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psnet.ahrq.gov/perspective/implementing-fall-prevention-program
November 29, 2023 - Implementing a Fall Prevention Program
Frances Healey, RN, PhD | December 1, 2011
View more articles from the same authors.
Citation Text:
Healey F. Implementing a Fall Prevention Program. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Qualit…
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psnet.ahrq.gov/node/49519/psn-pdf
September 01, 2006 - Triple Handoff
September 1, 2006
Vidyarthi A. Triple Handoff. PSNet [internet]. 2006.
https://psnet.ahrq.gov/web-mm/triple-handoff
Case Objectives
Appreciate the prevalence of handoffs and sign out related errors.
Understand the key elements of a safe and effective written and verbal sign out.
List Kotter’s 8 st…
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psnet.ahrq.gov/web-mm/pseudo-obstruction-real-perforation
April 01, 2015 - SPOTLIGHT CASE
Pseudo-obstruction But a Real Perforation
Citation Text:
Paski SC, Dominitz JA. Pseudo-obstruction But a Real Perforation. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017.
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Format:
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psnet.ahrq.gov/node/49729/psn-pdf
April 01, 2015 - Dissecting the Presentation
April 1, 2015
Suat-Ooi SB. Dissecting the Presentation. PSNet [internet]. 2015.
https://psnet.ahrq.gov/web-mm/dissecting-presentation
Case Objectives
Define aortic dissection.
Describe the epidemiology of acute aortic dissection.
State the common and uncommon presentation of acute aor…
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psnet.ahrq.gov/node/73300/psn-pdf
July 01, 2022 - Project BOOST Increases Patient Understanding of
Treatment and Follow-up Care
May 26, 2021
https://psnet.ahrq.gov/innovation/project-boost-increases-patient-understanding-treatment-and-follow-care
Summary
The Patient Safe-D(ischarge) program used standardized tools to educate patients about their discharge
needs,…
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psnet.ahrq.gov/sites/default/files/2023-06/under_pressure.pdf
January 01, 2023 - Microsoft PowerPoint - FINAL Spotlight Case_Under Pressure.pptx
Spotlight
Under Pressure: Tracheostomy Cuff Over Inflation
Leading to Tissue Necrosis and Cuff Rupture
Source and Credits
• This presentation is based on the June 2023 AHRQ WebM&M
Spotlight Case
o See the full article at https://psnet.ahrq.gov/webmm…
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psnet.ahrq.gov/node/49858/psn-pdf
April 01, 2019 - What Happened on Telemetry?
April 1, 2019
Sandau KE, Funk M. What Happened on Telemetry? PSNet [internet]. 2019.
https://psnet.ahrq.gov/web-mm/what-happened-telemetry
Case Objectives
Describe current hospital practices for continuous telemetry monitoring.
Appreciate key recommendations from the Update to Practice…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-implementation-handouts.pdf
July 01, 2016 - AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Healing 1
AHRQ’s Safety Program for Nursing
Homes: On-Time Pressure Ulcer Healing
Facilitator Training
Implementation of the Healing Reports:
Handouts
Review of Self-Assessment Worksheet
Script Illustrating Change Team Meeting To Discuss an…
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cdsic.ahrq.gov/sites/default/files/2025-09/For%20508%20Approval_MO%20Level%203%20Respondent%20Burden%20Report%208.21.25.pdf
January 01, 2025 - Measurement and Outcomes Workgroup: Considerations for Minimizing Respondent Burden in Collecting Data for Patient-Centered Clinical Decision Support
Measurement and Outcomes
Workgroup:
Considerations for Minimizing
Respondent Burden in Collecting
Data for Patient-Centered Clinical
Decision Support
Agency for…
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digital.ahrq.gov/sites/default/files/For%20508%20Approval_MO%20Level%203%20Respondent%20Burden%20Report%208.21.25.pdf
September 01, 2025 - Measurement and Outcomes Workgroup: Considerations for Minimizing Respondent Burden in Collecting Data for Patient-Centered Clinical Decision Support
Measurement and Outcomes
Workgroup:
Considerations for Minimizing
Respondent Burden in Collecting
Data for Patient-Centered Clinical
Decision Support
Agency for…
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www.uspreventiveservicestaskforce.org/uspstf/recommendation/screening-depression-suicide-risk-adults
June 20, 2023 - Share to Facebook
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Final Recommendation Statement
Depression and Suicide Risk in Adults: Screening
June 20, 2023
Recommendations made by the USPSTF are independent of the U.S. government…
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hcup-us.ahrq.gov/reports/methods/2008_08.pdf
January 01, 2008 - in both the AHA and SASD-CD (“SASD+AHA Total” row) implies that the
vast majority of SASD-CD visits occurred … Many-to-many matching may have
occurred.
12 For the remaining 35 states plus Washington D.C. and Puerto … The largest discrepancies occurred for ICD-9-CM CCS categories 95 and 214. … The
largest discrepancy occurred for CPT CCS category 144: Treatment, facial fracture or
dislocation
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meps.ahrq.gov/data_files/publications/rf12/rf12.shtml
December 01, 2000 - was from January 1, 1996, to the date
of the first interview,
which occurred … fee that covered multiple visits over 3 years were included if
the initial visit occurred … to
an orthodontist was part of a flat fee for which the initial visit
occurred … populations exist
at specified levels of confidence or whether they occurred
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www.uspreventiveservicestaskforce.org/uspstf/document/final-evidence-summary43/prostate-cancer-screening-2012
October 07, 2011 - Serious infections or urinary retention occurred after 0.5% to 1.0% of prostate biopsies. … surveillance provided insufficient information to determine whether more active follow-up actually occurred … False-positive screening results occurred in 12% to 13% of men randomly assigned to PSA-based screening … Serious infections or urine retention occurred after 0.5%–1.0% of prostate biopsies.
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www.ahrq.gov/sites/default/files/2025-03/singer-benneyan-phillips-report.pdf
January 01, 2025 - These project-wide half-day learning sessions occurred
every 4 months (with the exception of our March … the lack of
continuity slowed momentum and impeded progress of specific R&D teams when transitions occurred
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/SvB6EjoVaaQxQr4vpCRtWp
March 01, 2004 - wallet-sized cards listing community resources.65
At 6 and 12 months post delivery, less violence
occurred … Pregnant women at 1) 3 counseling Less violence Fair
et al, randomized prenatal clinics in Texas sessions occurred … groups are assembled
initially, but some question remains whether
some (although not major) differences occurred
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digital.ahrq.gov/sites/default/files/docs/citation/r18hs026170-garcia-final-report-2023.pdf
January 01, 2023 - Data Sources/Collections: Study Setting: Research occurred at outpatient oncology settings
across multiple … surprising to see that most of the
strategies used (28 of 34) were planned and relatively few modifications occurred … This study occurred within the ambulatory oncology clinics of a large,
academic medical center.
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/stent-clopidogrel-practice_research.pdf
March 01, 2009 - Patients
also were excluded if interventions other than stent placement occurred during their PCI
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/labor-delivery-unit/ldu-safety-slides.html
July 01, 2023 - Use predetermined approach to management of cord prolapse:
Staff clearly state a prolapse has occurred
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/training-tools/improving/improving.pptx
May 01, 2017 - Confirms critical information
Provides a place to discuss adverse or potentially adverse events that occurred