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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…
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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…
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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…
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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…
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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,…
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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…
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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…
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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…
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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…
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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…
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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…
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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…
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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…
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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…
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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…
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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
…
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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.
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Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS
Do…
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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
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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
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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