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digital.ahrq.gov/2019-year-review/research-summary/emerging-innovative-newly-funded-research
January 01, 2019 - AHRQ’s Emerging and Innovative Newly Funded Research Initiated in 2019
The Digital Healthcare Research Program at AHRQ continues to fund foundational research to identify and generate digital healthcare knowledge and tools that are shareable, standards-based, publicly available, and whol…
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digital.ahrq.gov/ahrq-funded-projects/using-smart-devices-implement-evidence-based-ehealth-system-older-adults
July 31, 2025 - Using Smart Devices to Implement an Evidence-based eHealth System for Older Adults
Project Description
Publications
Events
Research Story
Enhancing an evidence-based electronic health intervention, Elder Tree, with voice-controlled technology can broaden its u…
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hcup-us.ahrq.gov/datainnovations/raceethnicitytoolkit/data_improve_linkages.jsp
February 01, 2025 - Race and Ethnicity Data Improvement Toolkit
An official website of the Department of Health & Human Services
Search All AHRQ Websites
Careers
Contact Us
Espanol
FAQs
Ema…
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digital.ahrq.gov/sites/default/files/docs/citation/cdsic-accomplishments-brief.pdf
September 01, 2025 - CDSiC Accomplishments Brief
Clinical Decision Support Innovation
Collaborative
Advanced patient-centered clinical decision support (PC CDS) through stakeholder-driven innovation
and real-world testing
The Agency for Healthcare Research and Quality (AHRQ) is improving how clinicians and patients use digital tools t…
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psnet.ahrq.gov/primer/root-cause-analysis
March 30, 2022 - Root Cause Analysis
Citation Text:
Root Cause Analysis. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS
…
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psnet.ahrq.gov/node/33871/psn-pdf
December 22, 2018 - Maternal Safety
December 22, 2018
Lyndon A. Maternal Safety. PSNet [internet]. 2018.
https://psnet.ahrq.gov/perspective/maternal-safety
Annual Perspective 2018
The Context of Maternal Safety
Childbirth-related maternal health outcomes have been worsening for some time in the United States. After
a dramatic reduc…
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digital.ahrq.gov/ahrq-funded-projects/health-information-technology-value-rural-hospitals/annual-summary/2008
January 01, 2008 - Health Information Technology Value in Rural Hospitals - 2008
Project Name
Health Information Technology Value in Rural Hospitals
Principal Investigator
Ward, Marcia
Organization
University of Iowa
Funding Mechanism
RFA: HS04-012: Demonstrating the Value of Health I…
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digital.ahrq.gov/bar-coded-medication-administration
January 01, 2023 - This information is for reference purposes only. It was current when produced and may now be outdated. Archive material is no longer maintained, and some links may not work. Persons with disabilities having difficulty accessing this information should contact us at: https://digital.ahrq.gov/contact-us . Let us know th…
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www.ahrq.gov/sites/default/files/wysiwyg/chsp/compendium/2020-Compendium-TechDoc-rev.pdf
January 01, 2020 - Compendium of U.S. Health Systems, 2020, Technical Documentation
Comparative Health System Performance Initiative:
Compendium of U.S. Health Systems, 2020, Technical
Documentation
Prepared for:
Agency for Healthcare Research and Quality
U.S. Department of Health and Human Services
5600 Fishers Lane
R…
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www.ahrq.gov/sites/default/files/wysiwyg/chsp/compendium/2021-Compendium-TechDoc-rev.pdf
January 01, 2021 - Compendium of U.S. Health Systems, 2021, Technical Documentation
Comparative Health System Performance Initiative:
Compendium of U.S. Health Systems, 2021, Technical
Documentation
Prepared for:
Agency for Healthcare Research and Quality
U.S. Department of Health and Human Services
5600 Fishers Lane
Rockvill…
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psnet.ahrq.gov/node/72613/psn-pdf
December 22, 2020 - In Conversation With... Elsabeth Kalenderian, DDS, MPH,
PhD and Muhammad F. Walji, PhD
December 22, 2020
In Conversation With.. Elsabeth Kalenderian, DDS, MPH, PhD and Muhammad F. Walji, PhD. PSNet
[internet]. 2020.
