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psnet.ahrq.gov/node/33699/psn-pdf
August 01, 2010 - Operationalizing Patient Safety at Academic Medical
Centers
August 1, 2010
Chakraborti C, Kahn MJ, Krane K. Operationalizing Patient Safety at Academic Medical Centers. PSNet
[internet]. 2010.
https://psnet.ahrq.gov/perspective/operationalizing-patient-safety-academic-medical-centers
Perspective
Academic medical…
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www.ahrq.gov/cahps/quality-improvement/improvement-guide/4-approach-qi-process/sect4part2.html
January 01, 2020 - Section 4: Ways To Approach the Quality Improvement Process (Page 2 of 2)
Contents
Page 1 of 2
4.A. Focusing on Microsystems
4.B. Understanding and Implementing the Improvement Cycle
Page 2 of 2
4.C. An Overview of Improvement Models
4.D. Tools To Enhance Quality Improvement Initiatives
References…
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psnet.ahrq.gov/node/33816/psn-pdf
October 01, 2016 - In Conversation With… Richard Platt, MD, MSc
October 1, 2016
In Conversation With… Richard Platt, MD, MSc. PSNet [internet]. 2016.
https://psnet.ahrq.gov/perspective/conversation-richard-platt-md-msc
Editor's note: Dr. Platt is Professor and Chair of the Harvard Medical School Department of Population
Medicine. He…
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psnet.ahrq.gov/node/49625/psn-pdf
May 01, 2011 - Pocket Syringe Swap
May 1, 2011
Kulli JC. Pocket Syringe Swap. PSNet [internet]. 2011.
https://psnet.ahrq.gov/web-mm/pocket-syringe-swap
The Case
A 58-year-old man, scheduled for aortoiliac artery bypass graft, had an epidural catheter placed for
postoperative pain management. Surgery proceeded uneventfully under…
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psnet.ahrq.gov/node/50391/psn-pdf
September 25, 2019 - Think Like a Surgeon
September 25, 2019
Cooper Z. Think Like a Surgeon. PSNet [internet]. 2019.
https://psnet.ahrq.gov/web-mm/think-surgeon
The Case
A patient with a history of T6 paraplegia due to a motor vehicle accident was brought to the emergency
department due to delirium. He was found to be hypotensive and…
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hcup-us.ahrq.gov/nassoverview.jsp
July 01, 2025 - NASS Overview
An official website of the Department of Health & Human Services
Search All AHRQ Websites
Careers
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FAQs
Email Updates
…
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/cer-234-headaches-pregnancy-summary.pdf
November 01, 2020 - Comparative Effectiveness Review No. 234 Evidence Summary: Management of Primary Headaches in Pregnancy
Comparative Effectiveness Review
Number 234
Management of Primary Headaches
in Pregnancy
Evidence Summary
Main Points
• Prevention of primary headache in women who are pregnant (or attempting to
become pre…
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/deliberative-methods_research.pdf
February 01, 2013 - Knowledge Brief #1 Public Deliberation on Health Topics
Community Forum Knowledge Brief
Number 1: Public Deliberation on Health Topics
AHRQ’s Effective Health Care Program
and the Community Forum
The Effective Health Care Program was initiated
in 2005 to provide valid evidence about the
comparative effect…
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hcup-us.ahrq.gov/nedsoverview.jsp
July 01, 2025 - NEDS Overview
An official website of the Department of Health & Human Services
Search All AHRQ Websites
Careers
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Espanol
FAQs
Email Updates
…
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integrationacademy.ahrq.gov/products/playbooks/moud-playbook/implementing-treatment/suicidality
January 01, 2024 - An official website of the Department of Health & Human Services
Search All AHRQ Sites
Careers
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Español
FAQs
Email Updates
The Academy
Integrating Behavioral Health & Primary Care
Expand Navi…
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psnet.ahrq.gov/perspective/handoffs-and-transitions
February 01, 2007 - Annual Perspective
Handoffs and Transitions
Niraj Sehgal, MD, MPH | January 22, 2014
View more articles from the same authors.
Citation Text:
Sehgal NL. Handoffs and Transitions. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, U…
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hcup-us.ahrq.gov/db/nation/nrd/nrdchecklist.jsp
November 01, 2024 - Checklist for Working with the NRD
An official website of the Department of Health & Human Services
Search All AHRQ Websites
Careers
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FAQs
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…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/110-ss-lfd-sample.docx
April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI
Learning From Defects Tool—Sample
Surgical Services
For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries
What Is a Defect?
A defect is any clinical or operational event or situation that you would not want to happen again. This could include i…
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www.ahrq.gov/patient-safety/reports/hotline/summary.html
May 01, 2016 - Developing and Testing the Health Care Safety Hotline: A Prototype Consumer Reporting System for Patient Safety Events
Summary
Previous Page Next Page
Table of Contents
Developing and Testing the Health Care Safety Hotline: A Prototype Consumer Reporting System for Patient Safety Events
Preface
…
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effectivehealthcare.ahrq.gov/sites/default/files/substance-abuse-horizon-scan-high-impact-1506.pdf
June 01, 2015 - particularly concentrated among
adolescent and young adult Americans and is a strong risk factor for severe
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www.uspreventiveservicestaskforce.org/uspstf/document/final-evidence-summary19/dental-caries-in-preschool-children-screening-2004
April 15, 2004 - Access to dental care for young children enrolled in Medicaid is a particularly severe problem.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/early-mobility-mvpguide.pdf
January 01, 2017 - physiologic changes, and none resulted in
additional costs or lengthened ICU stays.37
In addition to no severe … Preventable proportion of severe infections
acquired in intensive care units: case-mix
adjusted estimations
-
www.uspreventiveservicestaskforce.org/uspstf/recommendation/statin-use-in-adults-preventive-medication-november-2016
November 13, 2016 - not associated with serious adverse events such as cancer, severely elevated liver enzyme levels, or severe … appeared consistent across different demographic and clinical subgroups, including patients without severe
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hcup-us.ahrq.gov/db/nation/nrd/Supp-AnalysisICD10Readmissions.xlsx
January 01, 2017 - DISEASES DIAGNOSES W/O CC/MCC 2,834 3,452 21.79 Unstable * * * * * * * * * * * *
870: SEPTICEMIA OR SEVERE … 14.63 Unstable 7,330 22.80 6,177 22.51 -1.28 Stable 958 2.98 841 3.06 2.83 Stable
871: SEPTICEMIA OR SEVERE … Stable 114,367 19.39 118,823 18.97 -2.18 Stable 23,407 3.97 23,911 3.82 -3.83 Stable
872: SEPTICEMIA OR SEVERE … HOURS 27,439 29,697 8.23 * 6,177 22.51 6,858 23.09 2.58 * 841 3.06 832 2.80 -8.55 *
871: SEPTICEMIA OR SEVERE … 714,176 14.01 * 118,823 18.97 134,959 18.90 -0.37 * 23,911 3.82 28,310 3.96 3.85 *
872: SEPTICEMIA OR SEVERE
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/mhs-IV-rapid-response-patient-family-engagement.pdf
October 01, 2023 - Making Healthcare Safer IV_Rapid Response: Patient and Family Engagement
Making Healthcare Safer IV
Patient and Family Engagement
Rapid Response
Main Points
• Patient and family engagement as a patient safety practice (PSP) is an emerging area with
few studies evaluating the effectiveness of such enga…