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effectivehealthcare.ahrq.gov/sites/default/files/pdf/TND_0174_10-20-2009.pdf
January 01, 2009 - Effective Health Care
Topic Numbers: 0215 & 0078
Document Completion Date: 6-8-10
1
Results of Topic Selection Process & Next Steps
Physical therapy for knee pain secondary to osteoarthritis of the knee will go forward for refinement as
a systematic review. The scope of this topic, includin…
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psnet.ahrq.gov/issue/using-ismp-medication-safety-self-assessment-improve-medication-use-processes
January 05, 2017 - Study
Using the ISMP Medication Safety Self-Assessment to improve medication use processes.
Citation Text:
Lesar TS, Mattis A, Anderson E, et al. Using the ISMP Medication Safety Self-Assessment to improve medication use processes. Jt Comm J Qual Saf. 2003;29(5):211-26.
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psnet.ahrq.gov/issue/national-center-patient-safety-falls-toolkit-2004
May 24, 2017 - Toolkit
National Center for Patient Safety Falls Toolkit 2004.
Citation Text:
National Center for Patient Safety Falls Toolkit 2004. Department of Veterans Affairs (VA) National Center for Patient Safety
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psnet.ahrq.gov/issue/maalox-total-relief-and-maalox-liquid-products-medication-use-errors
February 17, 2021 - Press Release/Announcement
Maalox Total Relief and Maalox Liquid Products: Medication Use Errors.
Citation Text:
Maalox Total Relief and Maalox Liquid Products: Medication Use Errors. MedWatch Safety Alert. Rockville, MD: US Food and Drug Administration; February 17, 2010.
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/intro.html
November 01, 2014 - AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention
Introduction
This document provides an overview of the components of On-Time Pressure Ulcer Prevention, reports, and implementation materials used in preventing pressure ulcers in nursing homes. On-Time Pressure Ulcer Prevention has be…
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psnet.ahrq.gov/issue/medicare-part-d-beneficiaries-serious-risk-opioid-misuse-or-overdose-closer-look
August 09, 2017 - Book/Report
Medicare Part D Beneficiaries at Serious Risk of Opioid Misuse or Overdose: A Closer Look.
Citation Text:
Medicare Part D Beneficiaries at Serious Risk of Opioid Misuse or Overdose: A Closer Look. HHS OIG Data Brief. Washington DC; Office of the Inspector General: May 4, 2020…
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digital.ahrq.gov/ahrq-funded-projects/defining-barriers-and-potential-solutions-collecting-and-reporting-quality
January 01, 2023 - Defining Barriers and Potential Solutions for Collecting and Reporting Quality Performance Measures in Primary Care Offices
Project Final Report ( PDF , 1.74 MB)
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Annual Summaries
P…
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psnet.ahrq.gov/issue/medication-reconciliation-only-good-it-allows
July 10, 2024 - Newspaper/Magazine Article
Medication reconciliation only as good as the IT allows.
Citation Text:
Page D. Medication reconciliation only as good as the IT allows. Hospitals & health networks. 2011;85(3):48, 50.
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psnet.ahrq.gov/issue/focus-computerized-provider-order-entry
March 11, 2020 - Special or Theme Issue
Focus on Computerized Provider Order Entry.
Citation Text:
Focus on Computerized Provider Order Entry. J Am Med Inform Assoc. 2007 Jan-Feb;14(1):25-75
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hcup-us.ahrq.gov/datainnovations/clinicaldata/File1_AHCA_Presentation_To_AHSS_On_POA.pdf
March 20, 2008 - Microsoft PowerPoint - File 1_AHCA_Presentation_To_AHSS_On_POA.pptx
Present on Admission
Indicators
Today and Tomorrow
Patrick W. Kennedy
Administrator
Office of Data Collection & Quality Assurance
Agency for Health Care Administration
Thursday, March 20, 2008
The History of POA in Florida
• POA reporting ad…
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psnet.ahrq.gov/issue/changes-intensive-care-unit-nurse-task-activity-after-installation-third-generation-intensive
October 14, 2015 - Study
Changes in intensive care unit nurse task activity after installation of a third-generation intensive care unit information system.
