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5041. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49849/psn-pdf
      January 01, 2019 - Spotlight: Mistaken Attribution, Diagnostic Misstep January 1, 2019 Kreider TR, Young JQ. Spotlight: Mistaken Attribution, Diagnostic Misstep. PSNet [internet]. 2019. https://psnet.ahrq.gov/web-mm/spotlight-mistaken-attribution-diagnostic-misstep Case Objectives List the patient safety events that are unique to in…

5042. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/843150/psn-pdf
      December 05, 2022 - In Conversation with... Connor Wesley, RN, BSN on Patient Safety Concerns and the LGBTQ+ Population February 1, 2023 In Conversation with.. Connor Wesley, RN, BSN on Patient Safety Concerns and the LGBTQ+ Population. PSNet [internet]. 2023. https://psnet.ahrq.gov/perspective/conversation-connor-wesley-rn-bsn-patie…

5043. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/836879/psn-pdf
      April 27, 2022 - In Conversation With... Michael L. Millenson April 27, 2022 In Conversation With.. Michael L. Millenson. PSNet [internet]. 2022. https://psnet.ahrq.gov/perspective/conversation-michael-l-millenson December 16, 2021 Editor’s note: Michael L. Millenson is the President of Health Quality Advisors LLC, author of the c…

5044. 4. How do we implement best practices in our organization? | Agency for Healthcare Research and Quality
      www.ahrq.gov/es/patient-safety/settings/hospital/resource/pressureulcer/tool/pu4.html
      October 01, 2014 - Preventing Pressure Ulcers in Hospitals 4. How do we implement best practices in our organization? Previous Page Next Page Table of Contents Preventing Pressure Ulcers in Hospitals Overview Key Subject Area Index 1. Are we ready for this change? 2. How will we manage change? 3. What are th…

5045. AHRQ Slide Template-Widescreen
      effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pdf/epc-maternal-health-grand-rounds-slides.pptx
      January 01, 2023 - AHRQ Slide Template-Widescreen AHRQ Evidence-based Practice Center (EPC) Program Welcome and thank you for joining the EPC Grand Rounds Logistics This meeting will be recorded and shared externally. Please use the chat and hand-raising functionality. Facilitators Lucy Savitz, Ph.D., M.B.A. Professor – Universi…

5046. Fiscal Year 2011 Research on Child and Adolescent Health | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/factsheets/children/new-starts/2011.html
      October 01, 2014 - Fiscal Year 2011 Research on Child and Adolescent Health New Starts This fact sheet summarizes new grants and contracts focused on child and adolescent health and health care—including research, conference, and training projects, as well as other initiatives—funded in FY 2011 by the Agency for Hea…

5047. Statistical Brief #90: Hospital Readmissions and Multiple Emergency Department Visits, in Selected States, 2006-2007 (pdf file)
      hcup-us.ahrq.gov/reports/statbriefs/sb90.pdf
      May 21, 2010 - Statistical Brief #90: Hospital Readmissions and Multiple Emergency Department Visits, in Selected States, 2006-2007 From HEALTHCARE COST AND UTILIZATION PROJECT Agency for Healthcare Research and Quality STATISTICAL BRIEF #90 May 2010 Highlights ■ Two out of every five patients who soug…

5048. Archived: Obesity in Adults: Screening and Management | United States Preventive Services Taskforce
      www.uspreventiveservicestaskforce.org/uspstf/recommendation/obesity-in-adults-screening-and-management-2012
      June 15, 2012 - Share to Facebook Share to X Share to WhatsApp Share to Email Print archived Final Recommendation Statement Obesity in Adults: Screening and Management June 15, 2012 Recommendations made by the USPSTF are independent of the U.S. gove…

5049. MAINTAIN AND EXPAND (pdf file)
      hcup-us.ahrq.gov/reports/methods/EvaloftheSASD2001(HCUP_CD)v3Final.pdf
      March 19, 2004 - MAINTAIN AND EXPAND HCUP Methods Series kbr33831 Contact Information: Healthcare Cost and Utilization Project (HCUP) Agency for Healthcare Research and Quality 540 Gaither Road Rockville, MD 20850 http://www.hcup-us.ahrq.gov For Technical Assistance with HCUP Products: Email: hcup@ahrq.go…

