-
psnet.ahrq.gov/sites/default/files/2024-06/spotlight_case_hemorrhagic_shock_slides_final.pptx
January 01, 2024 - Spotlight
Spotlight
Hemorrhagic Shock after Elective Spine Surgery: Failure to Rescue after Limited Response to Nursing Concerns
1
Source and Credits
This presentation is based on the July 2024 AHRQ WebM&M Spotlight Case
See the full article at https://psnet.ahrq.gov/webmm
CME credit is available
Commentary …
-
psnet.ahrq.gov/node/49787/psn-pdf
March 01, 2017 - Diagnosing a Missed Diagnosis
March 1, 2017
Reilly JB, Webster C. Diagnosing a Missed Diagnosis. PSNet [internet]. 2017.
https://psnet.ahrq.gov/web-mm/diagnosing-missed-diagnosis
The Case
A 57-year old woman was admitted to the hospital with cough, slurred speech, confusion, and
disorientation. She was taking mod…
-
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
…
-
www.uspreventiveservicestaskforce.org/home/getfilebytoken/JcwfLrEqaaxP6DPEQvxgUs
February 18, 2020 - case-control study
found no association with statin use,41 but an analysis from the Wo-
men’s Health Initiative … Statin use and risk of diabetes mellitus in
postmenopausal women in the Women’s Health
Initiative.
-
www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-rural-healthcare4.html
October 01, 2024 - Diagnostic Excellence in U.S. Rural Healthcare: A Call to Action
A Call To Action: Diagnostic Excellence In Rural Healthcare
Previous Page Next Page
Table of Contents
Diagnostic Excellence in U.S. Rural Healthcare: A Call to Action
A Path to Rural Diagnostic Excellence
Improving Diagnosis in the…
-
meps.ahrq.gov/survey_comp/misc_survey/mpc/1996/sbd4.pdf
January 01, 1996 - sbd4.PDF
OMB#: 0935-0098
EXPIRES: 12/31/98
CMS/ID/NORC ID:
PATIENT NAME: PATIENT ID:
PROVIDER NAME:
PROVIDER ID:
OTHER PROVIDER NAME:
EVENT TYPE: # OF EVENTS:
WAVE: BATCH: REGION:
EVENT DATE: _____/_____/_____ (to _____/_____/_____)
# OF EVENTS IN BOOKLET _____
FORM ______ OF ______
MEDICAL EXPENDITURE PANEL S…
-
digital.ahrq.gov/ahrq-funded-projects/improving-communications-between-health-care-providers-statewide-infrastructure/annual-summary/2011
January 01, 2011 - Improving Communications Between Health Care Providers via a Statewide Infrastructure: Utah Health Information Network (UHIN) Clinical State and Regional Demonstration Project (currently known as UHIN) - 2011
Project Name
State and Regional Demonstration in Health Information Technology: Utah
…
-
digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/mccowan-c-et-al-2001
January 01, 2001 - McCowan C et al. 2001 "Lessons from a randomized controlled trial designed to evaluate computer decision support software to improve the management of asthma."
Reference
McCowan C, Neville RG, Ricketts IW, et al. Lessons from a randomized controlled trial designed to evaluate computer decision support…
-
psnet.ahrq.gov/issue/multicomponent-pharmacist-intervention-did-not-reduce-clinically-important-medication-errors
March 17, 2021 - Study
Multicomponent pharmacist intervention did not reduce clinically important medication errors for ambulatory patients initiating direct oral anticoagulants.
Citation Text:
Kapoor A, Patel P, Mbusa D, et al. Multicomponent pharmacist intervention did not reduce clinically important m…
-
psnet.ahrq.gov/issue/potential-costs-and-consequences-associated-medication-error-hospital-discharge-expert
September 05, 2018 - Study
Potential costs and consequences associated with medication error at hospital discharge: an expert judgement study.
