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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/medication/safe-medication-fac-guide.html
July 01, 2023 - Safe Medication Administration: Facilitator Guide
AHRQ Safety Program for Perinatal Care
Slide 1: Safe Medication Administration
Say:
The Safe Medication Administration bundle provides information on high-alert medications commonly used in labor and delivery (L&D) units, and discusses the importance of …
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www.ahrq.gov/research/findings/final-reports/crcscreeningrpt/crcscreen2.html
April 01, 2018 - Health Care Systems for Tracking Colorectal Cancer Screening Tests
2. Description of the Intervention
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Table of Contents
Health Care Systems for Tracking Colorectal Cancer Screening Tests
Executive Summary
1. Introduction
2. Description of the Intervention
2. Descripti…
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psnet.ahrq.gov/web-mm/hemorrhagic-shock-after-elective-spine-surgery-failure-rescue-after-limited-response-nursing
October 31, 2023 - SPOTLIGHT CASE
Hemorrhagic Shock after Elective Spine Surgery: Failure to Rescue after Limited Response to Nursing Concerns.
Citation Text:
Zakaluzny S. Hemorrhagic Shock after Elective Spine Surgery: Failure to Rescue after Limited Response to Nursing Concerns.. PSNet [internet]. Rockville (MD):…
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psnet.ahrq.gov/innovation/abcdef-bundle-data-literacy-training-performance-measurement-tracking-and-performance
September 23, 2024 - ABCDEF Bundle + Data Literacy Training, Performance Measurement Tracking, and Performance Feedback
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February 28, 2024
Innovation
Conta…
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psnet.ahrq.gov/primer/retained-surgical-items-definition-and-epidemiology
September 15, 2024 - Retained Surgical Items: Definition and Epidemiology.
Citation Text:
Romano PS, Gibbs VC. Retained Surgical Items: Definition and Epidemiology.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2024.
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www.ahrq.gov/patient-safety/settings/hospital/resource/nicu/packet/apb.html
December 01, 2013 - Transitioning Newborns from NICU to Home
Appendix B. Clinical Materials to Share With Primary Care Providers
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Table of Contents
Transitioning Newborns from NICU to Home
A Resource Toolkit
Basic Components of the Health Coach Program
Family Information Packet Cover Sheet …
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/duration/chipra-157-bibliography.pdf
June 12, 2018 - CHIPRA 157 Bibliography
Bibliography – Continuity of Insurance: Duration of Newborns’ First
Observed Enrollment
Abdullah MB. On a robust correlation coefficient. Statistician 1990; 39:455-60.
Addiss DG, Shaffer N, Fowler BS, et al. The epidemiology of appendicitis and appendectomy in
the United States.” Am J …
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/duration/chipra-155-bibliography.pdf
May 08, 2018 - CHIPRA 155: Bibliography
Continuity of Insurance: Coverage Presumed Ineligible
Bibliography
Abdullah MB. On a robust correlation coefficient. Statistician 1990; 39:455-60.
