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psnet.ahrq.gov/web-mm/getting-good-report-card-unintended-consequences-public-reporting-hospital-quality
October 01, 2004 - SPOTLIGHT CASE
Getting a Good Report Card: Unintended Consequences of the Public Reporting of Hospital Quality
Citation Text:
Lindenauer PK. Getting a Good Report Card: Unintended Consequences of the Public Reporting of Hospital Quality. PSNet [internet]. Rockville (MD): Agency for Healthcare Res…
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psnet.ahrq.gov/web-mm/pains-chronic-opioid-usage
April 04, 2018 - SPOTLIGHT CASE
The Pains of Chronic Opioid Usage
Citation Text:
Manchikanti L, Hirsch JA. The Pains of Chronic Opioid Usage. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2013.
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Format:
Google S…
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psnet.ahrq.gov/web-mm/when-patients-and-providers-speak-different-languages
December 08, 2021 - SPOTLIGHT CASE
When Patients and Providers Speak Different Languages
Citation Text:
Karliner LS. When Patients and Providers Speak Different Languages. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2018.
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…
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psnet.ahrq.gov/web-mm/postdischarge-follow-phone-call
May 19, 2021 - SPOTLIGHT CASE
Postdischarge Follow-Up Phone Call
Citation Text:
Mourad M, Rennke S. Postdischarge Follow-Up Phone Call. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2012.
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Format:
Google Schol…
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psnet.ahrq.gov/node/33776/psn-pdf
January 01, 2015 - In Conversation With… Mark Graban, MS, MBA
January 1, 2015
In Conversation With… Mark Graban, MS, MBA. PSNet [internet]. 2015.
https://psnet.ahrq.gov/perspective/conversation-mark-graban-ms-mba
Editor's note: Mark Graban, MS, MBA, is an internationally recognized expert in Lean Healthcare, which
has become one of…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/2014FinalHACreport4Web-13Dec2016.pdf
December 01, 2016 - Final Data From National Efforts To Make Care Safer, 2010-2014
December 2016
Saving Lives and Saving Money: Hospital-Acquired Conditions
Update
Final Data From National Efforts To Make Care Safer, 2010-2014
Summary
Final estimates for 2014 show a sustained 17 percent decline in hospital-acquired conditions…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/020-ss-periop-infection-prevention.pptx
April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI
AHRQ Safety Program for MRSA Prevention: Targeting SSI
Perioperative Infection Prevention Strategies
Hair Removal
Skin Prep for Incision
Normothermia
Glycemic Control
Supplemental Oxygen
Surgical Services
For: Most Surgery Types
AHRQ Pub. No. 25-0029
April 2025
…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-surgery/020-perioperative-infection-prevention-strategies-slides.pptx
April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI
AHRQ Safety Program for MRSA Prevention: Targeting SSI
Perioperative Infection Prevention Strategies
Hair Removal
Skin Prep for Incision
Normothermia
Glycemic Control
Supplemental Oxygen
Surgical Services
For: Most Surgery Types
AHRQ Pub. No. 25-0029
April 2025
…
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psnet.ahrq.gov/web-mm/challenges-diabetes-management-and-medication-reconciliation
March 15, 2023 - Challenges of Diabetes Management and Medication Reconciliation
Citation Text:
Lee S, Molla M. Challenges of Diabetes Management and Medication Reconciliation . PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2022.
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…
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psnet.ahrq.gov/node/49392/psn-pdf
April 01, 2003 - Another Fall
April 1, 2003
Bogardus SG. Another Fall. PSNet [internet]. 2003.
https://psnet.ahrq.gov/web-mm/another-fall
Case Objectives
List risk factors for falls in hospitalized patients
Understand appropriate use of restraints
Identify system issues contributing to falls in hospitalized patients
Case & Comm…
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effectivehealthcare.ahrq.gov/sites/default/files/tech-brief-35-asthma-self-management-comments.pdf
April 27, 2020 - Disposition of Comments for Technical Brief 35: Asthma Self-Management Education Packages
Technical Brief Disposition of Comments Report
Research Review Title: Characteristics of Existing Asthma Self-Management
Education Packages
Draft report available for public comment from November 26, 2019, …
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www.ahrq.gov/sites/default/files/publications/files/ltcinstructor.pdf
June 01, 2012 - Giving Your Presentation
› Introduce yourself and explain the reason for the training.
› Hand out … She is also
limping for an unknown reason, and seems very upset and angry. … Which of the following is the best reason to have an individualized care plan?
a. … Which of the following is the best reason to have an individualized care plan?
a.
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psnet.ahrq.gov/node/836877/psn-pdf
May 16, 2022 - So I'm not shocked that a lot of that data would not be
published for that exact reason, at least at
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psnet.ahrq.gov/perspective/conversation-chalapathy-venkatesan-and-kathy-helak-about-application-safety-ii
August 28, 2024 - The reason for the Safety-II hypothesis is that most of the time, things go right despite everyday variation
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www.ahrq.gov/research/findings/final-reports/ptfamilyscan/ptfamily3.html
July 01, 2018 - likely to ask for an explanation of something that they did not understand (91 percent); to question the reason
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psnet.ahrq.gov/perspective/conversation-withrichard-ricciardi-about-office-based-patient-safety
January 31, 2024 - Ultimately, the big reason I think there are lots of challenges in quality and safety in the ambulatory
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psnet.ahrq.gov/perspective/application-safety-ii-principles
August 28, 2024 - The reason for the Safety-II hypothesis is that most of the time, things go right despite everyday variation
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digital.ahrq.gov/sites/default/files/docs/publication/uc1hs016147-rachal-final-report-2009.pdf
January 01, 2009 - For some reason, these patient’s eye exams had not been performed
before they left the hospital or in
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/topic-brief1-care-coordination.pdf
April 01, 2021 - Acute pain is ubiquitous
following surgery, is the most common reason for emergency department visits
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digital.ahrq.gov/sites/default/files/docs/publication/r13hs021022-agarwal-final-report-2013.pdf
January 01, 2013 - The main reason is the dissemination of
publication of research on value of HIT”
“Good balance