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4541. Tool 13: ED Care Plan (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/medicaidreadmitguide/mcaidread_tool13_ed_care_plan.docx
      May 01, 2015 - Tool 13: ED Care Plan Tool 13: ED Care Plan Purpose The purpose of the emergency department (ED) care plan is to create institutional memory across numerous providers; make easily visible prior recurrent presentations and related testing; identify a patient’s existing clinical, behavioral, and social services; and …

4542. How CUSP Enables Nurse Empowerment (Slide Presentation) | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cusp/toolkit/content-calls/nurse-empower/slides.html
      October 01, 2014 - How CUSP Enables Nurse Empowerment (Slide Presentation) On the CUSP: Stop BSI This PowerPoint slide presentation was shown on November 15, 2011. Contents Slide 1. How CUSP Enables Nurse Empowerment Slide 2. Presenters (continued) Slide 3. CUSP Components Slide 4. How is CUSP Different? It Empowers N…

4543. Selected Best Practices and Suggestions for Improvement (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4f_combo_psi09-postophemorrhage-bestpractices.pdf
      May 20, 2016 - Selected Best Practices and Suggestions for Improvement Toolkit for Using the AHRQ Quality Indicators How To Improve Hospital Quality and Safety 1 Tool D.4f Selected Best Practices and Suggestions for Improvement PSI 09: Postoperative Hemorrhage or Hematoma Why Focus on Postoperative Hemorrhage and Hemat…

4544. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33574/psn-pdf
      March 15, 2025 - Ambulatory Care Safety March 15, 2025 Ambulatory Care Safety. PSNet [internet]. 2019. https://psnet.ahrq.gov/primer/ambulatory-care-safety PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that they reflect current research and practice in the patient safety field. Las…

4545. Communication Between Clinicians | PSNet
      psnet.ahrq.gov/primer/communication-between-clinicians
      September 15, 2024 - Communication Between Clinicians Citation Text: Communication Between Clinicians. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tag…

4546. Optimal Diabetes Care (pdf file)
      integrationacademy.ahrq.gov/sites/default/files/2020-07/Optimal_Diabetes_Care.pdf
      January 01, 2020 - Optimal Diabetes Care                                                                                                                                                                                                                                                                                              …

4547. Length of Stay (pdf file)
      digital.ahrq.gov/sites/default/files/docs/page/length-of-stay-quick-reference-guide.pdf
      March 01, 2009 - Length of Stay Length of Stay This measure allows organizations to systematically assess the impact of implementing health information technology (health IT) with the intent to decrease inpatient length of stay (LOS). Measure Category: Clinical Outcomes Quality Domain: Patient Safety; Efficiency Current Fi…

4548. Microsoft PowerPoint - FINAL Feb 2021 Spotlight_Delay in Appropriate DX.pptx - Read-Only (pdf file)
      psnet.ahrq.gov/sites/default/files/2021-02/final_feb_2021_spotlight_delay_in_appropriate_dx.pdf
      January 01, 2021 - Eight hours after admission, her serum lactate rose to 4.7 mmol/L (normal <2.0 mmol/L) and her oxygen requirements

4549. "Near miss": a mixed-methods analysis of medical student assignments in patient safety. | PSNet
      psnet.ahrq.gov/issue/near-miss-mixed-methods-analysis-medical-student-assignments-patient-safety
      May 25, 2016 - Study "Near miss": a mixed-methods analysis of medical student assignments in patient safety. Citation Text: Plugge T, Breviu A, Lappé K, et al. "Near miss": a mixed-methods analysis of medical student assignments in patient safety. Am J Med Qual. 2024;39(4):168-173. doi:10.1097/jmq.0000…

4550. Using name overlap analysis to understand medication name search safety. | PSNet
      psnet.ahrq.gov/issue/using-name-overlap-analysis-understand-medication-name-search-safety
      August 31, 2022 - Study Using name overlap analysis to understand medication name search safety. Citation Text: Flynn AJ, Mieure KD, Myers C. Using name overlap analysis to understand medication name search safety. Am J Health Syst Pharm. 2024;81(14):622-633. doi:10.1093/ajhp/zxae048. Copy Citation …

4551. Regional Approach for Transforming Healthcare Quality through Information Technology (THQIT) in Rural Settings | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/regional-approach-transforming-healthcare-quality-through-information
      January 01, 2023 - Regional Approach for Transforming Healthcare Quality through Information Technology (THQIT) in Rural Settings Project Final Report ( PDF , 201.35 KB) Disclaimer Disclaimer The findings and conclusions in this document are those of the author(s), who are responsible for its con…

