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  1. www.ahrq.gov/topics/budget.html
    Budget Listing of content related to the topic Budget Behavioral Health Tools and Resources for Clinicians The Academy for Integrating Behavioral Health and Primary Care (the Academy) is an online portal developed® by AHRQ© to serve as™ a national resource and coordinating cent…
  2. www.ahrq.gov/prevention/guidelines/tobacco/5steps.html
    December 01, 2012 - Five Major Steps to Intervention (The "5 A's") Successful intervention begins with identifying users and appropriate interventions based upon the patient's willingness to quit. The five major steps to intervention are the "5 A's": Ask, Advise, Assess, Assist, and Arrange. Ask - Identify and document tobacc…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60246/psn-pdf
    April 22, 2020 - The impact of surgical count technology on retained surgical items rates in the Veterans Health Administration. April 22, 2020 Gunnar W, Soncrant C, Lynn MM, et al. The impact of surgical count technology on retained surgical items rates in the Veterans Health Administration. J Patient Saf. 2020;16(4):255-258. do…
  4. www.ahrq.gov/data/data-visualization/index.html?page=2
    September 01, 2023 - Data Visualizations AHRQ's interactive data visualization tools allow researchers, policymakers, healthcare leaders, and others to view visual depictions of healthcare trends. Based on content from AHRQ's data resources, the visualizations address various topics, such as COVID-19 hospitalizations, health insura…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/856583/psn-pdf
    January 01, 2024 - Prescription opioid dose reductions and potential adverse events: a multi-site observational cohort study in diverse US health systems. November 29, 2023 Metz VE, Ray GT, Palzes V, et al. Prescription opioid dose reductions and potential adverse events: a multi-site observational cohort study in diverse US health …
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44743/psn-pdf
    December 22, 2017 - Patients' and providers' perceptions of the preventability of hospital readmission: a prospective, observational study in four European countries. December 22, 2017 van Galen LS, Brabrand M, Cooksley T, et al. Patients' and providers' perceptions of the preventability of hospital readmission: a prospective, observ…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37975/psn-pdf
    February 15, 2011 - A steep increase in domestic fatal medication errors with use of alcohol and/or street drugs. February 15, 2011 Phillips DP, Barker GEC, Eguchi MM. A steep increase in domestic fatal medication errors with use of alcohol and/or street drugs. Arch Intern Med. 2008;168(14):1561-6. doi:10.1001/archinte.168.14.1561. h…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41497/psn-pdf
    April 05, 2013 - Avoiding handover fumbles: a controlled trial of a structured handover tool versus traditional handover methods. April 5, 2013 Payne CE, Stein JM, Leong T, et al. Avoiding handover fumbles: a controlled trial of a structured handover tool versus traditional handover methods. BMJ Qual Saf. 2012;21(11):925-32. doi:1…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39768/psn-pdf
    August 18, 2010 - Medical team training and coaching in the veterans health administration; assessment and impact on the first 32 facilities in the programme. August 18, 2010 Neily J, Mills PD, Lee P, et al. Medical team training and coaching in the Veterans Health Administration; assessment and impact on the first 32 facilities in…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60680/psn-pdf
    July 15, 2020 - Contributing factors for pediatric ambulatory diagnostic process errors: Project RedDE. July 15, 2020 Dadlez NM, Adelman JS, Bundy DG, et al. Contributing factors for pediatric ambulatory diagnostic process errors: Project RedDE. Ped Qual Saf. 2020;5(3):e299-e305. doi:10.1097/pq9.0000000000000299. https://psnet.ah…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47153/psn-pdf
    October 12, 2018 - Clinicians' perceptions of medication errors with opioids in cancer and palliative care services: a priority setting report. October 12, 2018 Heneka N, Shaw T, Azzi C, et al. Clinicians' perceptions of medication errors with opioids in cancer and palliative care services: a priority setting report. Support Care Ca…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/861775/psn-pdf
    January 31, 2024 - A 7-year analysis of attributable costs of healthcare- associated infections in a network of community hospitals in the southeastern United States. January 31, 2024 Zhang HL, Crane L, Cromer AL, et al. A 7-year analysis of attributable costs of healthcare-associated infections in a network of community hospitals i…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46064/psn-pdf
    April 19, 2017 - Prognosis of undiagnosed chest pain: linked electronic health record cohort study. April 19, 2017 Jordan KP, Timmis A, Croft P, et al. Prognosis of undiagnosed chest pain: linked electronic health record cohort study. BMJ. 2017;357:j1194. doi:10.1136/bmj.j1194. https://psnet.ahrq.gov/issue/prognosis-undiagnosed-ch…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/61016/psn-pdf
    October 14, 2020 - Complications associated with the anesthesia transport of pediatric patients: an analysis of the Wake Up Safe database. October 14, 2020 Haydar B, Baetzel A, Stewart M, et al. Complications associated with the anesthesia transport of pediatric patients: an analysis of the Wake Up Safe database. Anesth Analg. 2020;…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48193/psn-pdf
    August 28, 2019 - Automated detection of wrong-drug prescribing errors. August 28, 2019 Lambert BL, Galanter W, Liu KL, et al. Automated detection of wrong-drug prescribing errors. BMJ Qual Saf. 2019;28(11):908-915. doi:10.1136/bmjqs-2019-009420. https://psnet.ahrq.gov/issue/automated-detection-wrong-drug-prescribing-errors Look-al…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838912/psn-pdf
    December 01, 2005 - Discrepancies between clinical and autopsy diagnosis and the value of post mortem histology: a meta-analysis and review. December 1, 2005 Roulson J, Benbow EW, Hasleton PS. Discrepancies between clinical and autopsy diagnosis and the value of post mortem histology; a meta-analysis and review. Histopathology. 2005;…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37873/psn-pdf
    June 16, 2009 - Dropping the baton: a qualitative analysis of failures during the transition from emergency department to inpatient care. June 16, 2009 Horwitz LI, Meredith T, Schuur JD, et al. Dropping the baton: a qualitative analysis of failures during the transition from emergency department to inpatient care. Ann Emerg Med. …
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39800/psn-pdf
    January 19, 2011 - Medication errors in paediatric outpatients. January 19, 2011 Kaushal R, Goldmann DA, Keohane CA, et al. Medication errors in paediatric outpatients. BMJ Qual Saf. 2010;19(6). doi:10.1136/qshc.2008.031179. https://psnet.ahrq.gov/issue/medication-errors-paediatric-outpatients Pediatric medication errors are common …
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837136/psn-pdf
    May 18, 2022 - What can we learn from in-depth analysis of human errors resulting in diagnostic errors in the emergency department: an analysis of serious adverse event reports. May 18, 2022 Baartmans MC, Hooftman J, Zwaan L, et al. What can we learn from in-depth analysis of human errors resulting in diagnostic errors in the em…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72670/psn-pdf
    January 27, 2021 - System issues leading to "found-on-floor" incidents: a multi-incident analysis. January 27, 2021 Shaw J, Bastawrous M, Burns S, et al. System Issues Leading to “Found-on-Floor” Incidents: A Multi- Incident Analysis. J Patient Saf. 2021;17(1):30-35. doi:10.1097/pts.0000000000000294. https://psnet.ahrq.gov/issue/sys…