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  1. Improving the Measurement of Surgical Site Infection Risk Stratification and Outcome Detection

    www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/ssi/ssiapu.pptx
    September 18, 2011 - Improving the Measurement of Surgical Site Infection Risk Stratification and Outcome Detection Improving the Measurement of Surgical Site Infection (SSI) Risk Stratification and Outcome Detection Connie Savor Price, MD 2nd Annual AHRQ HAI Investigators Meeting September 18, 2011 Bethesda, Maryland HHSA-290-2006-00…

  2. Overuse as a Patient Safety Problem | PSNet

    psnet.ahrq.gov/perspective/overuse-patient-safety-problem
    September 01, 2014 - Overuse as a Patient Safety Problem Christopher Moriates, MD | September 1, 2014  Also Read a Conversation View more articles from the same authors. Citation Text: Moriates C. Overuse as a Patient Safety Problem. PSNet [internet]. Rockville (MD): Agency for Heal…

  3. Fiscal Support for Behavioral Health Services | The Academy

    integrationacademy.ahrq.gov/products/playbooks/behavioral-health-and-primary-care/implementing-plan/secure-financial-support-behavioral-health-services
    August 01, 2025 - An official website of the Department of Health & Human Services Search All AHRQ Sites Careers Contact Us Español FAQs Email Updates The Academy Integrating Behavioral Health & Primary Care Expand Navi…

  4. Section 4: Ways To Approach the Quality Improvement Process (Page 1 of 2) | Agency for Healthcare Research and Quality

    www.ahrq.gov/cahps/quality-improvement/improvement-guide/4-approach-qi-process/index.html
    January 01, 2020 - Section 4: Ways To Approach the Quality Improvement Process (Page 1 of 2) Contents On Page 1 of 2: 4.A. Focusing on Microsystems 4.B. Understanding and Implementing the Improvement Cycle On Page 2 of 2: 4.C. An Overview of Improvement Models 4.D. Tools To Enhance Quality Improvement Initiatives Re…

  5. Archived: Final Evidence Review: Ovarian Cancer: Screening, May 2004 | United States Preventive Services Taskforce

    www.uspreventiveservicestaskforce.org/uspstf/document/final-evidence-review79/ovarian-cancer-screening-2004
    May 15, 2004 - Share to Facebook Share to X Share to WhatsApp Share to Email Print archived Final Evidence Review Ovarian Cancer: Screening, May 2004 May 15, 2004 Recommendations made by the USPSTF are independent of the U.S. government. They should …

  6. Improving the Safety of Heparin Administration by Implementing a Human Factors Process Analysis (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Harder.pdf
    May 19, 2003 - Improving the Safety of Heparin Administration by Implementing a Human Factors Process Analysis 323 Improving the Safety of Heparin Administration by Implementing a Human Factors Process Analysis Kathleen A. Harder, John R. Bloomfield, Sue E. Sendelbach, Michele F. Shepherd, Pam S. Rush, Jamie S. Sinclair,…

  7. A System to Describe and Reduce Medical Errors in Primary Care (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Kaprielian_9.pdf
    January 01, 2007 - A System to Describe and Reduce Medical Errors in Primary Care A System to Describe and Reduce Medical Errors in Primary Care Victoria Kaprielian, MD; Truls Østbye, MD, PhD; Samuel Warburton, MD; Devdutta Sangvai, MD, MBA; Lloyd Michener, MD Abstract Although much attention has been focused on finding wa…

  8. Characteristics of Adverse Drug Events Originating During the Hospital Stay, 2011 (pdf file)

    hcup-us.ahrq.gov/reports/statbriefs/sb164.pdf
    October 01, 2013 - Characteristics of Adverse Drug Events Originating During the Hospital Stay, 2011 1 October 2013 Characteristics of Adverse Drug Events Originating During the Hospital Stay, 2011 Audrey J. Weiss, Ph.D. and Anne Elixhauser, Ph.D. Introduction An adverse drug event (ADE) involves patient in…

