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5481. On-Time Pressure Ulcer Healing: Facilitator Training Instructor's Guide | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruhealing/guide.html
      December 01, 2017 - On-Time Pressure Ulcer Healing: Facilitator Training Instructor's Guide AHRQ’s Safety Program for Nursing Homes Overview of On-Time Note: This version of the On-Time introduction is for training Facilitators who have not had pressure ulcer prevention training. If they have had that training, this set of sl…

5482. How Do You Define Regional? The Geography of Health Information Exchange - Final Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/publication/r03hs020304-vest-final-report-2015.pdf
      January 01, 2015 - How Do You Define Regional? The Geography of Health Information Exchange - Final Report How do you define regional? The geography of health information exchange. Principal investigator: Joshua R Vest, PhD, MPH Organization: Weill Cornell Medical College New York, NY Project dates: 09/01/2013 - 12/31/…

5483. Appendix B. Decisionmaking and Readiness for Implementation | Agency for Healthcare Research and Quality
      www.ahrq.gov/es/hai/universal-icu-decolonization/universal-icu-apb.html
      September 01, 2013 - Universal ICU Decolonization: An Enhanced Protocol Appendix B. Decisionmaking and Readiness for Implementation Previous Page Next Page Table of Contents Universal ICU Decolonization: An Enhanced Protocol Introduction and Welcome Universal ICU Decolonization Protocol Overview Scientific Rationa…

5484. Appendix B. Decisionmaking and Readiness for Implementation | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/universal-icu-decolonization/universal-icu-apb.html
      September 01, 2013 - Universal ICU Decolonization: An Enhanced Protocol Appendix B. Decisionmaking and Readiness for Implementation Previous Page Next Page Table of Contents Universal ICU Decolonization: An Enhanced Protocol Introduction and Welcome Universal ICU Decolonization Protocol Overview Scientific Rationa…

5485. SOPS Workplace Safety Pilot Study Report (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/workplace-safety/workplace_safety_pilotstudyreport.pdf
      November 01, 2021 - SOPS Workplace Safety Pilot Study Report Pilot Study Results From the AHRQ Surveys on Patient Safety CultureTM (SOPS®) Workplace Safety Supplemental Items for Hospitals Prepared for: Agency for Healthcare Research and Quality U.S. Department of Health and Human Services 5600 Fishers Lane Rockville, MD 2085…

5486. Attachments 6.1 through 6.9 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-145-materials-vi-a.pdf
      March 01, 2011 - Attachments 6.1 through 6.9 Attachment 6.1 Version 1 of the PMCoE ADHD Follow-up Measure DRAFT Measure #3: Follow-up and Symptom Management (composite) Attention Deficit Hyperactivity Disorder (ADHD) A. DESCRIPTION Percentage of patients aged 4 through 18 years with a diagnosis of Attention Deficit Hyperact…

5487. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/843234/psn-pdf
      January 01, 2013 - Overdose of Gabapentin and Oxycodone in a Patient with End-Stage Renal Disease: A Case for Appropriate Interruptive Drug-Disease Alerts. February 1, 2023 Keenan CR, MacDonald S, Takeshita A, et al. Overdose of Gabapentin and Oxycodone in a Patient with End-Stage Renal Disease: A Case for Appropriate Interruptive D…

5488. Fatal Patient-Controlled Analgesia (PCA) Opioid-Induced Respiratory Depression | PSNet
      psnet.ahrq.gov/web-mm/fatal-patient-controlled-analgesia-pca-opioid-induced-respiratory-depression
      May 26, 2021 - SPOTLIGHT CASE Fatal Patient-Controlled Analgesia (PCA) Opioid-Induced Respiratory Depression Citation Text: Fazio S, Firestone R. Fatal Patient-Controlled Analgesia (PCA) Opioid-Induced Respiratory Depression. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Depar…

5489. Build Culture of IBH by Obtaining Expertise | The Academy
      integrationacademy.ahrq.gov/products/playbooks/behavioral-health-and-primary-care/implementing-plan/obtain-behavioral-health-expertise-and-build-culture-integration
      August 01, 2025 - An official website of the Department of Health & Human Services Search All AHRQ Sites Careers Contact Us Español FAQs Email Updates The Academy Integrating Behavioral Health & Primary Care Expand Navi…

