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effectivehealthcare.ahrq.gov/sites/default/files/related_files/cer-213-lower-limb-protheses-evidence-summary.pdf
September 01, 2018 - Insurance coverage
policies often dictate which prostheses
and components are selected for a given
Purpose
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digital.ahrq.gov/sites/default/files/docs/page/Idaho_Grannis.ppt
January 01, 2004 - Slide 1
Creating Health Information Exchanges:
The Indiana Network for Patient Care
Shaun Grannis, MD, MS
Research Scientist
Regenstrief Institute / IU School of Medicine
The Challenge:
Silos of Information
Silos of Information
Electronic Medical Record System
Jane Receives Immunizations @ Health Depart…
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psnet.ahrq.gov/web-mm/wheres-feeding-tube
September 01, 2003 - Where's the Feeding Tube?
Citation Text:
Metheny NA, Meert KL. Where's the Feeding Tube?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2008.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML End…
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psnet.ahrq.gov/node/865374/psn-pdf
March 27, 2024 - Artificial Intelligence and Patient Safety: Promise and
Challenges
March 27, 2024
Tighe P, Mossburg S, Gale B. Artificial Intelligence and Patient Safety: Promise and Challenges. PSNet
[internet]. 2024.
https://psnet.ahrq.gov/perspective/artificial-intelligence-and-patient-safety-promise-and-challenges
Introducti…
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psnet.ahrq.gov/web-mm/one-bronchoscopy-two-errors
December 09, 2020 - One Bronchoscopy, Two Errors
Citation Text:
Leiten E, Nielsen R. One Bronchoscopy, Two Errors. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XM…
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psnet.ahrq.gov/node/72834/psn-pdf
March 10, 2021 - Approach to Improving Patient Safety: Communication
March 10, 2021
Schnipper JL, Fitall E, Hall KK, et al. Approach to Improving Patient Safety: Communication . PSNet
[internet]. 2021.
https://psnet.ahrq.gov/perspective/approach-improving-patient-safety-communication
Introduction
Each one of the countless necessa…
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hcup-us.ahrq.gov/datainnovations/clinicalcontentenhancementtoolkit/hi26.jsp
August 01, 2014 - Enhancing Hawaii Hospital Information Content: High-Level Analysis of Transmitted Laboratory Data.
An official website of the Department of Health & Human Services
Search All AHRQ Websites
Careers…
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effectivehealthcare.ahrq.gov/sites/default/files/santa_eccs2012.pdf
February 01, 2013 - Santa_ECCS2012
Slide 1: Communicating
Information About Overuse to Consumers
John Santa, M.D., M.P.H.
Director, Health
Ratings
Center
Consumer Reports, Yonkers, New York
Slide 2: Consumer Reports
in Context
• Consumers choose/pu…
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psnet.ahrq.gov/sites/default/files/2022-10/spotlight_case_missed_pneumothorax_10.09.2022_-_final.pdf
January 01, 2022 - Spotlight
Spotlight
False Assumptions Result in a Missed
Pneumothorax after Bronchoscopy with
Transbronchial Biopsy
Source and Credits
• This presentation is based on the September 2022 AHRQ WebM&M
Spotlight Case
o See the full article at https://psnet.ahrq.gov/webmm
o CME credit is available
o Commentary by:…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/engage/pf-engagement-facilitator-guide.pdf
May 01, 2017 - Engage Patients and Families for Perinatal Safety
AHRQ Safety Program for Perinatal Care
Engage Patients and Families for Perinatal Safety
AHRQ Publication No. 17-0003-6-EF
May 2017
SAY:
The Patient and Family Engagement module
focuses on an important topic: making sure
patients and their family members un…
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www.ahrq.gov/hai/tools/surgery/modules/implementation/ssi-bundle-slides.html
October 01, 2020 - Implementing Your Surgical Site Infection Prevention Bundle: Slide Presentation
AHRQ Safety Program for Surgery
Slide 1: AHRQ Safety Program for Surgery—Implementation
Implementing Your Surgical Site Infection Prevention Bundle
Slide 2: Learning Objectives
After this session, you will be able to–
…
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www.ahrq.gov/policymakers/chipra/measure_retirement/measure_retirementapd.html
July 01, 2018 - Background Report on 2013 Retirement of Measures from the Child Core Set
Appendix D.
