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  1. www.ahrq.gov/sites/default/files/2025-02/nance-report.pdf
    January 01, 2025 - resuscitation, leaving a formerly healthy 75-year old woman brain damaged, incontinent, and in need of nursinghome care for the remainder of her life.
  2. S81 (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/s81.pdf
    October 01, 2007 - ORIGINAL ARTICLE Developing Indicators of Inpatient Adverse Drug Events Through Nonlinear Analysis Using Administrative Data Jonathan R. Nebeker, MS, MD,*†‡§ Paul R. Yarnold, PhD,¶ Robert C. Soltysik, MS,� Brian C. Sauer, PhD,†‡ Shannon A. Sims, MD, MS,** Matthew H. Samore, MD,†‡§** Randall W. Rupper, MD, MPH,*†‡ Ka…
  3. www.ahrq.gov/sites/default/files/2024-10/feudtner-report.pdf
    January 01, 2024 - hospital, 17.2% at home, 8.5% were in the emergency department or during transportation, 0.4% were in nursinghomes, and 21.7% were at other sites.
  4. www.uspreventiveservicestaskforce.org/home/getfilebytoken/nMb54adBfgajp8dG87kPcw
    April 17, 2018 - Interventions to Prevent Falls in Older Adults: Updated Evidence Report and Systematic Review of the USPSTF Interventions to Prevent Falls in Older Adults Updated Evidence Report and Systematic Review for the US Preventive Services Task Force Janelle M. Guirguis-Blake, MD; Yvonne L. Michael, ScD, SM; Leslie A. Perdue…
  5. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy1/Strat1_Tool_9_AdvisorTrain_508.pdf
    March 06, 2013 - Strategy 1: Working with Patients & Families as Advisors (Tool 9) Guide to Patient and Family Engagement Patient and Family Advisor Orientation Manual Guide to Patient and Family Engagement Table of Contents About This Orientation Manual ..........................................................…
  6. psnet.ahrq.gov/perspective/primary-care-and-patient-safety-opportunities-interface
    September 28, 2022 - Primary Care and Patient Safety: Opportunities at the Interface September 28, 2022  Also Read the Conversations In Conversation With... Freya Spielberg, MD, MPH In Conversation With... Jack Westfall, MD, MPH View more articles from the same authors. …
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866216/psn-pdf
    July 10, 2024 - Linking Patient Safety Culture to Quality Ratings in the Nursing Home Setting.
  8. www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/tracking-measuring-data-facilitator-guide.docx
    June 01, 2021 - This is the total number of urine cultures obtained while a resident is receiving care from the nursinghome during the reporting month.
  9. digital.ahrq.gov/sites/default/files/docs/citation/r21hs023989-shah-final-report-2019.pdf
    January 01, 2019 - Use of Mobile Technology to Improve Acute Care Utilization in Sickle Cell Disease - Final Report Nirmish Shah, MD R21 HS23989 Use of Mobile Technology to Improve Acute Care Utilization in Sickle Cell Disease PI: Nirmish Shah …
  10. digital.ahrq.gov/sites/default/files/docs/citation/r21hs024751-dalal-final-report-2019.pdf
    January 01, 2019 - Interactive Patient-Centered Discharge Toolkit - Final Report TITLE: Interactive Patient-Centered Discharge Toolkit Principal Investigator and Team Members: Anuj K Dalal, MD (PI); Jeffrey L Schnipper, MD, MPH (Co-I); Stuart Lipsitz, ScD (Co-I); …
  11. hcup-us.ahrq.gov/reports/statbriefs/sb84.pdf
    January 01, 2010 - Statistical Brief #84: Emergency Department Visits Associated with Motor Vehicle Accidents, 2006 From HEALTHCARE COST AND UTILIZATION PROJECT Agency for Healthcare Research and Quality STATISTICAL BRIEF #84 January 2010 Emergency Department Visits Associated with Motor Vehicle Accidents, 2…
  12. effectivehealthcare.ahrq.gov/sites/default/files/pdf/diabetes-foot-ulcer-amputation-economics_research.pdf
    January 01, 2011 - Economic burden of diabetic foot ulcers and amputations Data Points #3Diabetic Foot Ulcers Beneficiaries with a diabetic foot ulcer are seen by their outpatient health care provider about 14 times per year and are hospitalized about 1.5 times per year. The cost of care for these beneficiaries is substantial, at…
  13. effectivehealthcare.ahrq.gov/sites/default/files/related_files/pressure-ulcer-prevention_disposition-comments.pdf
    May 08, 2013 - combine the spinal cord injured with the generally weak groups All of the trials focused on older nursinghome patients. … “Skin protection cushions used with fitted wheelchairs lower pressure ulcer incidence for elderly nursinghome residents and should be used to help prevent pressure ulcers.” … Collaborative clinical quality improvement for pressure ulcers in nursing homes.
  14. psnet.ahrq.gov/curated-library/implementation-patient-safety-projects
    September 15, 2025 - Breadcrumb Home The PSNet Collection Curated Libraries Subscribed Implementation of Patient Safety Projects  Download  Share Facebook Twitter Linkedin Copy URL Subscribe Created By: Lorri Zipperer, Cybraria…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/850361/psn-pdf
    June 14, 2023 - Critical Echocardiogram Result Lost to Follow-up June 14, 2023 Boctor N, Molla M. Critical Echocardiogram Result Lost to Follow-up. PSNet [internet]. 2023. https://psnet.ahrq.gov/web-mm/critical-echocardiogram-result-lost-follow The Case A 63-year-old man with history of stroke, systolic heart failure, and ventric…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867850/psn-pdf
    February 26, 2025 - In Conversation with Timothy Vogus about High Reliability Organization (HRO) Principles and Patient Safety February 26, 2025 Vogus T, Lee M, Mossburg SE. In Conversation with Timothy Vogus about High Reliability Organization (HRO) Principles and Patient Safety. PSNet [internet]. 2025. https://psnet.ahrq.gov/persp…
  17. meps.ahrq.gov/data_files/publications/mr9/mr9.shtml
    May 01, 2000 - Methodology Report #9: Design, Methods, and Field Results of the 1996 MEPS Medical Provider Component   Skip to main content An official website of the Department of Health & Human Services More …
  18. digital.ahrq.gov/sites/default/files/docs/publication/r18hs017234-wagner-final-report-2011.pdf
    January 01, 2011 - Using an Electronic Personal Health Record to Empower Patients with Hypertension Grant Final Report Grant ID: 18HS017234 Using an Electronic Personal Health Record to Empower Patients with Hypertension Inclusive project dates: 09/01/07 - 08/31/11 Principal Investigator: Peggy J. W…
  19. psnet.ahrq.gov/web-mm/haste-makes-care-unsafe
    January 07, 2015 - Haste Makes Care Unsafe Citation Text: Eichhorn JH. Haste Makes Care Unsafe. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2015. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged P…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/857260/psn-pdf
    November 30, 2023 - When Taking an SGLT2 inhibitor, Remember To SSTOP (Stop SGLT2 Inhibitor Three days bef-O-re Procedures)! November 30, 2023 Bagley B, Tan CL, Plante D. When Taking an SGLT2 inhibitor, Remember To SSTOP (Stop SGLT2 Inhibitor Three days bef-O-re Procedures)!. PSNet [internet]. 2023. https://psnet.ahrq.gov/web-mm/when…