5490. Integrating Multiple Medication Decision Support Systems: How Will We Make It All Work? | PSNet
      psnet.ahrq.gov/perspective/integrating-multiple-medication-decision-support-systems-how-will-we-make-it-all-work
      May 01, 2008 - Integrating Multiple Medication Decision Support Systems: How Will We Make It All Work? Josh Peterson, MD, MPH | May 1, 2018  Also Read a Conversation View more articles from the same authors. Citation Text: Peterson JF. Integrating Multiple Medication Decision …

5491. Pilot Study Results From the 2017 Health Information Technology Patient Safety Supplemental Item Set for Hospitals (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/healthitpatientsafetyitemset-hospitals-pilottestreport.pdf
      March 01, 2018 - Pilot Study Results From the 2017 Health Information Technology Patient Safety Supplemental Item Set for Hospitals Pilot Study Results From the 2017 AHRQ Surveys on Patient Safety Culture (SOPSTM) Health Information Technology Patient Safety Supplemental Item Set for Hospitals Prepared for: Agency for Healthca…

5492. 2019 Hospital Survey Pilot Test Results Part I (pdf file)
      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…

5493. Safe Practices for Better Health Care (pdf file)
      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…

5494. MEDICATION MANAGEMENT USING HEALTH IT FOR THE CARE OF ELDERLY PATIENTS (pdf file)
      digital.ahrq.gov/sites/default/files/docs/medication-management-elderly-transcript-081811.pdf
      June 16, 2021 - MEDICATION MANAGEMENT USING HEALTH IT FOR THE CARE OF ELDERLY PATIENTS ______________________________________________________________________________________ Medication Management using Health IT for the Care of Elderly Patients Transcript.doc Page 1 of 20 TRANSCRIPT OF AUDIO FILE: MEDICATION MANAGEME…

5495. Scaling E.Q.U.I.P.P.E.D. Clinical Decision Support – Final Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/citation/r18hs026877-vandenberg-final-report-2022.pdf
      January 01, 2022 - Scaling E.Q.U.I.P.P.E.D. Clinical Decision Support – Final Report Final Progress Report Project title: Scaling E.Q.U.I.P.P.E.D. Clinical Decision Support Principal Investigator: Ann E. Vandenberg, PhD, MPH Co-Investigators: Elizabeth C. Vaughana, MD, MS; Shamie Das, MD, MBA, MPHa; Michelle C. Kegler, P…

5496. MEPS HC-085B: 2004 Dental Visits
      meps.ahrq.gov/data_stats/download_data/pufs/h85b/h85bdoc.shtml
      August 01, 2006 - information on medical care events reported in the MEPS HC by contacting medical providers and pharmacies … The MPC sample includes all home health agencies and pharmacies reported by HC respondents.

5497. AHRQ Safety Program for Improving Antibiotic Use: Final Report (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/overall-antibiotic-stewardship-project-final-report.pdf
      September 01, 2022 - more than one dispensing pharmacy, and imperfect communication between the site and the dispensing pharmacies … engage their consulting pharmacists in the Safety Program and to improve communication with dispensing pharmacies

5498. MEPS HC-051B: 2000 Dental Visits
      meps.ahrq.gov/data_stats/download_data/pufs/h51b/h51bdoc.shtml
      February 01, 2003 - replaces information on medical care events reported in the MEPS HC by contacting medical providers and pharmacies … The MPC sample includes all home health agencies and pharmacies reported by HC respondents.

5499. The Unhappy Patient Leaves Against Medical Advice. | PSNet
      psnet.ahrq.gov/web-mm/unhappy-patient-leaves-against-medical-advice
      January 31, 2024 - Her medications were picked up the following morning at a community pharmacy, but one of the medications

5500. Making Healthcare Safer Practices: 12. Infusion Pumps (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/infusion-pumps-1.pdf
      March 01, 2020 - Making Healthcare Safer Practices: 12. Infusion Pumps Infusion Pumps 12-1 12. Infusion Pumps Authors: Lynn Hoffman, M.A., M.P.H., and Olivia Bacon Introduction In this chapter, we discuss two system-level patient safety practices that aim to reduce medication errors associated with infusion pumps, including sma…