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psnet.ahrq.gov/perspective/are-we-safer-today
February 26, 2025 - Are We Safer Today?
David W. Bates, MD, MSc; Merton Lee, PharmD, PhD; Sarah E. Mossburg, RN, PhD | February 26, 2025
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Bates DW, Lee M, Mossburg SE. Are We Safer Today?. PSNet [in…
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February 26, 2025 - In Conversation with David W. Bates about Are We Safer Today?
David W. Bates, MD, MSc; Merton Lee, PharmD, PhD; Sarah E. Mossburg, RN, PhD | February 26, 2025
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Bates DW, Lee M, Mossburg…
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digital.ahrq.gov/sites/default/files/docs/publication/r21hs022578-kharrazi-final-report-2015.pdf
January 01, 2015 - A Community Health Information Exchange-based Hospital Readmission Risk Prediction & Notification System - Final Report
Final Report
Development of a community-wide real time
health information exchange-based hospital readmission risk
prediction and noti…
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www.ahrq.gov/sites/default/files/2025-02/pickering-report.pdf
January 01, 2025 - Final Progress Report: Acute Care Learning Laboratory - Reducing Threats to Diagnostic Fidelity in Critical Illness
Title of Project:
Acute Care Learning Laboratory - Reducing Threats to Diagnostic Fidelity in Critical
Illness
Principal Investigator and Team Members:
Principal Investigator: Brian Pickering, MB,…
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www.ahrq.gov/patient-safety/reports/engage/findings.html
March 01, 2017 - Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families
Discussion of Findings
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Table of Contents
Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families
Executive Summary
Introduction
Limitation…
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www.uspreventiveservicestaskforce.org/uspstf/sites/default/files/inline-files/uspstfchildhealth.pdf
October 01, 2016 - U.S. Preventive Services Task Force Approach to Child Cognitive and Behavioral Health
0749-379
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U.S. Preventive Services Task Force
Approach to Child Cognitive and
Behavioral Health
…
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www.uspreventiveservicestaskforce.org/uspstf/recommendation/obesity-in-children-and-adolescents-screening-2005
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Final Recommendation Statement
Obesity in Children and Adolescents: Screening, July 2005
July 11, 2005
Recommendations made by the USPSTF are independent of…
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July 01, 2005 - Screening and Interventions for Overweight in Children and Adolescents: Recommendation Statement
Screening and Interventions for
Overweight in Children and Adolescents:
Recommendation Statement
U.S. Preventive Services Task Force
Summary of Recommendation
The USPSTF concludes that the evidence is insu…
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digital.ahrq.gov/sites/default/files/docs/hit-cdm-slides-062111.pdf
June 21, 2011 - National Web-Based Teleconference on Using Health IT for Chronic Disease Management
National Web-Based Teleconference on
Using Health IT for Chronic Disease
Management
June 21st, 2011
Moderator:
Angela Lavanderos
Agency for Healthcare Research and
Quality
Presenters:
James Fricton
Helene Kopal
Randall Cebu…
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effectivehealthcare.ahrq.gov/sites/default/files/infectiousdisease_hi_impact.pdf
December 01, 2013 - the lack
of new medications for effective treatment of recurrent CDI would
make a new option that reduces
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/urinary-catheter-indications.pptx
April 01, 2022 - Indwelling Urinary Catheter Indications
Indwelling Urinary Catheter Indications
Avoiding Placement and Determining Appropriateness
AHRQ Safety Program for Intensive Care Units: Preventing CLABSI and CAUTI
AHRQ Pub. No. 17(22)-0019
April 2022
AHRQ Safety Program for Intensive Care Units: Preventing CLABSI and CAUTI
…
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psnet.ahrq.gov/toolkits
March 01, 2025 - Toolkits
Patient safety toolkits provide practical applications of PSNet research and concepts for front line providers to use in their day to day work. These toolkits contain resources necessary to implement patient safety systems and protocols.
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Has your organization deve…
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www.ahrq.gov/ncepcr/reports/2025-annual-report/quality-improvement.html
August 01, 2025 - AHRQ’s Investments in Primary Care Research for 2023 and 2024
Practice and Quality Improvement
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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…
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psnet.ahrq.gov/innovation/nudge-unit-supports-physician-patient-behavioral-changes-towards-medical-decisions
July 23, 2024 - Nudge Unit Supports Physician, Patient Behavioral Changes Towards Medical Decisions that Improve Care Value and Quality of Care
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January 01, 2023 - An official website of the Department of Health & Human Services
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digital.ahrq.gov/sites/default/files/docs/page/Root.ppt
June 01, 2005 - PowerPoint Presentation
Utah Health Information Network
Jan Root, Ph.D.
Assistant Executive Director
June 2005, AHRQ Annual Meeting
WEDI Fall Conference, November 15-18, 2004
UHIN: CHIN to RHIO
In operation since 1993 (CHIN)
Community-based; inclusive
Providers, payers, gov’t
Statewide network
Not-for-…
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psnet.ahrq.gov/sites/default/files/2024-07/spotlight_case_mismanagement_of_acute_decompensated_heart_failure_slides_final.pptx
January 01, 2024 - Spotlight
Spotlight
Mismanagement of Acute Decompensated Heart Failure with Hypertensive Emergency
1
Source and Credits
This presentation is based on the July 2024 AHRQ WebM&M Spotlight Case
See the full article at https://psnet.ahrq.gov/webmm
CME credit is available
Commentary by: Jaenic Lee, MD Josh Fernel…
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psnet.ahrq.gov/node/72811/psn-pdf
September 01, 2022 - Algorithm-Based Decision Support System Guides
Trauma Staff During Initial Treatment, Leading to Fewer
Medical Errors
Originally published on March 3, 2021
Last updated on March 16, 2021
https://psnet.ahrq.gov/innovation/algorithm-based-decision-support-system-guides-trauma-staff-during-
initial-treatment
Summar…
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psnet.ahrq.gov/web-mm/forgotten-line
March 11, 2011 - The Forgotten Line
Citation Text:
Render ML. The Forgotten Line. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2012.
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January 01, 2017 - The Empty Bag
December 1, 2016
Vincent C. The Empty Bag. PSNet [internet]. 2016.
https://psnet.ahrq.gov/web-mm/empty-bag
The Case
A 90-year-old woman with end-stage dementia was admitted to an acute care hospital for treatment of a
hip fracture after a fall at a nursing home. During the hospitalization, her kidne…