https://psnet.ahrq.gov/perspective/conversation-elsabeth-kalenderian-dds-mph-phd-and-muhammad-f-
w…
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psnet.ahrq.gov/node/49681/psn-pdf
April 01, 2013 - Total Parenteral Nutrition, Multifarious Errors
April 1, 2013
Boullata JI. Total Parenteral Nutrition, Multifarious Errors. PSNet [internet]. 2013.
https://psnet.ahrq.gov/web-mm/total-parenteral-nutrition-multifarious-errors
Case Objectives
Define parenteral nutrition (PN).
Describe the PN-use process.
Identify …
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psnet.ahrq.gov/web-mm/misplaced-nasogastric-tube-resulting-aspiration
August 01, 2009 - Misplaced Nasogastric Tube Resulting in Aspiration
Citation Text:
Singh A, Huang C. Misplaced Nasogastric Tube Resulting in Aspiration. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2024.
Copy Citation
Format:
Google S…
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psnet.ahrq.gov/node/861738/psn-pdf
January 31, 2024 - A Laceration that Needed a Proper Exam, Not an X-Ray
January 31, 2024
Wander J, Barnes DK. A Laceration that Needed a Proper Exam, Not an X-Ray. PSNet [internet]. 2024.
https://psnet.ahrq.gov/web-mm/laceration-needed-proper-exam-not-x-ray
Disclosure of Relevant Financial Relationships: As a provider accredited by t…
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psnet.ahrq.gov/sites/default/files/2024-01/spotlight_case_laceration_needed_exam_not_x-ray_final.pdf
January 01, 2024 - Spotlight
Spotlight
Laceration that Needed a Proper Exam, Not an X-Ray
Source and Credits
• This presentation is based on the January 2024 AHRQ WebM&M
Spotlight Case
o See the full article at https://psnet.ahrq.gov/webmm
o CME credit is available
o Commentary by: Jazmin A. Wander, MD and David K. Barnes, MD,
F…
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psnet.ahrq.gov/node/49801/psn-pdf
August 01, 2017 - Despite Clues, Failed to Rescue
August 1, 2017
Ghaferi AA. Despite Clues, Failed to Rescue. PSNet [internet]. 2017.
https://psnet.ahrq.gov/web-mm/despite-clues-failed-rescue
Case Objectives
Define failure to rescue.
Identify the main contributors to failure-to-rescue events.
Appreciate the ongoing areas of scien…
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www.ahrq.gov/practiceimprovement/delivery-initiative/execsumm.html
June 01, 2017 - Spreading Lean: Taking Efficiency Interventions in Health Services Delivery to Scale
Executive Summary
This executive summary provides details on a project to study the implementation, spread, and sustainability of Lean-based redesigns in primary care departments at the Palo Alto Medical Foundati…
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www.ahrq.gov/sites/default/files/publications/files/execsumm-lean-redesign.docx
March 01, 2017 - Executive Summary
Spreading Lean: Taking Efficiency Interventions in Health Services Delivery to Scale
Prepared for:
Agency for Healthcare Research and Quality
5600 Fishers Lane
Rockville, MD 20857
www.ahrq.gov
Accelerating Change and Transformation in Organizations and Networks II
Contract No. HHSA2902010…
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www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/guide/phases.html
September 01, 2017 - Pressure Injury Prevention Program Implementation Guide
Pressure Injury Prevention Program Phases
Previous Page Next Page
Table of Contents
Pressure Injury Prevention Program Implementation Guide
Overview
Get Ready
Pressure Injury Prevention Program Phases
Appendix A. RACI Chart
Appendix B…
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www.ahrq.gov/prevention/resources/vision/resources/vision5.html
October 01, 2002 - Chapter 5
Vision Rehabilitation: Care and Benefit Plan Models: Literature Review
References
1 McNeil, JM. Americans with disabilities 1994-95. Current Population Reports P7061:3-6; August 1997.
2 Verbrugge LM, Patrick DL. Seven chronic conditions: their impact on U.S. adults' activity levels and use o…