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  1. From Insight to Implementation: Lessons from a Multi-site Trial of a PDA-based Warfarin Dose Calculator (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Kravitz.pdf
    February 09, 2005 - WARFDOCS Moderate; warfarin declared a “quality improvement focus” by parent hospital chain in 2003, leading

  2. Venous Thromboembolism Safety Toolkit: A Systems Approach to Patient Safety (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Zierler_81.pdf
    September 01, 2008 - these safe practice interventions can be implemented successfully in diverse health care settings, leading

  3. Evidence-based Practice Center Systematic Review Protocol (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/related_files/breast-biopsy_disposition-comments.pdf
    March 11, 2010 - biopsies given the lower harms associated; and the more you look, the more likely you will find ADH, leading

  4. Disposition of Comments_Systematic Review: The Relationship of Digestible Carbohydrate Intake With Cardiovascular Disease, Type 2 Diabetes, Obesity, and Body Composition (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/related_files/effect-dietary-digestible-disposition-comments_0.pdf
    March 03, 2025 - Disposition of Comments_Systematic Review: The Relationship of Digestible Carbohydrate Intake With Cardiovascular Disease, Type 2 Diabetes, Obesity, and Body Composition Systematic Review Disposition of Comments Report Title: Association of Digestible Carbohydrate Intake With Cardiovascular Disease, Type 2 Diabete…

  5. Don't Use That Port: Insert a PICC | PSNet

    psnet.ahrq.gov/web-mm/dont-use-port-insert-picc
    December 22, 2018 - Don't Use That Port: Insert a PICC Citation Text: Ilan R. Don't Use That Port: Insert a PICC. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2013. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML…

  6. Think Like a Surgeon | PSNet

    psnet.ahrq.gov/web-mm/think-surgeon
    December 04, 2024 - Think Like a Surgeon Citation Text: Cooper Z. Think Like a Surgeon. 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 R…

  7. Bloody BP Cuff | PSNet

    psnet.ahrq.gov/web-mm/bloody-bp-cuff
    June 21, 2016 - Bloody BP Cuff Citation Text: Madan AK. Bloody BP Cuff. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2003. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

  8. Statistical Brief #105: Diabetes Management: Tests and Treatments among the 18 and Older U.S. Civilian Noninstitutionalized Population in 2003 (pdf file)

    meps.ahrq.gov/data_files/publications/st105/stat105.pdf
    December 01, 2005 - Statistical Brief #105: Diabetes Management: Tests and Treatments among the 18 and Older U.S. Civilian Noninstitutionalized Population in 2003 Medical Expenditure Panel Survey Agen Res 5 December 2005 In 20 U.S. alize (14.2 repo Men com of di perc resp The diag thos (16.6 time…

  9. Health IT-Enabled Quality Measurement: Perspectives, Pathways, and Practical Guidance (pdf file)

    digital.ahrq.gov/sites/default/files/docs/20130913-health-it-enabled-quality-measurement-presentation-slides.pdf
    September 13, 2013 - Health IT-Enabled Quality Measurement: Perspectives, Pathways, and Practical Guidance Health IT-Enabled Quality Measurement: Perspectives, Pathways, and Practical Guidance National Webinar September 13, 2013 2 Moderator and Presenter Disclosures Moderator: Rebecca Roper, M.S., M.P.H. Agency for H…

  10. STATISTICAL BRIEF #315: Hypertension in America: Estimates for the U.S. Civilian Noninstitutionalized Population, Age 18 and Older, 2008

    meps.ahrq.gov/data_files/publications/st315/stat315.shtml
    March 01, 2011 - STATISTICAL BRIEF #315: Hypertension in America: Estimates for the U.S. Civilian Noninstitutionalized Population, Age 18 and Older, 2008   Skip to main content An official website of the Department of Health & Human Se…

  11. Module 1: Preventing Pressure Injuries in Hospitals—Understanding Why Change Is Needed | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/workshop/slides1.html
    October 01, 2017 - Module 1: Preventing Pressure Injuries in Hospitals—Understanding Why Change Is Needed Slide Presentation Slide 1: Preventing Pressure Injuries in Hospitals ADD Name of Hospital Here Module 1–Understanding Why Change Is Needed Image: Cover of Preventing Pressure Ulcers in Hospitals Toolkit. Slide …

  12. The Forgotten Radiographic Read | PSNet

    psnet.ahrq.gov/web-mm/forgotten-radiographic-read
    June 07, 2016 - The Forgotten Radiographic Read Citation Text: Coil CJ, Witt MD. The Forgotten Radiographic Read. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7…

  13. Health IT-Enabled Quality Measurement: Perspectives, Pathways, and Practical Guidance (pdf file)

    digital.ahrq.gov/sites/default/files/docs/hit-eqm-slides-091313.pdf
    September 13, 2013 - Health IT-Enabled Quality Measurement: Perspectives, Pathways, and Practical Guidance Health IT-Enabled Quality Measurement: Perspectives, Pathways, and Practical Guidance National Webinar September 13, 2013 2 Moderator and Presenter Disclosures Moderator: Rebecca Roper, M.S., M.P.H. Agency for H…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866848/psn-pdf
    September 25, 2024 - In Conversation with Eric Thomas about Zero Harm: Striving to Reduce Preventable Harms – Point, Counterpoint, and Areas of Agreement September 25, 2024 Thomas E, Mossburg S, Lee M. In Conversation with Eric Thomas about Zero Harm: Striving to Reduce Preventable Harms – Point, Counterpoint, and Areas of Agreement. …

  15. Prevehosp-Implementation-Ig (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/prevehosp-implementation-ig.pdf
    June 02, 2025 - AHRQ’s Safety Program for Nursing Homes: Preventable Hospital and ED Visits 1 On-Time Preventable Hospital and ED Visits: Implementation AHRQ’s Safety Program for Nursing Homes: On-Time Facilitator Training Implementation of the Preventable Hospital and ED Visits Reports Note: This part of the traini…

  16. Right Place, Right Drug, Wrong Strength | PSNet

    psnet.ahrq.gov/web-mm/right-place-right-drug-wrong-strength
    March 26, 2015 - Right Place, Right Drug, Wrong Strength Citation Text: Jelincic V, Greenall J. Right Place, Right Drug, Wrong Strength. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2018. Copy Citation Format: Google Scholar BibTeX En…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49817/psn-pdf
    January 01, 2018 - Slow Down: Right Drug, Wrong Formulation January 1, 2018 Amato MG, Schiff G. Slow Down: Right Drug, Wrong Formulation. PSNet [internet]. 2018. https://psnet.ahrq.gov/web-mm/slow-down-right-drug-wrong-formulation The Case A 65-year-old man presented to his primary care clinic for follow-up after a recent hospitaliz…

  18. Transfusion "Slip" | PSNet

    psnet.ahrq.gov/web-mm/transfusion-slip
    June 14, 2011 - Transfusion "Slip" Citation Text: Kaplan HS. Transfusion "Slip". PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2004. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

  19. A Painful Dilemma | PSNet

    psnet.ahrq.gov/web-mm/painful-dilemma
    September 01, 2013 - A Painful Dilemma Citation Text: Davison SN. A Painful Dilemma. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2012. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

  20. In Conversation With… Kathleen Sutcliffe, MN, PhD | PSNet

    psnet.ahrq.gov/perspective/conversation-kathleen-sutcliffe-mn-phd
    April 26, 2023 - In Conversation With… Kathleen Sutcliffe, MN, PhD April 1, 2017  Citation Text: In Conversation With… Kathleen Sutcliffe, MN, PhD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017. Copy C…
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