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pso.ahrq.gov/faq
April 01, 2023 - through contract), including licensed or certified medical professionals
The entity, within each 24-month
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psnet.ahrq.gov/perspective/conversation-lucy-savitz-about-learning-health-systems-patient-safety
February 26, 2025 - frontline staff, because so much improvement was happening, they would say, “Oh, that is the flavor of the month
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Tool_4_PPT_508.pptx
April 01, 2011 - Nearly 20 percent of patients experience an adverse event within a month of discharge, of which ¾ could
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/perinatal/chipra-169-fullreport.pdf
February 01, 2017 - Denominator Statement
All patients, regardless of age, who gave birth during a 12-month period and were
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www.ahrq.gov/research/findings/final-reports/crcscreeningrpt/crcscreen3.html
April 01, 2018 - odds) of intervention patients being screened to that of control patients being screened during an 8-month
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psnet.ahrq.gov/perspective/learning-health-systems-patient-safety
February 26, 2025 - frontline staff, because so much improvement was happening, they would say, “Oh, that is the flavor of the month
-
www.ahrq.gov/sites/default/files/2025-03/wears-perry-report.pdf
January 01, 2025 - the frequencies of
scenarios in terms of events per unit time was:
1/shift – 1/day – 1/week – 1/month
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psnet.ahrq.gov/perspective/what-have-we-learned-about-safe-inpatient-handovers
March 01, 2011 - another person who is essentially covering the service at night versus the person finishing a week or a month
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Woods_78.pdf
July 23, 2008 - Discussing
errors
“We addressed system issues every month as a medical practice review of cases
discussed
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/depression-treatment-ssri_surveillance.pdf
January 01, 2013 - Every month since the
CER’s original release, we received any applicable warnings from the U.S.
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/dyspnea-protocol-amended.pdf
May 19, 2020 - Amended Protocol: Interventions for Breathlessness in Patients with Advanced Cancer
Evidence-based Practice Center Systematic Review Protocol
Project Title: Interventions for Breathlessness in Patients with Advanced Cancer
Amendment Date: May 19, 2020
(Amendments Details–see Section VII)
I. Background…
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/breast-cancer-imaging_research-protocol.pdf
December 17, 2013 - breast-cancer-imaging-protocol-131217
Source: www.effectivehealthcare.ahrq.gov
Published online: December 17, 2013
1
Evidence-based Practice Center Technical Brief Protocol
Project Title: Imaging Techniques for Treatment Evaluation for Metastatic
Breast Cancer
I. Background and Objectives for th…
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psnet.ahrq.gov/perspective/health-care-data-science-quality-improvement-and-patient-safety
October 01, 2016 - Health Care Data Science for Quality Improvement and Patient Safety
Alvin Rajkomar, MD | October 1, 2016
Also Read a Conversation
View more articles from the same authors.
Citation Text:
Rajkomar A. Health Care Data Science for Quality Improvement and Patient S…
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psnet.ahrq.gov/web-mm/hurried-team-huddle-and-poor-communication-unsafe-practice-during-anesthesia-emergency
September 27, 2023 - SPOTLIGHT CASE
Hurried Team Huddle and Poor Communication: Unsafe Practice During Anesthesia for Emergency Cesarean Delivery
Citation Text:
Curtin A, Schloemerkemper N. Hurried Team Huddle and Poor Communication: Unsafe Practice During Anesthesia for Emergency Cesarean Delivery.. PSNet [internet]…
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psnet.ahrq.gov/node/865373/psn-pdf
March 27, 2024 - In Conversation with...Patrick Tighe about Artificial
Intelligence
March 27, 2024
Tighe P. In Conversation with..Patrick Tighe about Artificial Intelligence . PSNet [internet]. 2024.
https://psnet.ahrq.gov/perspective/conversation-withpatrick-tighe-about-artificial-intelligence
Editor's note: Patrick Tighe, MD, MS…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/handouts2.html
December 01, 2017 - AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention
Pressure Ulcer Prevention Handouts (continued)
Implementation of the Prevention Reports Into Day-to-Day Practice
Review of the Change Team's Process of Choosing On-Time Reports, Incorporating Them Into Huddles and Meetings, and Pilot…
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hcup-us.ahrq.gov/db/ccr/ip-ccr/CCR-CD-SID-UserGuide-2001-2018-v2.pdf
January 01, 2018 - CCR CD-SID User Guide 2001-2018 v2
HCUP (12/18/2020) -1- User Guide: CCR for CD-SID Files
Cost-to-Charge Ratio Files:
User Guide for Central Distributor State Inpatient Database (CD-SID) CCRs
The Healthcare Cost and Utilization Project (HCUP) Cost-to-Charge Ratio Files (CCR Files) are
hospital-level files t…
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/exercises.html
December 01, 2017 - AHRQ's Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention
Facilitator Training—Additional Exercises
Contents
Nutrition Risk Reports Information Exercises
Exercise #1: Risk Criteria and Rules
Exercise #2: Identify Residents Meeting High-Risk Criteria
Exercise #3: Identify Resi…
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psnet.ahrq.gov/web-mm/agitated-delirium-contributes-missed-testing-and-delayed-diagnosis-gastric-perforation
June 28, 2023 - SPOTLIGHT CASE
Agitated Delirium Contributes to Missed Testing and Delayed Diagnosis of Gastric Perforation
Citation Text:
Trask J, Carlsen KM, Kuhn BT. Agitated Delirium Contributes to Missed Testing and Delayed Diagnosis of Gastric Perforation. PSNet [internet]. Rockville (MD): Agency for Healt…
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digital.ahrq.gov/sites/default/files/docs/publication/p20hs014903-reiter-final-report-2006.pdf
January 01, 2006 - Planning the Implementation of HIT in a Rural Setting - Final Report
1
Planning the Implementation of Health Information
Technology (HIT) in a Rural Setting
Principal Investigator:
William M. Reiter, MD, FACP
Project Team:
Lau…