Addiss DG, Shaffer N, Fowler BS, et al. The epidemiology of appendicitis and appendectomy in
the United States. Am J Epidemiol 1990; 132 …
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digital.ahrq.gov/ahrq-funded-projects/adapting-scaling-and-spreading-algorithmic-asthma-mobile-intervention-promote
January 01, 2024 - Adapting, Scaling, and Spreading an Algorithmic Asthma Mobile Intervention to Promote Patient-Reported Outcomes Within Primary Care Settings
Project Final Report ( PDF , 778.05 KB) Disclaimer
Disclaimer
The findings and conclusions in this document are those of the author(s), who…
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www.ahrq.gov/hai/pfp/2015-interim.html
December 01, 2016 - National Scorecard on Rates of Hospital-Acquired Conditions 2010 to 2015: Interim Data From National Efforts To Make Health Care Safer
Summary
Preliminary 1 estimates for 2015 show a 21 percent decline in hospital-acquired conditions (HACs) since 2010. A cumulative total of 3.1 million fewer HACs were expe…
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hcup-us.ahrq.gov/datainnovations/2015HCUPStateDatabases04072017.pdf
April 07, 2017 - Recommended Citation: Barrett ML. 2015 Healthcare Cost and Utilization Project
(HCUP) State Databases: Change in Structure and Data Elements Caused by
Transition to ICD-10-CM/PCS. ONLINE. April 7, 2017. U.S. Agency for Healthcare
Research and Quality. Available: https://www.hcup-
us.ahrq.gov/datainnovations/icd…
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digital.ahrq.gov/ahrq-funded-projects/developing-evidence-based-user-centered-design-and-implementation-guidelines
January 01, 2023 - Developing Evidence-Based, User-Centered Design and Implementation Guidelines to Improve Health Information Technology Usability
Project Final Report ( PDF , 283.3 KB) Disclaimer
Disclaimer
The findings and conclusions in this document are those of the author(s), who are respons…
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psnet.ahrq.gov/node/49522/psn-pdf
November 01, 2006 - Getting a Good Report Card: Unintended Consequences
of the Public Reporting of Hospital Quality
November 1, 2006
Lindenauer PK. Getting a Good Report Card: Unintended Consequences of the Public Reporting of
Hospital Quality. PSNet [internet]. 2006.
https://psnet.ahrq.gov/web-mm/getting-good-report-card-unintended-…
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www.ahrq.gov/sites/default/files/2025-06/nishisaki3-report.pdf
January 01, 2025 - Final Progress Report: Improving the safety of pediatric tracheal intubation in ICUs with apneic oxygenation and video laryngoscopes
Title: Improving the safety of pediatric tracheal intubation in ICUs with
apneic oxygenation and video laryngoscopes
Principal Investigator: Akira Nishisaki, MD, MSCE
Co-Investigator…
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www.ahrq.gov/sites/default/files/2025-03/trowbridge-report.pdf
January 01, 2025 - Final Progress Report: Diagnostic Error in Medicine Annual Conference
AHRQ Grant Final Progress Report
Title of Project: Diagnostic Error in Medicine Annual Conference
Principal Investigator: Robert Trowbridge, MD
Team Members:
• Paul L. Epner, MEd, MBA, Executive Vice President, Society to Improve Diagnosis in …
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psnet.ahrq.gov/perspective/conversation-paul-g-shekelle-md-mph-phd
February 26, 2025 - In Conversation With… Paul G. Shekelle, MD, MPH, PhD
October 1, 2011
Citation Text:
In Conversation With… Paul G. Shekelle, MD, MPH, PhD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2011. …
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psnet.ahrq.gov/web-mm/deaths-not-foretold-are-unexpected-deaths-useful-patient-safety-signals
March 01, 2004 - Deaths Not Foretold: Are Unexpected Deaths Useful Patient Safety Signals?
Citation Text:
Shojania KG. Deaths Not Foretold: Are Unexpected Deaths Useful Patient Safety Signals?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2007.
C…
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psnet.ahrq.gov/web-mm/navigating-chaos-fatal-iatrogenic-liver-injury-patient-admitted-leg-fractures
November 27, 2019 - Navigating Chaos: Fatal Iatrogenic Liver Injury in a Patient Admitted for Leg Fractures
Citation Text:
Loseth C. Navigating Chaos: Fatal Iatrogenic Liver Injury in a Patient Admitted for Leg Fractures. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and …
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meps.ahrq.gov/data_files/publications/st512/stat512.pdf
May 01, 2018 - AHRQ Statistical Brief #512
STATISTICAL BRIEF #512
May 2018
STATISTICAL BRIEF #512:
Insurance and Access to Care in Urban and Rural Areas, 2014-2015
James B. Kirby, PhD and Pradip Muhuri, PhD
Introduction…
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www.ahrq.gov/hai/pfp/haccost2017-ref.html
May 01, 2023 - Estimating the Additional Hospital Inpatient Cost and Mortality Associated With Selected Hospital-Acquired Conditions
References
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Table of Contents
Estimating the Additional Hospital Inpatient Cost and Mortality Associated With Selected Hospital-Acquired Conditions
Discussio…