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9101. Why Aren't Numbers and Graphs Sufficient for a Quality Report? | Agency for Healthcare Research and Quality
      www.ahrq.gov/talkingquality/explain/numbers.html
      November 01, 2018 - Why Aren't Numbers and Graphs Sufficient for a Quality Report? Quality reports need a brief and compelling explanation of the purpose and value of the information they contain, as well as the trustworthiness of the report’s sponsor. This page discusses why this is necessary. Quality Information Is New Som…

9102. A contemporary medicolegal analysis of outpatient medication management in chronic pain. | PSNet
      psnet.ahrq.gov/issue/contemporary-medicolegal-analysis-outpatient-medication-management-chronic-pain
      September 28, 2017 - Study A contemporary medicolegal analysis of outpatient medication management in chronic pain. Citation Text: Abrecht CR, Brovman EY, Greenberg P, et al. A Contemporary Medicolegal Analysis of Outpatient Medication Management in Chronic Pain. Anesth Analg. 2017;125(5):1761-1768. doi:10.1…

9103. Discontinuity of chronic medications in patients discharged from the intensive care unit. | PSNet
      psnet.ahrq.gov/issue/discontinuity-chronic-medications-patients-discharged-intensive-care-unit
      November 03, 2015 - Study Discontinuity of chronic medications in patients discharged from the intensive care unit. Citation Text: Bell CM, Rahimi-Darabad P, Orner AI. Discontinuity of chronic medications in patients discharged from the intensive care unit. J Gen Intern Med. 2006;21(9):937-41. Copy Cita…

9104. Electronic health record–related safety concerns: a cross-sectional survey. | PSNet
      psnet.ahrq.gov/issue/electronic-health-record-related-safety-concerns-cross-sectional-survey
      August 03, 2016 - Study Electronic health record–related safety concerns: a cross-sectional survey. Citation Text: Menon S, Singh H, Meyer AND, et al. Electronic health record-related safety concerns: a cross-sectional survey. J Healthc Risk Manag. 2014;34(1):14-26. doi:10.1002/jhrm.21146. Copy Citation…

9105. Project Report - Lean Sigma (ppt file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/contentcalls/twomorees-slides/Two-More-Es-and-How-to-Spread-Dec-13-2011-508.ppt
      January 01, 2011 - Project Report - Lean Sigma Two More E’s and How to Spread Learning Objectives To think ahead about ways to make your investment of time and improvements in BSI rates last forever To make sure all patients in your institution have access to the same level of safety in their care Implementation Framework Al…

9106. Pediatric prehospital medication dosing errors: a mixed-methods study. | PSNet
      psnet.ahrq.gov/issue/pediatric-prehospital-medication-dosing-errors-mixed-methods-study
      August 25, 2021 - Study Pediatric prehospital medication dosing errors: a mixed-methods study. Citation Text: Hoyle JD, Sleight D, Henry R, et al. Pediatric prehospital medication dosing errors: a mixed-methods study. Prehosp Emerg Care. 2016;20(1):117-124. doi:10.3109/10903127.2015.1061625. Copy Citati…

9107. Contemporary evidence about hospital strategies for reducing 30-day readmissions: a national study. | PSNet
      psnet.ahrq.gov/issue/contemporary-evidence-about-hospital-strategies-reducing-30-day-readmissions-national-study
      July 19, 2010 - Study Contemporary evidence about hospital strategies for reducing 30-day readmissions: a national study. Citation Text: Bradley EH, Curry LA, Horwitz LI, et al. Contemporary evidence about hospital strategies for reducing 30-day readmissions: a national study. J Am Coll Cardiol. 2012;6…

9108. Improving the discharge process by embedding a discharge facilitator in a resident team. | PSNet
      psnet.ahrq.gov/issue/improving-discharge-process-embedding-discharge-facilitator-resident-team
      January 23, 2019 - Study Improving the discharge process by embedding a discharge facilitator in a resident team. Citation Text: Finn KM, Heffner R, Chang Y, et al. Improving the discharge process by embedding a discharge facilitator in a resident team. J Hosp Med. 2011;6(9):494-500. doi:10.1002/jhm.924.…

9109. New York Hospitals Use AHRQ Toolkit to Revise Protocol for Preventing Blood Clots | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/newsroom/case-studies/ktcquips99.html
      October 01, 2014 - New York Hospitals Use AHRQ Toolkit to Revise Protocol for Preventing Blood Clots Search All Impact Case Studies May 2012 Seven New York hospitals revised their protocol for preventing venous thromboembolism (VTE) after their State Quality Improvement Organization (QIO), IPRO, participated in a series of on…

9110. An epistemology of patient safety research: a framework for study design and interpretation. | PSNet
      psnet.ahrq.gov/issue/epistemology-patient-safety-research-framework-study-design-and-interpretation
      February 23, 2011 - Study Classic An epistemology of patient safety research: a framework for study design and interpretation. Citation Text: Brown C, Hofer T, Johal A, et al. An epistemology of patient safety research: a framework for study design and interpretation. Part 4. One s…

