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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49400/psn-pdf
    May 01, 2003 - Central Line Clot May 1, 2003 Randolph AG. Central Line Clot. PSNet [internet]. 2003. https://psnet.ahrq.gov/web-mm/central-line-clot Case Objectives List the complications of central line manipulation Appreciate the limitations of diagnostic studies for PE in children Describe modalities for prevention of cathe…
  2. psnet.ahrq.gov/web-mm/code-blue-where
    March 30, 2020 - Code Blue—Where To? Citation Text: Adams BD. Code Blue—Where To?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2007. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS…
  3. www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/diagnostic-error-reduction.pdf
    September 04, 2020 - Evidence in Use of Clinical Reasoning Checklists for Diagnostic Error Reduction PATIENT SAFETY e Issue Brief 3 Evidence on Use of Clinical Reasoning Checklists for Diagnostic Error Reduction e Issue Brief Evidence on Use of Clinical Reasoning Checklists for Diagnostic Error Reduction Prepared for: …
  4. www.ahrq.gov/research/findings/making-healthcare-safer/comparison.html
    June 01, 2025 - Comparison Tables for Making Healthcare Safer Reports The tables below compare all editions of the Agency for Healthcare Research and Quality’s Making Health Care Safer report . The first edition , published in 2001, was developed following the 1999 publication of To Err is Human: Building a Safer Health Sys…
  5. psnet.ahrq.gov/primer/failure-rescue
    September 15, 2024 - Failure to Rescue Citation Text: Tokareva I, Romano P. Failure to Rescue. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2025. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubM…
  6. cdsic.ahrq.gov/sites/default/files/2022-05/Final%20Operations%20Center%20Charter.pdf
    January 01, 2022 - Final Operations Center Charter FINAL OPERATIONS CENTER CHARTER A p r i l 6 , 2 0 2 2 Agency for Healthcare Research and Quality: Clinical Decision Support Innovation Collaborative (CDSiC) Presented by: NORC at the University of Chicago 4350 East-West Highway Suite 800 Bethesda, MD 20814 Presented t…
  7. psnet.ahrq.gov/print/pdf/node/866984
    January 01, 2020 - PSNet Curated Library AHRQ: Agency for Healthcare Research and Quality Interdisciplinary teamwork Curated Library Foundations Medical teamwork and the evolution of safety science: a critical review. Neuhaus C, Lutnæs DE, Bergström J. Cogn Technol Work. 2020;22:13-27. In this narrative review, the authors contr…
  8. www.ahrq.gov/patient-safety/settings/hospital/vtguide/guide5.html
    October 01, 2022 - Preventing Hospital-Associated Venous Thromboembolism Chapter 5. Implement the VTE Prevention Protocol Previous Page Next Page Table of Contents Preventing Hospital-Associated Venous Thromboembolism Preface Executive Summary Chapter 1. The Framework for Improvement Chapter 2. Analyze Care De…
  9. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4d_combo_psi07-crbsi-bestpractices.pdf
    May 20, 2016 - Selected Best Practices and Suggestions for Improvement Toolkit for Using the AHRQ Quality Indicators How To Improve Hospital Quality and Safety 1 Tool D.4d Selected Best Practices and Suggestions for Improvement PSI 07: Central Venous Catheter (CVC)-Related Bloodstream Infections (BSIs) Why Focus on Ce…
  10. effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/white-paper-lumbar-spondylolisthesis.pdf
    March 01, 2021 - White Paper: Standardized Library of Lumbar Spondylolisthesis Outcome Measures Research White Paper Standardized Library of Lumbar Spondylolisthesis Outcome Measures Research White Paper Standardized Library of Lumbar Spondylolisthesis Outcome Measures Prepared for: …
  11. hcup-us.ahrq.gov/reports/ataglance/HCUPanalysisCdiff.pdf
    April 12, 2021 - HCUPanalysisCdiff2019 Adult, Nonmaternal Inpatient Stays Related to Clostridioides difficile: National Trends, 2011-2016 and 2019 April 12, 2021 Recommended Citation: Adult, Nonmaternal Inpatient Stays Related to Clostridioides difficile: N…
  12. hcup-us.ahrq.gov/reports/ataglance/HCUPCDiffHosp2011-2015Rpt081618.pdf
    August 18, 2018 - Recommended Citation: Barrett ML, Owens PL. Clostridium Difficile Hospitalizations, 2011-2015. ONLINE. August 18, 2018. U.S. Agency for Healthcare Research and Quality. Available: www.hcup-us.ahrq.gov/reports.jsp. CLOSTRIDIUM DIFFICILE HOSPITALIZATIONS 2011-2015 HCUP (08/16/18) CDI Hospitalizations 2…
  13. www.ahrq.gov/sites/default/files/2024-07/alexander-report.pdf
    January 01, 2024 - If turnover occurred between survey years, we provided information about prior survey(s) for comparison … In the sample, slight under-representation occurred in county-owned government facilities, and over-representation
  14. hcup-us.ahrq.gov/reports/statbriefs/sb253-Influenza-Hospitalizations-ED-Visits-2006-2016.pdf
    January 01, 2016 - number of inpatient stays, inpatient deaths, and treat-and-release ED visits involving influenza occurred … The most influenza-related inpatient deaths occurred in the 2014–2015 flu season also, peaking at 3,100
  15. digital.ahrq.gov/sites/default/files/docs/citation/r18hs018865-wood-final-report-2015.pdf
    January 01, 2015 - readmissions, since many local hospitals where readmissions may occur (or where index admissions occurred
  16. www.uspreventiveservicestaskforce.org/uspstf/document/treatment-evidence-summary/gestational-diabetes-mellitus-screening-january-2014
    May 28, 2013 - Diagnostic testing in all studies occurred at or after 24 weeks' gestation (when reported).
  17. www.uspreventiveservicestaskforce.org/uspstf/draft-recommendation/cervical-cancer-screening-adults-adolescents
    December 10, 2024 - A Kaiser Permanente registry study found that most cases of ICC among women older than age 65 years occurred
  18. digital.ahrq.gov/sites/default/files/docs/citation/r21hs023960-rudin-final-report-2018.pdf
    January 01, 2018 - Although the steps largely occurred in sequence, at times we needed to return to a previous phase (
  19. psnet.ahrq.gov/web-mm/medication-reconciliation-twist-or-dare-we-say-patch
    April 03, 2024 - high-risk (based on age) and had medication reconciliation performed by a pharmacist, an error still occurred
  20. psnet.ahrq.gov/web-mm/delayed-diagnosis-and-treatment-systemic-lupus-erythematosus-psychiatric-presentation
    September 27, 2023 - In the second clinical encounter, it appeared that a psychotic exacerbation occurred, but again systemic