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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/sites/default/files/2022-02/final_cme_reviewed_spotlight_loss_of_trust_and_a_missed_diagnosis_02.14.20221_-_clean_-_revised.pdf
January 01, 2022 - Microsoft PowerPoint - FINAL CME Reviewed Spotlight_Loss of Trust and a Missed Diagnosis_02.14.20221 - clean - REVISED.pptx
Spotlight
A Loss of Trust and a Missed Diagnosis
Source and Credits
• This presentation is based on the February 2022 AHRQ WebM&M
Spotlight Case
o See the full article at https://psnet.ahrq.…
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/mhs4-computerized-cds-protocol.pdf
May 08, 2023 - EHC Protocol: Addressing Social Isolation To Improve Health of Older Adults: A Rapid Evidence Review
1
Evidence-based Practice Center Rapid Review Protocol
Project Title: Making Healthcare Safer IV: Computerized
Clinical Decision Support to Prevent Medication Errors and
Adverse Drug Events
Review …
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/hospital-length-of-stay-disposition-comments_0.pdf
September 20, 2021 - Disposition of Comments_Technical Brief No. 40: Interventions To Decrease Hospital Length of Stay
Technical Brief Disposition of Comments Report
Title: Interventions To Decrease Hospital Length of Stay
Draft report available for public comment from September 23, 2020, to November 10, 2020.
C…
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psnet.ahrq.gov/perspective/conversation-john-d-birkmeyer-md
January 31, 2024 - In Conversation With… John D. Birkmeyer, MD
May 1, 2015
Citation Text:
In Conversation With… John D. Birkmeyer, MD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2015.
Copy Citation
Fo…
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psnet.ahrq.gov/node/33878/psn-pdf
April 01, 2019 - In Conversation With… … Jennifer Schulz Moore, LLB,
MA, PhD
April 1, 2019
In Conversation With… … Jennifer Schulz Moore, LLB, MA, PhD. PSNet [internet]. 2019.
https://psnet.ahrq.gov/perspective/conversation-jennifer-schulz-moore-llb-ma-phd
Editor's note: Dr. Schulz Moore is the Director of Learning and Teaching at…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/004-cusp-learning-from-defects.docx
October 01, 2024 - AHRQ Safety Program for MRSA Prevention
Learning From Defects
ICU & Non-ICU
Slide Title and Commentary
Slide Number and Slide
Learning From Defects
SAY:
Welcome to this presentation on Learning From Defects (LFD) as part of an overall approach to preventing MRSA in ICU and non-ICU settings.
Slide 1
Educational…
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www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/highlight07.html
February 01, 2014 - How are CHIPRA quality demonstration States designing and implementing caregiver peer support programs?
Evaluation Highlight No. 7
Authors: Grace A. Ferry, Henry Ireys, Dana Petersen, and Joseph Zickafoose
Contents
Key Messages
Background
Findings
Conclusions
Implications
Learn More
Endnotes…
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/lessons/lessons-intermediate-progress.pdf
November 04, 2018 - Lessons from the Field: Measuring Intermediate Progress
Lessons from the Field: Measuring Intermediate
Progress
Prepared for the Agency for Healthcare Research and Quality by L&M
Policy Research, LLC with guidance from the Pediatric Quality Measure
Program (PQMP) Grantees
i
Table of Contents
List of Acrony…
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www.ahrq.gov/hai/tools/mvp/modules/cusp/learn-from-defects-fac-guide.html
February 01, 2017 - Learn From Defects in Care of Mechanically Ventilated Patients: Facilitator Guide
AHRQ Safety Program for Mechanically Ventilated Patients
Slide 1: Learn From Defects in Care of Mechanically Ventilated Patients
Say:
In this module, we will discuss the Learning From Defects tool. It is a very useful proc…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/medication/safemed_facguide.pdf
May 01, 2017 - AHRQ Safety Program for Perinatal Care: Safe Medication Administration
AHRQ Safety Program for Perinatal Care
Safe Medication Administration
AHRQ Publication No. 17-0003-19-EF
May 2017
SAY:
The Safe Medication Administration bundle
provides information on high-alert medications
commonly used in labor and d…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/head-bed-elevation-litreview.docx
January 01, 2017 - Tool: SSA
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-associated pneumonia (VAP). The intervention is supported unanimously by all four leading guidelines, and newer publications in the field acc…
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psnet.ahrq.gov/node/33867/psn-pdf
October 01, 2018 - In Conversation With… Michael Cohen, RPh, MS, ScD
(hon)
October 1, 2018
In Conversation With… Michael Cohen, RPh, MS, ScD (hon). PSNet [internet]. 2018.