9111. Guide for Developing a Community-Based Patient Safety Advisory Council | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/advisorycouncil/adcouncil2.html
      April 01, 2018 - Guide for Developing a Community-Based Patient Safety Advisory Council Chapter 2. Patient Safety Advisory Councils The success of any team requires active participation from every member. The approach health care systems traditionally take neglects the most critical member of the team—the patient. Programs an…

9112. We will not compete on safety: how children's hospitals have come together to hasten harm reduction. | PSNet
      psnet.ahrq.gov/issue/we-will-not-compete-safety-how-childrens-hospitals-have-come-together-hasten-harm-reduction
      August 10, 2022 - Study We will not compete on safety: how children's hospitals have come together to hasten harm reduction. Citation Text: Lyren A, Coffey M, Shepherd M, et al. We Will Not Compete on Safety: How Children's Hospitals Have Come Together to Hasten Harm Reduction. Jt Comm J Qual Patient Saf.…

9113. What is known about adverse events in older medical hospital inpatients? A systematic review of the literature. | PSNet
      psnet.ahrq.gov/issue/what-known-about-adverse-events-older-medical-hospital-inpatients-systematic-review
      January 12, 2012 - Review What is known about adverse events in older medical hospital inpatients? A systematic review of the literature. Citation Text: Long SJ, Brown KF, Ames D, et al. What is known about adverse events in older medical hospital inpatients? A systematic review of the literature. Int J He…

9114. In conclusion | Agency for Healthcare Research and Quality
      www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/finalsummary/finalsummary8.html
      September 01, 2015 - Key Lessons from the National Evaluation of the CHIPRA Quality Demonstration Grant Program In conclusion Previous Page   Table of Contents Key Lessons from the National Evaluation of the CHIPRA Quality Demonstration Grant Program Introduction Reporting and using the Child Core Set of quality mea…

9115. Do EPs change their clinical behaviour in the hallway or when a companion is present? A cross-sectional survey. | PSNet
      psnet.ahrq.gov/issue/do-eps-change-their-clinical-behaviour-hallway-or-when-companion-present-cross-sectional
      June 29, 2022 - Study Do EPs change their clinical behaviour in the hallway or when a companion is present? A cross-sectional survey. Citation Text: Stoklosa H, Scannell M, Ma Z, et al. Do EPs change their clinical behaviour in the hallway or when a companion is present? A cross-sectional survey. Emerg …

9116. Physician order entry or nurse order entry? Comparison of two implementation strategies for a computerized order entry system aimed at reducing dosing medication errors. | PSNet
      psnet.ahrq.gov/issue/physician-order-entry-or-nurse-order-entry-comparison-two-implementation-strategies
      February 23, 2009 - Study Physician order entry or nurse order entry? Comparison of two implementation strategies for a computerized order entry system aimed at reducing dosing medication errors. Citation Text: Kazemi A, Fors UGH, Tofighi S, et al. Physician order entry or nurse order entry? Comparison of…

9117. Overuse of Computed Tomography Scans for the Evaluation of Children with Atraumatic Headache: Table 8 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-0206-table8.pdf
      April 21, 2015 - Overuse of Computed Tomography Scans for the Evaluation of Children with Atraumatic Headache: Table 8 Table 8: Evidence Regarding Overuse of Computed Tomography Imaging for Atraumatic Headache in Children TYPE OF EVIDENCE KEY FINDINGS LEVEL OF EVIDENCE (USPSTF RANKING*) CITATION(S) Appropria…

9118. One-Pager-Cellulitis (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/one-pager-cellulitis.docx
      June 01, 2021 - DiagnosisCellulitis · Relatively sudden onset of redness, warmth, tenderness, and swelling of the skin1-3 · Nonpurulent: no evidence of abscess/phlegmon; most cases caused by beta-hemolytic streptococci (usually group A strep but also B, C, G) that are sucepti…

9119. Management Practices for Sustainability Module 4: Observation and Integration | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/management/observation-slides.html
      June 01, 2017 - Management Practices for Sustainability Module 4: Observation and Integration Slide 1: Management Practices for Sustainability Module 4: Observation and Integration Management Practices for Sustainability Module 4: Observation and Integration Slide 2: A Frontline Management System To Promote Safety Stan…

9120. Hypertension Screening for Children Who Are Overweight or Obese: Table 2 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-0232-table2.pdf
      January 01, 2011 - Hypertension Screening for Children Who Are Overweight or Obese: Table 2 Table 2: Evidence for Hypertension Screening for Children Who are Overweight or Obese Type of Evidence Key Findings Level of Evidence (USPSTF Ranking*) Citations Expert recommendation Hypertension is a risk factor for car…