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digital.ahrq.gov/sites/default/files/docs/publication/Parisetal_HFES2008.pdf
January 01, 2008 - Safety of the Antibiotic Medication Use Process in the Intensive Care Unit
Bonnie Paris�, Pascale Carayon�, Tosha Wetterneck�
Department of Industrial & Systems Engineering, University of Wisconsin-Madison�; University of
Wisconsin School of Medicine and Public Health�; Center for Quality & Productivity Improvem…
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psnet.ahrq.gov/perspective/conversation-michael-cohen-rph-ms-scd-hon-0
October 24, 2021 - In Conversation With… Michael Cohen, RPh, MS, ScD (hon)
October 1, 2018
Citation Text:
In Conversation With… Michael Cohen, RPh, MS, ScD (hon). PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. …
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psnet.ahrq.gov/sites/default/files/2022-10/trocar_injury_final.pdf
January 01, 2022 - Spotlight
Spotlight
Fecal Contamination of the Peritoneum from
Laparoscopic Trocar Injury: A Routine
Operation Goes Wrong
Source and Credits
• This presentation is based on the October 2022 AHRQ WebM&M
Spotlight Case
o See the full article at https://psnet.ahrq.gov/webmm
o CME credit is available
o Commentary…
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psnet.ahrq.gov/node/838900/psn-pdf
October 27, 2022 - Fecal Contamination of the Peritoneum from
Laparoscopic Trocar Injury: A Routine Operation Goes
Wrong.
October 27, 2022
Ahmed SM, Ali M. Fecal Contamination of the Peritoneum from Laparoscopic Trocar Injury: A Routine
Operation Goes Wrong. PSNet [internet]. 2022.
https://psnet.ahrq.gov/web-mm/fecal-contamination-…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/labor-delivery-unit/tool_safe-csection.docx
May 01, 2017 - AHRQ Safety Program for Perinatal Care: Labor and Delivery Unit Safety Safe Cesarean Section
SAMPLE: Safe Cesarean Checklist for Planned/Routine Cesarean Section
Purpose of the tool: This tool describes the key perinatal safety elements related to safe cesarean section. The key elements are presented within the frame…
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/labor-delivery-unit/tool-safe-csection.html
July 01, 2023 - Labor and Delivery Unit Safety: Safe Cesarean Section
AHRQ Safety Program for Perinatal Care
Purpose of the tool: This tool describes the key perinatal safety elements related to safe cesarean section. The key elements are presented within the framework of the Comprehensive Unit-based Safety Prog…
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/practice-survey-nc.pdf
November 14, 2015 - Practice Characteristic survey baseline NC Cooperative
Please complete the following survey, which is designed to collect
information about your practice for the Heart Health Now study.
We suggest you designate an Office Manager or a Lead Clinician to
complete this survey. We strongly encourage you to consult wit…
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www.ahrq.gov/pqmp/implementation-qi/toolkit/tcd/about.html
July 01, 2021 - Transcranial Doppler Ultrasonography (TCD) Screening Among Children with Sickle Cell Anemia Toolkit
About the Measure
Previous Page Next Page
Table of Contents
Transcranial Doppler Ultrasonography (TCD) Screening Among Children with Sickle Cell Anemia Toolkit
Introduction
Overview
About the Me…
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psnet.ahrq.gov/web-mm/mismanagement-acute-decompensated-heart-failure-hypertensive-emergency
May 01, 2018 - SPOTLIGHT CASE
Mismanagement of Acute Decompensated Heart Failure with Hypertensive Emergency
Citation Text:
Lee J, Fernilius J, Frick W. Mismanagement of Acute Decompensated Heart Failure with Hypertensive Emergency. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, U…
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psnet.ahrq.gov/web-mm/sudden-collapse-during-upper-gastrointestinal-endoscopy-expect-unexpected
September 25, 2024 - Sudden Collapse During Upper Gastrointestinal Endoscopy: Expect the Unexpected
Citation Text:
Wieck M. Sudden Collapse During Upper Gastrointestinal Endoscopy: Expect the Unexpected. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 202…
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psnet.ahrq.gov/sites/default/files/2024-10/spotlight_case_delayed_symptomatic_subdural_hematoma_slides.pptx
January 01, 2024 - Spotlight
Spotlight
Delayed Symptomatic Subdural Hematoma Following an Initially Normal CT Head
1
Source and Credits
This presentation is based on the October 2024 AHRQ WebM&M Spotlight Case
See the full article at https://psnet.ahrq.gov/webmm
CME credit is available
Commentary by: Ryan Martin, MD, FCNS and …
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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…
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digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/statistical
January 01, 2023 - Statistical Analysis
Regression Analysis
Description
Regression analysis is a statistical method that attempts to find relationships within a data set.
Simulation Modeling
Description
Simulation modeling is a dynamic tool that models the behavio…
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psnet.ahrq.gov/node/35357/psn-pdf
February 03, 2011 - Effects of work hour reduction on residents' lives: a
systematic review.
February 3, 2011
Fletcher KE, Underwood W, Davis SQ, et al. Effects of Work Hour Reduction on Residents’ Lives. JAMA.
2005;294(9):1088. doi:10.1001/jama.294.9.1088.
https://psnet.ahrq.gov/issue/effects-work-hour-reduction-residents-lives-syst…
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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…
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/mui/screening-workflow.pdf
June 02, 2025 - Urinary Incontinence Primary Care Screening Workflow
```
Urinary Incontinence
Primary Care
Screening Workflow
IT2 Team – Northwestern Medicine
This project was funded under grant number U18HS028744
from the …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/impl-guide/implementation-guide-appendix-f.docx
June 02, 2025 - PROMPTLY REMOVE
AHRQ Safety Program for Reducing CAUTI in Hospitals
Appendix F. Urinary Catheter Decision-Making Algorithm
Is there a urinary catheter in place?
Does the patient meet criteria for catheter placement?
Avoid catheter placement.
Accepted Urinary Catheter
Placement Indications
1. Acute urinary retentio…
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psnet.ahrq.gov/node/39642/psn-pdf
December 21, 2014 - Effect of the 50-hour workweek limitation on training of
surgical residents in Switzerland.
December 21, 2014
Businger A, Guller U, Oertli D. Effect of the 50-hour workweek limitation on training of surgical residents in
Switzerland. Arch Surg. 2010;145(6):558-63. doi:10.1001/archsurg.2010.88.
https://psnet.ahrq.g…
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psnet.ahrq.gov/node/38161/psn-pdf
October 22, 2008 - Discrepancies between home medications listed at
hospital admission and reported medical conditions.
October 22, 2008
Slain D, Kincaid SE, Dunsworth TS. Discrepancies between home medications listed at hospital admission
and reported medical conditions. Am J Geriatr Pharmacother. 2008;6(3):161-6.
doi:10.1016/j.amj…
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psnet.ahrq.gov/node/35090/psn-pdf
June 22, 2009 - Improving end of life care: an information systems
approach to reducing medical errors.
June 22, 2009
Tamang S, Kopec D, Shagas G, et al. Improving end of life care: an information systems approach to
reducing medical errors. Stud Health Technol Inform. 2005;114:93-104.
https://psnet.ahrq.gov/issue/improving-end-l…