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  1. www.ahrq.gov/news/newsletters/e-newsletter/954.html
    April 01, 2025 - Addressing Unhealthy Alcohol Use: Resources From AHRQ Issue Number 954 AHRQ News Now is a weekly newsletter that highlights agency research and program activities. April 22, 2025 AHRQ Stats: Average Annual Spending on Adult Opioid Prescriptions Between 2021 and 2022, average annual total outpatient pres…
  2. psnet.ahrq.gov/perspective/organizational-change-face-highly-public-errors-i-dana-farber-cancer-institute
    December 23, 2020 - Organizational Change in the Face of Highly Public Errors—I. The Dana-Farber Cancer Institute Experience James B. Conway; Saul N. Weingart, MD, PhD | May 1, 2005  View more articles from the same authors. Citation Text: Conway JB, Weingart SN. Organizational Change…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49551/psn-pdf
    December 01, 2007 - Too Hot For Comfort December 1, 2007 Cleland H, Wasiak J. Too Hot For Comfort. PSNet [internet]. 2007. https://psnet.ahrq.gov/web-mm/too-hot-comfort The Case A 4-month-old infant admitted to rule out sepsis was receiving maintenance intravenous (IV) fluid and IV antibiotics via a peripheral line in the left antec…
  4. psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.236_slideshow.ppt
    March 01, 2011 - Spotlight Case July 2008 Spotlight Case March 2011 Volume Too Low: In and Out Pediatric Patient Safety * * Source and Credits This presentation is based on the March 2011 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available Commentary by: Marlene Miller, MD, MSc…
  5. psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.359_slideshow.ppt
    October 01, 2015 - PowerPoint Presentation Spotlight The Risks of Absent Interoperability: Medication-Induced Hemolysis in a Patient With a Known Allergy 1 This presentation is based on the October 2015 AHRQ WebM&M Spotlight Case See the full article at https://psnet.ahrq.gov/ CME credit is available Commentary by: Jacob Reider,…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33638/psn-pdf
    August 01, 2006 - Getting Into Patient Safety: A Personal Story August 1, 2006 Cooper JB. Getting Into Patient Safety: A Personal Story. PSNet [internet]. 2006. https://psnet.ahrq.gov/perspective/getting-patient-safety-personal-story Perspective My journey into patient safety began in 1972. It was born of serendipity enabled by the…
  7. www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/statesummaries/chipra-750-utah-state-snapshot.pdf
    January 01, 2018 - Spotlight on Utah -- The National Evaluation of the CHIPRA Quality Demonstration Grant Program January 2018 This brief highlights the major strategies, lessons learned, and outcomes from Utah’s experience from February 2010 to February 2016 with the quality demonstration funded by the Centers for Medicare & Medic…
  8. Module-8-Slides (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/module-8-slides.pdf
    November 18, 2021 - Implementing Effective Care Coordination Module 8 Diann Gaalema, PhD Hicham Skali, MD, MSc TAKEheart Training and Technical Assistance Components 2 PURPOSE Training sessions guided by the Million Hearts®/AACVPR Cardiac Rehabilitation Change Package (CRCP), located in the Resource Center TAKEheart Website M…
  9. Module-6-Slides (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/module-6-slides.pdf
    October 28, 2021 - Laying the Groundwork for Effective Care Coordination Module 6 Rachel Jarvis, MA, ACSM-RCEP, CEP Tammy Garwick, MA, MBA ACSM RCEP, ACSM CEP, FAACVPR PURPOSE TAKEheart Training and Technical Assistance Components Training sessions guided by the Million Hear…
  10. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/002-ss-antimicrobial-prophylaxis-part-1.pptx
    April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI AHRQ Safety Program for MRSA Prevention: Targeting SSI Antimicrobial Prophylaxis Part 1 Surgical Services For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries AHRQ Pub. No. 25-0029 April 2025 AHRQ Safety Program for MRSA Prevention | Surgica…
  11. 129-Ss-Blank-Lfd (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/129-ss-blank-lfd.docx
    April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI Learning From Defects Tool Surgical Services For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries What Is a Defect? A defect is any clinical or operational event or situation that you would not want to happen again. This could include incidents…
  12. www.ahrq.gov/sites/default/files/wysiwyg/topics/impact-opioid-final.pdf
    November 01, 2018 - Opioids AHRQ Works: Building Bridges Between Research and Practice Opioids Deaths from drug overdoses have risen steadily over the past 2 decades. The misuse of opioids, such as prescription pain medications and heroin, has become widespread across the United States. In response to dramatic increa…
  13. www.ahrq.gov/hai/tools/mvp/modules/cusp/learn-from-defects-slides.html
    February 01, 2017 - Learn From Defects in Care of Mechanically Ventilated Patients: Slide Presentation AHRQ Safety Program for Mechanically Ventilated Patients Slide 1: AHRQ Safety Program for Mechanically Ventilated Patients Learn From Defects in Care of Mechanically Ventilated Patients Slide 2: Learning Objectives Af…
  14. www.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/access/cahps-strategy-6n.pdf
    October 01, 2017 - Strategies for Improving Patient Experience with Ambulatory Care: Price Transparency The CAHPS Ambulatory Care Improvement Guide Practical Strategies for Improving Patient Experience Section 6: Strategies for Improving Patient Experience with Ambulatory Care 6.N. Price Transparency Visit the AHRQ Website f…
  15. www.ahrq.gov/research/findings/final-reports/ptflow/section6.html
    July 01, 2018 - Improving Patient Flow and Reducing Emergency Department Crowding: A Guide for Hospitals Section 6. Facilitating Change and Anticipating Challenges Previous Page Next Page Table of Contents Improving Patient Flow and Reducing Emergency Department Crowding: A Guide for Hospitals Acknowledgments E…
  16. hcup-us.ahrq.gov/news/exhibit_booth/hcup_fact_sheet.jsp
    April 01, 2022 - HCUP Fact Sheet An official website of the Department of Health & Human Services Search All AHRQ Websites Careers Contact Us Espanol FAQs Email Updates …
  17. psnet.ahrq.gov/web-mm/lethal-cap
    December 19, 2018 - Lethal Cap Citation Text: Schillinger D. Lethal Cap. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2004. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Do…
  18. effectivehealthcare.ahrq.gov/sites/default/files/related_files/episodic-migraine-surveillance-report-1.pdf
    June 01, 2022 - not prescribing opioid therapy for acute treatment of episodic migraine pain on (1) short-term (<3 months … need for prescription pain relief, such as need for opioid refills, and (2) long-term opioid use (3 months … In-Process,Ovid MEDLINE(R) Publisher; records were retained] 82 limit 79 to ("all infant (birth to 23 months … )" or "all child (0 to 18 years)" or "newborn infant (birth to 1 month)" or "infant (1 to 23 months) … Trajectory of migraine-related disability over 12 months with lasmiditan for acute treatment of migraine
  19. effectivehealthcare.ahrq.gov/sites/default/files/pdf/dementia-databases-methods_research.pdf
    May 01, 2008 - admitted nursing home residents with dementia and 19% among long-stay nursing home residents; after six months
  20. www.uspreventiveservicestaskforce.org/uspstf/recommendation/physical-activity-promotion-behavioral-counseling-1996
    January 01, 1996 - Over a period of several months, progression to a level of activity that achieves cardiovascular fitness