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psnet.ahrq.gov/node/44744/psn-pdf
June 21, 2016 - Can patient safety incident reports be used to compare
hospital safety? Results from a quantitative analysis of
the English National Reporting and Learning System data.
June 21, 2016
Howell A-M, Burns EM, Bouras G, et al. Can Patient Safety Incident Reports Be Used to Compare Hospital
Safety? Results from a Quanti…
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psnet.ahrq.gov/node/40392/psn-pdf
February 10, 2015 - 'Global Trigger Tool' shows that adverse events in
hospitals may be ten times greater than previously
measured.
February 10, 2015
Classen D, Resar RK, Griffin F, et al. 'Global trigger tool' shows that adverse events in hospitals may be ten
times greater than previously measured. Health Aff (Millwood). 2011;30(4):…
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psnet.ahrq.gov/sites/default/files/2023-06/under_pressure.pdf
January 01, 2023 - Microsoft PowerPoint - FINAL Spotlight Case_Under Pressure.pptx
Spotlight
Under Pressure: Tracheostomy Cuff Over Inflation
Leading to Tissue Necrosis and Cuff Rupture
Source and Credits
• This presentation is based on the June 2023 AHRQ WebM&M
Spotlight Case
o See the full article at https://psnet.ahrq.gov/webmm…
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/urine-culturing-notes.docx
April 01, 2022 - Urine Culturing Stewardship in the ICU Setting Facilitator Notes
CAUTI Module:
Urine Culturing Stewardship in the ICU Setting
Facilitator Guide
Slide Number and Image
This module, titled “Urine Culturing Stewardship in the ICU Setting” is part of the Agency for Healthcare Research and Quality’s Safety Program …
-
psnet.ahrq.gov/node/73526/psn-pdf
July 28, 2021 - Medication Errors in Retail Pharmacies: Wrong Patient,
Wrong Instructions.
July 28, 2021
Li C, Marquez K. Medication Errors in Retail Pharmacies: Wrong Patient, Wrong Instructions. PSNet
[internet]. 2021.
https://psnet.ahrq.gov/web-mm/medication-errors-retail-pharmacies-wrong-patient-wrong-instructions
The Case
…
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hcup-us.ahrq.gov/reports/methods/2015-07.pdf
January 01, 2015 - Coffey, Katharine Levit, and Marguerite Barrett
During the development of AHRQ Quality Indicator
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/nursing-home/2016/nhsurv16-pt2.pdf
January 01, 2016 - 2016 AHRQ Nursing Home Survey on Patient Safety Culture Part II
Nursing Home Survey on Patient Safety Culture:
2016 User Comparative Database Report
Part II
Appendix A—Overall Results by Nursing Home Characteristics
Appendix B—Overall Results by Respondent Characteristics
Prepared for:
Agency for Healthcare R…
-
psnet.ahrq.gov/node/49448/psn-pdf
June 01, 2004 - Listen to the Family
June 1, 2004
Campbell D. Listen to the Family. PSNet [internet]. 2004.
