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effectivehealthcare.ahrq.gov/sites/default/files/related_files/nursing-staff-shortages-rapid-research.pdf
April 01, 2025 - post-mandate patient-to-nurse ratio mean 1.28, SE 0.15; p =
0.006) which was congruent with changes occurring … Many quality improvement initiatives are like initiatives
occurring in other hospitals.
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/cer-193-disposition-comments-naloxone.pdf
November 27, 2017 - findings (at least
indirectly) inform this question, such as the lack
of evidence of adverse events occurring … With anoxic
brain injury occurring 4-5 minutes from initial
respiratory arrest, it should be discussed
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hcup-us.ahrq.gov/reports/projections/2012-02.pdf
January 01, 2012 - prevalence of cardiovascular and cerebrovascular
diseases increases with age, with cardiovascular disease occurring
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digital.ahrq.gov/sites/default/files/docs/citation/ereferralimplementationreportfinal.pdf
February 01, 2012 - Use of an Electronic Referral System to Improve the Outpatient Primary Care–Specialty Care Interface
Use of an Electronic Referral
System to Improve the Outpatient
Primary Care–Specialty Care
Interface
Final ACTION Contract Report
…
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/stroke-atrial-fibrillation_disposition-comments.pdf
August 23, 2013 - Disposition of Comments Report for Stroke Prevention in Atrial Fibrillation
Comparative Effectiveness Research Review Disposition of Comments Report
Research Review Title: Stroke Prevention in Atrial Fibrillation
Draft review available for public comment from August 31, 2012, to September 28, 2012.
…
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/sleep-apnea-treatment-future_research.pdf
February 01, 2012 - Future Research Needs for Treatment of Obstructive Sleep Apnea
Future Research Needs Paper
Number 12
Future Research Needs
for Treatment of
Obstructive Sleep
Apnea
Future Research Needs Paper
Number 12
Future Research Needs for Treatment of Obstructive
Sleep Apnea
Identification of Future Research …
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/crohns-disease_executive.pdf
February 01, 2014 - 1
Comparative Effectiveness Review
Number 131
Pharmacologic Therapies for the Management
of Crohn’s Disease: Comparative Effectiveness
Executive Summary
Description of Crohn’s Disease
Crohn’s disease is a type of inflammatory
bowel disease. Other types of inflammatory
bowel disease include ulcerative colitis
a…
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/advanced-care-decision-aids_technical-brief.pdf
July 01, 2014 - A total of 1,364 patients were treated with a neurothrombectomy device as part of X reports
Decision Aids
for Advance
Care Planning
Technical Brief
Number 16
Technical Brief
Number 16
Decision Aids for Advance Care Planning
Prepared for:
Agency for Healthcare Research and Quality
U.S. Departmen…
-
hcup-us.ahrq.gov/db/nation/neds/NEDS2018Introduction.pdf
November 01, 2020 - HEALTHCARE COST AND UTILIZATION PROJECT — HCUP
HEALTHCARE COST AND UTILIZATION PROJECT — HCUP
A FEDERAL-STATE-INDUSTRY PARTNERSHIP IN HEALTH DATA
Sponsored by the Agency for Healthcare Research and Quality
INTRODUCTION TO
THE HCUP NATIONWIDE EMERGENCY DEPARTMENT SAMPLE (NEDS)
2018
These page…
-
hcup-us.ahrq.gov/db/nation/neds/NEDS2019Introduction.pdf
September 01, 2021 - HEALTHCARE COST AND UTILIZATION PROJECT — HCUP
HEALTHCARE COST AND UTILIZATION PROJECT — HCUP
A FEDERAL-STATE-INDUSTRY PARTNERSHIP IN HEALTH DATA
Sponsored by the Agency for Healthcare Research and Quality
INTRODUCTION TO
THE HCUP NATIONWIDE EMERGENCY DEPARTMENT SAMPLE (NEDS)
2019
These page…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Davis.pdf
