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  1. Deaths Not Foretold: Are Unexpected Deaths Useful Patient Safety Signals? | PSNet

    psnet.ahrq.gov/web-mm/deaths-not-foretold-are-unexpected-deaths-useful-patient-safety-signals
    March 01, 2004 - Deaths Not Foretold: Are Unexpected Deaths Useful Patient Safety Signals? Citation Text: Shojania KG. Deaths Not Foretold: Are Unexpected Deaths Useful Patient Safety Signals?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2007. C…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73526/psn-pdf
    July 28, 2021 - Medication Errors in Retail Pharmacies: Wrong Patient, Wrong Instructions. July 28, 2021 Li C, Marquez K. Medication Errors in Retail Pharmacies: Wrong Patient, Wrong Instructions. PSNet [internet]. 2021. https://psnet.ahrq.gov/web-mm/medication-errors-retail-pharmacies-wrong-patient-wrong-instructions The Case …

  3. Medication Reconciliation: Whose Job Is It? | PSNet

    psnet.ahrq.gov/web-mm/medication-reconciliation-whose-job-it
    May 01, 2018 - SPOTLIGHT CASE Medication Reconciliation: Whose Job Is It? Citation Text: Poon EG. Medication Reconciliation: Whose Job Is It?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2007. Copy Citation Format: Googl…

  4. Final Progress Report: Emergency Physician Workload (pdf file)

    www.ahrq.gov/sites/default/files/2024-09/kellogg-report.pdf
    January 01, 2024 - Final Progress Report: Emergency Physician Workload Emergency Physician Workload Grant Award Number: R03-HS024801 Principal Investigator: Kathryn M. Kellogg, MD, MPH Team: Allan Fong, MS Raj Ratwani, PhD Rollin J. Fairbanks, MD, MS Amy Will Tracy Kim Organization: MedStar Health MedStar Institute for Inno…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/842919/psn-pdf
    February 01, 2023 - Hospital-Acquired Diabetic Ketoacidosis. February 1, 2023 Zuidema D, Bagley B, Tan CL. Hospital-Acquired Diabetic Ketoacidosis. PSNet [internet]. 2023. https://psnet.ahrq.gov/web-mm/hospital-acquired-diabetic-ketoacidosis The Cases Case #1: A 46-year-old Hindi-speaking resident of a skilled nursing facility (SNF) …

  6. In Conversation With... John G. Reiling, PhD | PSNet

    psnet.ahrq.gov/perspective/conversation-john-g-reiling-phd
    June 01, 2014 - In Conversation With... John G. Reiling, PhD December 1, 2012  Citation Text: In Conversation With.. John G. Reiling, PhD. PSNet [internet]. 2012.In Conversation With... John G. Reiling, PhD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Qualit…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74252/psn-pdf
    January 12, 2022 - In Conversation With... Poonam Sharma, MD, MPH, the Senior Clinical Data Analyst at Atrium Health, and Rhonda Dickman, MSN, RN, CPHQ, the Director of the Tennessee Hospital Association PSO January 12, 2022 In Conversation With.. Poonam Sharma, MD, MPH, the Senior Clinical Data Analyst at Atrium Health, and Rhonda…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33740/psn-pdf
    November 01, 2012 - In Conversation With… Abraham Verghese, MD November 1, 2012 In Conversation With… Abraham Verghese, MD. PSNet [internet]. 2012. https://psnet.ahrq.gov/perspective/conversation-abraham-verghese-md Editor's note: Abraham Verghese, MD, is Professor for the Theory and Practice of Medicine at the Stanford University S…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33732/psn-pdf
    July 01, 2012 - In Conversation With… David Blumenthal, MD, MPP July 1, 2012 In Conversation With… David Blumenthal, MD, MPP. PSNet [internet]. 2012. https://psnet.ahrq.gov/perspective/conversation-david-blumenthal-md-mpp Editor's note: David Blumenthal, MD, MPP, is Chief Health Information and Innovation Officer, Partners Healt…

  10. Final Progress Report: Developing a Risk Index of Healthcare Provider Alertness To Improve Safety (pdf file)

    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. …

  11. In Conversation With… Paul G. Shekelle, MD, MPH, PhD | PSNet

    psnet.ahrq.gov/perspective/conversation-paul-g-shekelle-md-mph-phd
    February 26, 2025 - In Conversation With… Paul G. Shekelle, MD, MPH, PhD October 1, 2011  Citation Text: In Conversation With… Paul G. Shekelle, MD, MPH, PhD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2011. …

