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psnet.ahrq.gov/node/47999/psn-pdf
May 15, 2019 - Pregnancy-related deaths: saving women’s lives before,
during and after delivery.
May 15, 2019
CDC Vital Signs. May 7, 2019.
https://psnet.ahrq.gov/issue/pregnancy-related-deaths-saving-womens-lives-during-and-after-delivery
Maternal morbidity and mortality is a worldwide patient safety problem. This analysis desc…
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digital.ahrq.gov/ahrq-funded-projects/implementing-personalized-cross-sector-transitional-care-management-promote/citation/clinical
January 01, 2023 - A clinical classification framework for identifying persons with high social and medical needs: The COMPLEXedex-SDH.
Citation
Sullivan SS, Ledwin KM, Hewner S. A clinical classification framework for identifying persons with high social and medical needs: The COMPLEXedex-SDH. Nurs Outlook. 2023 Sep-Oc…
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digital.ahrq.gov/ahrq-funded-projects/coordinating-transitions-health-information-technology-role-improving-multiple-chronic-disease-outcomes/citation/reducing
January 01, 2023 - Reducing emergency room visits and in-hospitalizations by implementing best practice for transitional care using innovative technology and big data.
Citation
Hewner S, Sullivan SS, Yu G. Reducing emergency room visits and in-hospitalizations by implementing best practice for transitional care using i…
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digital.ahrq.gov/ahrq-funded-projects/using-electronic-data-improve-care-patients-known-or-suspected-cancer/citation/intervention
January 01, 2023 - Electronic trigger-based intervention to reduce delays in diagnostic evaluation for cancer: a cluster randomized controlled trial.
Citation
Murphy DR, Wu L, Thomas EJ, et al. Electronic trigger-based intervention to reduce delays in diagnostic evaluation for cancer: a cluster randomized controlled tri…
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psnet.ahrq.gov/node/47364/psn-pdf
October 31, 2018 - AI can't replace doctors. But it can make them better.
October 31, 2018
Parikh R. MIT Technol Rev. October 23, 2018.
https://psnet.ahrq.gov/issue/ai-cant-replace-doctors-it-can-make-them-better
Computerized decision support and artificial intelligence (AI) are being utilized to enhance decision-making
in health ca…
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psnet.ahrq.gov/node/37416/psn-pdf
March 28, 2012 - The story behind the story: physician skepticism about
relying on clinical information technologies to reduce
medical errors.
March 28, 2012
McAlearney AS, Chisolm DJ, Schweikhart S, et al. The story behind the story: physician skepticism about
relying on clinical information technologies to reduce medical errors.…
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psnet.ahrq.gov/node/838258/psn-pdf
October 05, 2022 - Solutions from Professional Regulation and Beyond.
October 5, 2022
Safer Care for All. London, England: Professional Standards Authority for Health and Social Care;
2022.
https://psnet.ahrq.gov/issue/solutions-professional-regulation-and-beyond
Dedicated leadership is an important component to examine and ad…
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psnet.ahrq.gov/node/836870/psn-pdf
April 26, 2022 - A Conversation Among Stakeholders on Medical
Malpractice.
April 6, 2022
Collaborative for Accountability and Improvement. April 26, 2022.
https://psnet.ahrq.gov/issue/conversation-among-stakeholders-medical-malpractice
Communication and resolution programs (CRP) can improve response to patients and families a…
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www.ahrq.gov/es/tools/index.html?page=5
December 01, 2017 - Comprehensive Unit-based Safety Program (CUSP) The CUSP toolkit includes training tools to make care safer. More
The SHARE Approach Five-step process for clinicians and their patients More
EvidenceNOW Tools for Change Helping practices implement evidence More
Tools
The …
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www.ahrq.gov/es/hai/universal-icu-decolonization/index.html
September 01, 2013 - Universal ICU Decolonization: An Enhanced Protocol
Next Page
Table of Contents
Universal ICU Decolonization: An Enhanced Protocol
Introduction and Welcome
Universal ICU Decolonization Protocol Overview
Scientific Rationale
References
Appendix A. Flow Chart for Implementing Universal Decoloni…
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www.ahrq.gov/pcor/strategic-framework/investments.html
July 01, 2023 - Focusing on Health Equity in AHRQ's PCORTF Investments
Previous Page
Next Page
Applying a Health Equity Lens
Health equity is essential to all areas of the framework. The magnifying glass signifies AHRQ’s commitment to using an equity lens through which to design and drive the implementation of t…
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www.ahrq.gov/es/patient-safety/settings/hospital/resource/guide/index.html
June 01, 2017 - Designing and Delivering Whole-Person Transitional Care
The Hospital Guide to Reducing Medicaid Readmissions
Reducing readmissions is a national priority for payers, providers, and policymakers seeking to improve health care and lower costs. Readmissions are a significant issue among patients with…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/097-ss-normothermia-one-pager.docx
April 01, 2025 - Normothermia
Surgical Services
For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries
Why is maintaining normothermia during surgery important?1-4
· Mild hypothermia can increase blood loss, leading to wound hematomas or the need for transfusions, both of which can increase surgical site infection (…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/medicaidreadmitguide/mcaidread_tool6_op_dashboard.ppt
June 02, 2025 - Tool 6: Portfolio Presentation
Tool 6: Operational Dashboard
Purpose: Whatever process you put into place to reduce readmissions, measurement is the single most important tool you have to determine whether the processes you have put into place are having an impact on reducing readmissions. Develop a monthly operation…
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digital.ahrq.gov/program-overview/research-stories/breathing-easy-virtual-medication-education-patients-chronic-obstructive-pulmonary-disease
January 01, 2023 - Breathing Easy: Virtual Medication Education for Patients with Chronic Obstructive Pulmonary Disease
Theme:
Engaging and Empowering Patients and Caregivers
Subtheme:
Improving Care During Patient Transitions
Virtual visits with members of a pharmacy team can support patients recently disch…
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psnet.ahrq.gov/issue/antimicrobial-stewardship-toolkit
April 15, 2021 - Tools/Toolkit
Antimicrobial Stewardship Toolkit.
Citation Text:
Antimicrobial Stewardship Toolkit. Chicago, IL: American Hospital Association Physician Leadership Forum; July 2014.
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psnet.ahrq.gov/issue/pressure-injury-prevention-hospitals-training-program
May 01, 2017 - Multi-use Website
Pressure Injury Prevention in Hospitals Training Program.
Citation Text:
Pressure Injury Prevention in Hospitals Training Program. Rockville, MD: Agency for Healthcare Research and Quality; September 2017.
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psnet.ahrq.gov/issue/baby-has-jaundice-problem
August 22, 2007 - Newspaper/Magazine Article
Baby has jaundice: is that a problem?
Citation Text:
Baby has jaundice: is that a problem? Zimmerman R. Wall Street Journal. February 6, 2007.
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Fac…
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digital.ahrq.gov/organization/university-illinois-chicago
January 01, 2023 - University of Illinois at Chicago
Integrating Contextual Factors into Clinical Decision Support to Reduce Contextual Error and Improve Outcomes in Ambulatory Care
Description
This research studied whether clinical decision support could reduce contextual errors, improve patien…
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psnet.ahrq.gov/issue/biggest-mistake-doctors-make
October 09, 2013 - Newspaper/Magazine Article
The biggest mistake doctors make.
Citation Text:
The biggest mistake doctors make. Landro L. Wall Street Journal. November 17, 2013.
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