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2181. Mechanical Prosthetic Valve Thrombosis with Thromboembolism. | PSNet
      psnet.ahrq.gov/web-mm/mechanical-prosthetic-valve-thrombosis-thromboembolism
      August 21, 2005 - Mechanical Prosthetic Valve Thrombosis with Thromboembolism. Citation Text: Hedayati N, White RO. Mechanical Prosthetic Valve Thrombosis with Thromboembolism.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2022. Copy Citation …

2182. Standardizing the Collection of Race, Ethnicity, and Tribal Affiliation Data.
      hcup-us.ahrq.gov/datainnovations/raceethnicitytoolkit/nm2.jsp
      July 01, 2016 - Standardizing the Collection of Race, Ethnicity, and Tribal Affiliation Data. An official website of the Department of Health & Human Services Search All AHRQ Websites Careers Contact Us …

2183. Inappropriate Antibiotic Use | PSNet
      psnet.ahrq.gov/web-mm/inappropriate-antibiotic-use
      September 22, 2010 - Inappropriate Antibiotic Use Citation Text: Babcock HM, Fraser VJ. Inappropriate Antibiotic Use. 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 …

2184. Root Cause Analysis Gone Wrong | PSNet
      psnet.ahrq.gov/web-mm/root-cause-analysis-gone-wrong
      August 28, 2024 - Root Cause Analysis Gone Wrong Citation Text: Peerally MF, Dixon-Woods M. Root Cause Analysis Gone Wrong. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2018. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML E…

2185. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33599/psn-pdf
      August 30, 2023 - Personal Health Literacy August 30, 2023 Bakerjian D. Personal Health Literacy. PSNet [internet]. 2023. https://psnet.ahrq.gov/primer/personal-health-literacy Originally published in July 2017 by researchers at the University of California, San Francisco. Updated in August 2023 by Deb Bakerjian, PhD, RN, APRN, FAA…

2186. Facilitator Notes | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cusp/modules/apply/ac-cusp.html
      December 01, 2012 - Facilitator Notes CUSP Toolkit, Apply CUSP The Apply CUSP module of the CUSP Toolkit introduces Just Culture principles, which emphasize shared accountability and attitudes towards risk. This module also summarizes the concepts and activities of the other six modules in the CUSP Toolkit, including TeamSTEPPS®…

2187. When Looks Aren’t All They Appear to Be: A Medication Error in an Uncommon Indication | PSNet
      psnet.ahrq.gov/web-mm/when-looks-arent-all-they-appear-be-medication-error-uncommon-indication
      July 02, 2019 - When Looks Aren’t All They Appear to Be: A Medication Error in an Uncommon Indication Citation Text: Ton K. When Looks Aren’t All They Appear to Be: A Medication Error in an Uncommon Indication . PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human…

2188. Workshop A4 & B4: Building a Multi-Organizational QI Support System
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/tpc/pa-spread-impact.pptx
      September 01, 2014 - Workshop A4 & B4: Building a Multi-Organizational QI Support System PA SPREAD: Pennsylvania Spreading Primary Care Enhanced Delivery Infrastructure Alan M. Adelman, MD, MS Penn State University College of Medicine; Hershey, PA This project was supported by grant number U18HS020988 from the Agency for Healthcare Re…

2189. Overview of the Comprehensive Unit-based Safety Program for Application to Mechanically Ventilated Patients: Facilitator Guide | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/mvp/modules/cusp/overview-cusp-mvp-facguide.html
      February 01, 2017 - Overview of the Comprehensive Unit-based Safety Program for Application to Mechanically Ventilated Patients: Facilitator Guide AHRQ Safety Program for Mechanically Ventilated Patients Slide 1: Overview of the Comprehensive Unit-based Safety Program for Application to Mechanically Ventilated Patients Say: …

2190. Medication Reconciliation Technology to Improve Quality of Transitional Care - Final Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/publication/r18hs018183-weiner-final-report-2013.pdf
      January 01, 2013 - Medication Reconciliation Technology to Improve Quality of Transitional Care - Final Report Grant Final Report Grant ID: R18HS018183 Medication Reconciliation Technology to Improve Quality of Transitional Care Inclusive Project Dates: 09/30/09 – 07/31/13 Principal Investigator: Michael Weiner Team Member…

2191. The Unfamiliar Catheter | PSNet
      psnet.ahrq.gov/web-mm/unfamiliar-catheter
      November 01, 2006 - The Unfamiliar Catheter Citation Text: Swayze SC, James A. The Unfamiliar Catheter. 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 Endnote t…

2192. Breakage of a PICC Line | PSNet
      psnet.ahrq.gov/web-mm/breakage-picc-line
      June 21, 2023 - SPOTLIGHT CASE Breakage of a PICC Line Citation Text: Dimov V. Breakage of a PICC Line. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2009. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote …

2193. A_ReferenceLibrary (pdf file)
      digital.ahrq.gov/sites/default/files/docs/page/A_ReferenceLibrary_1.pdf
      February 16, 2006 - A_ReferenceLibrary Appendix A: Reference Library APPENDIX A: REFERENCE LIBRARY PURPOSE: This reference library is intended to provide a focused subset of key papers, presentations, and other resources to aid readers in understanding the critical issues underlying the purpose of the Privacy and Securit…

2194. Patient and Family Centered I-PASS (Family-Centered Communication Program to Reduce Medical Errors and Improve Family Experience and Communication Processes) | PSNet
      psnet.ahrq.gov/innovation/patient-and-family-centered-i-pass-family-centered-communication-program-reduce-medical
      February 26, 2025 - Patient and Family Centered I-PASS (Family-Centered Communication Program to Reduce Medical Errors and Improve Family Experience and Communication Processes) Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL …

2195. Personal Health Literacy | PSNet
      psnet.ahrq.gov/primer/personal-health-literacy
      October 31, 2023 - Personal Health Literacy Citation Text: Bakerjian D. Personal Health Literacy. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2023. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged…

2196. Pharmacotherapy | The Academy
      integrationacademy.ahrq.gov/products/playbooks/opioid-use-disorder/implement-mat-for-oud/pharmacotherapy
      January 01, 2018 - 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…

2197. Research Themes and Findings | Digital Healthcare Research
      digital.ahrq.gov/program-overview/research-reports/2022-year-review/research-themes-and-findings
      January 01, 2022 - Research Themes and Findings The DHR program funds research that demonstrates how digital healthcare solutions can be designed and implemented to improve healthcare system performance and patient health outcomes. Our funded research focuses on advancing patient safety, care, and shared dec…

2198. Surgery Flags Software for ICD-9-CM
      hcup-us.ahrq.gov/toolssoftware/surgflags/surgeryflags.jsp
      October 01, 2017 - Surgery Flags Software for ICD-9-CM An official website of the Department of Health & Human Services Search All AHRQ Websites Careers Contact Us Espanol FAQs Email Updates …

2199. A_ReferenceLibrary (pdf file)
      digital.ahrq.gov/sites/default/files/docs/page/A_ReferenceLibrary_0.pdf
      February 16, 2006 - A_ReferenceLibrary Appendix A: Reference Library APPENDIX A: REFERENCE LIBRARY PURPOSE: This reference library is intended to provide a focused subset of key papers, presentations, and other resources to aid r…

2200. Automated Adverse Drug Event Detection and Intervention - Final Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/publication/uc1hs014882-ferranti-final-report-2008.pdf
      January 01, 2008 - analytical and quality assurance services will need to be provided to the community-based hospitals to maintain