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  1. psnet.ahrq.gov/innovations
    February 26, 2025 - Innovations The PSNet Innovations page highlights pioneering advances that can improve patient safety. PSNet innovations are defined as “new or updated interventions, approaches, systems, tools, policies, organizational structures or business models implemented to improve or enhance quality of care and reduce harm.” …
  2. 2018-04 (pdf file)

    hcup-us.ahrq.gov/reports/methods/2018-04.pdf
    January 01, 2018 - HCUP Methods Series kbr33831 Contact Information: Healthcare Cost and Utilization Project (HCUP) Agency for Healthcare Research and Quality 5600 Fishers Lane Room 07W17B Mail Stop 7W25B Rockville, MD 20857 http://www.hcup-us.ahrq.gov For Technical Assistance with HCUP Products: Email: hcup@ahr…
  3. hcup-us.ahrq.gov/reports/methods/2013_02.pdf
    January 01, 2013 - HEALTHCARE COST AND UTILIZATION PROJECT (HCUP) E CODE EVALUATION HCUP Methods Series kbr33831 Contact Information: Healthcare Cost and Utilization Project (HCUP) Agency for Healthcare Research and Quality 540 Gaither Road Rockville, MD 20850 http://www.hcup-us.ahrq.gov For Technical Assistance with…
  4. hcup-us.ahrq.gov/db/maphosp.jsp
    November 01, 2020 - HCUP Hospital Identifiers An official website of the Department of Health & Human Services Search All AHRQ Websites Careers Contact Us Espanol FAQs Email Updates …
  5. hcup-us.ahrq.gov/db/maphosp.pdf
    March 05, 2025 - HCUP Hospital Identifiers HCUP (1/21/2025) i Hospital Identifiers HCUP HOSPITAL IDENTIFIERS Table of Contents HCUP HOSPITAL IDENTIFIERS .................................................................................................. 1 HCUP State Databases .................................................…
  6. hcup-us.ahrq.gov/db/nation/nrd/nrddde.jsp
    May 01, 2024 - NRD Description of Data Elements An official website of the Department of Health & Human Services Search All AHRQ Websites Careers Contact Us Espanol FAQs Email Updates …
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/857259/psn-pdf
    November 30, 2023 - Medication Mix-Up Leads to Patient Death November 30, 2023 Sanchez L, Romano PS. Medication Mix-Up Leads to Patient Death. PSNet [internet]. 2023. https://psnet.ahrq.gov/web-mm/medication-mix-leads-patient-death The Case  An 81-year-old man was transferred from an outside hospital and admitted to the intensive car…
  8. psnet.ahrq.gov/web-mm/safety-challenges-supervision-and-night-coverage-academic-residency
    February 21, 2024 - The Safety Challenges of Supervision and Night Coverage in Academic Residency Citation Text: Raffel K. The Safety Challenges of Supervision and Night Coverage in Academic Residency. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019…
  9. www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/module-3-implementation-guide.pdf
    June 02, 2025 - 1 Implementation Guide - Module 3 Understanding your Workflow Processes to Prepare for Systems Change Module Purpose This module continues the discussion of the steps necessary for systems change to support the implementation of automatic referral with effective care coordination. Topics include the “w…
  10. psnet.ahrq.gov/periodic-issue/periodic-issue-469
    December 31, 2024 - January 8, 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, reports…
  11. www.ahrq.gov/ncepcr/reports/2025-annual-report/patient-safety.html
    August 01, 2025 - AHRQ’s Investments in Primary Care Research for 2023 and 2024 Patient Safety Previous Page Next Page Table of Contents AHRQ’s Investments in Primary Care Research for 2023 and 2024 Acknowledgements and Authors Message from the Director of AHRQ’s National Center for Excellence in Primary Care R…
  12. www.ahrq.gov/sites/default/files/2025-03/singer-benneyan-phillips-report.pdf
    January 01, 2025 - a robust and reliable system for managing home health management for patients at greatest risk of readmission
  13. effectivehealthcare.ahrq.gov/sites/default/files/crosscutting_hi_impact.pdf
    January 01, 2012 - Instead, closer patient management with a goal of reducing patient readmission will be required.”
  14. digital.ahrq.gov/sites/default/files/docs/publication/r21hs018229-dalal-final-report-2012.pdf
    January 01, 2012 - . with network PCPs 123 (72) 107 (69) 0.63 No. with non-network PCPs 48 (28) 48 (31) 30-day readmission
  15. Layout 1 (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/related_files/prostate-cancer_executive.pdf
    February 01, 2008 - Hospital readmission rates were lower in hospitals with greater volume. … Hospital readmission rates were also estimated to be lower in hospitals with greater volume.
  16. effectivehealthcare.ahrq.gov/sites/default/files/clinical-pathway-methods-report-appendix-k.pdf
    February 01, 2018 - CDI is associated with significant morbidity and mortality, causing longer hospital stays, greater readmission … Impact of Clostridium difficile-associated diarrhea on acute care length of stay, hospital costs, and readmission
  17. digital.ahrq.gov/sites/default/files/docs/publication/health-it-and-mental-health-final-report.pdf
    January 01, 2015 - He pointed out that the impact of depression associated with readmission is enormous. … Reducing readmission would save billions of dollars each year and people would be healthier.
  18. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/safetransitions/safetrans_toolkit.pdf
    December 01, 2017 - LACE Index Scoring This tool is used to help identify patients at risk for readmission or death within … LACE+ index: extension of a validated index to predict early death or urgent readmission after hospital
  19. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/safetransitions/safetransitions_finalreport.docx
    November 01, 2017 - LACE Index Scoring This tool is used to help identify patients at risk for readmission or death within … LACE+ index: extension of a validated index to predict early death or urgent readmission after hospital
  20. digital.ahrq.gov/sites/default/files/docs/page/2016-ahrq-hit-annual-report.pdf
    January 01, 2016 - Intervention Problem Solving (TIPS) PAR-HS-08-269 Cartmell, Kathleen Buford Reducing Hospital Readmission … Use of Patient Buddy Application to Disseminate Knowledge & Prevent Readmission RFA-HS-14-010 Chrischilles