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  1. effectivehealthcare.ahrq.gov/sites/default/files/cer-227-noninvasive-nonpharm-chronic-pain-comments.pdf
    April 16, 2020 - Disposition of Comments: CER 227 Noninvasive Nonpharmacological Treatment for Chronic Pain Comparative Effectiveness Review Disposition of Comments Report Research ReviewTitle: Noninvasive Nonpharmacological Treatment for Chronic Pain: A Systematic Review Update Draft report available for public…
  2. effectivehealthcare.ahrq.gov/sites/default/files/pdf/trauma-child-interventions_research-protocol.pdf
    March 26, 2012 - Evidence-based Practice Center Systematic Review Protocol Source: www.effectivehealthcare.ahrq.gov Published Online: March 26, 2012 Evidence-based Practice Center Systematic Review Protocol Project Title: Interventions Addressing Children Exposed to Trauma: Part 2 – Trauma Other Than Child Maltreatment an…
  3. digital.ahrq.gov/sites/default/files/docs/citation/r21hs023865-lee-final-report-2018.pdf
    January 01, 2018 - Patient-Centered Data Visualizations for Diabetes - Final Report Title of Project: Patient-Centered Data Visualizations for Diabetes Principal Investigator and Team Members: Joyce Lee, MD, MPH; Kai Zheng, PhD Organizations: University of Michigan, Ann Arbor, MI; University of Cali…
  4. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-November_45.pdf
    January 01, 2007 - Physician-Reported Adverse Events and Medical Errors in Obstetrics and Gynecology Physician-Reported Adverse Events and Medical Errors in Obstetrics and Gynecology Martin November, MD, MBA; Lucy Chie, MD; Saul N. Weingart, MD, PhD Abstract Objective: To explore the feasibility of a novel method for capturi…
  5. psnet.ahrq.gov/web-mm/total-parenteral-nutrition-multifarious-errors
    January 23, 2017 - SPOTLIGHT CASE Total Parenteral Nutrition, Multifarious Errors Citation Text: Boullata JI. Total Parenteral Nutrition, Multifarious Errors. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2013. Copy Citation Format: …
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72516/psn-pdf
    November 25, 2020 - Premature Closure: Was It Just Syncope? November 25, 2020 Maurier D, Barnes DK. Premature Closure: Was It Just Syncope? PSNet [internet]. 2020. https://psnet.ahrq.gov/web-mm/premature-closure-was-it-just-syncope Disclosure of Relevant Financial Relationships: As a provider accredited by the Accreditation Council fo…
  7. psnet.ahrq.gov/sites/default/files/2023-04/failure_to_ensure_patient_safety_leads_to_patient_falls_in_nursing_homes.pdf
    January 01, 2023 - Microsoft PowerPoint - FINAL Spotlight_Falls in Skilled Nursing Units_04.12.2023.pptx Spotlight Failure to Ensure Patient Safety Leads to Patient Falls in Nursing Homes Source and Credits • This presentation is based on the April 2023 AHRQ WebM&M Spotlight Case o See the full article at https://psnet.ahrq.gov/we…
  8. psnet.ahrq.gov/web-mm/mobility-lost-icu
    August 01, 2018 - SPOTLIGHT CASE Mobility Lost in the ICU Citation Text: Smith J. Mobility Lost in the ICU. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2011. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNot…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851389/psn-pdf
    July 31, 2023 - Ambulatory Safety Nets to Reduce Missed and Delayed Diagnoses of Cancer July 31, 2023 https://psnet.ahrq.gov/innovation/ambulatory-safety-nets-reduce-missed-and-delayed-diagnoses-cancer Summary Concern over patient safety issues associated with inadequate tracking of test results has grown over the last decade, a…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60268/psn-pdf
