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www.ahrq.gov/sites/default/files/2025-05/stein-report.pdf
January 01, 2025 - Final Progress Report: Ultrasound by Emergency Physicians in Ectopic Pregnancy
Ultrasound by Emergency Physicians in Ectopic Pregnancy
Principal Investigator: John C. Stein, MD, MAS
Team Members: Ralph Gonzales, MD, MPH (Primary Mentor)
Michael Callaham (Co-Mentor)
Roy Filly (Co-Mentor)
Organization: Uni…
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psnet.ahrq.gov/node/49541/psn-pdf
August 21, 2007 - Mark My Tooth
August 21, 2007
Smith RA. Mark My Tooth. PSNet [internet]. 2007.
https://psnet.ahrq.gov/web-mm/mark-my-tooth
The Case
A 45-year-old healthy man was scheduled to have two teeth extracted for progressive dental caries. The
patient underwent the extractions, awoke from the anesthesia, and then realized…
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www.ahrq.gov/hai/cusp/modules/understand/science-safety-slides.html
July 01, 2018 - Understand the Science of Safety
Presentation Slides
The Understand the Science of Safety module of the CUSP Toolkit discusses the importance of understanding system design, safe design principles, and valuing diverse input from team members. By analyzing patient safety as a science, frontline providers will …
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psnet.ahrq.gov/node/49667/psn-pdf
October 01, 2012 - Looking for Meds in All the Wrong Places
October 1, 2012
Manias E. Looking for Meds in All the Wrong Places. PSNet [internet]. 2012.
https://psnet.ahrq.gov/web-mm/looking-meds-all-wrong-places
The Case
A 40-year-old uninsured woman with anxiety ran out of her prescribed clonazepam and had a seizure. She
went to t…
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www.ahrq.gov/evidencenow/projects/state/how-to-guide/guide1.html
August 01, 2024 - Developing and Sustaining State-Based Infrastructure To Support Primary Care Quality Improvement
1. Background and Introduction
Previous Page Next Page
Table of Contents
Developing and Sustaining State-Based Infrastructure To Support Primary Care Quality Improvement
Using This Guide
1. Backgroun…
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www.ahrq.gov/sites/default/files/2025-03/berner-report.pdf
January 01, 2025 - Final Progress Report: Reducing Harm to Patients from Diagnostic Errors
Final Progress Report
Reducing Harm to Patients from Diagnostic Errors
Eta S. Berner, EdD, Principal Investigator
Team Members:
Marcie H. Battles, MS, Project Assistant
Mark L. Graber, MD, Consultant
Gordon D. Schiff, MD, Consultant
Pat …
-
www.ahrq.gov/sites/default/files/2024-07/martinez-report.pdf
January 01, 2024 - Final Progress Report: Organization of Care and Outcomes in Cardiac Surgery
Program Director/Principal Investigator (Last, First, Middle): Martinez, Elizabeth A.
Final Progress Report
Title of Project: Organization of Care and Outcomes in Cardiac
Surgery
Principal Investigator: Elizabeth A. Martinez, MD, MHS
T…
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digital.ahrq.gov/sites/default/files/docs/page/2006WardWakefieldLi_051111comp.pdf
January 01, 2005 - Statewide Efforts to Enhance HIT in Critical Access Hospitals
Statewide Efforts
to Enhance HIT in
Critical Access Hospitals
AHRQ Patient Safety and HIT Conference
Marcia M. Ward, James Bahensky,
Douglas S. Wakefield, Pengxiang Li
University of Iowa
Funded by AHRQ Grant HS015009
AHRQ Grant
HIT Value in Iowa …
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digital.ahrq.gov/sites/default/files/docs/page/2006PattersonGeisWears_051611comp.pdf
March 01, 2006 - Implementation of a Simulation Based Patient Safety Curriculum in a Pediatric Emergency Department
Implementation of a Simulation
Based Patient Safety Curriculum
in a Pediatric Emergency
Department
Mary D. Patterson, MD, MEd
Gary Geis, MD
Cincinnati Children’s Hospital
Robert L. Wears, MD, MS
University of Flori…
-
www.ahrq.gov/research/findings/final-reports/ptflow/appendix-c.html
July 01, 2018 - Improving Patient Flow and Reducing Emergency Department Crowding: A Guide for Hospitals
Appendix C: Example Implementation Plan
Previous Page Next Page
Table of Contents
Improving Patient Flow and Reducing Emergency Department Crowding: A Guide for Hospitals
Acknowledgments
Executive Summary
…
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psnet.ahrq.gov/node/33790/psn-pdf
August 01, 2015 - New Insights on Safety and Health IT
August 1, 2015
Hettinger ZA, Ratwani RM, Fairbanks RJ. New Insights on Safety and Health IT. PSNet [internet]. 2015.
