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www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/supplhighlight02.html
May 01, 2013 - Supplements to Evaluation Highlight No. 2
How are States and evaluators measuring medical homeness in the CHIPRA Quality Demonstration Grant Program?
Evaluation Highlight No. 2 is the second in a series of reports that present descriptive and analytic findings from the national evaluation of the Children’s H…
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psnet.ahrq.gov/perspective/conversation-gordon-schiff-md
February 26, 2025 - In Conversation With… Gordon Schiff, MD
July 1, 2018
Citation Text:
In Conversation With… Gordon Schiff, MD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2018.
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…
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www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/highlight01.html
March 01, 2019 - How are CHIPRA demonstration States approaching practice-level quality measurement and what are they learning?
Evaluation Highlight No. 1
The National Evaluation of the CHIPRA Quality Demonstration Grant Program
Authors: Grace A. Ferry, Henry T. Ireys, Leslie Foster, Kelly J. Devers, and Lauren Smith
This…
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psnet.ahrq.gov/perspective/conversation-richard-platt-md-msc
October 01, 2016 - In Conversation With… Richard Platt, MD, MSc
October 1, 2016
Also Read an Essay
Citation Text:
In Conversation With… Richard Platt, MD, MSc. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. …
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psnet.ahrq.gov/node/49682/psn-pdf
April 01, 2013 - From Possible to Probable to Sure to Wrong—Premature
Closure and Anchoring in a Complicated Case
April 1, 2013
Newman-Toker DE. From Possible to Probable to Sure to Wrong—Premature Closure and Anchoring in a
Complicated Case. PSNet [internet]. 2013.
https://psnet.ahrq.gov/web-mm/possible-probable-sure-wrong-premat…
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www.ahrq.gov/sites/default/files/2024-07/weingart2-report.pdf
January 01, 2024 - Final Progress Report: Partnering With Patients To Find Adverse Events
Weingart, 1 K08 HS11644
Partnering with Patients to Find Adverse Events
Saul N. Weingart, MD, PhD
VP for Patient Safety
Dana-Farber Cancer Institute, and
Associate Professor of Medicine
Harvard Medical School
44 Binney St.
Boston, MA 02…
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psnet.ahrq.gov/node/843051/psn-pdf
February 01, 2023 - Respiratory Distress after Neck Surgery: Two Cases of
Postoperative Cervical Hematoma.
February 1, 2023
Graves CE, Kuhn MA. Respiratory Distress after Neck Surgery: Two Cases of Postoperative Cervical
Hematoma. PSNet [internet]. 2023.
https://psnet.ahrq.gov/web-mm/respiratory-distress-after-neck-surgery-two-cases-…
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www.ahrq.gov/sites/default/files/2024-12/reeves-report.pdf
January 01, 2024 - Final Progress Report: Developing a Rational Clinical Approach to the Disposition of TIA Cases in the ED
1
1. TITLE PAGE
April 10th, 2012
Final Report Grant No: 1R03HS017740-01
Project Period: 07/01/2009 – 06/30/2010 (with 1-year no cost extension)
Title: Developing a Rational Clinical Approach to the Dispositio…
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psnet.ahrq.gov/web-mm/do-you-want-everything-done-clarifying-code-status
March 27, 2024 - SPOTLIGHT CASE
"Do You Want Everything Done?": Clarifying Code Status
Citation Text:
Steinberg K, Mason Pope T. "Do You Want Everything Done?": Clarifying Code Status. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
…
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psnet.ahrq.gov/web-mm/too-many-cooks-kitchen
March 07, 2018 - SPOTLIGHT CASE
Too Many Cooks in the Kitchen
Citation Text:
Dutton RP. Too Many Cooks in the Kitchen. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2020.
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www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/curriculum/teamstepps-implementation-slides.pptx
June 02, 2025 - PowerPoint Presentation
Implementing TeamSTEPPS
Introduction
Reflecting on Day 1
Day 2 Preview
Patient safety is threatened by poor communication and teamwork.
