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  1. effectivehealthcare.ahrq.gov/sites/default/files/related_files/evidence-map-hcbs-protocol.pdf
    July 27, 2023 - Evidence Map on Home and Community Based Services Evidence-based Practice Center Technical Brief Protocol Project Title: Evidence Map on Home and Community Based Services I. Background and Objectives One in four adults in the United States live with some form of disability that impacts their cognit…
  2. psnet.ahrq.gov/web-mm/pre-analytical-pitfalls-missing-and-mislabeled-specimens
    April 18, 2018 - Pre-analytical pitfalls: Missing and mislabeled specimens Citation Text: Tran NK, Liu Y. Pre-analytical pitfalls: Missing and mislabeled specimens . PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2020. Copy Citation Format: …
  3. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Scanlon_62.pdf
    March 25, 2008 - Risk-Based Patient Safety Metrics Risk-Based Patient Safety Metrics Matthew C. Scanlon, MD; Ben-Tzion Karsh, PhD; Kelly A. Saran, MS, RN Abstract Patient safety programs require meaningful metrics. Dominant frameworks are based on two safety metrics: one that seeks to identify, measure, and eliminate error an…
  4. www.ahrq.gov/sites/default/files/wysiwyg/cahps/cahps-database/2015_cg_cahps_chartbook.pdf
    January 01, 2015 - 2015 CAHPS Clinician & Group Survey Database Chartbook THE CAHPS DATABASE 2015 CAHPS Clinician & Group Survey Database 2015 Chartbook: What Patients Say About Their Health Care Providers and Medical Practices AHRQ Contract No.: HHSA290201300003C Managed and prepared by: Westat, Rockville, MD D…
  5. www.ahrq.gov/sites/default/files/wysiwyg/topics/dx-team-assessment-scale-jtcommjqualpatsaf.pdf
    June 30, 2024 - The TeamSTEPPS for Improving Diagnosis Team Assessment Tool: Scale Development and Psychometric Evaluation The Joint Commission Journal on Quality and Patient Safety 2024; 50:95–103 The TeamSTEPPS for Improving Diagnosis Team Assessment Tool: Scale Development and Psychometric Evaluation Kisha J. Ali, PhD, MS…
  6. digital.ahrq.gov/sites/default/files/docs/citation/r21hs026571-ruggiano-final-report-2022.pdf
    January 01, 2022 - Examining the Clinical Workflow and Outcomes of Integrating Health Information Technology to Educate and Support Dementia Caregivers - Final Report Examining the Clinical Workflow and Outcomes of Integrating Health IT to Educate and Support Dementia Caregivers Primary Investigators Nicole Ruggiano (PI, …
  7. hcup-us.ahrq.gov/reports/statbriefs/sb215-Red-Blood-Cell-Transfusions-Trends.pdf
    October 01, 2016 - Trends in Hospitalizations With a Red Blood Cell Transfusion, 2000-2013 1 December 2016 Trends in Hospitalizations With a Red Blood Cell Transfusion, 2000–2013 Kamille A. West, M.D., Marguerite L. Barrett, M.S., Brian J. Moore, Ph.D., Jeffery L. Miller, M.D., and Claudia A. Steiner, M.D., M.P.…
  8. www.uspreventiveservicestaskforce.org/home/getfilebytoken/YSDv4kYjdr7xnL3yLz2aSx
    December 27, 2019 - Behavioral Counseling Interventions to Prevent Sexually Transmitted Infections: USPSTF Recommendation Statement Behavioral Counseling Interventions to Prevent Sexually Transmitted Infections US Preventive Services Task Force Recommendation Statement US Preventive Services Task Force Summary of Recommendation Import…
  9. www.uspreventiveservicestaskforce.org/home/getfilebytoken/PR7HUFdx2b_F9HvDFqz76L
    March 19, 2024 - Primary Care Interventions to Prevent Child Maltreatment: US Preventive Services Task Force Recommendaiton Statement Primary Care Interventions to Prevent Child Maltreatment US Preventive Services Task Force Recommendation Statement US Preventive Services Task Force Summary of Recommendation See the Summary of Reco…
  10. www.ahrq.gov/gam/summaries/index.html
    July 01, 2018 - Guideline and Measure Summaries Status The National Guideline Clearinghouse (NGC) and National Quality Measures Clearinghouse (NQMC) websites, including the primary content of guideline and measure summaries, respectively, are no longer available. As a courtesy to our federal partner, the Center for Medicar…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837608/psn-pdf
