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psnet.ahrq.gov/web-mm/double-never-event-wrong-patient-and-wrong-side
August 20, 2018 - A Double “Never Event”: Wrong Patient and Wrong Side.
Citation Text:
Bellini A, Salcedo ES. A Double “Never Event”: Wrong Patient and Wrong Side.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2023.
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psnet.ahrq.gov/node/837791/psn-pdf
August 05, 2022 - Patient Safety in the Ambulatory Care Setting
August 5, 2022
Schiff G, Mossburg SE, Dowell P, et al. Patient Safety in the Ambulatory Care Setting. PSNet [internet].
2022.
https://psnet.ahrq.gov/perspective/patient-safety-ambulatory-care-setting
Introduction
There is no way to review the year 2021 in quality and …
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/podcasts/communication_2012_04_01_transcript.pdf
January 01, 2012 - A Breakthrough Approach to Improving CAHPS Communication Performance
A Breakthrough Approach to Improving CAHPS Communication Performance
April 2012 Podcast
Speaker
Wendy Leebov, Ed.D., CEO, Leebov Golde & Associates
Moderator
Lise Rybowski, Consultant, CAHPS User Network; President, The Severyn Group …
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www.ahrq.gov/ncepcr/tools/confid-report/system-design.html
February 01, 2016 - Confidential Physician Feedback Reports: Designing for Optimal Impact on Performance
Part Two: Design of Physician Feedback Reporting Systems
Previous Page Next Page
Table of Contents
Confidential Physician Feedback Reports: Designing for Optimal Impact on Performance
Foreword
Introduction
Par…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/ed-catheter-insertions-091013.ppt
January 01, 2010 - Reducing Unecessary Urinary catheter Use in the Emergency Department: How to Implement the Process
The Emergency Department & Catheter Insertions
*
Mohamad Fakih, MD, MPH
St. John Hospital and Medical Center
Lisa Wolf, PhD, RN, CEN, FAEN
Emergency Nurses Association (ENA)
Jeremiah Schuur, MD, MHS, FACEP
Brig…
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www.ahrq.gov/sites/default/files/2024-10/landrigan3-report.pdf
January 01, 2024 - Final Progress Report: Developing a Risk Index of Healthcare Provider Alertness To Improve Safety
Developing a Risk Index of Healthcare Provider
Alertness to Improve Safety
Final Progress Report – May 31, 2011
Principal Investigator: Christopher P. Landrigan, M.D., M.P.H.
Team Members: Dennis A. Dean, Scott A. …
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www.ahrq.gov/sites/default/files/2024-03/kerfoot-conlin-report.pdf
January 01, 2024 - Final progress Report: Spaced Education to Optimize Prostate Cancer Screening
Title Page
Title of Project: Spaced Education to Optimize Prostate Cancer Screening
Principal Investigator and Team Members:
B. Price Kerfoot, MD, EdM – Principal Investigator
Paul R. Conlin, MD – Primary Mentor
Organization: Harvard Uni…
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psnet.ahrq.gov/innovation/cleveland-clinic-pairs-advanced-practice-registered-nurses-and-paramedics-provide-home
October 30, 2024 - The Cleveland Clinic Pairs Advanced Practice Registered Nurses and Paramedics To Provide Home Visits to Recently Discharged Patients at Highest Risk for Hospital Readmission
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_build_ssibundle_facnotes.docx
December 01, 2017 - Facilitator Guide: Building Your SSI Prevention Bundle
Slide Title and Commentary
Slide Number and Slide
Title Slide
Building Your Surgical Site Infection Prevention Bundle
SAY:
In this module, you’ll learn about using building a local bundle to reduce surgical site infections.
Slide 1
Learning Objectives
SA…
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www.ahrq.gov/hai/tools/surgery/modules/on-boarding/build-ssi-bundle-fac-notes.html
December 01, 2017 - Building Your SSI Prevention Bundle: Facilitator Notes
AHRQ Safety Program for Surgery
Slide 1: Building Your SSI Prevention Bundle
Say:
In this module, you’ll learn about using building a local bundle to reduce surgical site infections.