https://psnet.ahrq.gov/perspective/new-insights-safety-and-health-it
Perspective
Despite the widespread adoption of electronic health records (EHRs) over the las…
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/chipra-16-p002-3-ef.pdf
May 01, 2016 - Measure: Initial Baseline Screen of Nutritional Status for Every Patient Within 24 Hours of Pediatric Intensive Care Unit (PICU) Admission
Measure: Initial Baseline Screen
of Nutritional Status for Every Patient
Within 24 Hours of Pediatric Intensive Care
Unit (PICU) Admission
Measure Developer: Pediatric Mea…
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/antibiotic-prescribing-slides.pptx
September 01, 2022 - Why Should Your Practice Focus on Improving Antibiotic Prescribing? – Slides
AHRQ Safety Program for Improving Antibiotic Use
Why Should Your Practice Focus on Improving Antibiotic Prescribing?
Ambulatory Care
AHRQ Pub. No. 17(22)-0030
September 2022
Focus on Antibiotic Prescribing
AHRQ Safety Program for Improvin…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.251_slideshow.ppt
October 01, 2011 - Spotlight Case [MONTH] 2003
Spotlight Case
Mobility Lost in the ICU
*
*
Source and Credits
This presentation is based on the October 2011
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available
Commentary by: Jim Smith, PT, DPT, MA; Associate Professor of Physical …
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psnet.ahrq.gov/node/49766/psn-pdf
August 21, 2016 - Getting the (Right) Doctor, Right Away
August 21, 2016
Gupta K, Khanna R. Getting the (Right) Doctor, Right Away. PSNet [internet]. 2016.
https://psnet.ahrq.gov/web-mm/getting-right-doctor-right-away
The Case
A 57-year-old woman with a history of chronic obstructive pulmonary disease underwent hip surgery.
Postop…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.257_slideshow.ppt
December 01, 2011 - Spotlight Case July 2008
Spotlight Case
Order Interrupted by Text: Multitasking Mishap
*
*
Source and Credits
This presentation is based on the December 2011
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available
Commentary by: John Halamka, MD, MS, Chief Informa…
-
www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-0198-table10-figures1-2.pdf
July 16, 2015 - Overuse of Computed Tomography Scans for the Evaluation of Children with a First Generalized Afebrile, Atraumatic Seizure: Table 10 and Figures 1 & 2
Table 10: Evidence Regarding Overuse of Imaging for the Evaluation of Children with Afebrile, Atraumatic
Seizures
Type of
Evidence
Key Findings
Level of
Ev…
-
psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.326_slideshow.ppt
June 01, 2014 - PowerPoint Presentation
Spotlight
Wandering Off the Floors: Safety and Security Risks of Patient Wandering
1
This presentation is based on the June 2014
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available
Commentary by: Thomas A. Smith, CHPA, CPP, President, Healthc…
-
digital.ahrq.gov/2019-year-review/executive-summary
January 01, 2019 - Executive Summary
We are at the beginning of a digital revolution in healthcare, and it’s an exciting time with the potential for innovative whole-person care, data- and evidence-based solutions, and improvements in the healthcare system. The evolution of technology and digitization of d…
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psnet.ahrq.gov/node/867004/psn-pdf
October 30, 2024 - Critical Radiology Alert Process
October 30, 2024
https://psnet.ahrq.gov/innovation/critical-radiology-alert-process
Summary
Vanderbilt University Medical Center developed an electronic trigger tool that alerts the care team of
unrelated abnormal findings and provides a companion follow-up process, with the goal o…