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  1. 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…
  2. 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…
  3. 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…
  4. 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…
  5. 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
  6. 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.
  7. 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…
  8. 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:…
  9. 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…
  10. 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…
  11. 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…
  12. 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…
  13. 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…
  14. 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…
  15. 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…
  16. 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…
  17. 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…
  18. 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…
  19. 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…
  20. 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. Copy Citati…