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www.ahrq.gov/sites/default/files/2024-11/stulberg-report.pdf
January 01, 2024 - Final Progress Report: Preventing Opioid Misuse Through Safe Opioid Use Agreements Between Patients and Surgical Providers (PROMISE-ME)
TITLE PAGE
Title of Project:
Preventing Opioid Misuse through Safe Opioid Use Agreements between Patients and Surgical Providers
(PROMISE-ME)
Team Members:
Principal Investi…
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psnet.ahrq.gov/web-mm/missed-compartment-syndrome-after-steep-lithotomy-position-laparoscopic-gynecological
January 29, 2021 - Missed Compartment Syndrome after Steep Lithotomy Position for Laparoscopic Gynecological Surgery
Citation Text:
Bohringer C, Chavez G. Missed Compartment Syndrome after Steep Lithotomy Position for Laparoscopic Gynecological Surgery. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Qual…
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www.ahrq.gov/sites/default/files/2025-06/dean-report.pdf
January 01, 2025 - Final Progress Report: Adaptation and Pilot Implementation of a Validated, Electronic Real-Time Clinical Decision Support Tool for the Care of Pneumonia Patients in 12 Utah Urgent Care Centers
Adaptation and pilot implementation of a
validated, electronic real-time clinical decision
support tool for the care of pne…
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www.uspreventiveservicestaskforce.org/uspstf/recommendation/ovarian-cancer-screening-1996
January 01, 1996 - Share to Facebook
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archived
Final Recommendation Statement
Ovarian Cancer: Screening, 1996
January 01, 1996
Recommendations made by the USPSTF are independent of the U.S. government. They…
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psnet.ahrq.gov/innovation/rehearsing-team-care-relatively-rare-obstetric-emergencies-leads-improved-outcomes
July 23, 2024 - Rehearsing Team Care for Relatively Rare Obstetric Emergencies Leads to Improved Outcomes
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December 22, 2020
Innovation
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psnet.ahrq.gov/webmm-case-studies
March 25, 2025 - WebM&M: Case Studies
WebM&M (Morbidity & Mortality Rounds on the Web) features expert analysis of medical errors reported anonymously by our readers. Spotlight Cases include interactive learning modules available for CME/CPE . Commentaries are written by patient safety experts and published monthly. Have you encou…
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hcup-us.ahrq.gov/reports/methods/2004_1.jsp
January 01, 2004 - HCUP Methods Series Comorbidity Software Documentation
An official website of the Department of Health & Human Services
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Careers
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Espanol
FAQs
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psnet.ahrq.gov/web-mm/loss-trust-and-missed-diagnosis
October 31, 2023 - SPOTLIGHT CASE
A Loss of Trust and a Missed Diagnosis
Citation Text:
Landefeld J, Teasdale S, Jain S. A Loss of Trust and a Missed Diagnosis. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2022.
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Format:…
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www.ahrq.gov/ncepcr/tools/case-studies/health-team-works.html
August 01, 2014 - Case Studies of Exemplary Primary Care Practice Facilitation Training Programs
Training Program Summary: HealthTeamWorks’ Coach University
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Table of Contents
Case Studies of Exemplary Primary Care Practice Facilitation Training Programs
Overview
Training Program Summary: H…
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www.ahrq.gov/sites/default/files/2024-11/blumenthal-report.pdf
January 01, 2024 - Final Progress Report: Validation of an Innovative Approach to Error Reduction
Final Progress Report
Validation of an Innovative Approach To Error Reduction
Principal Investigator: David Blumenthal, MD, MPP
Team Members:
Carlos A. Camargo, Jr., MD, DrPH (Massachusetts General Hospital)
Paul D. Cleary, PhD (Yale…
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/highlight02.pdf
September 08, 2015 - Evaluation Highlight No. 2, May 2013. How are States and evaluators measuring medical homeness in the CHIPRA Quality Demonstration Grant Program?
The CHIPRA Quality
Demonstration Grant Program
In February 2010, the Centers for Medicare &
Medicaid Services (CMS) awarded 10 grants,
funding 18 States, to improve the…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/preventing-cauti-icu-051314.pptx
February 07, 2014 - Slide 1
Preventing CAUTI in Specialized Patient Populations: The ICU
1
Hannah Wunsch, MD, MSc
Herbert Irving Assistant Professor of Anesthesiology and Epidemiology
Columbia University
Eugene Chu, MD, FHM
Director of Hospital Medicine
Boulder Community Hospital
Associate Clinical Professor of Medicine
University of Co…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/sustainability/sustainability_learn_from_defects_facnotes.docx
December 01, 2017 - Accessible Facilitator Guide: Learn From Defects for Sustainability
Slide Title and Commentary
Slide Number and Slide
Sustainability: Learning From Defects
SAY:
This module will review some concepts from Learning From Defects Through Sensemaking. It will also cover the Learning From Defects process from the per…
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www.ahrq.gov/hai/tools/surgery/modules/sustainability/learn-from-defects-fac-notes.html
December 01, 2017 - Sustainability: Learning From Defects: Facilitator Notes
AHRQ Safety Program for Surgery
Slide 1: Sustainability: Learning From Defects
Say:
This module will review some concepts from Learning From Defects Through Sensemaking. It will also cover the Learning From Defects process from the perspective of …
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www.ahrq.gov/sites/default/files/2024-01/higginson-report.pdf
January 01, 2024 - in
these groups, both to protect resident privacy and to ensure that Oregon’s mandatory reporting requirements … consistent from facility to facility (e.g., driven by culture, practice
standards, and/or regulatory requirements
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www.ahrq.gov/sites/default/files/2024-02/herwaldt-report.pdf
January 01, 2024 - All trained staff were given computer access to the
online function based on requirements of their particular
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hcup-us.ahrq.gov/reports/statbriefs/sb155.jsp
May 01, 2013 - decreasing trauma call coverage because of higher medico-legal risk, conflict with elective practice, time requirements
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hcup-us.ahrq.gov/reports/statbriefs/sb155.pdf
March 01, 2013 - decreasing trauma call coverage because of higher medico-legal risk, conflict with elective
practice, time requirements
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digital.ahrq.gov/sites/default/files/docs/citation/r18hs026189-ko-final-report-2023.pdf
January 01, 2023 - Scaling and Spreading Electronic Capture of Patient-Reported Outcomes Using a National Surgical Quality Improvement Program - Final Report
1
Title of Project: Scaling and Spreading Electronic Capture of Patient-Reported Outcomes Using a
National Surgical Quality Improvement Program
Principal Investig…
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hcup-us.ahrq.gov/reports/methods/2003_02.jsp
January 01, 2003 - HCUP Methods Series Calculating Nationwide Inpatient Sample (NIS) Variances for Data Years 2011 and Earlier
An official website of the Department of Health & Human Services
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…