    April 29, 2020 - Complications of ECMO During Transport April 29, 2020 Broman M. Complications of ECMO During Transport. PSNet [internet]. 2020. https://psnet.ahrq.gov/web-mm/complications-ecmo-during-transport The Case A 54-year-old woman with end-stage chronic obstructive pulmonary disease (COPD) was admitted with acute on chro…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73102/psn-pdf
    July 01, 2022 - Care Managers Use Software-Aided Medication Review Protocol for Frail, Community-Dwelling Seniors, Leading to More Appropriate Medication Use March 31, 2021 https://psnet.ahrq.gov/innovation/care-managers-use-software-aided-medication-review-protocol-frail- community-dwelling Summary Care management staff (such …
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73128/psn-pdf
    July 01, 2022 - Hospital at Home? Care Reduces Costs, Readmissions, and Complications and Enhances Satisfaction for Elderly Patients. April 7, 2021 https://psnet.ahrq.gov/innovation/hospital-homesm-care-reduces-costs-readmissions-and-complications- and-enhances Summary The Hospital at Homesm program provides hospital-level care…
  13. www.ahrq.gov/sites/default/files/publications/files/execsumm-lean-redesign.pdf
    March 01, 2017 - Spreading Lean: Taking Efficiency Interventions in Health Services Delivery to Scale - Executive Summary Executive Summary Spreading Lean: Taking Efficiency Interventions in Health Services Delivery to Scale Prepared for: Agency for Healthcare Research and Quality 5600 Fishers Lane …
  14. cdsic.ahrq.gov/sites/default/files/2024-07/CDSiC%20Stakeholder%20Center%20Quarterly%20Report%20Q2%202024_7.18.24.pdf
    January 01, 2024 - CDSiC Stakeholder Center Progress Report STAKEHOLDER CENTER PROGRESS REPORT J U N E 2 0 2 4 CDSiC Stakeholder Community and Outreach Center: Quarterly Report Agency for Healthcare Research and Quality 5600 Fishers Lane Rockville, MD 20857 www.ahrq.gov Contract No: 75Q80120D00018 Prepared …
  15. www.ahrq.gov/policymakers/chipra/overview/background/methods.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…
  16. www.ahrq.gov/sites/default/files/2025-05/bisantz-report.pdf
    January 01, 2025 - Final Progress Report: Immersive Simulation for Design and Evaluation of an Emergency Department IT System Immersive Simulation for Design and Evaluation of an Emergency Department IT System Principal Investigator: Ann Bisantz, PhD1 Co-Investigators: Rollin J. Terry Fairbanks, MD1, 2,5 Li Lin, PhD1 A. Zachary He…
  17. Slide 1 (ppt file)

    effectivehealthcare.ahrq.gov/sites/default/files/module_i1.ppt
    October 08, 2025 - Slide 1 Engaging Stakeholders in the Effective Health Care Program Information and tools for researchers and investigators Numeric
  18. psnet.ahrq.gov/web-mm/lack-sepsis-recognition-leads-delay-care-following-cesarean-delivery
    November 30, 2021 - Lack of Sepsis Recognition Leads to Delay in Care Following Cesarean Delivery. Citation Text: Leiserowitz GS, Hedriana H. Lack of Sepsis Recognition Leads to Delay in Care Following Cesarean Delivery.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and …
  19. psnet.ahrq.gov/print/pdf/node/848754
    January 01, 2025 - PSNet Curated Library AHRQ: Agency for Healthcare Research and Quality Implementation of Patient Safety Projects Curated Library Foundations Leading change: why transformation efforts fail. Kotter JP. Harvard Bus Rev  1995;73(2);59-67. Kotter, a professor at Harvard Business School, outlines the eight stages …
  20. digital.ahrq.gov/sites/default/files/CDSiC%20Stakeholder%20Center%20Quarterly%20Report%20Q2%202024_7.18.24.pdf
    September 01, 2024 - CDSiC Stakeholder Center Progress Report STAKEHOLDER CENTER PROGRESS REPORT J U N E 2 0 2 4 CDSiC Stakeholder Community and Outreach Center: Quarterly Report Agency for Healthcare Research and Quality 5600 Fishers Lane Rockville, MD 20857 www.ahrq.gov Contract No: 75Q80120D00018 Prepared …