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psnet.ahrq.gov/node/49612/psn-pdf
November 01, 2010 - Treatment Challenges After Discharge
November 1, 2010
Coffey C. Treatment Challenges After Discharge. PSNet [internet]. 2010.
https://psnet.ahrq.gov/web-mm/treatment-challenges-after-discharge
Case Objectives
Understand types and frequencies of adverse events occurring between patient discharge from the
hospital …
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psnet.ahrq.gov/node/49679/psn-pdf
March 01, 2013 - The Unfamiliar Catheter
March 1, 2013
Swayze SC, James A. The Unfamiliar Catheter. PSNet [internet]. 2013.
https://psnet.ahrq.gov/web-mm/unfamiliar-catheter
The Case
A 28-year-old woman, 20 months post–bilateral lung transplant, presented to the emergency department
with sudden onset of severe shortness of breath…
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psnet.ahrq.gov/node/49677/psn-pdf
February 01, 2013 - CVC Placement: Speak Now or Do Not Use the Line
February 1, 2013
Ault M, Rosen B. CVC Placement: Speak Now or Do Not Use the Line. PSNet [internet]. 2013.
https://psnet.ahrq.gov/web-mm/cvc-placement-speak-now-or-do-not-use-line
The Case
A 48-year-old woman with a history of hypertension, psychiatric illness, and a…
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psnet.ahrq.gov/node/49754/psn-pdf
February 01, 2016 - Picking Up the Cause of the Stroke
February 1, 2016
Chopra V. Picking Up the Cause of the Stroke. PSNet [internet]. 2016.
https://psnet.ahrq.gov/web-mm/picking-cause-stroke
The Case
A 62-year-old man with poorly controlled diabetes was transferred to a tertiary care center from a
community hospital for management…
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psnet.ahrq.gov/node/49747/psn-pdf
December 01, 2015 - Harm From Alarm Fatigue
December 1, 2015
Pelter MM, Drew BJ. Harm From Alarm Fatigue. PSNet [internet]. 2015.
https://psnet.ahrq.gov/web-mm/harm-alarm-fatigue
Case Objectives
Define alarm fatigue and describe potential errors that can occur due to alarm fatigue.
Identify federal and national agencies focusing on …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/partnering-1.pdf
May 01, 2016 - Partnering With Patients To Improve Quality, Safety, and the Patient Experience
Case Study
Problem Addressed
True patient-centered care requires providers and practices
to forge strong partnerships with patients and families to
improve the quality, safety, and experience of health care
along the care continuum.1,…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/handouts.html
April 01, 2016 - AHRQ's Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention
Facilitator Training—Handouts: Introduction to Pressure Ulcer Prevention Reports
Contents
Sample Nutrition Report: High Risk
Nutrition Report: Exercise To Spot Potential Inaccuracies
Sample Weight Summary Report
Sample Trigge…
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digital.ahrq.gov/sites/default/files/docs/page/buildinghealthitresearchcapacity.pdf
December 01, 2012 - Building Health IT Research Capacity
1
AHRQ Health Information Technology
Dissertation Grants
Building Health IT Research Capacity
The Agency for Healthcare Research and Quality’s
(AHRQ’s) Health Information Technology (IT) Port-
folio uses a variety of mechanisms to fund projects
that further the goals of the A…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/health-promotion-education/cahps-strategy-6-r.pdf
April 14, 2017 - Strategies for Improving Patient Experience with Ambulatory Care: Reminder Systems for Immunizations and Preventive Services
The CAHPS Ambulatory Care
Improvement Guide
Practical Strategies for Improving Patient Experience
Section 6: Strategies for Improving Patient Experience with
Ambulatory Care
6.R. Remind…
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/safety/improvement-facilitator-guide.pdf
November 01, 2019 - Identifying Targets for Improvement in Antibiotic Decision Making
AHRQ Safety Program for Improving
Antibiotic Use
1
AHRQ Pub. No. 17(20)-0028-EF
November 2019
Identifying Targets for Improvement in
Antibiotic Decision Making
Acute Care
Slide Title and Commentary Slide Number and Slid…
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www.ahrq.gov/sites/default/files/wysiwyg/data/SyH-DR-data-brief-birth-rates-payments-rev.pdf
October 17, 2023 - State Variation in Birth Rates and Payments Among Women Ages 18-44 With Commercial Insurance
1
Data
Innovations
State Variation in Birth Rates and Payments Among
Women Ages 18-44 With Commercial Insurance
Rhona Limcangco, Ph.D., Frederick Rohde, M.A., Melike Yildirim, Ph.D.