4552. Adherence to national guidelines for timeliness of test results communication to patients in the Veterans Affairs health care system. | PSNet
      psnet.ahrq.gov/issue/adherence-national-guidelines-timeliness-test-results-communication-patients-veterans-affairs
      March 03, 2019 - Study Adherence to national guidelines for timeliness of test results communication to patients in the Veterans Affairs health care system. Citation Text: Meyer AND, Scott TMT, Singh H. Adherence to national guidelines for timeliness of test results communication to patients in the Veter…

4553. Accountability for medical error: moving beyond blame to advocacy. | PSNet
      psnet.ahrq.gov/issue/accountability-medical-error-moving-beyond-blame-advocacy
      December 19, 2018 - Review Accountability for medical error: moving beyond blame to advocacy. Citation Text: Bell SK, Delbanco T, Anderson-Shaw L, et al. Accountability for medical error: moving beyond blame to advocacy. Chest. 2011;140(2):519-526. doi:10.1378/chest.10-2533. Copy Citation Format: …

4554. University of Texas Health at San Antonio, University Health System Used AHRQ Tools | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/newsroom/case-studies/201905.html
      September 01, 2019 - University of Texas Health at San Antonio, University Health System Used AHRQ Tools Search All Impact Case Studies July 2019 The University of Texas Health at San Antonio (UT Health SA) used three AHRQ tools as the basis for developing a multimedia decision aid to help patients fully understand and consent …

4555. Preoperative briefing in the operating room: shared cognition, teamwork, and patient safety. | PSNet
      psnet.ahrq.gov/issue/preoperative-briefing-operating-room-shared-cognition-teamwork-and-patient-safety
      May 02, 2012 - Study Preoperative briefing in the operating room: shared cognition, teamwork, and patient safety. Citation Text: Einav Y, Gopher D, Kara I, et al. Preoperative briefing in the operating room: shared cognition, teamwork, and patient safety. Chest. 2010;137(2):443-9. doi:10.1378/chest.08…

4556. FDA Drug Safety Communication: FDA warns about prescribing and dispensing errors resulting from brand name confusion with antidepressant Brintellix (vortioxetine) and antiplatelet Brilinta (ticagrelor). | PSNet
      psnet.ahrq.gov/issue/fda-drug-safety-communication-fda-warns-about-prescribing-and-dispensing-errors-resulting
      August 05, 2020 - Press Release/Announcement FDA Drug Safety Communication: FDA warns about prescribing and dispensing errors resulting from brand name confusion with antidepressant Brintellix (vortioxetine) and antiplatelet Brilinta (ticagrelor). Citation Text: FDA Drug Safety Communication: FDA warns ab…

4557. Safe surgery: how accurate are we at predicting intra-operative blood loss? | PSNet
      psnet.ahrq.gov/issue/safe-surgery-how-accurate-are-we-predicting-intra-operative-blood-loss
      March 21, 2018 - Study Safe surgery: how accurate are we at predicting intra-operative blood loss? Citation Text: Solon JG, Egan C, McNamara DA. Safe surgery: how accurate are we at predicting intra-operative blood loss? J Eval Clin Pract. 2013;19(1):100-5. doi:10.1111/j.1365-2753.2011.01779.x. Copy …

4558. Ordering Health Care Organizations in a Quality Report | Agency for Healthcare Research and Quality
      www.ahrq.gov/talkingquality/translate/compare/order.html
      November 01, 2018 - Ordering Health Care Organizations in a Quality Report In what order will different health plans or providers be presented in your report? Consider the following four options: Alphabetical Ordering. Rank Ordering by Performance. Ordering Within Cost Tiers. Providing Users with Ordering Options. Al…

4559. CHIPRA 213: Section 2 Technical Specifications (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-213-section-2-tech-specs.pdf
      June 02, 2025 - CHIPRA 213: Section 2 Technical Specifications The percentage of children identified as having Sickle Cell Anemia who received anticipatory guidance regarding the risks and benefits of treatment with hydroxyurea as part of outpatient care during the measurement year. A higher proportion indicates b…

4560. CHIPRA 230: Technical Specifications (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-230-tech-specs.pdf
      June 02, 2025 - CHIPRA 230: Technical Specifications 1 The percentage of children, ages 2 through 17 years old, who had documentation of BMI percentile and documentation of weight classification at an outpatient care visit during the measurement year. A higher proportion indicates better performance. This mea…