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6441. Appendix 2: CED Compiled Public Comment Themes (xls file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/topicrefinement/ced-appendix2-comments.xlsx
      June 02, 2025 - Appendix 2: CED Compiled Public Comment Themes Summary_Out of Scope Comments There were many comments that were outside of the scope of this project in that they addressed the CED process rather including when and how it should be implemented. Multiple comments proposed that AHRQ should undertake a similar exercise …

6442. Pharmacotherapy | The Academy
      integrationacademy.ahrq.gov/products/playbooks/moud-playbook/implementing-treatment/pharmacotherapy
      January 01, 2019 - An official website of the Department of Health & Human Services Search All AHRQ Sites Careers Contact Us Español FAQs Email Updates The Academy Integrating Behavioral Health & Primary Care Expand Navi…

6443. Delay in Initiating Antibiotics Results in Fatal Error | PSNet
      psnet.ahrq.gov/web-mm/delay-initiating-antibiotics-results-fatal-error
      August 02, 2015 - October 1, 2007 WebM&M Cases Lost in Transition

6444. Establishing a Business Case for Health Information Exchange (HIE) (pdf file)
      digital.ahrq.gov/sites/default/files/docs/page/UHIN_BusinessCaseReport.pdf
      November 01, 2005 - Healthcare IT Transition Group.

6445. Spotlight
      psnet.ahrq.gov/sites/default/files/2024-07/spotlight_case_mismanagement_of_acute_decompensated_heart_failure_slides_final.pptx
      January 01, 2024 - The patient’s spouse and children agreed to transition the goal of care to comfort, after which she was

6446. Discharge Fumbles | PSNet
      psnet.ahrq.gov/web-mm/discharge-fumbles
      September 09, 2009 - 16, 2019 WebM&M Cases Recurrent Hypoglycemia: A Care Transition

6447. Baylor Scott & White Health: Building a Foundation for Continuous Improvement (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/lhs/lhs_case_studies_bsw.pdf
      April 01, 2019 - For example, the system expects to complete transition to a single electronic health record (EHR) in

6448. Mother's Milk, but Whose Mother? | PSNet
      psnet.ahrq.gov/web-mm/mothers-milk-whose-mother
      November 15, 2023 - November 15, 2023 Ensuring effective care transition communication: implementation of

6449. Other Resources | Agency for Healthcare Research and Quality
      www.ahrq.gov/pqmp/implementation-qi/toolkit/antipsychotic/other-resources.html
      September 01, 2021 - Implement Best Practices Below is a set of best practices to assist with planning during the transition

6450. Tacit Handover, Overt Mishap | PSNet
      psnet.ahrq.gov/web-mm/tacit-handover-overt-mishap
      August 01, 2006 - proper care of spinal catheters from this case, the most important issue to discuss is the handoff, the transition

6451. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33583/psn-pdf
      March 01, 2023 - -019-0108-7 https://psnet.ahrq.gov/issue/use-simulation-test-systems-and-prepare-staff-new-hospital-transition

6452. HIT Resource List (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/healthitresourcelist.pdf
      January 01, 2019 - However, the transition to this new way of recording and communicating medical information has also introduced

6453. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60952/psn-pdf
      September 30, 2020 - Successful transition from intravenous to subcutaneous insulin requires overlap with basal insulin for

6454. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49528/psn-pdf
      January 01, 2015 - communication, and education Physical comfort Emotional support Involvement of family and friends Transition

6455. Dangerous Dialysis | PSNet
      psnet.ahrq.gov/web-mm/dangerous-dialysis
      June 12, 2024 - New graduate registered nurses: Risk mitigation strategies to ensure safety and successful transition

6456. Communication Error in a Closed ICU | PSNet
      psnet.ahrq.gov/web-mm/communication-error-closed-icu
      July 01, 2016 - critical care delivery has been associated with decreased patient mortality.( 1 ) However, as ICUs transition

6457. Spinal Epidural Abscess | PSNet
      psnet.ahrq.gov/web-mm/spinal-epidural-abscess
      November 13, 2019 - Missing Trauma May 1, 2009 WebM&M Cases Lost in Transition

6458. Involving End-Users in Co-Design of Patient-Centered Clinical Decision Support (pdf file)
      cdsic.ahrq.gov/sites/default/files/2024-09/CDSiC%20Chart%20Book%202024_508.pdf
      January 01, 2024 - Empathy interviewing can also help developers transition from Pre-design into Design phases Real-World

6459. Chapter 3. Outline the Evidence and Identify Best Practices | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/vtguide/guide3.html
      February 01, 2016 - Regular reassessments of VTE risk are generally done to ensure a transition to a more aggressive prophylaxis

6460. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33622/psn-pdf
      November 01, 2005 - The critical transition probably was the mentorship of Howard Hiatt, who was then the new dean of the