5050. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/867850/psn-pdf
      February 26, 2025 - In Conversation with Timothy Vogus about High Reliability Organization (HRO) Principles and Patient Safety February 26, 2025 Vogus T, Lee M, Mossburg SE. In Conversation with Timothy Vogus about High Reliability Organization (HRO) Principles and Patient Safety. PSNet [internet]. 2025. https://psnet.ahrq.gov/persp…

5051. Spotlight
      psnet.ahrq.gov/sites/default/files/2025-01/spotlight_case_misdiagnosis_of_small_bowel_obstruction_-_slides_-_final.pptx
      January 01, 2025 - Spotlight Spotlight Misdiagnosis of Small Bowel Obstruction in the Setting of Previous Abdominal Operations  1 Source and Credits This presentation is based on the January 2025 AHRQ WebM&M Spotlight Case See the full article at https://psnet.ahrq.gov/webmm CME credit is available Commentary by: Samantha Brown…

5052. Create Operational System Support Integration | The Academy
      integrationacademy.ahrq.gov/products/playbooks/behavioral-health-and-primary-care/implementing-plan/establish-operational-systems-support-integration
      January 01, 2022 - 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…

5053. 4. How do we implement best practices in our organization? | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/pu4.html
      October 01, 2014 - Preventing Pressure Ulcers in Hospitals 4. How do we implement best practices in our organization? Previous Page Next Page Table of Contents Preventing Pressure Ulcers in Hospitals Overview Key Subject Area Index 1. Are we ready for this change? 2. How will we manage change? 3. What are th…

5054. Quantitative Synthesis: Learning Objectives and Recommendations (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pdf/ehc-presentation-quantitative-synthesis-learning-objectives-recommendations.pdf
      July 01, 2019 - Quantitative Synthesis: Learning Objectives and Recommendations Quantitative Synthesis Learning Objectives and Recommendations Background • Purpose: ► To consolidate and update guidance from prior methods guides ► Focuses on Comparative Effectiveness Reviews (CERs): − Systematic reviews comparing effectiveness …

5055. Disruptive-Behavior-Disorders-Research-App-E (xls file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/disruptive-behavior-disorders-research-app-e.xlsx
      January 01, 2022 - E-1. RCT ROB Table E-1. Risk of bias assessment for randomized controlled trials 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 Mas…

5056. Risk Reduction and Systematic Error Management: Standardization of the Pediatric Chemotherapy Process (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-David_13.pdf
      March 19, 2008 - Risk Reduction and Systematic Error Management: Standardization of the Pediatric Chemotherapy Process Risk Reduction and Systematic Error Management: Standardization of the Pediatric Chemotherapy Process Beverly Ann David, PhD; Ana Rodriguez, PharmD; Stanley W. Marks, MD Abstract There is an urgent need to m…

5057. Fecal Contamination of the Peritoneum from Laparoscopic Trocar Injury: A Routine Operation Goes Wrong. | PSNet
      psnet.ahrq.gov/web-mm/fecal-contamination-peritoneum-laparoscopic-trocar-injury-routine-operation-goes-wrong
      March 03, 2021 - SPOTLIGHT CASE Fecal Contamination of the Peritoneum from Laparoscopic Trocar Injury: A Routine Operation Goes Wrong. Citation Text: Ahmed SM, Ali M. Fecal Contamination of the Peritoneum from Laparoscopic Trocar Injury: A Routine Operation Goes Wrong.. PSNet [internet]. Rockville (MD): Agency fo…

5058. AHRQ's Evidence-based Practice Center Division Annual Report 2021: Solving the Puzzle for Evidence-Based Decision Making (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pdf/epc-year-in-review-2021.pdf
      January 01, 2021 - Future Research Needs for Treating OAB in Women.

5059. Disposition of Comments Report for Otitis Media With Effusion (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/ear-infection_disposition-comments.pdf
      May 04, 2013 - We have emphasized that there is conflicting evidence on efficacy of antimicrobials in treating OME

5060. Evidence on the Costs and Benefits of Health Information Technology - May 2008 (pdf file)
      digital.ahrq.gov/sites/default/files/docs/page/CongressionalBudgetOffice.pdf
      January 01, 2009 - The average c ost of treating the con- sequences of a preventable adverse drug event, researchers estimated … because providers would have more accurate and more complete information about the patients they are treating … whether those doctors actually helped them attract and retain enrollees or lowered the cost of treating … physi­ cians with decisionmaking by providing reminders, sug­ gestions, and support in diagnosing and treating