Data Innovations Stati…
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/availability/chipra-0122-technical-specs.pdf
June 02, 2025 - High-Risk Deliveries at Facilities with 24/7 In-House Blood Banking/Transfusion Services - Technical Specifications
Section II: Detailed Measure Specifications
A. Description
Reporting on the extent to which high risk women are delivered at facilities
with 24/7 on-site blood banking ser…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/access/cahps-strategy-6-r.pdf
April 14, 2017 - Strategies for Improving Patient Experience with Ambulatory Care: Reminder Systems for Immunizations and Preventive Services
The CAHPS Ambulatory Care
Improvement Guide
Practical Strategies for Improving Patient Experience
Section 6: Strategies for Improving Patient Experience with
Ambulatory Care
6.R. Remind…
-
www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/cancer/measures-cancer-509.pdf
January 01, 2005 - Patient Experience Measures from the CAHPS Cancer Care Survey
CAHPS® Cancer Care Survey and Instructions
Patient Experience Measures from the CAHPS Cancer Care Survey
Document No. 509
2/15/2017
Patient Experience Measures from the
CAHPS® Cancer Care Survey
Introduction..................................…
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psnet.ahrq.gov/node/49627/psn-pdf
June 01, 2011 - The ECG Is Not Normal
June 1, 2011
Zuger A. The ECG Is Not Normal. PSNet [internet]. 2011.
https://psnet.ahrq.gov/web-mm/ecg-not-normal
Case Objectives
State how frequently physicians care for family or relatives.
Describe the risks associated with caring for family members or relatives.
Appreciate some of the s…
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psnet.ahrq.gov/node/49497/psn-pdf
December 01, 2005 - Slippery Slide Into Life
December 1, 2005
Halamek LP. Slippery Slide Into Life. PSNet [internet]. 2005.
https://psnet.ahrq.gov/web-mm/slippery-slide-life
The Case
A 25-year-old woman presented to the hospital in labor and at full gestation after receiving uncomplicated
prenatal care. A third-year obstetrics and g…
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/RyyuauSH7K-HPXD6tgx2xu
July 01, 2008 - Screening for Asymptomatic Bacteriuria in Adults: U.S. Preventive Services Task Force Reaffirmation Recommendation Statement
Screening for Asymptomatic Bacteriuria in Adults: U.S. Preventive
Services Task Force Reaffirmation Recommendation Statement
U.S. Preventive Services Task Force*
Description: Reaffirmation of …
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psnet.ahrq.gov/web-mm/other-hand
December 12, 2012 - On the Other Hand
Citation Text:
Henneman EA. On the Other Hand. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2007.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …
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psnet.ahrq.gov/web-mm/real-heartache
October 01, 2018 - A Real Heartache
Citation Text:
Polevoi SK. A Real Heartache. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2012.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS
…
-
psnet.ahrq.gov/node/33605/psn-pdf
March 12, 2021 - Medication Administration Errors
March 12, 2021
MacDowell P, Cabri A, Davis M. Medication Administration Errors. PSNet [internet]. 2021.
https://psnet.ahrq.gov/primer/medication-administration-errors
Updated in March 2021. Originally published in January 2018 by researchers at the University of California,
San Fra…