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psnet.ahrq.gov/node/841764/psn-pdf
December 21, 2022 - Lessons learned in implementing a chronic opioid
therapy management system.
December 21, 2022
Carlile N, Fuller TE, Benneyan JC, et al. Lessons learned in implementing a chronic opioid therapy
management system. J Patient Saf. 2022;18(8):e1142-e1149. doi:10.1097/pts.0000000000001039.
https://psnet.ahrq.gov/issue/l…
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psnet.ahrq.gov/node/47232/psn-pdf
November 14, 2018 - Managing alarm systems for quality and safety in the
hospital setting.
November 14, 2018
Bach TA, Berglund L-M, Turk E. Managing alarm systems for quality and safety in the hospital setting. BMJ
Open Qual. 2018;7(3):e000202. doi:10.1136/bmjoq-2017-000202.
https://psnet.ahrq.gov/issue/managing-alarm-systems-quality…
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psnet.ahrq.gov/node/34779/psn-pdf
December 21, 2014 - Measuring and managing quality of surgery. Statistical vs
incidental approaches.
December 21, 2014
McGuire HH, Horsley JS, Salter DR, et al. Measuring and managing quality of surgery. Statistical vs
incidental approaches. Arch Surg. 1992;127(6):733-7; discussion 738.
https://psnet.ahrq.gov/issue/measuring-and-mana…
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psnet.ahrq.gov/node/60622/psn-pdf
January 01, 2021 - Managing teamwork in the face of pandemic: evidence-
based tips.
June 24, 2020
Tannenbaum SI, Traylor AM, Thomas EJ, et al. Managing teamwork in the face of pandemic: evidence-
based tips. BMJ Qual Saf. 2021;30(1):59-63. doi:10.1136/bmjqs-2020-011447.
https://psnet.ahrq.gov/issue/managing-teamwork-face-pandemic-ev…
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psnet.ahrq.gov/node/50408/psn-pdf
October 02, 2019 - Delayed Admissions to the Pediatric Intensive Care Unit:
Progression of Disease or Errors in Emergency
Department Management
October 2, 2019
Czolgosz T, Cashen K, Farooqi A, et al. Delayed Admissions to the Pediatric Intensive Care Unit:
Progression of Disease or Errors in Emergency Department Management. Pediatr …
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psnet.ahrq.gov/node/46492/psn-pdf
November 29, 2017 - Themed Issue on the Opioid Epidemic.
November 29, 2017
Benzon HT, Anderson TA, eds. Anesth Analg. 2017;125(5):1427-1778.
https://psnet.ahrq.gov/issue/themed-issue-opioid-epidemic
Anesthesiologists provide pain management services in both perioperative and inpatient settings. Articles
in this special issue review f…
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psnet.ahrq.gov/node/43971/psn-pdf
April 25, 2016 - Why empathy may be the best risk management strategy.
April 25, 2016
Hertz BT. Why empathy may be the best risk management strategy. Medical economics. 2015;92(3):40-4.
https://psnet.ahrq.gov/issue/why-empathy-may-be-best-risk-management-strategy
Communication and response strategies have been shown to improve how …
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psnet.ahrq.gov/node/50904/psn-pdf
February 19, 2020 - The harms of promoting 'Zero Harm'.
February 19, 2020
Thomas EJ. The harms of promoting ‘Zero Harm’. BMJ Qual Saf. 2019;29(1):4-6. doi:10.1136/bmjqs-2019-
009703.
https://psnet.ahrq.gov/issue/harms-promoting-zero-harm
Achieving “zero harm” has been advocated as a patient safety goal. This editorial proposes that t…
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digital.ahrq.gov/ahrq-funded-projects/self-management-reminders-technology-smart-appraisal-integrated-personal-health/final-report
January 01, 2023 - Self Management & Reminders with Technology: SMART Appraisal of an Integrated Personal Health Record - Final Report
Citation
Roberts M. Self Management & Reminders with Technology: SMART Appraisal of an Integrated Personal Health Record - Final Report. (Prepared by the University of Pittsburgh under G…
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digital.ahrq.gov/ahrq-funded-projects/patient-centered-online-disease-management-using-personal-health-record-system/final-report
January 01, 2023 - Patient-Centered Online Disease Management Using a Personal Health Record System - Final Report
Citation
Tang P. Patient-Centered Online Disease Management Using a Personal Health Record System - Final Report. (Prepared by Palo Alto Medical Foundation Research Institute under Grant No. R18 HS017179). …
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digital.ahrq.gov/sites/default/files/docs/citation/r18hs017191-pohl-final-report-2011.pdf
January 01, 2011 - A Partnership for Clinician EHR Use and Quality of Care - Final Report
A Partnership for Clinician EHR Use and Quality of Care
Final Progress Report
Principal I nves…
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www.ahrq.gov/ncepcr/care/coordination/atlas/chapter6a.html
June 01, 2014 - Care Coordination Measures Atlas Update
Chapter 6. Measure Maps and Profiles (continued, 2)
Previous Page Next Page
Table of Contents
Care Coordination Measures Atlas Update
Chapter 1: Background
Chapter 2. What is Care Coordination?
