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psnet.ahrq.gov/node/49801/psn-pdf
August 01, 2017 - Despite Clues, Failed to Rescue
August 1, 2017
Ghaferi AA. Despite Clues, Failed to Rescue. PSNet [internet]. 2017.
https://psnet.ahrq.gov/web-mm/despite-clues-failed-rescue
Case Objectives
Define failure to rescue.
Identify the main contributors to failure-to-rescue events.
Appreciate the ongoing areas of scien…
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psnet.ahrq.gov/node/861738/psn-pdf
January 31, 2024 - A Laceration that Needed a Proper Exam, Not an X-Ray
January 31, 2024
Wander J, Barnes DK. A Laceration that Needed a Proper Exam, Not an X-Ray. PSNet [internet]. 2024.
https://psnet.ahrq.gov/web-mm/laceration-needed-proper-exam-not-x-ray
Disclosure of Relevant Financial Relationships: As a provider accredited by t…
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psnet.ahrq.gov/sites/default/files/2024-01/spotlight_case_laceration_needed_exam_not_x-ray_final.pdf
January 01, 2024 - Spotlight
Spotlight
Laceration that Needed a Proper Exam, Not an X-Ray
Source and Credits
• This presentation is based on the January 2024 AHRQ WebM&M
Spotlight Case
o See the full article at https://psnet.ahrq.gov/webmm
o CME credit is available
o Commentary by: Jazmin A. Wander, MD and David K. Barnes, MD,
F…
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psnet.ahrq.gov/web-mm/patient-safety-events-involving-opioid-dose-stacking
July 08, 2022 - SPOTLIGHT CASE
Patient Safety Events Involving Opioid Dose Stacking
Citation Text:
Porras H, Lammers C. Patient Safety Events Involving Opioid Dose Stacking. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2022.
Copy Cita…
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/practice-survey-nc.pdf
November 14, 2015 - Practice Characteristic survey baseline NC Cooperative
Please complete the following survey, which is designed to collect
information about your practice for the Heart Health Now study.
We suggest you designate an Office Manager or a Lead Clinician to
complete this survey. We strongly encourage you to consult wit…
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www.ahrq.gov/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/access/strategy6f-ondemand.html
April 01, 2023 - Strategy 6F: On-Demand Advice, Diagnosis, and Treatment for Minor Health Conditions
Contents
6.F.1. The Problem
6.F.2. The Intervention
6.F.3. Benefits
6.F.4. Implementation
References
Download Strategy 6F:
On-Demand Advice, Diagnosis, and Treatment for Minor Health Conditions
(PDF, 350 KB…
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/highlight06.pdf
September 08, 2015 - Evaluation Highlight No. 6: How are CHIPRA Quality Demonstration States Working Together to Improve the Quality of Health Care for Children?
The CHIPRA Quality
Demonstration Grant Program
In February 2010, the Centers for Medicare &
Medicaid Services (CMS) awarded 10 grants,
funding 18 States, to improve the qual…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Karsh.pdf
April 22, 2004 - Adapting to new technology in
the operating room. Hum Factors 1996
Dec;38(4):593–613.
28.
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psnet.ahrq.gov/web-mm/missed-bowel-perforation-importance-diagnostic-reasoning
January 29, 2021 - SPOTLIGHT CASE
A Missed Bowel Perforation - the Importance of Diagnostic Reasoning
Citation Text:
Timbag L, Sinigayan VR, Molla M. A Missed Bowel Perforation - the Importance of Diagnostic Reasoning. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of He…
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www.ahrq.gov/research/findings/final-reports/ssi/ssi2.html
April 01, 2018 - Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection
Chapter 2. Determining Surgical Site Infection Rates
Previous Page Next Page
Table of Contents
Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection
Executive Summary
C…
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digital.ahrq.gov/sites/default/files/docs/page/1_ScenariosGuide_1.pdf
June 16, 2021 - 1_ScenariosGuide
Tool 1. Scenarios Guide
Tool 1. Scenarios Guide
The following 18 scenarios were developed specifically for the privacy and security project
to provide a standardized context for discussing organization-level business practices across
all states and territories. The scenarios represent …
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psnet.ahrq.gov/node/853902/psn-pdf
September 27, 2023 - A Missed Bowel Perforation - the Importance of
Diagnostic Reasoning
September 27, 2023
Timbag L, Sinigayan VR, Molla M. A Missed Bowel Perforation - the Importance of Diagnostic Reasoning.