Citation Text:
Kirwan G, O’Leary A, Walsh C, et al. Potential costs and consequences associated with medication error at hospital discharge: an expert judgement study…
-
psnet.ahrq.gov/issue/how-well-quality-improvement-described-perioperative-care-literature-systematic-review
January 19, 2022 - Review
How well is quality improvement described in the perioperative care literature? A systematic review.
Citation Text:
Jones EL, Lees N, Martin G, et al. How Well Is Quality Improvement Described in the Perioperative Care Literature? A Systematic Review. Jt Comm J Qual Patient Saf. 2…
-
psnet.ahrq.gov/issue/medicines-related-problems-mrps-originating-primary-care-settings-older-adults-systematic
March 04, 2015 - Review
Medicines related problems (MRPs) originating in primary care settings in older adults - a systematic review.
Citation Text:
Ude-Okeleke RC, Aslanpour Z, Dhillon S, et al. Medicines related problems (MRPs) originating in primary care settings in older adults - a systematic review.…
-
psnet.ahrq.gov/issue/decade-preventing-harm
July 10, 2008 - Commentary
A decade of preventing harm.
Citation Text:
Woeltje KF, Olenski LK, Donatelli M, et al. A Decade of Preventing Harm. Jt Comm J Qual Patient Saf. 2019;45(7):480-486. doi:10.1016/j.jcjq.2019.04.007.
Copy Citation
Format:
DOI Google Scholar PubMed BibTeX EndNote X3 …
-
psnet.ahrq.gov/issue/exploration-factors-associated-reported-medication-administration-errors-north-carolina
September 20, 2012 - Study
Exploration of factors associated with reported medication administration errors in North Carolina public school districts.
Citation Text:
Best NC, Nichols AO, Pierre-Louis B, et al. Exploration of factors associated with reported medication administration errors in North Carolina …
-
psnet.ahrq.gov/issue/flight-deck-operating-room-initial-pilot-study-feasibility-and-potential-impact-true
February 25, 2009 - Study
From the flight deck to the operating room: an initial pilot study of the feasibility and potential impact of true interdisciplinary team training using high-fidelity simulation.
Citation Text:
Paige JT, Kozmenko V, Morgan B, et al. From the Flight Deck to the Operating Room: A…
-
www.ahrq.gov/policymakers/chipra/overview/background/appendix-a3.html
December 01, 2009 - Background Report for the Request for Public Comment on Initial, Recommended Core Set of Children's Healthcare Quality Measures for Voluntary Use by Medicaid and CHIP Programs
Background Report on request for public comment on initial, recommended core set of Children's Healthcare Quality Measures for voluntary…
-
psnet.ahrq.gov/issue/association-measured-quality-financial-health-among-us-hospitals
December 07, 2022 - Study
Association of measured quality with financial health among U.S. hospitals.
Citation Text:
Enumah SJ, Resnick AS, Chang DC. Association of measured quality with financial health among U.S. hospitals. PLOS ONE. 2022;17(4):e0266696. doi:10.1371/journal.pone.0266696.
Copy Citation
…
-
psnet.ahrq.gov/issue/we-thought-we-would-be-perfect-medication-errors-and-after-initiation-computerized-physician
September 18, 2019 - Study
We thought we would be perfect: medication errors before and after the initiation of computerized physician order entry.
Citation Text:
Schwartzberg D, Ivanovic S, Patel S, et al. We thought we would be perfect: medication errors before and after the initiation of Computerized Phys…
-
www.ahrq.gov/talkingquality/index.html
Talking Quality: Reporting to Consumers on Health Care Quality
Health Care Quality Report Objectives
Be clear on the aims of your report, whether consumer choice, education, or improvement.
…
-
psnet.ahrq.gov/issue/teaching-quality-improvement-and-patient-safety-residency-education-strategies-meaningful
September 23, 2020 - Commentary
Teaching quality improvement and patient safety in residency education: strategies for meaningful resident quality and safety initiatives.
Citation Text:
Morrison RJ, Bowe SN, Brenner MJ. Teaching Quality Improvement and Patient Safety in Residency Education: Strategies for Me…