https://psnet.ahrq.gov/perspective/conversation-michael-cohen-rph-ms-scd-hon-0
Editor's note: Dr. Cohen is President of the Institute for Safe Medication Practice…
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/program-dev-facilitator-guide.docx
June 01, 2021 - AHRQ Safety Program for Improving Antibiotic Use
1
Developing an Antibiotic Stewardship Program
Long-Term Care
Slide Title and Commentary
Slide Number and Slide
Developing an Antibiotic Stewardship Program
Long-Term Care
SAY:
Hello and welcome to the presentation, “Developing an Antibiotic Stewardship Prog…
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psnet.ahrq.gov/node/33759/psn-pdf
October 01, 2012 - Promising Areas for Patient Safety Research
December 1, 2003
Brady JP, Munier WB, Azam I. Promising Areas for Patient Safety Research. PSNet [internet]. 2003.
https://psnet.ahrq.gov/perspective/promising-areas-patient-safety-research
Perspective
Setting a Course for Patient Safety Research
Although patient safety…
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psnet.ahrq.gov/node/49525/psn-pdf
December 01, 2006 - Hidden Heparins: HIT Happens
December 1, 2006
Fogarty PF. Hidden Heparins: HIT Happens. PSNet [internet]. 2006.
https://psnet.ahrq.gov/web-mm/hidden-heparins-hit-happens
Case Objectives
Review the presentation of heparin-induced thrombocytopenia (HIT) and its primary complication,
thrombosis.
Discuss the managem…
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cdsic.ahrq.gov/sites/default/files/2024-09/Final_MO%20PC%20CDS%20Planning%20and%20Reporting%20Tool_0.pdf
January 01, 2024 - PC CDS Planning, Implementation, and Reporting Checklist
Measurement and Outcomes
Workgroup: Patient-Centered
Clinical Decision Support Planning
and Reporting Tool
Agency for Healthcare Research and Quality
5600 Fishers Lane
Rockville, MD 20857
www.ahrq.gov
Contract No: 75Q80120D00018
Prepared by:
P…
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hcup-us.ahrq.gov/reports/statbriefs/sb83.pdf
December 01, 2009 - Statistical Brief #83: Potentially Preventable Hospitalization Rates Declined for Older Adults, 2003-2007
From
HEALTHCARE COST AND
UTILIZATION PROJECT
Agency for Healthcare
Research and Quality
STATISTICAL BRIEF #83
December 2009
Highlights
• In 2007, rates of potentially
preventable hos…
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hcup-us.ahrq.gov/reports/statbriefs/sb99.pdf
November 01, 2010 - HCUP Statistical Brief #99: Potentially Preventable Hospitalizations for Acute and Chronic Conditions, 2008
From
HEALTHCARE COST AND
UTILIZATION PROJECT
Agency for Healthcare
Research and Quality
STATISTICAL BRIEF #99
Highlights
■ In 2008, one out of every ten
hospital stays was potential…
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-older-adults2.html
September 01, 2024 - State of the Science and Future Directions To Improve Diagnostic Safety in Older Adults
Unique Challenges in Approaching Diagnostic Safety in Older Adults
Previous Page Next Page
Table of Contents
State of the Science and Future Directions To Improve Diagnostic Safety in Older Adults
Introduction …