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psnet.ahrq.gov/sites/default/files/2020-05/final_may-spotlight-fatal_pca_slides_05.01.2020_cme_review-revised.pdf
January 01, 2020 - Medication errors involving patient-controlled analgesia.
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effectivehealthcare.ahrq.gov/sites/default/files/s9.pdf
October 01, 2007 - part or all of the premium
subsidy amount and plan cost sharing; and (4) risk-sharing
arrangements involving
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digital.ahrq.gov/sites/default/files/docs/survey/improving-sickle-cell-transitions-focus-group-moderator-guide-%20it-developers.pdf
June 16, 2021 - Many clinics
described involving families in transition planning and routinely providing
information
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hcup-us.ahrq.gov/db/vars/age/kidnote.jsp
September 01, 2008 - 2015 data, the HCUP data element AGE is set to missing (.) in the Central Distributor SID for records involving
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/ehc-research-gaps-telehealth.pdf
April 01, 2023 - Outcomes
• Studies across multiple sites to determine when the
use of outpatient teleconsultations involving
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hcup-us.ahrq.gov/reports/statbriefs/sb11.pdf
August 01, 2006 - Deliveries
involving C-sections accounted for the highest aggregate charges of all childbirth-related
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psnet.ahrq.gov/web-mm/standard-deviations
January 01, 2006 - In a case from Massachusetts involving a homeless man with alcoholism and advanced cancer, a priest became
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www.ahrq.gov/sites/default/files/publications/files/cdifftoolkit.pdf
September 01, 2012 - infectious disease fellows
to prescreen candidates for de-escalation
or streamlining initiatives
Involving
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www.uspreventiveservicestaskforce.org/uspstf/recommendation/chronic-obstructive-pulmonary-disease-screening-2016
April 05, 2016 - Share to Facebook
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archived
Final Recommendation Statement
Chronic Obstructive Pulmonary Disease: Screening
April 05, 2016
Recommendations made by the USPSTF are independent of the U.S. g…
-
psnet.ahrq.gov/node/49537/psn-pdf
June 01, 2007 - Beeline to Spine
June 1, 2007
Smetana GW. Beeline to Spine. PSNet [internet]. 2007.
https://psnet.ahrq.gov/web-mm/beeline-spine
Case Objectives
Understand the elements of preoperative medical evaluation.
Appreciate the limited role for preoperative laboratory testing.
Appreciate the importance of communication a…
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www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/curriculum/teamstepps-implementation-slides.pptx
June 02, 2025 - PowerPoint Presentation
Implementing TeamSTEPPS
Introduction
Reflecting on Day 1
Day 2 Preview
Patient safety is threatened by poor communication and teamwork.
TeamSTEPPS provides tools and a framework to improve both.
Questions or reflections on day 1.
2
2
Preparing for Day 2
Day 2 Preview
Day 1:
Int…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/sustainability/premortem-scorecard-facguide.docx
January 01, 2017 - Facilitator Guide: Tools for Sustainability: Premortem and Scorecard
Slide Title and Commentary
Slide Number and Slide
Tools for Sustainability: Premortem and Scorecard
SAY:
This module will cover sustaining and spreading safety improvements. To preface the sustainability discussions, this module is designed to…
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/supplhighlight02.pdf
August 01, 2012 - Supplements to Evaluation Highlight No. 2: How are States and evaluators measuring medical homeness in the CHIPRA Quality Demonstration Grant Program?
1
Supplements to Evaluation Highlight No. 2: How are States and evaluators measuring
medical homeness in the CHIPRA Quality Demonstration Grant Program?
Evalua…
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www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/supplhighlight02.html
May 01, 2013 - Supplements to Evaluation Highlight No. 2
How are States and evaluators measuring medical homeness in the CHIPRA Quality Demonstration Grant Program?
Evaluation Highlight No. 2 is the second in a series of reports that present descriptive and analytic findings from the national evaluation of the Children’s H…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/tpc/small-conf_impact_final_report.docx
January 01, 2011 - IMPaCT Multi-State Conference
February 21-22, 2013
Final Progress Report
Award Information
Principle Investigator: James W. Mold, MD, MPH
Grant Recipient: University of Oklahoma Health Sciences Center
Team Members: Daren DeWalt, MD (North Carolina), Arthur Kaufman, MD (New Mexico), Robert Gabbay, MD (Pennsylvania), …
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www.uspreventiveservicestaskforce.org/uspstf/about-uspstf/methods-and-processes/update-methods-insufficient-evidence
March 04, 2021 - Update on Methods: Insufficient Evidence
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Table of Contents Preface Abstract Introduction Problem Statement Acknowledging the Contribution of Non-RCT Evidence and Persisting I…
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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 …
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www.uspreventiveservicestaskforce.org/uspstf/recommendation/breastfeeding-primary-care-interventions-october-2016
October 25, 2016 - Share to Facebook
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Print
archived
Final Recommendation Statement
Breastfeeding: Primary Care Interventions
October 25, 2016
Recommendations made by the USPSTF are independent of the U.S. govern…
-
psnet.ahrq.gov/node/72911/psn-pdf
March 15, 2021 - The Impact of Communication on Medication Errors
March 15, 2021
Branch J, Hiner D, Jackson V. The Impact of Communication on Medication Errors. PSNet [internet]. 2021.
https://psnet.ahrq.gov/web-mm/impact-communication-medication-errors
The Case
A 93-year-old man with a history of chronic systolic heart failure…
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digital.ahrq.gov/sites/default/files/docs/survey/UHIN_HealthInsight_ROI_Worksheet.xls
June 16, 2021 - Settings
Hospital
Sending: Discharge summaries Receiving: History and physicals
History and physicals
Lab results
Clinic
Sending: History and physicals Receiving: Discharge summaries
Lab results History and physicals
Insurer
Sending: Receiving: Discharge summaries
History and physicals
Lab r…