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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 (…
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/sepsis-1.pdf
March 01, 2020 - Chapter-3 - Sepsis Recognition
Sepsis Recognition 3-1
3. Sepsis Recognition
Authors: Bryan Gale, M.A., and Kendall K. Hall, M.D., M.S.
Introduction
Sepsis has been a leading cause of hospitalization and death in U.S. healthcare settings for many years,
and accounts for more hospital admissions and spending than…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/apcd/apcdmeasinvrpt.pdf
January 01, 2020 - Measure Inventory for Use with All-Payer Claims Databases
Final Contract Report
Measure Inventory for Use With All-Payer
Claims Databases
Prepared for:
Agency for Healthcare Research and Quality
5600 Fishers Lane
Rockville, MD 20857
www.ahrq.gov
Contract No. HHSA2902001200003I, Task Order 5
Prepared by:
…
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www.ahrq.gov/sites/default/files/2024-01/moss-berner-report.pdf
January 01, 2024 - Final Progress Report: Clinical Decision Support Simulations for Medication Administration Safety
Clinical Decision Support Simulations for Medication Administration
Safety Principal Investigator: Jacqueline Moss, PhD, RN
Co-Investigator: Eta S. Berner, EdD
University of Alabama at Birmingham
Dates of Aw…
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effectivehealthcare.ahrq.gov/sites/default/files/methodsguide_chou_assessing_harms_when_comparing.pdf
November 01, 2008 - 8
Methods Reference Guide for Effectiveness and
Comparative Effectiveness Reviews
Assessing Harms When Comparing Medical
Interventions
Comparative Effectiveness Reviews are systematic reviews of existing research on the effectiveness,
comparative effectiveness, and harms of dif…
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/methods-guidance-harms_methods.pdf
November 01, 2008 - 8
Methods Reference Guide for Effectiveness and
Comparative Effectiveness Reviews
Assessing Harms When Comparing Medical
Interventions
Comparative Effectiveness Reviews are systematic reviews of existing research on the effectiveness,
comparative effectiveness, and harms of dif…
-
digital.ahrq.gov/sites/default/files/docs/citation/r01hs025071-schnall-final-report-2022.pdf
January 01, 2022 - The Wise App Trial for Improving Health Outcomes in PLWH – Final Report
1
Final Progress Report: The Wise App Trial for
Improving Health Outcomes in PLWH
Principal Investigator: Rebecca Schnall, PhD, MPH, RN-BC, FAAN
Team Members: Melissa Beauchemin, Melissa Gradilla, Dawon Baik, Hwayoun…
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digital.ahrq.gov/sites/default/files/docs/publication/uc1hs015350-horn-final-report-2008.pdf
January 01, 2008 - Nursing Home IT: Optimal Medication and Care Delivery
Grant Final Report
Grant ID: 5UC1HS015350
Nursing Home IT: Optimal Medication and
Care Delivery
Inclusive Dates: 09/30/04 - 09/29/08
Principal Investigator:
Susan D. Horn, PhD
Team Members:
Siobhan Sharkey, MBA
Sandra Hudak, MS…
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effectivehealthcare.ahrq.gov/sites/default/files/diabetes-horizon-scan-high-impact-1312.pdf
January 01, 2016 - pharmacies range from about $400 to $415 per month or about $4,800 per year, all with the
use of a … pharmacies ranged from about $400 to $415 per month or about $4,800 per year, all with the use of
a
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/chronic-pain-opioid-treatment_disposition-comments.pdf
September 29, 2014 - Disposition of Comments Report for The Effectiveness and Risks of Long-Term Opioid Treatment of Chronic Pain
Evidence Report Disposition of Comments Report
Research Review Title: The Effectiveness and Risks of Long-Term Opioid Treatment
of Chronic Pain
Draft review available for public comment from De…
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www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-chartbook-2023-rev.pdf
January 01, 2023 - and Unsafe conditions were similarly
distributed, however a larger share of Near misses occurred in Pharmacies
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs024327-ornstein-final-report-2018.pdf
January 01, 2018 - The importance of pharmacies providing duplicate
allergy checking was also emphasized, as was the fact
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digital.ahrq.gov/sites/default/files/docs/citation/r18hs017191-pohl-final-report-2011.pdf
January 01, 2011 - (2) negotiating with external partners (e.g., affiliated hospitals and outpatient
laboratories and pharmacies
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Savino.pdf
July 01, 2003 - Implementation of an Evidence-based Protocol for Surgical Infection Prophylaxis
265
Implementation of an Evidence-based
Protocol for Surgical Infection Prophylaxis
John A. Savino, Jane Smeland, Ellen L. Flink, Angelo Ruperto,
Amanda Hines, Thomas Sullivan, Kerri Galvin, Donald A. Risucci
Abstract
Objective:…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Michel_92.pdf
April 30, 2008 - Improving Patient Safety Using ATHENA-Decision Support System Technology: The Opioid Therapy for Chronic Pain Experience
Improving Patient Safety Using ATHENA-Decision
Support System Technology: The Opioid Therapy for
Chronic Pain Experience
Martha Michel, PhD; Jodie Trafton, PhD; Susana Martins, MD, MSc; Dan Wang…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/prevhosp/ereport-slides.html
September 01, 2017 - AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and Emergency Department Visits Training
Facilitator Training Slide Presentation
Text version of slide presentation.
Slide 1: Introduction to Preventable Hospital and ED Visits Reports
AHRQ’s Safety Program for Nursing Homes: On-Time …
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www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/cerner-q-a-session.pdf
June 02, 2025 - 1
EHR Q&A Sessions
Introduction
Prior to each EHR Q&A event, participants were asked to submit questions related to the
implementation of automatic referral in Meditech, Epic, and Cerner. Most questions concerned
diagnostic codes, embedding automatic referral into order sets, getting buy-in from physicians
regar…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/qi-action-notes.docx
April 01, 2022 - Quality Improvement in Action Facilitator Guide
CUSP Module: Quality Improvement in Action
Facilitator Guide
Slide Number and Image
This module, titled “Quality Improvement in Action,” is part of the Agency for Healthcare Research and Quality, or AHRQ, Safety Program for Intensive Care Units: Preventing Central…
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www.ahrq.gov/sites/default/files/2024-07/hernandez-boussard-report.pdf
January 01, 2024 - Final Progress Report: Improving quality of postoperative pain care through innovative use of electronic health records
Improving Quality of postoperative pain care through
innovative use of electronic health records
PrincipaI Investigator
Tina Hernandez-Boussard
Team members
Catherine Curtin Stanford University…
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www.ahrq.gov/sites/default/files/2024-07/hripcsak-report.pdf
January 01, 2024 - Final Progress Report: Mining complex clinical data for patient safety research
Principal Investigator: Hripcsak, George
Progress Report
Close-Out Documentation
Title: Mining complex clinical data for patient safety research
Principal Investigator and Senior Team Members:
George Hripcsak, MD, MS (PI)
Caro…