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3501. Falls Prevention Self-Assessment Worksheet - AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/otimefallspx-implmatls.pdf
      June 02, 2025 - Falls Prevention Self-Assessment Worksheet - AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention Agency for Healthcare Research and Quality Safety Program for Nursing Homes: On-Time Falls Prevention AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention Falls Prevention Self-Assessment Wo…

3502. AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and Emergency Department Visits | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/prevhosp/ereports.html
      September 01, 2017 - AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and Emergency Department Visits Electronic Reports Five reports are described here. Each section presents a sample report followed by purpose, description, and users and potential uses. The reports are: Transfer Risk Reports  (A high r…

3503. Final Progress Report: Risk and Recovery in Complex Environments: Labor and Delivery as a Model (pdf file)
      www.ahrq.gov/sites/default/files/2025-05/goldman2-report.pdf
      January 01, 2025 - Final Progress Report: Risk and Recovery in Complex Environments: Labor and Delivery as a Model RISK AND RECOVERY IN COMPLEX ENVIRONMENTS: LABOR AND DELIVERY AS A MODEL Final Progress Report Grant Award: 1 UC1 HS014376-01 June 30, 2006 Marlene B. Goldman, MS, ScD, Meghan M. Dierks, MD, Ronald G. Marcus, MD, Luk…

3504. Improving Referral Communication Using a Referral Tool Within an Electronic Medical Record (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Gandhi_22.pdf
      February 01, 2007 - Improving Referral Communication Using a Referral Tool Within an Electronic Medical Record Improving Referral Communication Using a Referral Tool Within an Electronic Medical Record Tejal K. Gandhi, MD, MPH; Nancy L. Keating, MD, MPH; Matthew Ditmore; David Kiernan; Robin Johnson; Elisabeth Burdick, MS; Claus Ham…

3505. Diagnostic Errors | PSNet
      psnet.ahrq.gov/perspective/diagnostic-errors
      December 01, 2013 - Annual Perspective Diagnostic Errors Urmimala Sarkar, MD; Kaveh Shojania, MD | January 1, 2014  Also Read a Conversation View more articles from the same authors. Citation Text: Sarkar U, Shojania KG. Diagnostic Errors. PSNet [internet]. Rockville (MD): Ag…

3506. Health IT Hazard Manager Beta-Test Appendix E. Inter-Rater Cognitive Testing Results (pdf file)
      digital.ahrq.gov/sites/default/files/docs/citation/AppendixE_HIT_Hazard_Manager_Beta_Test.pdf
      June 16, 2021 - Health IT Hazard Manager Beta-Test Appendix E. Inter-Rater Cognitive Testing Results Appendix E – Inter-Rater Cognitive Testing Results This appendix summarizes the hazard entries created by the seven test sites to describe the six hazard scenarios. The category headings are the beta version categories. 1. D…

3507. Screening for Abdominal Aortic Aneurysm - Recommendation Statement (pdf file)
      www.uspreventiveservicestaskforce.org/home/getfilebytoken/p8bwnFstpfy9KoDSJhT7m5
      February 01, 2005 - Screening for Abdominal Aortic Aneurysm - Recommendation Statement Summary of Recommendations The USPSTF recommends one-time screening for abdominal aortic aneurysm (AAA) by ultrasonography in men aged 65 to 75 who have ever smoked. B recommendation. The USPSTF found good evidence that screening for AAA and surgica…

3508. Trends in Septicemia Hospitalizations and Readmissions in Selected HCUP States, 2005 and 2010 (pdf file)
      hcup-us.ahrq.gov/reports/statbriefs/sb161.pdf
      June 12, 2013 - Trends in Septicemia Hospitalizations and Readmissions in Selected HCUP States, 2005 and 2010 1 Highlights ■ Across selected States, there was a 32 percent increase in the rate of septicemia hospitalizations between 2005 and 2010. Rates increased from 492 per 100,000 population to 651 per 100,000 populat…

3509. Methods Future Research Needs Number 8: Framework for Considering Study Designs (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pdf/study-design-framework_research.pdf
      March 01, 2012 - size of a study depends on a variety of factors, including the expected number of outcome events occurring … data or ability to recruit: Recruiting is very feasible, since the study is conducted as a naturally occurring

3510. Usability Testing and the Relation of Clinical Information Systems to Patient Safety (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Rogers.pdf
      January 01, 2003 - Usability Testing and the Relation of Clinical Information Systems to Patient Safety 365 Usability Testing and the Relation of Clinical Information Systems to Patient Safety Michelle L. Rogers, Emily Patterson, Roger Chapman, Marta Render Abstract Background: The success of clinical information systems depend…

