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psnet.ahrq.gov/node/838016/psn-pdf
January 02, 2021 - Racism as a Root Cause approach: a new framework.
January 2, 2021
Malawa Z, Gaarde J, Spellen S. Racism as a Root Cause approach: a new framework. Pediatrics.
2021;147(1):e2020015602. doi:10.1542/peds.2020-015602.
https://psnet.ahrq.gov/issue/racism-root-cause-approach-new-framework
Structural racism, which manife…
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psnet.ahrq.gov/node/863763/psn-pdf
March 06, 2024 - After his wife died, he joined nurses to push for new
staffing rules in hospitals.
March 6, 2024
Wells K. Health Shots. KFF News and Michigan Public. February 22, 2024.
https://psnet.ahrq.gov/issue/after-his-wife-died-he-joined-nurses-push-new-staffing-rules-hospitals
Mandatory staffing ratios are a controversial …
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psnet.ahrq.gov/node/72728/psn-pdf
February 10, 2021 - Risk of misdiagnosis and delayed diagnosis with COVID-
19: a syndemic approach.
February 10, 2021
Muhrer JC. Risk of misdiagnosis and delayed diagnosis with COVID-19. Nurs Pract. 2021;46(2):44-49.
doi:10.1097/01.npr.0000731572.91985.98.
https://psnet.ahrq.gov/issue/risk-misdiagnosis-and-delayed-diagnosis-covid-19-…
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psnet.ahrq.gov/node/44146/psn-pdf
June 03, 2015 - Transforming communication and safety culture in
intrapartum care: a multi-organization blueprint.
June 3, 2015
Lyndon A, Johnson C, Bingham D, et al. Transforming communication and safety culture in intrapartum
care: a multi-organization blueprint. Obstet Gynecol. 2015;125(5):1049-55.
doi:10.1097/AOG.000000000000…
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psnet.ahrq.gov/node/60007/psn-pdf
March 04, 2020 - ISMP Guidelines for Optimizing Safe Implementation and
Use of Smart Infusion Pumps.
March 4, 2020
Horsham, PA: Institute for Safe Medication Practices; 2020.
https://psnet.ahrq.gov/issue/ismp-guidelines-optimizing-safe-implementation-and-use-smart-infusion-
pumps
Smart pumps are widely available as a medicat…
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www.uspreventiveservicestaskforce.org/uspstf/document/final-evidence-summary/screening-depression-suicide-risk-adults
June 20, 2023 - Suicide rates have increased over the past decade, and both suicide attempts and deaths have devastating … Main Outcomes and Measures: Depression outcomes; suicidal ideation, attempts, and deaths; sensitivity … were attributable to suicide. 2 Suicide rates are increasing, with a 31% increase in suicide deaths … The impact of the interventions on suicide deaths could not be determined, with only 1 death reported … There were too few suicide deaths to determine the association between antidepressant use and suicide
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psnet.ahrq.gov/node/46645/psn-pdf
January 23, 2019 - https://psnet.ahrq.gov/issue/emergency-department-contribution-prescription-opioid-epidemic
As deaths … emergency-department-contribution-prescription-opioid-epidemic
https://psnet.ahrq.gov/issue/increases-drug-and-opioid-overdose-deaths-united-states
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effectivehealthcare.ahrq.gov/sites/default/files/ahrq_community_forum_webinar_sadwin.pdf
January 01, 2011 - Current
Status
2010
Target
Change
(from
baseline
to now )
Coronary
Heart Disease
Deaths … /100,000
194.6
144.4
146.7
-25.8%
Stroke
Deaths/100,000
61.6
46.6
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs024581-avidan-final-report-2020.pdf
January 01, 2020 - Anesthesiology Control Tower: Feedback Alerts to Supplement Treatment (ACTFAST) - Final Report
1. TITLE PAGE
Title: Anesthesiology Control Tower: Feedback Alerts to Supplement Treatment (ACTFAST)
Principal Investigator: Michael Avidan, MBBCh
Key Team Members: Arbi Ben Abdallah, PhD; Yixin Chen, PhD; Brad Fritz…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/report/apv.html
June 01, 2010 - Environmental Scan of Measures for Medicaid Title XIX Home and Community-Based Services
Appendix V: Tested Measures by DRA Domain
Previous Page Next Page
Table of Contents
Environmental Scan of Measures for Medicaid Title XIX Home and Community-Based Services
Executive Summary
Introduction and S…
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psnet.ahrq.gov/web-mm/fatal-twist-pseudohyperkalemia
February 10, 2021 - SPOTLIGHT CASE
A Fatal Twist in Pseudohyperkalemia
Citation Text:
Devera JL, Barnes DK, Lewis WR. A Fatal Twist in Pseudohyperkalemia. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2024.
