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  1. 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…
  2. Psn-Pdf (pdf file)

    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…
  3. 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 …
  4. Psn-Pdf (pdf file)

    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…
  5. 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…
  6. 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 …
  7. 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…
  8. 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 …
  9. 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…
  10. 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 …
  11. Psn-Pdf (pdf file)

    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…
  12. 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…
  13. 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…
  14. 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 …
  15. Psn-Pdf (pdf file)

    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…
  16. 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…
  17. 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…
  18. 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…
  19. 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…
  20. Psn-Pdf (pdf file)

    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…