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hcup-us.ahrq.gov/db/vars/age/nisnote.jsp
September 01, 2008 - Healthcare Cost and Utilization Project (HCUP) NIS Notes
An official website of the Department of Health & Human Services
Search All AHRQ Websites
Careers
Contact Us
Espanol
…
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/preventive/chipra-202-fullreport.pdf
January 01, 2014 - Follow-Up With Patient Family After Developmental Screening
Follow-up with Patient Family after Developmental
Screening
Section 1. Basic Measure Information
1.A. Measure Name
Follow-up with Patient Family after Developmental Screening
1.B. Measure Number
0202
1.C. Measure Description
Please provide a non-tec…
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digital.ahrq.gov/sites/default/files/docs/publication/r18hs018157-hazlehurst-final-report-2013.pdf
January 01, 2013 - OCHIN processes and manages data from safety net clinics, providing
support to users at 288 clinics.
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/fallspx/factraining.html
November 01, 2017 - AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention
Facilitator Training
This version of On-Time introduction is for training Facilitators who have not had pressure ulcer prevention training. If they have had that training, this set of slides can be omitted or may be used as a refresher.
Slide…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-ch-hospital-webcast-122223-toomey.pdf
December 01, 2022 - CAHPS Child Hospital Survey-Using Data and New Narrative Items - Overview
OVERVIEW OF THE
CHILD HCAHPS SURVEY
Sara Toomey, MD, MPhil, MPH, MSc
Chief Safety and Quality Officer, SVP
Chief Experience Officer
Director/PI, Center of Excellence for Pediatric Quality Measurement
Boston Children’s Hospital
Child HCAH…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/129-ss-blank-lfd.docx
April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI
Learning From Defects Tool
Surgical Services
For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries
What Is a Defect?
A defect is any clinical or operational event or situation that you would not want to happen again. This could include incidents…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/ontime-preventablehospitaledvisits-overview.pptx
May 01, 2017 - PowerPoint Presentation
AHRQ’s Safety Program for
Nursing Homes:
On-Time Preventable Hospital and Emergency Department Visits
Facilitator Training
Overview of On-Time
On-Time Preventable Hospital and
ED Visits Facilitator Training
2-day training provides:
Overview of On-Time.
Instruction on the role of a Facilita…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4i_combo_psi12-dvt-bestpractices.pdf
May 20, 2016 - Selected Best Practices and Suggestions for Improvement
Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
Tool D.4i 1
Selected Best Practices and Suggestions for Improvement
PSI 12: Perioperative Pulmonary Embolism (PE) or Deep Vein Thrombosis (DVT)
Why Focus on DVT/PE…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.84_slideshow.ppt
December 01, 2004 - Spotlight Case [MONTH] 2003
Spotlight Case December 2004
Discharge Fumbles
Source and Credits
This presentation is based on the Dec. 2004
AHRQ WebM&M Spotlight Case in Hospital Medicine
See the full article at http://webmm.ahrq.gov
CME credit is available through the Web site
Commentary by: Alan Forster, M…
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www.ahrq.gov/cahps/surveys-guidance/item-sets/HIT/measures.html
April 01, 2020 - Measures From the CAHPS Health Information Technology Item Set
Getting Timely Appointments Through Email or Website
C-HIT3. Patient got an appointment using email or website as soon as needed
Getting Timely Answers to Medical Questions by Email
C-HIT5. Patient got an answer to an emailed medical question …
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psnet.ahrq.gov/node/865681/psn-pdf
April 24, 2024 - DOD Should Improve Its Process for Clinical Adverse
Actions against Providers.
April 24, 2024
Washington, DC: United States Government Accounting Office; April 11, 2024. Publication GAO-24-
106107.
https://psnet.ahrq.gov/issue/dod-should-improve-its-process-clinical-adverse-actions-against-providers
Health care o…
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psnet.ahrq.gov/node/42996/psn-pdf
March 19, 2014 - The "physician-led chart audit": engaging providers in
fortifying a culture of safety.
March 19, 2014
Gitkind MJ, Perla RJ, Manno M, et al. The "physician-led chart audit: " engaging providers in fortifying a
culture of safety. J Patient Saf. 2014;10(1):72-9. doi:10.1097/PTS.0000000000000057.
https://psnet.ahrq.go…
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psnet.ahrq.gov/node/72486/psn-pdf
November 18, 2020 - ISMP Survey provides insights into preparation and
admixture practices OUTSIDE the pharmacy.
November 18, 2020
ISMP Medication Safety Alert! Acute care edition. November 5, 2020;25(22)1-5.
https://psnet.ahrq.gov/issue/ismp-survey-provides-insights-preparation-and-admixture-practices-outside-
pharmacy
Mistakes in …
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psnet.ahrq.gov/node/37273/psn-pdf
May 11, 2014 - Impact of computerized prescriber order entry (CPOE) on
clinical pharmacy practice: a hypothesis-generating
study.
May 11, 2014
Lai JS, Yokoyama G, Louie C, et al. Impact of Computerized Prescriber Order Entry (CPOE) on Clinical
Pharmacy Practice: A Hypothesis-Generating Study. Hosp Pharm. 2010;42(10):931-938.
do…
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psnet.ahrq.gov/node/865874/psn-pdf
May 15, 2024 - Perceptions of U.S. and U.K. incident reporting systems:
a scoping review.
May 15, 2024
Gampetro PJ, Nickum A, Schultz CM. Perceptions of U.S. and U.K. incident reporting systems: a scoping
review. J Patient Saf. 2024;20(5):360-365. doi:10.1097/pts.0000000000001231.
https://psnet.ahrq.gov/issue/perceptions-us-and-…
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psnet.ahrq.gov/node/41393/psn-pdf
June 06, 2012 - Prescribers' interactions with medication alerts at the
point of prescribing: a multi-method, in situ investigation
of the human–computer interaction.
June 6, 2012
Russ AL, Zillich AJ, McManus S, et al. Prescribers' interactions with medication alerts at the point of
prescribing: A multi-method, in situ investigat…
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psnet.ahrq.gov/node/39773/psn-pdf
August 18, 2010 - Preventing potentially inappropriate medication use in
hospitalized older patients with a computerized provider
order entry warning system.
August 18, 2010
Mattison MLP, Afonso KA, Ngo LH, et al. Preventing potentially inappropriate medication use in
hospitalized older patients with a computerized provider order e…
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psnet.ahrq.gov/node/46741/psn-pdf
June 07, 2018 - Suffering in silence: medical error and its impact on
health care providers.
June 7, 2018
Robertson JJ, Long B. Suffering in Silence: Medical Error and its Impact on Health Care Providers. J
Emerg Med. 2018;54(4). doi:10.1016/j.jemermed.2017.12.001.
https://psnet.ahrq.gov/issue/suffering-silence-medical-error-and-…
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psnet.ahrq.gov/node/838927/psn-pdf
October 26, 2022 - Survey results from pharmacists provide support to
enhance the organizational response to codes.
October 26, 2022
ISMP Medication Safety Alert! Acute care edition. October 6, 2022;27(20):1-5.
https://psnet.ahrq.gov/issue/survey-results-pharmacists-provide-support-enhance-organizational-response-
codes
Patient res…
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psnet.ahrq.gov/node/49685/psn-pdf
May 01, 2013 - Polypharmacy
May 1, 2013
Guglielmo JB. Polypharmacy. PSNet [internet]. 2013.
https://psnet.ahrq.gov/web-mm/polypharmacy
The Case
A 65-year-old man with schizophrenia receives his routine outpatient psychiatric care through an agency.
His case manager visits him weekly regarding medication adherence, which include…