Copy Citation
Format:
…
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psnet.ahrq.gov/node/47694/psn-pdf
February 06, 2019 - association-pharmaceutical-industry-marketing-opioid-products-mortality-
opioid-related
Reducing opioid-related overdoses and deaths … association-pharmaceutical-industry-marketing-opioid-products-mortality-opioid-related
https://psnet.ahrq.gov/issue/increases-drug-and-opioid-overdose-deaths-united-states
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psnet.ahrq.gov/node/45615/psn-pdf
October 26, 2016 - mandatory-provider-review-and-pain-clinic-laws-reduce-amounts-opioids-
prescribed-and-overdose
Opioid-related harm, including overdose deaths … States with mandated review policies had
fewer opioid overdose deaths and lower amounts of opioids prescribed
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psnet.ahrq.gov/node/47266/psn-pdf
August 08, 2018 - outpatient-opioid-prescriptions-children-and-opioid-related-adverse-events
Reducing the incidence of opioid overdoses and overdose deaths … psnet.ahrq.gov/issue/opioid-overdose
https://psnet.ahrq.gov/issue/increases-drug-and-opioid-overdose-deaths-united-states
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psnet.ahrq.gov/node/41212/psn-pdf
March 14, 2012 - error in hospitals
using incident-reporting systems, patient complaints and
chart review of inpatient deaths … error in hospitals
using incident-reporting systems, patient complaints and chart review of inpatient deaths
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www.uspreventiveservicestaskforce.org/uspstf/recommendation/suicide-risk-in-adolescents-adults-and-older-adults-screening
May 20, 2014 - Rates of suicide attempts and deaths vary by sex, age, and race or ethnicity 1 . … per 100,000]) and those aged 55 to 59 years (47.8% [from 20.3 to 30.0 deaths per 100,000]). … rate in men increased by 39.6% (from 24.5 to 34.2 deaths per 100,000) 9 . … at a rate of 11.8 deaths per 100,000 persons 1 . … Deaths: Final Data for 2010. Natl Vital Stat Rep . 2013;61:1-117.
2.
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hcup-us.ahrq.gov/reports/factsandfigures/2007/exhibit5_3.jsp
January 01, 2007 - Four percent of stays resulted in in-hospital deaths and less than 1 percent were discharges against … Less than 1 percent of Medicaid, private insurance, and uninsured stays resulted in in-hospital deaths … For stays with Medicare as the primary payer, in-hospital deaths occurred in 4 percent of stays.
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psnet.ahrq.gov/node/44709/psn-pdf
November 18, 2016 - Prior studies have found that nearly 8% of deaths in
patients with major trauma may be preventable, … lost-information-during-handover-critically-injured-trauma-patients-mixed-methods-study
https://psnet.ahrq.gov/issue/classifying-errors-preventable-and-potentially-preventable-trauma-deaths
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psnet.ahrq.gov/node/38837/psn-pdf
June 28, 2011 - validity-selected-ahrq-patient-safety-indicators-based-va-national-surgical-quality
https://psnet.ahrq.gov/web-mm/deaths-not-foretold-are-unexpected-deaths-useful-patient-safety-signals
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psnet.ahrq.gov/issue/closing-deaths-door-legal-innovations-end-epidemic-healthcare-harm
January 27, 2021 - Book/Report
Closing Death’s Door: Legal Innovations to End the Epidemic of Healthcare Harm.
Citation Text:
Closing Death’s Door: Legal Innovations to End the Epidemic of Healthcare Harm. Saks M, Landsman S. New York, NY: Oxford University Press; 2021. ISBN: 9780190667986.
…