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hcup-us.ahrq.gov/datainnovations/clinicaldata/Finalreport100109.jsp
July 01, 2016 - Adding Clinical Data to Statewide Administrative Data: Pilot Projects - Final Report
An official website of the Department of Health & Human Services
Search All AHRQ Websites
Careers
Contac…
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/radiation-therapy-brain-metases-protocol.pdf
October 10, 2019 - Research Protocol: Radiation Therapy for Brain Metastases
Evidence-based Practice Center Systematic Review Protocol
Project Title: Radiation Therapy for Brain Metastases: A Systematic Review
I. Background and Objectives for the Systematic Review
The development of secondary malignant growths has particular…
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www.ahrq.gov/sites/default/files/2025-03/taylor-report.pdf
January 01, 2025 - Final Progress Report: Disseminating a Web-Enabled Safety Risk Assessment (SRA) Toolkit for Designing Safer Healthcare Facilities
Final Report
1. Title Page
Principal Investigator: Ellen Taylor
Project Title: Disseminating a web-enabled Safety Risk Assessment (SRA) toolkit for designing safer
healthcare facilitie…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Patterson_48.pdf
May 05, 2008 - In Situ Simulation: Challenges and Results
In Situ Simulation: Challenges and Results
Mary D. Patterson, MD; George T. Blike, MD; Vinay M. Nadkarni, MD
Abstract
In situ simulation, simulation that is physically integrated into the clinical environment, provides
a method to improve reliability and safety in h…
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psnet.ahrq.gov/perspective/conversation-withjennifer-daley-md
January 01, 2008 - Structure and Organization AHS hospitals are individually managed facilities, with local Boards of Directors
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_opt_briefings_facnotes.docx
December 01, 2017 - Both safety culture and technical interventions must be managed to sustain progress.
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/nonopioid-pharm-chronic-pain-protocol.pdf
February 01, 2019 - Nonopioid Pharmacologic Treatments for Chronic Pain
Evidence-based Practice Center Systematic Review Protocol
Project Title: Nonopioid Pharmacologic Treatments for Chronic Pain
I. Background and Objectives for the Systematic Review
Understanding Chronic Pain
Chronic pain is typically defined as pain l…
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs025000-liss-final-report-2019.pdf
January 01, 2019 - Using Location-Based Smartphone Alerts within a System of Care Coordination - Final Report
Using Location-Based Smartphone Alerts within a System of Care
Coordination
Principal Investigator: David Liss, BA, MA, PhD
Co-Investigators:…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/ontimefallpxsamplereports.docx
June 02, 2025 - Abt Single-Sided Body Template
On-Time Falls Prevention: Electronic Reports
Four types of reports are described here. Each section presents a sample report followed by purpose, description, and users and potential uses. The types of reports are:
· On-Time Falls High-Risk Report.
· Quarterly Summary of Falls Risk Facto…
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www.ahrq.gov/sites/default/files/2025-02/shapiro-report.pdf
January 01, 2025 - Final Progress Report: Advancing Quality Measurement and Care Improvement with Health Information Exchange
Title Page
Title: Advancing Quality Measurement and Care Improvement with Health Information
Exchange
Principal Investigator and Team Members:
Jason S Shapiro Role: Principal Investigator
Cindy Clesca…
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psnet.ahrq.gov/perspective/conversation-david-blumenthal-md-mpp
July 01, 2012 - In Conversation With… David Blumenthal, MD, MPP
July 1, 2012
Also Read an Essay
Citation Text:
In Conversation With… David Blumenthal, MD, MPP. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Service…
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/key_drivers_descriptions.pdf
February 01, 2019 - EvidenceNow Key Drivers and
Change Strategies
EvidenceNow Key Drivers and
Change Strategies
Tools & Resources
Change Strategy:
Develop a process to search for
new evidence and other changes
related to Key Driver 1
Change Strategy:
Develop an inter-professional QI
team and other changes related to
Key Driver…
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www.ahrq.gov/sites/default/files/2024-07/buckley-report.pdf
January 01, 2024 - Final Progress Report: Midcoast Maine Patient Safety and IT Integration
Title: Midcoast Maine Patient Safety and IT Integration
Principal Investigator: Maureen Buckle y, PhD, RN – Vice President of Patient
Care
Team Members:
Northeast Health and Partner Organizations
Donna Deblois, MS, RN – Executive Dire…
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www.ahrq.gov/sites/default/files/2025-02/silver-report.pdf
January 01, 2025 - Final Progress Report: Process Reliability and Organizational Learning in Home Health Care
PROL IN HOME HEALTH CARE
Title: Process Reliability and Organizational Learning in Home Health Care
Principal Investigator and Team Members:
Michael P. Silver, MPH Principal Investigator
Cher Edmonds Study Coordinator
Robert…
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www.ahrq.gov/evidencenow/tools/keydrivers/description.html
October 01, 2020 - EvidenceNow Key Drivers and Change Strategies
Below are descriptions of each key driver and change strategy in the EvidenceNOW Key Driver Diagram.
Key Driver 1: Seek, select, and customize the best evidence for use by the practice
The practice of medicine evolves in response to new knowledge about what care…
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psnet.ahrq.gov/web-mm/delay-appropriate-diagnosis-and-treatment-leading-death-pulmonary-embolism
December 31, 2024 - SPOTLIGHT CASE
Delay in Appropriate Diagnosis and Treatment Leading to Death from Pulmonary Embolism
Citation Text:
McCallum W, Barnes DK. Delay in Appropriate Diagnosis and Treatment Leading to Death from Pulmonary Embolism. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Qu…
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psnet.ahrq.gov/web-mm/dangers-missing-epidural-abscess-multiple-visits-and-delayed-diagnosis-severely-negative
April 27, 2022 - SPOTLIGHT CASE
Dangers of Missing an Epidural Abscess: Multiple Visits and Delayed Diagnosis with a Severely Negative Outcome
Citation Text:
Lantz L, Yoon J, Barnes DK. Dangers of Missing an Epidural Abscess: Multiple Visits and Delayed Diagnosis with a Severely Negative Outcome. PSNet [internet…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Stalhandske2_70.pdf
March 01, 2006 - VHA’s National Falls Collaborative and Prevention Programs
VHA’s National Falls Collaborative and
Prevention Programs
Erik Stalhandske, MPP, MHSA; Peter Mills, PhD; Pat Quigley, PhD, ARNP, CRRN, FAAN;
Julia Neily, MS, MPH; James P. Bagian, MD, PE
Abstract
Falls are a high-volume, high-cost problem in he…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Drews_15.pdf
February 26, 2008 - Error Producing Conditions in the Intensive Care Unit
Error Producing Conditions in the
Intensive Care Unit
Frank A. Drews, PhD; Adrian Musters, BS; Matthew H. Samore, MD
Abstract
Up to 98,000 patients die because of human error in U.S. hospitals each year. Among the areas
where errors occur frequently is t…
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psnet.ahrq.gov/web-mm/transfusion-thresholds-gastrointestinal-bleeding
November 26, 2014 - SPOTLIGHT CASE
Transfusion Thresholds in Gastrointestinal Bleeding
Citation Text:
Strate L, Swanson S. Transfusion Thresholds in Gastrointestinal Bleeding. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017.
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