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  1. psnet.ahrq.gov/perspective/conversation-michael-cohen-rph-ms-scd-hon-0
    October 24, 2021 - In Conversation With… Michael Cohen, RPh, MS, ScD (hon) October 1, 2018  Citation Text: In Conversation With… Michael Cohen, RPh, MS, ScD (hon). PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. …
  2. digital.ahrq.gov/sites/default/files/docs/publication/r18hs017030-turchin-final-report-2011.pdf
    January 01, 2011 - Monitoring Intensification of Treatment for Hyperglycemia and Hyperlipidemia in Patients with Diabetes Grant Final Report Grant ID: 1R18HS017030 Monitoring Intensification of Treatment for Hyperglycemia and Hyperlipidemia in Patients with Diabetes Inclusive dates: 09/30/07 - 09/29/10 Principal…
  3. psnet.ahrq.gov/sites/default/files/2023-06/hurried_huddle_0.pdf
    January 01, 2023 - Microsoft PowerPoint - Spotlight Case_Anesthesia Error During Cesarean_06.22.2023 - Final.pptx Spotlight Hurried Team Huddle and Poor Communication: Unsafe Practice During Anesthesia for Emergency Cesarean Delivery Source and Credits • This presentation is based on the June 2023 AHRQ WebM&M Spotlight Case o See…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/849679/psn-pdf
    June 28, 2023 - Under Pressure: Tracheostomy Cuff Over Inflation Leading to Tissue Necrosis and Cuff Rupture June 28, 2023 Gould E, Carlsen K, Trask J, et al. Under Pressure: Tracheostomy Cuff Over Inflation Leading to Tissue Necrosis and Cuff Rupture. PSNet [internet]. 2023. https://psnet.ahrq.gov/web-mm/under-pressure-tracheost…
  5. ICU Assessment (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/icu-assessment.docx
    April 01, 2022 - ICU Assessment AHRQ Safety Program for Intensive Care Units: Preventing CLABSI and CAUTI Date Completed by Team: _____________________ ICU Assessment of Current CLABSI & CAUTI Prevention Practices The purpose of this assessment is to understand current central line-associated bloodstream infections (CLABSI) and…
  6. psnet.ahrq.gov/web-mm/see-patient-first
    September 27, 2023 - But See the Patient First Citation Text: Sinigayan VR. But See the Patient First. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2021. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tag…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33867/psn-pdf
    October 01, 2018 - In Conversation With… Michael Cohen, RPh, MS, ScD (hon) October 1, 2018 In Conversation With… Michael Cohen, RPh, MS, ScD (hon). PSNet [internet]. 2018. https://psnet.ahrq.gov/perspective/conversation-michael-cohen-rph-ms-scd-hon-0 Editor's note: Dr. Cohen is President of the Institute for Safe Medication Practice…
  8. www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-older-adults2.html
    September 01, 2024 - State of the Science and Future Directions To Improve Diagnostic Safety in Older Adults Unique Challenges in Approaching Diagnostic Safety in Older Adults Previous Page Next Page Table of Contents State of the Science and Future Directions To Improve Diagnostic Safety in Older Adults Introduction …
  9. digital.ahrq.gov/electronic-medical-record-systems
    January 01, 2023 - This information is for reference purposes only. It was current when produced and may now be outdated. Archive material is no longer maintained, and some links may not work. Persons with disabilities having difficulty accessing this information should contact us at: https://digital.ahrq.gov/contact-us . Let us know th…
  10. effectivehealthcare.ahrq.gov/sites/default/files/study-eligibility-criteria.ppt
    January 01, 2000 - Study Eligibility Criteria Study Eligibility Criteria Agency for Healthcare Research and Quality (AHRQ) Training Modules for Methods Guide for Effectiveness and Comparative Effectiveness Reviews Study Eligibility Criteria Systematic Review Process Overview * Systematic Review Process Overview This slide illu…
  11. psnet.ahrq.gov/web-mm/mismanagement-acute-decompensated-heart-failure-hypertensive-emergency
    May 01, 2018 - SPOTLIGHT CASE Mismanagement of Acute Decompensated Heart Failure with Hypertensive Emergency Citation Text: Lee J, Fernilius J, Frick W. Mismanagement of Acute Decompensated Heart Failure with Hypertensive Emergency. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, U…
  12. psnet.ahrq.gov/perspective/improving-diagnostic-safety-and-quality
    January 31, 2024 - Annual Perspective Improving Diagnostic Safety and Quality Jawad Al-Khafaji, MD, MHSA, Merton Lee, PhD, PharmD, Sarah Mossburg, RN, PhD | April 26, 2023  View more articles from the same authors. Citation Text: Al-Khafaji J, Lee M, Mossburg S. Improving Di…
  13. www.ahrq.gov/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/access/strategy6f-ondemand.html
    April 01, 2023 - Strategy 6F: On-Demand Advice, Diagnosis, and Treatment for Minor Health Conditions Contents 6.F.1. The Problem 6.F.2. The Intervention 6.F.3. Benefits 6.F.4. Implementation References   Download Strategy 6F: On-Demand Advice, Diagnosis, and Treatment for Minor Health Conditions (PDF, 350 KB…
  14. psnet.ahrq.gov/web-mm/isolated-clot-real-error
    December 01, 2013 - SPOTLIGHT CASE Isolated Clot, Real Error Citation Text: Parks A, Fang MC. Isolated Clot, Real Error. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2018. Copy Citation Format: Google Scholar BibTeX EndNote X3…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/848107/psn-pdf
    April 26, 2023 - Improving Diagnostic Safety and Quality April 26, 2023 Al-Khafaji J, Lee M, Mossburg S. Improving Diagnostic Safety and Quality . PSNet [internet]. 2023. https://psnet.ahrq.gov/perspective/improving-diagnostic-safety-and-quality Introduction During an annual editorial review of featured articles in the Agency for …
  16. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/consumer-experience/reporting/11-0060-EF.pdf
    May 01, 2011 - However, they also thought it was critical that reporters have options to choose anonymity or different … Most stakeholders favored allowing consumers to choose whether to reveal their identity or remain anonymous … They were clear that a consumer must be able to choose whether his or her report is shared outside of … If they choose the former option, the reporter can make his or her submission by mail, fax, e-mail,
  17. www.ahrq.gov/sites/default/files/publications/files/11-0060-EF.pdf
    May 01, 2011 - However, they also thought it was critical that reporters have options to choose anonymity or different … Most stakeholders favored allowing consumers to choose whether to reveal their identity or remain anonymous … They were clear that a consumer must be able to choose whether his or her report is shared outside of … If they choose the former option, the reporter can make his or her submission by mail, fax, e-mail,
  18. integrationacademy.ahrq.gov/products/topic-briefs/age-0-5-behavioral-development
    February 01, 2025 - important to align your workflow as close as possible to the validated methodology for each tool that you choose
  19. effectivehealthcare.ahrq.gov/sites/default/files/pdf/weight-gain-future_research.pdf
    January 01, 2020 - Stakeholders could choose to include a diet/exercise plan and/or intervention and/or targeted behavior
  20. www.uspreventiveservicestaskforce.org/uspstf/recommendation/prostate-cancer-screening-2012
    May 15, 2012 - Compared with men who choose watchful waiting, an additional 20% to 30% or more of men treated with radical