  12. Developing Evidence-Based, User-Centered Design and Implementation Guidelines to Improve Health Information Technology Usability | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/developing-evidence-based-user-centered-design-and-implementation-guidelines
    January 01, 2023 - Developing Evidence-Based, User-Centered Design and Implementation Guidelines to Improve Health Information Technology Usability Project Final Report ( PDF , 283.3 KB) Disclaimer Disclaimer The findings and conclusions in this document are those of the author(s), who are respons…

  13. Medication Errors in Retail Pharmacies: Wrong Patient, Wrong Instructions. | PSNet

    psnet.ahrq.gov/web-mm/medication-errors-retail-pharmacies-wrong-patient-wrong-instructions
    March 19, 2019 - Medication Errors in Retail Pharmacies: Wrong Patient, Wrong Instructions. Citation Text: Li C, Marquez K. Medication Errors in Retail Pharmacies: Wrong Patient, Wrong Instructions.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 202…

  14. CDSiC Innovation Center: Quarterly Report (pdf file)

    cdsic.ahrq.gov/sites/default/files/2024-07/Innovation%20Center%20Q2%202024%20Progress%20Report.pdf
    January 01, 2024 - CDSiC Innovation Center: Quarterly Report INNOVATION CENTER PROGRESS REPORT J U N E 2 0 2 4 CDSiC Innovation Center: Quarterly Report Agency for Healthcare Research and Quality 5600 Fishers Lane Rockville, MD 20857 www.ahrq.gov Contract No: 75Q80120D00018 Prepared by: NORC at the Universi…

  15. Final Revised Operations Center Operational Framework (pdf file)

    cdsic.ahrq.gov/sites/default/files/2024-02/OY1%20Operations%20Center%20Operational%20Framework.pdf
    January 01, 2024 - Final Revised Operations Center Operational Framework Operations Center: Operational Framework – Option Year 1 Agency for Healthcare Research and Quality 5600 Fishers Lane Rockville, MD 20857 www.ahrq.gov Contract No: 75Q80120D00018 Prepared by: NORC at the University of Chicag…

  16. Final Operations Center Operational Framework (pdf file)

    cdsic.ahrq.gov/sites/default/files/2022-05/Final%20Operations%20Center%20Operational%20Framework.pdf
    January 01, 2022 - Final Operations Center Operational Framework OPERATIONS CENTER OPERATIONAL FRAMEWORK A P R I L 6 , 2 0 2 2 Agency for Healthcare Research and Quality Clinical Decision Support Innovation Collaborative (CDSiC) Presented by: NORC at the University of Chicago 4350 East-West Highway Suite 800 B…

  17. Transfusion Overload | PSNet

    psnet.ahrq.gov/web-mm/transfusion-overload
    September 23, 2020 - SPOTLIGHT CASE Transfusion Overload Citation Text: Patel MS, Carson JL. Transfusion Overload. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2012. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML En…

  18. Updating the Measurement Criteria for AHRQ’s National Healthcare Quality and Disparities Report (NHQDR) (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/related_files/updating-criteria-qdr-protocol-amendment.pdf
    December 28, 2023 - Updating the Measurement Criteria for AHRQ’s National Healthcare Quality and Disparities Report (NHQDR) Version 5 4/18/2019 1 Evidence-based Practice Center Technical Brief Protocol Project Title: Updating the Measurement Criteria for AHRQ’s National Healthcare Quality and Disparities Report (NHQDR) Init…

  19. EHC Protocol: Updating the Measurement Criteria for AHRQ's National Healthcare Quality and Disparities Report (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/related_files/updating-criteria-qdr-protocol.pdf
    September 06, 2023 - EHC Protocol: Updating the Measurement Criteria for AHRQ's National Healthcare Quality and Disparities Report Evidence-based Practice Center Technical Brief Protocol Project Title: Updating the Measurement Criteria for AHRQ’s National Healthcare Quality and Disparities Report (NHQDR) I. Background and Objectives…

  20. Executive Summary_Systematic Review: Psychosocial and Pharmacologic Interventions for Disruptive Behavior in Children and Adolescents (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/related_files/disruptive-behavior-disorders-research-executive-summ.pdf
    April 01, 2025 - Executive Summary_Systematic Review: Psychosocial and Pharmacologic Interventions for Disruptive Behavior in Children and Adolescents Systematic Review Psychosocial and Pharmacologic Interventions for Disruptive Behavior in Children and Adolescents Executive Summary Main Points • When po…
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