TeamSTEPPS provides tools and a framework to improve both.
Questions or reflections on day 1.
2
2
Preparing for Day 2
Day 2 Preview
Day 1:
Int…
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psnet.ahrq.gov/web-mm/stable-airway-fatal-airway-occlusion-after-inadequate-post-tracheostomy-care
June 28, 2023 - SPOTLIGHT CASE
A Stable Airway? Fatal Airway Occlusion After Inadequate Post-Tracheostomy Care
Citation Text:
Gould E, Craddock K, Le Tellier T, et al. A Stable Airway? Fatal Airway Occlusion After Inadequate Post-Tracheostomy Care. PSNet [internet]. Rockville (MD): Agency for Healthcare Research…
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www.ahrq.gov/sites/default/files/2024-05/fraser-report.pdf
January 01, 2024 - Final Progress Report: Building the Evidence Base for Vomit Clean-Up Procedures in Long-Term Care Facilities
PROJECT TITLE: Building the Evidence Base for Vomit Clean-Up Procedures in Long-term Care
Facilities
PRINCIPAL INVESTIGATOR AND TEAM MEMBERS:
Angela M. Fraser, Ph.D. (PI)1
Xiuping Jiang, Ph.D.1 (coPI)
Jan…
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/fiber-intake-final-executive-summary.pdf
July 01, 2025 - Executive summary_Systematic Review: Fiber Intake and Laxation in People With Normal Bowel Function
Systematic Review
Fiber Intake and Laxation in People
With Normal Bowel Function
Executive Summary
Main Points
• Association of increasing dietary fiber intake and laxation outcomes (all
…
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hcup-us.ahrq.gov/reports/statbriefs/sb72.pdf
April 01, 2009 - Statistical Brief #72: Nationwide Frequency and Costs of Potentially Preventable Hospitalizations, 2006
HEALTHCARE COST AND
UTILIZATION PROJECT
Agency for Healthcare
Research and Quality
STATISTICAL BRIEF #72
April 2009
Highlights
In 2006, hospital costs for
potentially preventable
cond…
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hcup-us.ahrq.gov/reports/statbriefs/sb138.pdf
March 01, 2012 - Statistical Brief #138: Obesity in Children: Hospitalizations from 2000 to 2009
July 2012
Obesit
2000 to
Lauren M.
Introduct
Child obe
caloric die
causes of
risk of dev
ailments,
Health ca
dollars an
classified
Childhood
2000, and
and 2008
Statistical
obesity ep
United Sta
This Statis
Util…
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hcup-us.ahrq.gov/reports/statbriefs/sb117.pdf
June 01, 2011 - Statistical Brief #117: State Variation in Inpatient Hospitalizations for Mental Health and Substance Abuse Conditions, 2002-2008
1
June 2011
State Variation in Inpatient Hospitalizations
for Mental Health and Substance Abuse
Conditions, 20022008
Elizabeth Stranges, M.S., Katharine Levit, …
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hcup-us.ahrq.gov/reports/statbriefs/sb90.pdf
May 21, 2010 - Statistical Brief #90: Hospital Readmissions and Multiple Emergency Department Visits, in Selected States, 2006-2007
From
HEALTHCARE COST AND
UTILIZATION PROJECT
Agency for Healthcare
Research and Quality
STATISTICAL BRIEF #90
May 2010
Highlights
■ Two out of every five patients who
soug…
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/0129references.pdf
October 23, 2013 - References
1. Jencks SF, Williams MV, Coleman EA. Rehospitalizations among patients in the
Medicare fee-for-service program. N Engl J Med. 2009;360(14):1418–1428.
2. Wick EC, Shore AD, Hirose K, Ibrahim AM, Gearhart SL, Efron J, Weiner JP, Makary MA.
Readmission rates and cost following colorectal surgery. Dis …
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psnet.ahrq.gov/web-mm/room-without-orders
September 01, 2011 - SPOTLIGHT CASE
A Room Without Orders
Citation Text:
Vogelsmeier A, Despins L. A Room Without Orders. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2016.
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