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  1. Psn-Pdf (pdf file)

    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…
  2. Psn-Pdf (pdf file)

    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…
  3. Spotlight (pdf file)

    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…
  4. 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…
  5. 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…
  6. 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…
  7. 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…
  8. 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.
  9. 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…
  10. 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…
  11. 1_ScenariosGuide (pdf file)

    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 …
  12. Psn-Pdf (pdf file)

    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 …
  13. 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…
  14. 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…
  15. 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…
  16. 1_ScenariosGuide (pdf file)

    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…
  17. 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…
  18. 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…
  19. 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…
  20. 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…