Slide 2: Learning Objectives
Say:
After reviewing this mod…
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/gastro-slides.pptx
November 01, 2019 - PowerPoint Presentation
Best Practices in the Diagnosis and Treatment of Diverticulitis and Biliary Tract Infections
Acute Care
AHRQ Safety Program for Improving Antibiotic Use
AHRQ Pub. No. 17(20)-0028-EF
November 2019
Diverticulitis and Biliary Tract
AHRQ Safety Program for Improving Antibiotic Use – Acute Care
…
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psnet.ahrq.gov/web-mm/failure-report
July 01, 2008 - SPOTLIGHT CASE
Failure to Report
Citation Text:
Spath P. Failure to Report. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2007.
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/cer-272-genitourinary-syndrome-executive-summary.pdf
July 01, 2024 - Comparative Effectiveness Review No. 272_Genitourinary Syndrome of Menopause: A Systematic Review
Comparative Effectiveness Review
Number 272
Genitourinary Syndrome of
Menopause: A Systematic Review
Executive Summary
Main Points
• One hundred seven publications of hormonal, non-hormonal moisturiz…
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www.ahrq.gov/news/events/nac/2019-04-nac/nacmtg0419-minutes.html
July 01, 2019 - Meeting Minutes, April 2019
National Advisory Council
Minutes from the April 11, 2019, meeting of the Agency for Healthcare Research and Quality's National Advisory Council.
Contents
Summary
Call to Order and Approval of November 15, 2018, Meeting Summary
AHRQ Accomplishments
Budget Update
Directo…
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www.ahrq.gov/patient-safety/settings/hospital/vtguide/guide7.html
May 01, 2016 - Preventing Hospital-Associated Venous Thromboembolism
Chapter 7. Layering Interventions and Moving Toward Excellence
Previous Page Next Page
Table of Contents
Preventing Hospital-Associated Venous Thromboembolism
Preface
Executive Summary
Chapter 1. The Framework for Improvement
Chapter 2. A…
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/cer-266-cdd-app-tabs-D2-D5.xlsx
January 01, 2008 - Table D-2. RoB RCTs
Author, Year Randomization Adequate?
Yes/No/Unclear Allocation Concealment Adequate?
Yes/No/Unclear Groups Similar at Baseline?
Yes/No/Unclear Patient Masked?
Yes/No/Unclear Care Provider Masked?
Yes/No/Unclear Outcome Assessors Masked?
Yes/No/Unclear Reporting of Attrition and Crossovers? Ye…
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psnet.ahrq.gov/node/866995/psn-pdf
October 30, 2024 - A Cognitive and Communication Blind Spot Contributes
to Permanent Paralysis
October 30, 2024
Utter GH. A Cognitive and Communication Blind Spot Contributes to Permanent Paralysis. PSNet
[internet]. 2024.
https://psnet.ahrq.gov/web-mm/cognitive-and-communication-blind-spot-contributes-permanent-paralysis
Disclosur…
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/diabetes-foot-ulcer-amputation-prevalence_research.pdf
February 01, 2011 - Prevalence of diabetes, diabetic foot ulcer, and lower
extremity amputation among Medicare beneficiaries,
2006 to 2008
Diabetic Foot Ulcers Data Points #1
The prevalence of diabetes in
the Medicare population may be
one-third higher than previously
estimated.
Overall, approximately 8% of
diabetic Medicare ben…
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www.ahrq.gov/ncepcr/reports/2024-annual-report/recent-grants-digital.html
May 01, 2024 - Investments in Primary Care Research for 2021 and 2022
Digital Healthcare
Previous Page Next Page
Table of Contents
Investments in Primary Care Research for 2021 and 2022
Acknowledgments and Authors
Message from the Acting Director of AHRQ's National Center for Excellence in Primary Care Researc…
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www.ahrq.gov/sites/default/files/wysiwyg/diagnostic/resources/issue-briefs/dx-safety-older-adults.pdf
January 17, 2024 - Nocturnal hypoglycemia is underdiagnosed in older people with insulin-treated type 2
diabetes: the HYPOAGE