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psnet.ahrq.gov/node/33839/psn-pdf
August 01, 2017 - In Conversation With… Karl Bilimoria, MD, MS
August 1, 2017
In Conversation With… Karl Bilimoria, MD, MS. PSNet [internet]. 2017.
https://psnet.ahrq.gov/perspective/conversation-karl-bilimoria-md-ms
Editor's note: Dr. Bilimoria is the Director of the Surgical Outcomes and Quality Improvement Center of
Northwester…
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psnet.ahrq.gov/node/49676/psn-pdf
February 01, 2013 - Death by PCA
February 1, 2013
Hicks RW. Death by PCA. PSNet [internet]. 2013.
https://psnet.ahrq.gov/web-mm/death-pca
The Case
A healthy 21-year-old pregnant woman delivered a healthy baby via Caesarean section after an
uncomplicated pregnancy. Two hours after delivery, the post-anesthesia care unit (PACU) nurse …
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psnet.ahrq.gov/node/49857/psn-pdf
March 01, 2019 - Duplicate Insulin Order
March 1, 2019
Acquisto NM, Cobaugh DJ. Duplicate Insulin Order. PSNet [internet]. 2019.
https://psnet.ahrq.gov/web-mm/duplicate-insulin-order
The Case
A 45-year-old man with a history of insulin-dependent diabetes mellitus was seen in the emergency
department (ED) for complaints of letharg…
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psnet.ahrq.gov/web-mm/hazards-distraction-ticking-all-ehr-boxes
April 09, 2014 - SPOTLIGHT CASE
The Hazards of Distraction: Ticking All the EHR Boxes
Citation Text:
Easty AC. The Hazards of Distraction: Ticking All the EHR Boxes. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017.
Copy Citation
…
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/rapid-response/tool-rapid-response-systems.html
July 01, 2023 - Rapid Response for Perinatal Safety: Rapid Response Systems
AHRQ Safety Program for Perinatal Care
Purpose of the tool: This tool describes the key perinatal safety elements that support rapid response systems. The key safety elements are presented within the framework of the Comprehensive Unit-b…
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hcup-us.ahrq.gov/datainnovations/raceethnicitytoolkit/about_grants_re.jsp
July 01, 2016 - Race and Ethnicity Data Improvement Toolkit
An official website of the Department of Health & Human Services
Search All AHRQ Websites
Careers
Contact Us
Espanol
FAQs
Email U…
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psnet.ahrq.gov/innovations
February 26, 2025 - Innovations
The PSNet Innovations page highlights pioneering advances that can improve patient safety. PSNet innovations are defined as “new or updated interventions, approaches, systems, tools, policies, organizational structures or business models implemented to improve or enhance quality of care and reduce harm.” …
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psnet.ahrq.gov/node/33806/psn-pdf
April 01, 2016 - In Conversation With… Amy J. Starmer, MD, MPH
April 1, 2016
In Conversation With… Amy J. Starmer, MD, MPH. PSNet [internet]. 2016.
https://psnet.ahrq.gov/perspective/conversation-amy-j-starmer-md-mph
Editor's note: Dr. Starmer is Director of Primary Care Quality Improvement and Assistant Professor of
Pediatrics a…
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meps.ahrq.gov/data_files/publications/st529/stat529.pdf
April 01, 2020 - MEPS_SB529_FINAL
April 2020
Total Expenses, Total Utilization, and Sources of Payment
for Outpatient Prescription Opioids in the U.S. Adult
Civilian Noninstitutionalized Population, 2017
Yao Ding, PhD and G. Edward Miller, PhD
Introduction
Prescription opioids are essential to help manage acute or chr…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/mindfulness-061014.pptx
March 07, 2014 - The Integration of Hospitalists into U.S. Academic Medical Centers
Mindfulness: Engaging Frontline Providers in Antimicrobial Stewardship
1
CAPT Arjun Srinivasan, MD
Associate Director for Healthcare Associated Infection Prevention Programs
Division of Healthcare Quality Promotion
Scott Flanders, MD
Professor of Med…
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/translating-cahps-surveys.pdf
January 17, 2017 - Translating CAHPS Surveys
Translating CAHPS® Surveys
Contents
Purpose of this Document ............................................................................................................................. 1
Select Translation Team Members ..................................................................…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/helpful-resources/translating/translating-cahps-surveys.pdf
January 17, 2017 - Translating CAHPS Surveys
Translating CAHPS® Surveys
Contents
Purpose of this Document ............................................................................................................................. 1
Select Translation Team Members ...................................................................…
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www.ahrq.gov/hai/cauti-tools/archived-webinars/preventing-cauti-proc-related-catheter-use-slides.html
December 01, 2017 - Preventing CAUTI in Special Populations: Focus on Procedure-Related Catheter Use
Slide presentation
Slide 1
Preventing CAUTI in Special Populations: Focus on Procedure-Related Catheter Use
David A. Pegues, MD
Professor of Medicine, Division of Infectious Diseases
Medical Director, Healthcare Epidemiol…
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/wheelchair-service_research-protocol.pdf
July 01, 2010 - provide background information for stakeholders interested in developing
wheelchair service delivery standards
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/acs-pci-adjunctive-devices_research-protocol.pdf
July 01, 2010 - composite end points
Outcomes (benefits and harms)
and how they were defined
Settings Settings where standards
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psnet.ahrq.gov/web-mm/monitoring-fetal-health
September 08, 2010 - periods with and without centralized fetal monitoring.( 9 ) At present, however, there are no agreed upon standards
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/King.pdf
January 01, 2002 - Team members are
accountable to regularly give and receive feedback regarding the standards and
competency
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hcup-us.ahrq.gov/reports/factsandfigures/figures/2005/2005_2_6c.jsp
January 01, 2005 - Exhibit 2.6. Diabetes
Exhibit 2.6. Diabetes
Hospital Stays and Discharge Prevalence for All-listed Diabetes Diagnoses by Median Income of Patients' ZIP Code,* 2005
Median Income of Zip Code
Total Discharges
Standard Errors
Discharges per 100,000 Population
All incomes
6,516,500
143,4…
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hcup-us.ahrq.gov/reports/factsandfigures/figures/2005/2005_1_7.jsp
January 01, 2005 - Exhibit 1.7. Expected Primary Payer
Exhibit 1.7. Expected Primary Payer
Number of Discharges and Percent Distribution by Expected Primary Payer, 2005
Primary Payer
Number of Discharges
Percent Distribution
Standard Errors
All Payers
39,163,800
100
765,017
Medicare
14,55…
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psnet.ahrq.gov/node/36545/psn-pdf
January 10, 2011 - Transition of care for hospitalized elderly
patients—development of a discharge checklist for
hospitalists.
January 10, 2011
Halasyamani L, Kripalani S, Coleman E, et al. Transition of care for hospitalized elderly
patients—Development of a discharge checklist for hospitalists. J Hosp Med. 2006;1(6).
doi:10.1002/…