PSNet [internet]. 2023.
https://psnet.ahrq.gov/web-mm/missed-bowel-perforation-importance-diagnostic-reasoning
Disclosure of …
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www.ahrq.gov/es/patient-safety/settings/hospital/vtguide/appb.html
October 01, 2022 - Preventing Hospital-Associated Venous Thromboembolism
Appendix B: Risk Assessment Models, Protocols, and Order Sets
Previous Page Next Page
Table of Contents
Preventing Hospital-Associated Venous Thromboembolism
Preface
Executive Summary
Chapter 1. The Framework for Improvement
Chapter 2. An…
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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…
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pso.ahrq.gov/sites/default/files/wysiwyg/Patient-Safety-Act-2005.pdf
January 01, 2005 - Patient Safety and Quality Improvement Act of 2005; Public Law 109–41, July 29, 2005
PUBLIC LAW 109–41—JULY 29, 2005
PATIENT SAFETY AND QUALITY
IMPROVEMENT ACT OF 2005
VerDate 14-DEC-2004 11:17 Aug 05, 2005 Jkt 039139 PO 00041 Frm 00001 Fmt 6579 Sfmt 6579 E:\PUBLAW\PUBL041.109 APPS10 PsN: PUBL041
119 STAT. 424 P…
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digital.ahrq.gov/sites/default/files/docs/page/1_ScenariosGuide_0.pdf
June 16, 2021 - 1_ScenariosGuide
Tool 1. Scenarios Guide
Privacy and Security Assessment of Variation Toolkit 1-1
Tool 1. Scenarios Guide
The following 18 scenarios were developed specifically for the privacy and security project
to provide a standardized context for discussing organization-level business p…
-
www.ahrq.gov/patient-safety/settings/hospital/vtguide/appb.html
October 01, 2022 - Preventing Hospital-Associated Venous Thromboembolism
Appendix B: Risk Assessment Models, Protocols, and Order Sets
Previous Page Next Page
Table of Contents
Preventing Hospital-Associated Venous Thromboembolism
Preface
Executive Summary
Chapter 1. The Framework for Improvement
Chapter 2. An…
-
www.ahrq.gov/news/events/nac/2018-07-nac/nacmtg0718-minutes.html
July 01, 2021 - Meeting Minutes, July 2018
National Advisory Council
Minutes from the July 18, 2018, meeting of the Agency for Healthcare Research and Quality's National Advisory Council.
Contents
Summary
Call to Order and Approval of March 16, 2018, Meeting Summary
Director's Welcome and Update
Update on AHRQ Data…
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pso.ahrq.gov/sites/default/files/Patient%20Safety%20Act%20PDF.pdf
January 01, 2025 - Patient Safety and Quality Improvement Act of 2005; Public Law 109–41, July 29, 2005
PUBLIC LAW 109–41—JULY 29, 2005
PATIENT SAFETY AND QUALITY
IMPROVEMENT ACT OF 2005
VerDate 14-DEC-2004 11:17 Aug 05, 2005 Jkt 039139 PO 00041 Frm 00001 Fmt 6579 Sfmt 6579 E:\PUBLAW\PUBL041.109 APPS10 PsN: PUBL041
119 STAT. 424 P…
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/decision-models-guidance_methods.pdf
October 01, 2016 - Guidance for the Conduct and Reporting of Modeling and Simulation Studies in the Context of Health Technology Assessment
Methods Guide
for Comparative Effectiveness Reviews
Guidance for the Conduct and Reporting of Modeling
and Simulation Studies in the Context of Health
Technology Assessment
Th…