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  1. 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…
  2. Psn-Pdf (pdf file)

    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…
  3. 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. Copy Citation Format: …
  4. Psn-Pdf (pdf file)

    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…
  5. Psn-Pdf (pdf file)

    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,…
  6. 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…
  7. Psn-Pdf (pdf file)

    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…
  8. 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…
  9. 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…
  10. 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…
  11. www.uspreventiveservicestaskforce.org/uspstf/recommendation/screening-depression-suicide-risk-adults
    June 20, 2023 - Share to Facebook Share to X Share to WhatsApp Share to Email Print 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…
  12. 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
  13. 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
  14. 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.
  15. 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
  16. 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
  17. 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.
  18. 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
  19. 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
  20. 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