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  1. Cost-to-Charge Ratios for NRD 2010-2017 (pdf file)

    hcup-us.ahrq.gov/db/ccr/ip-ccr/CCR-NRD_UserGuide_2010-2018.pdf
    January 01, 2018 - Cost-to-Charge Ratios for NRD 2010-2017 HCUP (12/09/2020) -1- User Guide: CCR for NRD Files, 2010-2018 Cost-to-Charge Ratio Files: User Guide for Nationwide Readmissions Database (NRD) CCRs The Healthcare Cost and Utilization Project (HCUP) Cost-to-Charge Ratio Files (CCR Files) are hospital-level files t…

  2. Safety in the Retail Pharmacy | PSNet

    psnet.ahrq.gov/perspective/safety-retail-pharmacy
    May 11, 2016 - Safety in the Retail Pharmacy Michelle A. Chui, PharmD, PhD | October 1, 2018  View more articles from the same authors. Citation Text: Chui MA. Safety in the Retail Pharmacy. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Departme…

  3. An Untimely End Despite End-of-Life Care Planning | PSNet

    psnet.ahrq.gov/web-mm/untimely-end-despite-end-life-care-planning
    February 01, 2012 - An Untimely End Despite End-of-Life Care Planning Citation Text: Elia G, Barbour S, Anderson WG. An Untimely End Despite End-of-Life Care Planning. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2018. Copy Citation Format: …

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49769/psn-pdf
    September 01, 2016 - Complaints as Safety Surveillance September 1, 2016 Morris JL, Bismark M. Complaints as Safety Surveillance. PSNet [internet]. 2016. https://psnet.ahrq.gov/web-mm/complaints-safety-surveillance The Case A 42-year-old woman presented to the emergency department with abdominal pain. She said the pain came on sudden…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49703/psn-pdf
    March 01, 2014 - After-Visit Confusion March 1, 2014 Ventres W. After-Visit Confusion. PSNet [internet]. 2014. https://psnet.ahrq.gov/web-mm/after-visit-confusion The Case An otherwise healthy 18-year-old woman presented to an urgent care clinic with new bumps and white spots near her tongue. The patient's mother accompanied her …

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49484/psn-pdf
    June 01, 2005 - Two Pills, Same Drug June 1, 2005 Horsky J, Patel VL. Two Pills, Same Drug. PSNet [internet]. 2005. https://psnet.ahrq.gov/web-mm/two-pills-same-drug The Case A 34-year-old woman with AIDS developed a fever and hypotension due to suspected pneumonia. Her past medical history included several AIDS-related complica…

  7. Facapplycusp (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/apply/facapplycusp.docx
    June 02, 2025 - SAY: The “Apply CUSP” module of the Comprehensive Unit-based Safety Program (or CUSP) Toolkit introduces Just Culture principles, which emphasize shared accountability and attitudes toward risk. This module also summarizes the concepts and activities of the other six modules in the CUSP Toolkit. Slide 1 SAY: In th…

  8. Nursing Intervention to Remove Non-necessary Urinary Catheters

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/building-team-040814.pptx
    January 01, 2013 - Nursing Intervention to Remove Non-necessary Urinary Catheters Mohamad Fakih, MD, MPH Professor of Medicine Wayne State University School of Medicine Medical Director, Infection Prevention and Control St. John Hospital and Medical Center Barbara Lucas, MD, MHSA Project Consultant Michigan Health & Hospital Associatio…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49493/psn-pdf
    November 01, 2005 - Infused, Not Ingested November 1, 2005 Foley M. Infused, Not Ingested. PSNet [internet]. 2005. https://psnet.ahrq.gov/web-mm/infused-not-ingested The Case A patient in the ICU was scheduled for a CT scan. The nurse prepared the patient by administering contrast, an unfamiliar task for this particular nurse. Rathe…