February 12, 2004 - Implementation of a Data-based Medical Event Reporting System in the U.S. Department of Defense
235
Implementation of a Data-based
Medical Event Reporting System in
the U.S. Department of Defense
Mary Ann Davis, Geoffrey W. Rake
Abstract
Objective: As a result of the Institute of Medicine (IOM) report, To…
-
www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hsops2-pilot-results-parti.pdf
September 01, 2019 - 2019 Hospital Survey Pilot Test Results Part I
Pilot Test Results From the 2019 AHRQ
Surveys on Patient Safety CultureTM (SOPSTM)
Hospital Survey Version 2.0
Part I: Overall Results
Prepared for:
Agency for Healthcare Research and Quality
U.S. Department of Health and Human Services
5600 Fishers Lane
Rock…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Meadows.pdf
December 01, 2003 - The Incident Decision Tree: Guidelines for Action Following Patient Safety Incidents
387
The Incident Decision Tree: Guidelines for
Action Following Patient Safety Incidents
Sandra Meadows, Karen Baker, Jeremy Butler
Abstract
The National Patient Safety Agency has developed the Incident Decision Tree to
hel…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Kizer1.pdf
April 01, 2004 - Safe Practices for Better Health Care
23
Safe Practices for Better Health Care
Kenneth W. Kizer, Laura N. Blum
Abstract
Modern health care is highly complex, high risk, and error prone. Not
surprisingly, health care errors and consequent adverse events are a leading cause
of death and injury, even though wel…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Riley_59.pdf
April 06, 2008 - Structure and Features of a Care Enhancement Model Implementing the Patient Safety and Quality Improvement Act
Structure and Features of a Care
Enhancement Model Implementing the
Patient Safety and Quality Improvement Act
William Riley, PhD; Bryan A. Liang, MD, PhD, JD; William Rutherford, MD;
William Hamman, M…
-
psnet.ahrq.gov/node/853774/psn-pdf
September 27, 2023 - Delayed Evaluation of Abdominal Pain in an Elderly
Patient.
September 27, 2023
Klimkiv L, Utter GH, Barnes DK. Delayed Evaluation of Abdominal Pain in an Elderly Patient. PSNet
[internet]. 2023.
https://psnet.ahrq.gov/web-mm/delayed-evaluation-abdominal-pain-elderly-patient
The Case
An 85-year-old woman presente…
-
psnet.ahrq.gov/node/865655/psn-pdf
April 24, 2024 - Under Pressure: Delayed Diagnosis of Compartment
Syndrome after Lower Leg Fracture.
April 24, 2024
Barnes DK, Randhawa SDS, Fitzpatrick EP. Under Pressure: Delayed Diagnosis of Compartment
Syndrome after Lower Leg Fracture. PSNet [internet]. 2024.
https://psnet.ahrq.gov/web-mm/under-pressure-delayed-diagnosis-comp…
-
psnet.ahrq.gov/node/836840/psn-pdf
April 22, 2021 - The Johns Hopkins Venous Thromboembolism (VTE)
Collaborative Studies and Implements Methods to Prevent
Avoidable Cases of Hospital Associated VTE
April 7, 2022
https://psnet.ahrq.gov/innovation/johns-hopkins-venous-thromboembolism-vte-collaborative-studies-and-
implements-methods
Summary
Venous thromboembolism (…
-
psnet.ahrq.gov/node/838220/psn-pdf
September 27, 2019 - Primary Care and Patient Safety: Opportunities at the
Interface
September 28, 2022
O’Malley P, McNellis B, Chew E, et al. Primary Care and Patient Safety: Opportunities at the Interface.
PSNet [internet]. 2022.
https://psnet.ahrq.gov/perspective/primary-care-and-patient-safety-opportunities-interface
Editor’s Not…
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruhealing/slides.html
December 01, 2017 - On-Time Pressure Ulcer Healing: Facilitator Training
Introduction to Pressure Ulcer Healing Reports Slide Presentation: AHRQ’s Safety Program for Nursing Homes
Text version of slide presentation.
Slide 1: Introduction to Pressure Ulcer Healing Reports
AHRQ’s Safety Program for Nursing Homes:
On-Time Pr…