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hcup-us.ahrq.gov/reports/statbriefs/sb103.jsp
December 01, 2010 - Variables for Revisit Analyses
American Hospital Association (AHA) Linkage Files
AHRQ Quality Indicators
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hcup-us.ahrq.gov/reports/statbriefs/sb104.jsp
January 01, 2011 - Variables for Revisit Analyses
American Hospital Association (AHA) Linkage Files
AHRQ Quality Indicators
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hcup-us.ahrq.gov/reports/statbriefs/sb118.jsp
August 01, 2011 - Variables for Revisit Analyses
American Hospital Association (AHA) Linkage Files
AHRQ Quality Indicators
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Teigland.pdf
March 01, 2004 - Setting
thresholds for MDS (minimum data set) quality
indicators for nursing home quality improvement
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www.ahrq.gov/healthsystemsresearch/hspc-research-study/impacts.html
June 01, 2020 - participants described research impact—as it is traditionally conceived by the research communities—through indicators … Finally, the continued development and penetration of primary care medical homes were cited as indicators
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Flink.pdf
April 09, 2004 - driven “Harm”-driven “Outcomes”-driven
Foundation of
system
No focused definitions,
open-ended indicators … The School of
Public Health is studying AHRQ’s Patient Safety Indicators and comparing them
Advances
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psnet.ahrq.gov/node/852698/psn-pdf
August 30, 2023 - The e-Autopsy/e-Biopsy: A Systematic Chart Review to
Increase Safety and Diagnostic Accuracy Innovation
August 30, 2023
https://psnet.ahrq.gov/innovation/e-autopsye-biopsy-systematic-chart-review-increase-safety-and-
diagnostic-accuracy
Summary
Addressing diagnostic errors to improve outcomes and patient safety h…
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effectivehealthcare.ahrq.gov/sites/default/files/s9.pdf
October 01, 2007 - ORIGINAL ARTICLE
Medicare Part D Data
Major Changes on the Horizon
Leslie M. Greenwald, PhD
Background: The 3 primary administrative data sets developed by
the Centers for Medicare and Medicaid services (CMS) to support
the Medicare Part D program implementation represent a valuable
source of data for health service…
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digital.ahrq.gov/sites/default/files/docs/publication/uc1hs015437-waters-final-report-2008.pdf
January 01, 2008 - Technology Exchange for Cancer Health Network (Tech-Net)
Grant Final Report
Grant ID: 5UC1HS015437
Technology Exchange for Cancer Health
Network (Tech-Net)
Inclusive Dates: 10/01/04 – 09/30/08
Principal Investigator:
Teresa Waters, PhD
Team Members:
Furhan Yunus, MD
Mindy Me…
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psnet.ahrq.gov/web-mm/pseudo-obstruction-real-perforation
April 01, 2015 - SPOTLIGHT CASE
Pseudo-obstruction But a Real Perforation
Citation Text:
Paski SC, Dominitz JA. Pseudo-obstruction But a Real Perforation. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017.
Copy Citation
Format:
…
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psnet.ahrq.gov/web-mm/duplicate-insulin-order
May 04, 2012 - Duplicate Insulin Order
Citation Text:
Acquisto NM, Cobaugh DJ. Duplicate Insulin Order. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endn…
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effectivehealthcare.ahrq.gov/sites/default/files/fagerlin-presentation.pdf
May 29, 2025 - Fagerlin-notes-151007 copy-Teresa
When
we talk about patient engagement and
shared
decision-‐making there are a number
of different problems that evolve.
1
First, patients often do not have information they need to make decisions, nor are they involved in
the
decisions as much
as they would
…
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psnet.ahrq.gov/web-mm/navigating-chaos-fatal-iatrogenic-liver-injury-patient-admitted-leg-fractures
November 27, 2019 - Navigating Chaos: Fatal Iatrogenic Liver Injury in a Patient Admitted for Leg Fractures
Citation Text:
Loseth C. Navigating Chaos: Fatal Iatrogenic Liver Injury in a Patient Admitted for Leg Fractures. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and …
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psnet.ahrq.gov/node/49858/psn-pdf
April 01, 2019 - What Happened on Telemetry?
April 1, 2019
Sandau KE, Funk M. What Happened on Telemetry? PSNet [internet]. 2019.
https://psnet.ahrq.gov/web-mm/what-happened-telemetry
Case Objectives
Describe current hospital practices for continuous telemetry monitoring.
Appreciate key recommendations from the Update to Practice…
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psnet.ahrq.gov/innovation/us-department-veterans-affairs-medical-center-houston-tx-and-baylor-college-medicine
February 26, 2025 - U.S. Department of Veterans Affairs Medical Center, Houston, TX, and Baylor College of Medicine Revised Safer Diagnosis (Safer Dx) Instrument
Save
Save to your library
Print
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January …
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www.ahrq.gov/hai/tools/surgery/modules/on-boarding/build-ssi-bundle-fac-notes.html
December 01, 2017 - Building Your SSI Prevention Bundle: Facilitator Notes
AHRQ Safety Program for Surgery
Slide 1: Building Your SSI Prevention Bundle
Say:
In this module, you’ll learn about using building a local bundle to reduce surgical site infections.
Slide 2: Learning Objectives
Say:
After reviewing this mod…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_build_ssibundle_facnotes.docx
December 01, 2017 - Facilitator Guide: Building Your SSI Prevention Bundle
Slide Title and Commentary
Slide Number and Slide
Title Slide
Building Your Surgical Site Infection Prevention Bundle
SAY:
In this module, you’ll learn about using building a local bundle to reduce surgical site infections.
Slide 1
Learning Objectives
SA…
-
www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/training-tools/improving-slides.html
October 01, 2020 - Improving Communication and Teamwork in the Surgical Environment Module
Slide 1: Improving Communication and Teamwork in the Surgical Environment Module
Slide 2:
Image: The objectives are listed as a series of ascending steps:
Describe teamwork and communication issues in the surgical environment,
Ap…
-
www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/allergies-guide.docx
September 01, 2022 - Best Practices in the Management of Patients With Antibiotic Allergies – Facilitator Guide
AHRQ Safety Program for Improving Antibiotic Use
1
Best Practices in the Management of Patients with Antibiotic Allergies
Ambulatory Care
Slide Title and Commentary
Slide Number and Slide
Best Practices in the Managemen…
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www.ahrq.gov/hai/tools/mvp/modules/technical/head-bed-elevation-lit-review.html
January 01, 2017 - Head of Bed Elevation or Semirecumbent Positioning Literature Review
AHRQ Safety Program for Mechanically Ventilated Patients
Summary
The elevation of the head of bed (HOB) to a semirecumbent position (at least 30 degrees) is associated with a decreased incidence of aspiration and ventilator-ass…