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psnet.ahrq.gov/node/49731/psn-pdf
April 01, 2015 - Fire in the Hole!—An OR Fire
April 1, 2015
Mehta SP, Domino KM. Fire in the Hole!—An OR Fire. PSNet [internet]. 2015.
https://psnet.ahrq.gov/web-mm/fire-hole-or-fire
The Case
A patient was taken to the operating room (OR) to undergo a planned laparoscopic subtotal colon resection
for a biopsy-proven adenocarcinom…
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/maternal-mortality-6.html
September 01, 2021 - The Contribution of Diagnostic Errors to Maternal Morbidity and Mortality During and Immediately After Childbirth: State of the Science
References
Previous Page
Table of Contents
The Contribution of Diagnostic Errors to Maternal Morbidity and Mortality During and Immediately After Childbirth: Stat…
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www.ahrq.gov/pqmp/publications/search.html
January 01, 2021 - All Publications
The following list presents materials published as a result of the AHRQ-CMS Pediatric Quality Measures Program (PQMP).
Results
1 - 25 of 107 Publications
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Provider Specialty and R…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/building-team-040814.pptx
January 01, 2013 - Nursing Intervention to Remove Non-necessary Urinary Catheters
Mohamad Fakih, MD, MPH
Professor of Medicine
Wayne State University School of Medicine
Medical Director, Infection Prevention and Control
St. John Hospital and Medical Center
Barbara Lucas, MD, MHSA
Project Consultant
Michigan Health & Hospital Associatio…
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psnet.ahrq.gov/node/49707/psn-pdf
April 01, 2014 - CYP450 Drugs: Expect the Unexpected
April 1, 2014
Gonzalez CJ. CYP450 Drugs: Expect the Unexpected. PSNet [internet]. 2014.
https://psnet.ahrq.gov/web-mm/cyp450-drugs-expect-unexpected
The Case
A 42-year-old man with acquired immunodeficiency syndrome (AIDS) (CD4 count 198), hip dystocia, and
generalized anxiety …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/physician-staff-engagement-slides.pptx
January 01, 2017 - Presentation: Program Overview
Physician and Staff Engagement
AHRQ Safety Program for Mechanically Ventilated Patients
AHRQ Pub. No. 16(17)-0018-32-EF
January 2017
Physician and Staff Engagement ‹#›
AHRQ Safety Program for Mechanically Ventilated Patients
1
Learning Objectives
After this session, you will b…
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psnet.ahrq.gov/node/49517/psn-pdf
August 01, 2006 - Miscalculated Risk
August 1, 2006
Strassels SA. Miscalculated Risk. PSNet [internet]. 2006.
https://psnet.ahrq.gov/web-mm/miscalculated-risk
The Case
A healthy 36-year-old man was admitted to a teaching hospital for acute low back strain after lifting his 2-
week-old infant. He received Vicodin (hydrocodone and a…
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digital.ahrq.gov/sites/default/files/docs/page/2006ClancyKeyesYoung_051211comp.pdf
June 16, 2021 - Acknowledging Our Track Chairs
Acknowledging Our Track Chairs
Steve Simon, Harvard Medical School
Jack Starmer, Vanderbilt University
Atif Zafar, Indiana University
Marc Overhage, Regenstrief Institute
Mark Frisse, Vanderbilt University
Jan Walker, Partners Health Care and Cntr for Health IT Leadership
…
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/labor-delivery-unit/tool-cord-prolapse.html
July 01, 2023 - Labor and Delivery Unit Safety: Umbilical Cord Prolapse
AHRQ Safety Program for Perinatal Care
Purpose of the tool: This tool describes the key perinatal safety elements that support safe umbilical cord prolapse management. The key safety elements are presented within the framework of the Compreh…
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/statesummaries/chipra-750-north-carolina-state-snapshot.pdf
January 01, 2018 - Spotlight on North Carolina -- The National Evaluation of the CHIPRA Quality Demonstration Grant Program
January 2018
This brief highlights the major strategies, lessons learned,
and outcomes from North Carolina’s experience during the