Previous Page Next Page
Table of Contents
Background Report on 2013 Retirement of Measures from the Child Core Set
Abstract
Background
Methods
Results
Conclusions
References
Appendix A.
Appendix B.…
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psnet.ahrq.gov/node/846770/psn-pdf
March 29, 2023 - Procedure Complications – Who is Responsible for
Follow up?
March 29, 2023
Chalupsky M, Wei H, Marquet E. Procedure Complications – Who is Responsible for Follow up? PSNet
[internet]. 2023.
https://psnet.ahrq.gov/web-mm/procedure-complications-who-responsible-follow
The Case
A 74-year-old man with newly diagnose…
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psnet.ahrq.gov/node/49795/psn-pdf
June 01, 2017 - The Perils of Contrast Media
June 1, 2017
Sadat U, Solomon R. The Perils of Contrast Media. PSNet [internet]. 2017.
https://psnet.ahrq.gov/web-mm/perils-contrast-media
Case Objectives
Recognize that contrast media are potentially nephrotoxic.
Identify key risk factors for the development of contrast-induced kidne…
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www.ahrq.gov/pqmp/implementation-qi/roadmap/index.html
September 01, 2021 - Roadmap for Implementing Pediatric Quality Measures for Performance Improvement
This Roadmap serves as a guide for stakeholders planning to implement pediatric quality measures for performance improvement. It is intended for use by states, health plans, hospitals, and other providers embarking on a quality im…
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/4_TK2_T4-Common_Suspected_Infections_Tools_to_Improve_Communication_and_Decision_Making.ppt
May 01, 2014 - PowerPoint Presentation
Nursing Home Antimicrobial
Stewardship Guide
Determine Whether To Treat
Toolkit 2. Common Suspected Infections: Communication and Decision Making for
Four Infections
Tool 4. Tools To Improve Communication and Decision Making
www.ahrq.gov/NH-ASPGuide ● May 2014
AHRQ Pub. No. AHR…
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psnet.ahrq.gov/periodic-issue/periodic-issue-470
December 31, 2024 - January 15, 2025 Weekly Issue
PSNet highlights the latest patient safety literature, news, and expert commentary, including Weekly
Updates, WebM&M, and Perspectives on Safety. The current issue highlights what's new this week in patient
safety literature, news, conferences, report…
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www.ahrq.gov/ncepcr/tools/transform-qi/deliver-facilitation/modules/resources.html
July 01, 2022 - AHRQ Practice Facilitation Training Modules: Additional Resources
Below are supplemental resources for each AHRQ Practice Facilitation Training Module for learners who want to delve more into the topics taught.
Introduction to AHRQ Practice Facilitation Training Modules
Access AHRQ’ practice facilit…
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psnet.ahrq.gov/web-mm/managing-care-challenges-group-home-setting-staffing-adequate-unplanned-incidents
April 27, 2022 - Managing Care Challenges in a Group Home Setting: Is Staffing Adequate for Unplanned Incidents?
Citation Text:
Ordona R, Bakerjian D. Managing Care Challenges in a Group Home Setting: Is Staffing Adequate for Unplanned Incidents?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality,…
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psnet.ahrq.gov/web-mm/unintentional-ketamine-overdose-operating-room-mixing-ampules
March 25, 2020 - Unintentional Ketamine Overdose in the Operating Room – Mixing Up the Ampules
Citation Text:
Bohringer C. Unintentional Ketamine Overdose in the Operating Room – Mixing Up the Ampules. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2…