  9. Disposition of Comments Report for The Effectiveness and Risks of Long-Term Opioid Treatment of Chronic Pain (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/related_files/chronic-pain-opioid-treatment_disposition-comments.pdf
    September 29, 2014 - Disposition of Comments Report for The Effectiveness and Risks of Long-Term Opioid Treatment of Chronic Pain Evidence Report Disposition of Comments Report Research Review Title: The Effectiveness and Risks of Long-Term Opioid Treatment of Chronic Pain Draft review available for public comment from De…

  10. General Operations | The Academy

    integrationacademy.ahrq.gov/products/playbooks/opioid-use-disorder/implement-mat-for-oud/general-operations
    August 01, 2024 - An official website of the Department of Health & Human Services Search All AHRQ Sites Careers Contact Us Español FAQs Email Updates The Academy Integrating Behavioral Health & Primary Care Expand Navi…

  11. Spotlight

    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 …

  12. Hyponatremia Secondary to Home Parenteral Nutrition Error | PSNet

    psnet.ahrq.gov/web-mm/hyponatremia-secondary-home-parenteral-nutrition-error
    May 27, 2020 - Hyponatremia Secondary to Home Parenteral Nutrition Error Citation Text: Haas K, Lee A. Hyponatremia Secondary to Home Parenteral Nutrition Error. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2021. Copy Citation Format: …

  13. Miscalculated Risk | PSNet

    psnet.ahrq.gov/web-mm/miscalculated-risk
    March 01, 2015 - Miscalculated Risk Citation Text: Strassels SA. Miscalculated Risk. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2006. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId R…

  14. Preventing PICC Complications: Whose Line Is It? | PSNet

    psnet.ahrq.gov/web-mm/preventing-picc-complications-whose-line-it
    October 01, 2017 - Preventing PICC Complications: Whose Line Is It? Citation Text: Moureau N. Preventing PICC Complications: Whose Line Is It?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2012. Copy Citation Format: Google Scholar BibT…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865374/psn-pdf
    March 27, 2024 - Artificial Intelligence and Patient Safety: Promise and Challenges March 27, 2024 Tighe P, Mossburg S, Gale B. Artificial Intelligence and Patient Safety: Promise and Challenges. PSNet [internet]. 2024. https://psnet.ahrq.gov/perspective/artificial-intelligence-and-patient-safety-promise-and-challenges Introducti…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60376/psn-pdf
    July 30, 2020 - COVID-19: Team and Human Factors to Improve Safety July 30, 2020 Zipperer L. COVID-19: Team and Human Factors to Improve Safety. PSNet [internet]. 2020. https://psnet.ahrq.gov/primer/covid-19-team-and-human-factors-improve-safety Background The rapid transmission of COVID-19 has resulted in an international pandem…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49609/psn-pdf
    October 01, 2010 - Dangerous Dialysis October 1, 2010 Holley JL. Dangerous Dialysis . PSNet [internet]. 2010. https://psnet.ahrq.gov/web-mm/dangerous-dialysis Case Objectives List common errors that occur in dialysis units. Describe steps that can be taken by dialysis units to prevent these common errors. Describe the role of the …

  18. Patient Identification Errors: A Systems Challenge | PSNet

    psnet.ahrq.gov/web-mm/patient-identification-errors-systems-challenge
    February 23, 2011 - Patient Identification Errors: A Systems Challenge Citation Text: Choudhury LS, Vu CT. Patient Identification Errors: A Systems Challenge. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2020. Copy Citation Format: Googl…

  19. Medical Devices in the "Wild" | PSNet

    psnet.ahrq.gov/web-mm/medical-devices-wild
    March 27, 2024 - Medical Devices in the "Wild" Citation Text: Gurses AP, Doyle PA. Medical Devices in the "Wild". PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2014. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 …

  20. Context-Aware Knowledge Delivery into Electronic Health Records | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/context-aware-knowledge-delivery-electronic-health-records
    January 01, 2023 - Context-Aware Knowledge Delivery into Electronic Health Records Project Final Report ( PDF , 549.92 KB) Disclaimer Disclaimer The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessarily represent the view…
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