  10. Toolkit Prelaunch Activities (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/introduction/prelaunch-activities.pdf
    March 01, 2022 - Toolkit Prelaunch Activities Decolonization of Non-ICU Patients With Devices Section 8 – Toolkit Prelaunch Activities We recommend that you follow the prelaunch checklist below (Table 8-1) for successful implementation. As is the case with many infection prevention programs, it will take time to achie…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49607/psn-pdf
    August 01, 2010 - Missed Patient Assignment: Is Anyone There? August 1, 2010 Sittig DF, Campbell EM, Singh H. Missed Patient Assignment: Is Anyone There? PSNet [internet]. 2010. https://psnet.ahrq.gov/web-mm/missed-patient-assignment-anyone-there The Case In one hospital, nurses' patient assignments were communicated by listing the…

  12. Teach-Back (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/teach-back-slides-final508.pdf
    June 02, 2025 - Teach-Back Teach-Back AHRQ Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families Presenter Presentation Notes The Agency for Healthcare Research and Quality, or AHRQ, funded the development of a Guide to Improving Patient Safety in Primary Care Settings by…

  13. SOPS® Workplace Safety Supplemental Items for the SOPS Hospital Survey (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/workplace-safety/Workplace-Safety-for-Hospitals-Spanish-12-15-22.docx
    December 01, 2022 - SOPS® Workplace Safety Supplemental Items for the SOPS Hospital Survey SOPS® Workplace Safety Supplemental Item Set for the SOPS Hospital Survey Language: Spanish Purpose: This supplemental item set was designed for use with the core SOPS® Hospital Survey Version 2.0 to help hospitals assess the extent to which their…

  14. SOPS® Value and Efficiency Supplemental Item Set for the SOPS Medical Office Survey - Spanish (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/value-efficiency-supplemental-item-spanish.pdf
    March 01, 2023 - SOPS® Value and Efficiency Supplemental Item Set for the SOPS Medical Office Survey - Spanish SOPS® Value and Efficiency Supplemental Items for the SOPS Medical Office Survey Language: Spanish • Purpose: This supplemental item set was designed for use with the core SOPS® Medical Office Survey to help medical…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49538/psn-pdf
    June 01, 2007 - Abnormal Volunteer Results June 1, 2007 Fernandez C. Abnormal Volunteer Results. PSNet [internet]. 2007. https://psnet.ahrq.gov/web-mm/abnormal-volunteer-results The Case A healthy 52-year-old woman volunteered to participate in a radiology study in which she underwent magnetic resonance imaging (MRI) of her abdo…

  16. Over Not So Easy | PSNet

    psnet.ahrq.gov/web-mm/over-not-so-easy
    April 01, 2005 - Over Not So Easy Citation Text: Cucina R. Over Not So Easy. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2006. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49797/psn-pdf
    June 01, 2017 - Diagnostic Overshadowing Dangers June 1, 2017 Raven MC. Diagnostic Overshadowing Dangers. PSNet [internet]. 2017. https://psnet.ahrq.gov/web-mm/diagnostic-overshadowing-dangers The Case A 72-year-old woman with history of opioid abuse was sent to the emergency department (ED) from a methadone clinic because she a…

  18. The “Never Antibiotics” Diagnoses: ​Viral Acute Upper Respiratory Infection: ​the Common Cold – Facilitator Guide (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/common-cold-guide.docx
    September 01, 2022 - The “Never Antibiotics” Diagnoses: ​Viral Acute Upper Respiratory Infection: ​the Common Cold – Facilitator Guide AHRQ Safety Program for Improving Antibiotic Use The “Never Antibiotics” Diagnosis: Acute Viral Upper Respiratory Infection: the Common Cold Slide Title and Commentary Slide Number and Slide The “N…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49436/psn-pdf
    February 26, 2004 - Transfusion "Slip" February 1, 2004 Kaplan HS. Transfusion "Slip". PSNet [internet]. 2004. https://psnet.ahrq.gov/web-mm/transfusion-slip The Case A married couple, Mr. and Mrs. M, was brought to the emergency department (ED) of a Level 1 trauma center after a half-ton truck that had skidded out of control struck…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49725/psn-pdf
    January 01, 2015 - Haste Makes Care Unsafe January 1, 2015 Eichhorn JH. Haste Makes Care Unsafe. PSNet [internet]. 2015. https://psnet.ahrq.gov/web-mm/haste-makes-care-unsafe The Case An 80-year-old man with a history of coronary artery disease and atrial fibrillation underwent a combined elective coronary artery bypass graft (CABG…
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