quality demonstration funded by the Centers for Medicare
& Medicaid Services (…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/qi-action-slides.pptx
April 01, 2022 - Quality Improvement in Action Slides
Quality Improvement in Action
AHRQ Safety Program for Intensive Care Units:
Preventing CLABSI and CAUTI
AHRQ Pub. No. 17(22)-0019
April 2022
Objectives
Describe methods to identify your intensive care unit’s (ICU) focus area of improvement using quality improvement strategies
R…
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/CHIPRA205-Materials_VIA.pdf
January 01, 2010 - Attachment 6A.1 Description of the Chicago Pediatric Quality and Safety Consortium Hospitals
CPQSC: Institution Characteristics
Advocate – Oak
Lawn
Advocate – Park
Ridge
Lurie Children’s Prentice Mount Sinai Stroger
Type of Institution
Children’s
Hospital with
pediatric
residency program
and fell…
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www.ahrq.gov/sites/default/files/wysiwyg/CHIPRA_15-P002-EF-revised.pdf
March 01, 2015 - Measures: Family Experiences With Care Coordination Measure Set (FECC)
Measures: Family Experiences with Care
Coordination Measure Set (FECC)
Measure Developer: Center of Excellence on Quality of Care Measures for Children with
Complex Needs (COE4CCN)
Numerator Denominator Exclusions Data Source(s)
The FECC Surv…
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/CHIPRA204-Materials_VIA.pdf
January 01, 2010 - Attachment 6A.1 Description of the Chicago Pediatric Quality and Safety Consortium Hospitals
CPQSC: Institution Characteristics
Advocate – Oak
Lawn
Advocate – Park
Ridge
Lurie Children’s Prentice Mount Sinai Stroger
Type of Institution
Children’s
Hospital with
pediatric
residency program
and fell…
-
www.ahrq.gov/ncepcr/care/coordination/atlas/chapter6k.html
June 01, 2014 - Care Coordination Measures Atlas Update
Chapter 6. Measure Maps and Profiles (continued, 12)
Previous Page Next Page
Table of Contents
Care Coordination Measures Atlas Update
Chapter 1: Background
Chapter 2. What is Care Coordination?
Chapter 3. Care Coordination Measurement Framework
Chapte…
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psnet.ahrq.gov/node/49722/psn-pdf
December 01, 2014 - Medical Devices in the "Wild"
December 1, 2014
Gurses AP, Doyle PA. Medical Devices in the "Wild". PSNet [internet]. 2014.
https://psnet.ahrq.gov/web-mm/medical-devices-wild
The Case
A 75-year-old man with a history of congestive heart failure (CHF), coronary artery disease, diabetes,
chronic pain, arthritis, and…
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psnet.ahrq.gov/node/50842/psn-pdf
January 29, 2020 - Patient Identification Errors: A Systems Challenge
January 29, 2020
Choudhury LS, Vu CT. Patient Identification Errors: A Systems Challenge. PSNet [internet]. 2020.
https://psnet.ahrq.gov/web-mm/patient-identification-errors-systems-challenge
The Cases
The following four events involving five patients all involved…
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www.ahrq.gov/pqmp/publications/search.html?page=0
January 01, 2021 - All Publications
The following list presents materials published as a result of the AHRQ-CMS Pediatric Quality Measures Program (PQMP).
Results
1 - 25 of 107 Publications
Pagination
1
2
3
4
5
next ›
››
last »
Last »
Provider Specialty and R…
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/eko8Cp28pZ3SHHfyvTXJW5
May 13, 2025 - JAMA
Letters
RESEARCH LETTER
EVIDENCE REPORT
Screening for Syphilis Infection During Pregnancy:
Updated Evidence Report and Systematic Review
for the US Preventive Services Task Force
Prior evidence has demonstrated that screening in preg-
nancy is effective at detecting syphilis and that treatment is
effective at…
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/head-neck-cancer-update_espanol.pdf
April 01, 2016 - Radioterapia para tratar el cáncer
de cabeza y cuello
Resumen para adultos y personas que ayudan
a su cuidado
¿Es este resumen apropiado para mí?
Esta información puede ser útil para usted si:
n Su médico* le dijo que tiene cáncer de cabeza y cuello.
n Su médico ha sugerido radioterapia.
Si usted no está segu…