Chapter 3. Care Coordination Measurement Framework
Chapter…
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www.ahrq.gov/ncepcr/care/coordination/atlas/chapter6k.html
June 01, 2014 - Care Coordination Measures Atlas Update
Chapter 6. Measure Maps and Profiles (continued, 12)
Previous Page Next Page
Table of Contents
Care Coordination Measures Atlas Update
Chapter 1: Background
Chapter 2. What is Care Coordination?
Chapter 3. Care Coordination Measurement Framework
Chapte…
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psnet.ahrq.gov/sites/default/files/2024-12/spotlight_case_csf_leak_after_elective_spine_surgery_slides_-_final.pptx
January 01, 2024 - Spotlight
Spotlight
Management of CSF Leaks After Elective Spine Surgery: Routine Laminectomy Leads to Fatal Discitis and Sepsis
1
Source and Credits
This presentation is based on the December 2024 AHRQ WebM&M Spotlight Case
See the full article at https://psnet.ahrq.gov/webmm
CME credit is available
Comment…
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digital.ahrq.gov/sites/default/files/docs/publication/r18hs018226-sequist-final-report-2013.pdf
January 01, 2013 - A Risk-Based Approach to Improving Management of Chronic Kidney Disease - Final Report
Grant Final Report
Grant ID: R18HS018226
A Risk-Based Approach to Improving Management
of Chronic Kidney Disease
Inclusive Project Dates: 09/30/09 – 07/31/13
Principal Investigator:
Thomas D. Sequist MD, MPH
Team Membe…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/painmgmt-facguide.docx
January 01, 2017 - Facilitator Guide: Build Your SSI Prevention Bundle
Slide Title and Commentary
Slide Number and Slide
Title Slide
Evidence Behind Pain, Agitation, and Delirium: Assessments and Sedation Management
SAY:
In this module, you will learn about the evidence behind pain, agitation, and delirium. You will also learn abou…
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psnet.ahrq.gov/node/49655/psn-pdf
June 01, 2012 - A Painful Dilemma
June 1, 2012
Davison SN. A Painful Dilemma. PSNet [internet]. 2012.
https://psnet.ahrq.gov/web-mm/painful-dilemma
The Case
A 47-year-old woman with end-stage renal disease due to polycystic kidney disease was admitted with
fever. She was taking propoxyphene or hydrocodone at home for pain. She h…
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psnet.ahrq.gov/node/43200/psn-pdf
May 21, 2014 - How Does Hospital Quality Management Drive Quality?
Results From the "Deepening Our Understanding of
Quality Improvement (DUQuE)" Project.
May 21, 2014
Schneider EC, ed. Int J Qual Healthc. 2014;26(suppl 1):1-115.
https://psnet.ahrq.gov/issue/how-does-hospital-quality-management-drive-quality-results-deepening-our…
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psnet.ahrq.gov/node/47068/psn-pdf
June 25, 2018 - The need for closed-loop systems for management of
abnormal test results.
June 25, 2018
Zuccotti G, Samal L, Maloney FL, et al. The Need for Closed-Loop Systems for Management of Abnormal
Test Results. Ann Intern Med. 2018;168(11):820-821. doi:10.7326/M17-2425.
https://psnet.ahrq.gov/issue/need-closed-loop-systems…
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psnet.ahrq.gov/node/849122/psn-pdf
May 17, 2023 - Structural racism in behavioral health presentation and
management.
May 17, 2023
Rainer T, Lim JK, He Y, et al. Structural racism in behavioral health presentation and management. Hosp
Pediatr. 2023;13(5):461-470. doi:10.1542/hpeds.2023-007133.
https://psnet.ahrq.gov/issue/structural-racism-behavioral-health-prese…