https://psnet.ahrq.gov/web-mm/listen-family
The Case
Vascular surgery was consulted for placement of a dialysis catheter in a patient on the medical floor. The
surgical resident examined the patient, an elderly woman with …
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/empowering-nurses.pdf
April 01, 2022 - Making It Work Tip Sheet: Empowering Nurses To Implement Nurse-Driven Protocols for Reducing CAUTI in the ICU Setting
AHRQ Safety Program for Intensive Care Units:
Preventing CLABSI and CAUTI
Making It Work Tip Sheet
Empowering Nurses To Implement Nurse-Driven Protocols
for Reducing CAUTI in the ICU Se…
-
www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/pharyngitis-slides.pptx
September 01, 2022 - The “Sometimes Antibiotics” Diagnoses: Pharyngitis – Slides
AHRQ Safety Program for Improving Antibiotic Use
The “Sometimes Antibiotics”
Diagnoses: Pharyngitis
Ambulatory Care
AHRQ Pub. No. 17(22)-0030
September 2022
Pharyngitis
AHRQ Safety Program for Improving Antibiotic Use – Ambulatory Care
…
-
www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-229-fullreport.pdf
February 01, 2018 - Timely Blood Culture for Children With Sepsis Syndrome
1
Timely Blood Culture for Children with Sepsis
Syndrome
Section 1. Basic Measure Information
1.A. Measure Name
Timely Blood Culture for Children with Sepsis Syndrome
1.B. Measure Number
0229
1.C. Measure Description
Please provide a non-technical …
-
www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-216-fullreport.pdf
February 01, 2018 - Appropriate Emergency Department Fever Management for Children With Sickle Cell Disease
1
Appropriate Emergency Department Fever
Management for Children with Sickle Cell Disease
Section 1. Basic Measure Information
1.A. Measure Name
Appropriate Emergency Department Fever Management for Children with Sickle Cel…
-
effectivehealthcare.ahrq.gov/sites/default/files/related_files/allergy-seasonal_executive.pdf
July 01, 2013 - 1
Comparative Effectiveness Review
Number 120
Treatments for Seasonal Allergic Rhinitis
Executive Summary
Background
Seasonal allergic rhinitis (SAR), also
known as hay fever, is an allergic reaction
in the upper airways that occurs when
sensitized individuals encounter airborne
allergens (typically tree, gras…
-
hcup-us.ahrq.gov/reports/statbriefs/sb230-7-Day-Versus-30-Day-Readmissions.jsp
October 01, 2017 - Software Refined (CCSR)
Elixhauser Comorbidity Software Refined for ICD-10-CM
Chronic Condition Indicator … Procedures
Tools for ICD-9-CM
Clinical Classifications Software (CCS) for ICD-9-CM
Chronic Condition Indicator
-
www.ahrq.gov/sites/default/files/2024-10/wilson-report.pdf
January 01, 2024 - Final Progress Report: Labor and Delivery Nurse Staffing: A Patient Safety Intervention
Labor and Delivery Nurse Staffing: A Patient Safety Intervention
Team members:
Barbara L. Wilson, PhD, RN
Principal Investigator (PI)
Associate Professor
University of Utah College of Nursing
Barbara.wilson@nurs.utah.edu
R…
-
www.ahrq.gov/sites/default/files/2024-01/rosen-report.pdf
January 01, 2024 - Final Progress Report: Developing Peer-to-Peer Learning Tools for Critical Care Physicians
AHRQ Grant Final Progress Report
Title of Project:
Developing Peer-to-Peer Learning Tools for Critical Care Physicians: Peer- and Competency-
based Ongoing Approach for Critical Healthcare Evaluations of Skills (P-COACHES)
…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Raebel_53.pdf
May 07, 2008 - Imbedding Research in Practice to Improve Medication Safety
Imbedding Research in Practice to
Improve Medication Safety
Marsha A. Raebel, PharmD; Elizabeth A. Chester, PharmD; David W. Brand, MSPH;
David J. Magid, MD, MPH
Abstract
Objective: The objective of this project was to improve medication saf…
-
hcup-us.ahrq.gov/reports/statbriefs/sb308-hospital-sepsis-2019-2021.pdf
January 01, 2021 - Rural and Urban Hospital Differences in Inpatient Stays Involving Sepsis, 2019 and 2021
1
Rural and Urban Hospital Differences in
Inpatient Stays Involving Sepsis, 2019 and 2021
Statistical Brief #308 | August 2024
Joanna Jiang, Ph.D., Lan Liang, Ph.D., Meghana Chandra, M.P.P,
and Sai Loganathan, …
-
www.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/topicrefinement/sleep-apnea-protocol.pdf
June 09, 2020 - Protocol - Continuous Positive Airway Pressure Treatment for Obstructive Sleep Apnea in Medicare Eligible Patients
Evidence-based Practice Center Systematic Review Protocol
Project Title: Continuous Positive Airway Pressure Treatment for Obstructive
Sleep Apnea in Medicare Eligible Patients
I. Backgrou…
-
digital.ahrq.gov/sites/default/files/docs/page/guide-to-evaluating-hie-projects-section-6.pdf
June 16, 2021 - and
administrative
data
This measure
examines
patient volume
in a hospital or
practice as an
indicator