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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/duration/chipra-155-fullreport.pdf
September 01, 2018 - Other geographic level: Can compare other geographic regions (e.g., MSA, HRR)
Intended use: Is measure
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/availability/chipra-233-fullreport.pdf
August 07, 2018 - Other geographic level: Can compare other geographic regions (e.g., MSA, HRR)
Intended use: Is measure
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/availability/chipra-134-fullreport.pdf
November 01, 2019 - Other geographic level: Can compare other geographic regions (e.g., MSA, HRR)
Intended use: Is measure
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/pqmp-disposition-comments.pdf
April 07, 2025 - medical practices by including
specific examples of how these practices vary across
different states or regions
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digital.ahrq.gov/sites/default/files/docs/cds-medication-management-slides-012814.pdf
January 28, 2014 - A National Web Conference on the Use of Clinical Decision Support to Improve Medication Management
A National Web Conference on the Use of
Clinical Decision Support to Improve
Medication Management
January 28, 2014
12:30pm – 2:00pm ET
Moderator and Presenters
Disclosures
Moderator:
Erin Grace, M.H.…
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digital.ahrq.gov/sites/default/files/docs/publication/r01hs015459-goldberg-final-report-2008.pdf
January 01, 2008 - Home Heart Failure (HF) Care Comparing Patient-Driven Technology Models
Grant Final Report
Grant ID: 5R01HS015459
Home Heart Failure (HF) Care Comparing
Patient-Driven Technology Models
Inclusive Dates: 09/30/04 - 09/09/08
Principal Investigator:
Lee R. Goldberg, MD, MPH
Team Members…
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psnet.ahrq.gov/web-mm/ultrasound-looked-fine-point-care-ultrasound-and-patient-safety
December 01, 2012 - SPOTLIGHT CASE
"The Ultrasound Looked Fine": Point-of-Care Ultrasound and Patient Safety
Citation Text:
Lewiss RE. "The Ultrasound Looked Fine": Point-of-Care Ultrasound and Patient Safety. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and H…
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psnet.ahrq.gov/node/49801/psn-pdf
August 01, 2017 - Despite Clues, Failed to Rescue
August 1, 2017
Ghaferi AA. Despite Clues, Failed to Rescue. PSNet [internet]. 2017.
https://psnet.ahrq.gov/web-mm/despite-clues-failed-rescue
Case Objectives
Define failure to rescue.
Identify the main contributors to failure-to-rescue events.
Appreciate the ongoing areas of scien…
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hcup-us.ahrq.gov/reports/natstats/his96/table1d.htm
January 01, 1996 - Hospital Inpatient Statistics, 1996
Table 1 (continued). Statistics for
1996 HCUP Nationwide Inpatient Sample, by multi-level CCS diagnosis (principal
diagnosis only) ___________________________________________________________________________________________________________________________________________…
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psnet.ahrq.gov/web-mm/forgotten-turn
August 01, 2018 - SPOTLIGHT CASE
The Forgotten Turn
Citation Text:
Barbour S. The Forgotten Turn. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2010.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML En…
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psnet.ahrq.gov/node/851099/psn-pdf
June 28, 2023 - Misconnection Leading to Arterial Thrombosis
June 28, 2023
Bohringer C, Lee G. Misconnection Leading to Arterial Thrombosis. PSNet [internet]. 2023.
https://psnet.ahrq.gov/web-mm/misconnection-leading-arterial-thrombosis
The Case
A 55-year-old man with chronic obstructive pulmonary disease (COPD) was brought by am…
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psnet.ahrq.gov/perspective/university-texas-system-clinical-safety-and-effectiveness-course
February 01, 2011 - The University of Texas System Clinical Safety and Effectiveness Course
Eric J. Thomas, MD, MPH; Jan Patterson, MD, MS; Sherry Martin, MEd; Doris Quinn, PhD; Gary Reed, MD; Ken Shine, MD | February 1, 2011
View more articles from the same authors.
Citation Text:
T…
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psnet.ahrq.gov/web-mm/challenging-case-multiple-suicide-attempts-complex-patient-psychiatric-comorbidities
September 27, 2023 - SPOTLIGHT CASE
Challenging Case of Multiple Suicide Attempts in a Complex Patient with Psychiatric Comorbidities.
Citation Text:
Bourgeois JA, Xiong G. Challenging Case of Multiple Suicide Attempts in a Complex Patient with Psychiatric Comorbidities.. PSNet [internet]. Rockville (MD): Agency for …
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psnet.ahrq.gov/web-mm/dont-dismiss-dangerous-obstetric-hemorrhage
August 21, 2024 - SPOTLIGHT CASE
Don't Dismiss the Dangerous: Obstetric Hemorrhage
Citation Text:
Main EK. Don't Dismiss the Dangerous: Obstetric Hemorrhage. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2016.
Copy Citation
Format:
…
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digital.ahrq.gov/sites/default/files/docs/publication/Parisetal_HFES2008.pdf
January 01, 2008 - Safety of the Antibiotic Medication Use Process in the Intensive Care Unit
Bonnie Paris�, Pascale Carayon�, Tosha Wetterneck�
Department of Industrial & Systems Engineering, University of Wisconsin-Madison�; University of
Wisconsin School of Medicine and Public Health�; Center for Quality & Productivity Improvem…
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psnet.ahrq.gov/sites/default/files/2022-02/final_cme_reviewed_spotlight_loss_of_trust_and_a_missed_diagnosis_02.14.20221_-_clean_-_revised.pdf
January 01, 2022 - Microsoft PowerPoint - FINAL CME Reviewed Spotlight_Loss of Trust and a Missed Diagnosis_02.14.20221 - clean - REVISED.pptx
Spotlight
A Loss of Trust and a Missed Diagnosis
Source and Credits
• This presentation is based on the February 2022 AHRQ WebM&M
Spotlight Case
o See the full article at https://psnet.ahrq.…
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digital.ahrq.gov/computerized-provider-order-entry-inpatient
January 01, 2023 - This information is for reference purposes only. It was current when produced and may now be outdated. Archive material is no longer maintained, and some links may not work. Persons with disabilities having difficulty accessing this information should contact us at: https://digital.ahrq.gov/contact-us . Let us know th…
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digital.ahrq.gov/sites/default/files/docs/publication/r21hs022166-beebe-final-report-2016.pdf
January 01, 2016 - The Long Term Effectiveness of Telephone Intervention Problem Solving (TIPS) - Final Report
The long term effectiveness of Telephone Intervention Problem Solving (TIPS).
PI Lora Humphrey Beebe, PhD, PMHNP-BC
Team members:
Kathleen D Smith, PhD, interventionist;
Abbas Tavakoli, PhD…
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www.ahrq.gov/sites/default/files/2024-02/carpenter-report.pdf
January 01, 2024 - Final Progress Report: Addressing methodological and ethical issues in pediatric medication safety research
TITLE PAGE
Project Title: Addressing methodological and ethical issues in pediatric medication safety research
Principal Investigator: Delesha M. Carpenter
Organization: University of North Carolina at Chapel …
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www.ahrq.gov/ncepcr/tools/public-reporting/guide1.html
August 01, 2018 - Best Practices in Public Reporting No. 1: How To Effectively Present Health Care Performance Data To Consumers
The purpose of the Best Practices in Public Reporting series is to provide practical approaches to designing public reports that make health care performance information clear, meaningful, and usable b…