3511. Using Reported Primary Care Errors to Develop and Implement Patient Safety Interventions: A Report from the ASIPS Collaborative (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/West.pdf
      September 01, 2005 - Using Reported Primary Care Errors to Develop and Implement Patient Safety Interventions: A Report from the ASIPS Collaborative 105 Using Reported Primary Care Errors to Develop and Implement Patient Safety Interventions: A Report from the ASIPS Collaborative David R. West, John M. Westfall, Rodrigo Araya-G…

3512. Improving Healthcare Safety by Enhancing Healthcare Facility Design (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-hcfd-041825.pdf
      April 01, 2025 - Improving Healthcare Safety by Enhancing Healthcare Facility Design AHRQ-Funded Patient Safety Project Highlights Improving Healthcare Safety by Enhancing Healthcare Facility Design Overview Research has shown that optimizing the physical, functional, and aesthetic details of healthcare facilitiesi (e.g., units,…

3513. Spotlight
      psnet.ahrq.gov/sites/default/files/2024-12/spotlight_case_csf_leak_after_elective_spine_surgery_slides_-_final.pptx
      January 01, 2024 - Spotlight Spotlight Management of CSF Leaks After Elective Spine Surgery: Routine Laminectomy Leads to Fatal Discitis and Sepsis 1 Source and Credits This presentation is based on the December 2024 AHRQ WebM&M Spotlight Case See the full article at https://psnet.ahrq.gov/webmm  CME credit is available  Comment…

3514. Using Location-Based Smartphone Alerts within a System of Care Coordination - Final Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/citation/r21hs025000-liss-final-report-2019.pdf
      January 01, 2019 - Using Location-Based Smartphone Alerts within a System of Care Coordination - Final Report Using Location-Based Smartphone Alerts within a System of Care Coordination Principal Investigator: David Liss, BA, MA, PhD Co-Investigators:…

3515. Health IT Hazard Manager Beta-Test Appendix C - Descriptive Analysis (pdf file)
      digital.ahrq.gov/sites/default/files/docs/citation/AppendixC_HIT_Hazard_Manager_Beta_Test.pdf
      June 16, 2021 - Health IT Hazard Manager Beta-Test Appendix C - Descriptive Analysis Appendix C - Descriptive Analysis A detailed descriptive analysis of the Hazard Manager was conducted in a two-step-process: • The first step was to determine how often each question in the Hazard Manager was answered, skipped by the user…

3516. Recommendation: Impaired Visual Acuity in Older Adults: Screening | United States Preventive Services Taskforce
      www.uspreventiveservicestaskforce.org/uspstf/recommendation/impaired-visual-acuity-screening-older-adults
      May 24, 2022 - Share to Facebook Share to X Share to WhatsApp Share to Email Print Final Recommendation Statement Impaired Visual Acuity in Older Adults: Screening May 24, 2022 Recommendations made by the USPSTF are independent of the U.S. governmen…

3517. NAA Data Tools – National Healthcare Safety Dashboard
      datatools.ahrq.gov/action-alliance/
      June 30, 2024 - Skip to main content An official website of the Department of Health and Human Services Search All AHRQ Sites Careers Contact Us Español FAQs Email Updates Data Tools Home CAHPS HCUP …

3518. Doctors With Multiple Malpractice Claims, Disciplinary Actions, and Complaints: What Do We Know? | PSNet
      psnet.ahrq.gov/perspective/doctors-multiple-malpractice-claims-disciplinary-actions-and-complaints-what-do-we-know
      July 01, 2017 - Doctors With Multiple Malpractice Claims, Disciplinary Actions, and Complaints: What Do We Know? David Studdert, LLB, ScD | July 1, 2017  Also Read a Conversation View more articles from the same authors. Citation Text: Studdert DM. Doctors With Multiple Malprac…

3519. Using Electronic Records to Detect and Learn from Ambulatory Diagnostic Errors (pdf file)
      digital.ahrq.gov/sites/default/files/docs/publication/r18hs017244-thomas-final-report-2010.pdf
      January 01, 2010 - Using Electronic Records to Detect and Learn from Ambulatory Diagnostic Errors Grant Final Report Grant ID: 5R18HS017244 Using Electronic Records to Detect and Learn from Ambulatory Diagnostic Errors Inclusive Dates: 09/30/08 - 09/30/10 Principal Investigator: Eric J. Thomas, MD, MPH * …

3520. In Conversation With… Michelle Mello, MPhil, JD, PhD | PSNet
      psnet.ahrq.gov/perspective/conversation-michelle-mello-mphil-jd-phd
      July 01, 2017 - In Conversation With… Michelle Mello, MPhil, JD, PhD July 1, 2017  Also Read an Essay Citation Text: In Conversation With… Michelle Mello, MPhil, JD, PhD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Hum…