    September 06, 2023 - Harm Caused by Delays in Transferring Patients to the Right Place of Care. September 6, 2023 Farnborough, UK: Healthcare Safety Investigation Branch; August 2023. https://psnet.ahrq.gov/issue/harm-caused-delays-transferring-patients-right-place-care Handoffs between prehospital emergency medical services (EMS) pro…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/845078/psn-pdf
    February 22, 2023 - Maternal and Infant Health Inequality: New Evidence from Linked Administrative Data. February 22, 2023 Kennedy-Moulton K, Miller S, Persson P, et al. Cambridge, MA: National Bureau of Economic Research; 2022. NBER Working Paper No. 30693. https://psnet.ahrq.gov/issue/maternal-and-infant-health-inequality-new-…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73475/psn-pdf
    July 07, 2021 - Opioids in the United Kingdom: safety and surveillance during COVID-19. July 7, 2021 Osborne V. Opioids in the United Kingdom: safety and surveillance during COVID-19. Curr Opin Psychiatry. 2021;34(4):357-362. doi:10.1097/yco.0000000000000719. https://psnet.ahrq.gov/issue/opioids-united-kingdom-safety-and-surveill…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37621/psn-pdf
    March 19, 2008 - An effort to improve electronic health record medication list accuracy between visits: patients' and physicians' response. March 19, 2008 Staroselsky M, Volk LA, Tsurikova R, et al. An effort to improve electronic health record medication list accuracy between visits: patients' and physicians' response. Int J Med …
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60282/psn-pdf
    April 29, 2020 - The untold toll — the pandemic’s effects on patients without Covid-19. April 29, 2020 Rosenbaum L. The untold toll — the pandemic’s effects on patients without Covid-19. New Engl J Med. 2020;382(24):2368-2371. doi:10.1056/nejmms2009984. https://psnet.ahrq.gov/issue/untold-toll-pandemics-effects-patients-without-co…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44469/psn-pdf
    September 16, 2015 - Unexpected Death of a Patient During Treatment With Multiple Medications, Tomah VA Medical Center, Tomah, Wisconsin. September 16, 2015 Washington, DC: VA Office of Inspector General. August 6, 2015. Report No. 15-02131-471. https://psnet.ahrq.gov/issue/unexpected-death-patient-during-treatment-multiple-medication…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40681/psn-pdf
    March 19, 2012 - Nurses' perceptions of an electronic patient record from a patient safety perspective: a qualitative study. March 19, 2012 Stevenson JE, Nilsson G. Nurses' perceptions of an electronic patient record from a patient safety perspective: a qualitative study. J Adv Nurs. 2012;68(3):667-76. doi:10.1111/j.1365-2648.2011.…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73546/psn-pdf
    July 28, 2021 - A tragic death shows how ERs fail patients who struggle with addiction. July 28, 2021 Pattani A. Health Shots. National Public Radio. July 14, 2021. https://psnet.ahrq.gov/issue/tragic-death-shows-how-ers-fail-patients-who-struggle-addiction Patients with substance abuse disorders face challenges to safe…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851661/psn-pdf
    July 26, 2023 - Maternal Health of Women and Girls of African Descent in the Americas. July 26, 2023 New York, NY: United Nations Population Fund; July 2023. https://psnet.ahrq.gov/issue/maternal-health-women-and-girls-african-descent-americas Black women are vulnerable to unsafe health care. This report examined maternal and rep…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73638/psn-pdf
    August 25, 2021 - The pain was unbearable. So why did doctors turn her away? August 25, 2021 Szalavitz M. Wired Magazine. August 11, 2021.  https://psnet.ahrq.gov/issue/pain-was-unbearable-so-why-did-doctors-turn-her-away The opioid epidemic has contributed to uncertainties for pain management patients that result in harm…