 01, 2014 - Methods To Estimate the Baseline 2010 PFP National Hospital-Acquired Condition Rate
This document describes the methods AHRQ used to estimate the national rate of hospital-acquired conditions
(HACs) for the Partnership for Patients (PFP) program. The estimate includes a wide variety of adverse events,
including the…
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psnet.ahrq.gov/node/49554/psn-pdf
January 01, 2008 - Chemotherapy Extravasation
January 1, 2008
Schulmeister L. Chemotherapy Extravasation. PSNet [internet]. 2008.
https://psnet.ahrq.gov/web-mm/chemotherapy-extravasation
The Case
A 73-year-old woman with no past medical history was diagnosed with stage IIIA breast cancer. She and
her oncologist decided to begin sys…
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www.ahrq.gov/research/findings/nhqrdr/chartbooks/effectivetreatment/kidney.html
June 01, 2018 - Chartbook on Effective Treatment
Chronic Kidney Disease
Previous Page Next Page
Table of Contents
Chartbook on Effective Treatment
Acknowledgments
Effective Treatment
Effective Treatment Trends and Measures
Cardiovascular Disease
Cancer
Chronic Kidney Disease
Diabetes
HIV and AIDS
…
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psnet.ahrq.gov/node/49620/psn-pdf
February 01, 2011 - Silent Pain in the Neck
February 1, 2011
Bittner EA. Silent Pain in the Neck. PSNet [internet]. 2011.
https://psnet.ahrq.gov/web-mm/silent-pain-neck
The Case
A 60-year-old man with no significant past medical history underwent an elective anterior cervical
discectomy for persistent right arm weakness due to cervi…
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/availability/chipra-120-section-2-technical-specs.pdf
June 02, 2025 - CHIPRA 120 Section 2, Technical Specifications
A. Description
Reporting on the extent to which high risk women are delivered at facilities
with a 24/7 in-house physician capable of safely managing labor and
delivery, and performing a cesarean section, including an emerg…
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/availability/chipra-121-technicalspecs.pdf
June 02, 2025 - Technical Specifications: High-Risk Deliveries at Facilities with 24/7 In-House Physician Coverage Dedicated to the Obstetrical Service by an Anesthesiologist Who Is Qualified to Provide Obstetrical Anesthesia
A. Description
Reporting on the extent to which high risk women…
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/availability/chipra-0123-technical-specifications.pdf
June 02, 2025 - CHIPRA 123: Technical Specifications
Section II: Detailed Measure Specifications
A. Description
Reporting on the extent to which high risk women are delivered at
facilities with level 3 or higher NICU services on campus according to
either American Academy of Pe…
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www.ahrq.gov/hai/clabsi-tools/appendix-3.html
March 01, 2018 - Appendix 3. Guidelines to Prevent Central Line-Associated Blood Stream Infections
Tools for Reducing Central Line-Associated Blood Stream Infections
These tools will help your unit implement evidence-based practices and eliminate central line-associated blood stream infections (CLABSI). When used with the CUS…
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/medication/safe-medication-slides.html
July 01, 2023 - Safe Medication Administration: Slide Presentation
AHRQ Safety Program for Perinatal Care
Slide 1: AHRQ Safety Program for Perinatal Care
Safe Medication Administration
Slide 2: Learning Objectives
Image: Four ascending steps show the learning objectives:
Define high-alert medications.
Identif…
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/VAP-facilitator-guide.pdf
November 01, 2019 - Best Practices in the Diagnosis and Treatment of Ventilator-Associated Pneumonia
AHRQ Safety Program for Improving
Antibiotic Use
1
AHRQ Pub. No. 17(20)-0028-EF
November 2019
Best Practices in the Diagnosis and Treatment
of Ventilator-Associated Pneumonia
Acute Care
Slide Title and Comme…
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psnet.ahrq.gov/node/49653/psn-pdf
May 01, 2012 - The Forgotten Line
May 1, 2012
Render ML. The Forgotten Line. PSNet [internet]. 2012.
https://psnet.ahrq.gov/web-mm/forgotten-line
The Case
An 81-year-old man with a history of coronary artery disease, hypertension, cerebrovascular accidents, and
chronic kidney disease was transferred to a referral hospital for p…
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www.ahrq.gov/sites/default/files/wysiwyg/nursing-home/materials/observational-audits.pdf
March 01, 2021 - Observational Audits
Observational Audits
A Pathway to Improving Infection Prevention and Preventing the
Spread of COVID-19
Infection prevention is the vital first line of defense against COVID-19. Observational audits are the best way to
understand if your staff fully comply with infection prevention p…
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www.ahrq.gov/patient-safety/settings/emergency-dept/frequent-use.html
July 01, 2017 - Characteristics of Frequent Users of Three Hospital Emergency Departments
Julius Cuong Pham, M.D., Ph.D.; Jamil D. Bayram, M.D., M.P.H., E.M.D.M., M.Ed., Ph.D.-c; Dina K. Moss, M.P.A.
Contents
Introduction
Study Overview
Findings
Discussion and Implications
References
Introduction
The emergency …