Citation Text:
Changes in intensive care unit nurse task activity after installation of a third-generation intensive care unit information system. …
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psnet.ahrq.gov/issue/failure-rescue-neonatal-care
July 06, 2011 - Commentary
Failure to rescue in neonatal care.
Citation Text:
Gephart SM, McGrath JM, Effken JA. Failure to rescue in neonatal care. J Perinat Neonatal Nurs. 2011;25(3):275-282. doi:10.1097/JPN.0b013e318227cc03.
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DOI Google Scholar PubMed BibTeX EndNote…
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psnet.ahrq.gov/issue/adverse-events-toolkit-clinical-guidance-identifying-harm
July 26, 2023 - Tools/Toolkit
Adverse Events Toolkit: Clinical Guidance for Identifying Harm
Citation Text:
Adverse Events Toolkit: Clinical Guidance for Identifying Harm Maxwell A. Washington, DC: US Department of Health and Human Services, Office of the Inspector General; July 2023. Report n…
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psnet.ahrq.gov/issue/patient-safety-context-perinatal-neonatal-and-pediatric-care
April 01, 2024 - Press Release/Announcement
Patient Safety in the Context of Perinatal, Neonatal, and Pediatric Care.
Citation Text:
Patient Safety in the Context of Perinatal, Neonatal, and Pediatric Care. Eunice Kennedy Shriver National Institute of Child Health and Human Development; NICHD; National I…
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psnet.ahrq.gov/issue/errors-diagnosis-spinal-epidural-abscesses-era-electronic-health-records
April 24, 2018 - Study
Errors in diagnosis of spinal epidural abscesses in the era of electronic health records.
Citation Text:
Bhise V, Meyer AND, Singh H, et al. Errors in Diagnosis of Spinal Epidural Abscesses in the Era of Electronic Health Records. Am J Med. 2017;130(8). doi:10.1016/j.amjmed.2017.03…
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psnet.ahrq.gov/issue/handoff-checklists-improve-reliability-patient-handoffs-operating-room-and-postanesthesia
December 29, 2014 - Study
Handoff checklists improve the reliability of patient handoffs in the operating room and postanesthesia care unit.
Citation Text:
Boat AC, Spaeth JP. Handoff checklists improve the reliability of patient handoffs in the operating room and postanesthesia care unit. Paediatr Anaes…
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psnet.ahrq.gov/issue/use-duodenoscopes-innovative-designs-enhance-safety-fda-safety-communication
October 19, 2022 - Press Release/Announcement
Use duodenoscopes with innovative designs to enhance safety: FDA Safety Communication.
Citation Text:
Use duodenoscopes with innovative designs to enhance safety: FDA Safety Communication. Silver Spring, MD: US Food and Drug Administration; April 5, 2022.
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psnet.ahrq.gov/issue/maternal-health-women-and-girls-african-descent-americas
September 02, 2015 - Book/Report
Maternal Health of Women and Girls of African Descent in the Americas.
Citation Text:
Maternal Health of Women and Girls of African Descent in the Americas. New York, NY: United Nations Population Fund; July 2023.
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psnet.ahrq.gov/issue/addressing-electronic-health-record-contributions-diagnostic-error
July 29, 2009 - Newspaper/Magazine Article
Addressing electronic health record contributions to diagnostic error.
Citation Text:
Addressing electronic health record contributions to diagnostic error. Ratwani RM, Bates DW, Gold J. Health Affairs Forefront. April 25, 2024.
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psnet.ahrq.gov/issue/frequency-and-type-errors-and-near-errors-reported-critical-care-nurses
June 21, 2006 - Study
Frequency and type of errors and near errors reported by critical care nurses.
Citation Text:
Frequency and type of errors and near errors reported by critical care nurses. Balas MC; Scott LD; Rogers AE.
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