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psnet.ahrq.gov/node/44530/psn-pdf
October 21, 2015 - Patient safety and quality of care in developing countries
in Southeast Asia: a systematic literature review.
October 21, 2015
Harrison R, Cohen AWS, Walton M. Patient safety and quality of care in developing countries in Southeast
Asia: a systematic literature review. Int J Qual Health Care. 2015;27(4):240-254.
d…
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psnet.ahrq.gov/node/37729/psn-pdf
June 12, 2008 - Introduction of medical emergency teams in Australia and
New Zealand: a multi-centre study.
June 12, 2008
Jones D, George C, Hart GK, et al. Introduction of medical emergency teams in Australia and New
Zealand: a multi-centre study. Crit Care. 2008;12(2):R46. doi:10.1186/cc6857.
https://psnet.ahrq.gov/issue/introd…
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psnet.ahrq.gov/node/46302/psn-pdf
December 22, 2017 - Non–health care facility medication errors resulting in
serious medical outcomes.
December 22, 2017
Hodges NL, Spiller HA, Casavant MJ, et al. Non-health care facility medication errors resulting in serious
medical outcomes. Clin Toxicol (Phila). 2018;56(1):43-50. doi:10.1080/15563650.2017.1337908.
https://psnet.a…
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psnet.ahrq.gov/node/836716/psn-pdf
March 09, 2022 - Potentially harmful medication dispenses after a fall or
hip fracture: a mixed methods study of a commonly used
quality measure.
March 9, 2022
Fischer H, Hahn EE, Li BH, et al. Potentially harmful medication dispenses after a fall or hip fracture: a
mixed methods study of a commonly used quality measure. Jt Comm J…
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psnet.ahrq.gov/node/41317/psn-pdf
January 31, 2013 - Variation in 17 obstetric care pathways: potential danger
for health professionals and patient safety?
January 31, 2013
Sarrechia M, Van Gerven E, Hermans L, et al. Variation in 17 obstetric care pathways: potential danger for
health professionals and patient safety? J Adv Nurs. 2013;69(2):278-85. doi:10.1111/j.136…
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www.ahrq.gov/es/patient-safety/settings/hospital/match/table-6.html
August 01, 2012 - Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation
Table 6: Categories of Medication Error Classification
Previous Page
Table of Contents
Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation
Introduction
Chap…
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-212-table-4.pdf
May 24, 2016 - CHIPRA 212 Table 4
Table 4: Evidence Supporting ICS at Discharge from an Emergency Department
TYPE OF
EVIDENCE
KEY FINDINGS LEVEL OF
EVIDENCE
(USPSTF
RANKING*)
CITATION(S)
Clinical
guidelines
Consider initiating ICS therapy for patients
who did not use an ICS prior to the
hospital admission. If the d…
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psnet.ahrq.gov/node/36907/psn-pdf
September 14, 2012 - Serious Reportable Events in Healthcare—2011 Update.
September 14, 2012
Washington DC: National Quality Forum; December 2011.
https://psnet.ahrq.gov/issue/serious-reportable-events-healthcare-2011-update
The National Quality Forum originally defined 27 health care "never events"—patient safety events that
pose ser…
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psnet.ahrq.gov/node/73134/psn-pdf
April 14, 2021 - Management and patient safety of complex elderly
patients in primary care during the COVID-19 pandemic in
the UK-Qualitative assessment.
April 14, 2021
Alboksmaty A, Kumar S, Parekh R, et al. Management and patient safety of complex elderly patients in
primary care during the COVID-19 pandemic in the UK - qualitat…
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-psychological-safety-1.html
September 01, 2023 - Strategies for Improving Clinician Psychological Safety in Reporting and Discussing Diagnostic Error
Learning From Diagnostic Errors
Previous Page Next Page
Table of Contents
Strategies for Improving Clinician Psychological Safety in Reporting and Discussing Diagnostic Error
Learning From Diagnost…
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www.ahrq.gov/patient-safety/settings/hospital/match/table-6.html
August 01, 2012 - Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation
Table 6: Categories of Medication Error Classification
Previous Page
Table of Contents
Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation
Introduction
Chap…
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www.ahrq.gov/sites/default/files/2025-05/stein-report.pdf
January 01, 2025 - is responsible for
significant morbidity and mortality, causes 9% of pregnancy-related maternal deaths
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psnet.ahrq.gov/node/49860/psn-pdf
April 01, 2019 - Hip Fractures in Older Patients: the Case for Geriatrics
Comanagement
April 1, 2019
Rogers S, Ward D. Hip Fractures in Older Patients: the Case for Geriatrics Comanagement. PSNet
[internet]. 2019.
https://psnet.ahrq.gov/web-mm/hip-fractures-older-patients-case-geriatrics-comanagement
The Case
An 82-year-old man …
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psnet.ahrq.gov/node/49700/psn-pdf
February 01, 2014 - Nonsustained Ventricular Tachycardia After Acute
Coronary Syndromes: Recognizing High-Risk Patients
February 1, 2014
Piccini JP, Newby KL, Califf R. Nonsustained Ventricular Tachycardia After Acute Coronary Syndromes:
Recognizing High-Risk Patients. PSNet [internet]. 2014.
https://psnet.ahrq.gov/web-mm/nonsustaine…
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www.ahrq.gov/research/findings/nhqrdr/chartbooks/blackhealth/part2-infmat.html
June 01, 2018 - Chartbook on Health Care for Blacks
Part 2: Trends in Priorities of the Heckler Report—Infant Mortality and Maternity Care
Previous Page Next Page
Table of Contents
Chartbook on Health Care for Blacks
Health Care for Blacks
Acknowledgments
Part 1: Overviews of the Report and the Black Populati…
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www.uspreventiveservicestaskforce.org/uspstf/recommendation/healthy-diet-promotion-behavioral-counseling-1996
January 01, 1996 - with coronary heart disease accounting for up to 1.5 million myocardial infarctions and nearly 500,000 deaths … most closely associated epidemiologically with nutritional risk factors, together, cause over 140,000 deaths … annually. 4 Cerebrovascular disease, the third leading cause of death, accounted for about 150,000 deaths … An estimated 14 million persons in the U.S. have diabetes mellitus, which accounts for over 55,000 deaths … Annual summary of births, marriages, divorces, and deaths: United States, 1993.
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/Q4J7tsThw_6nwfB-p-f5Hp
March 01, 2009 - cause of death in
the United States—it is the underlying or contributing
cause in approximately 58% of deaths … Five deaths due to gastrointestinal
bleeding occurred in the study.
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psnet.ahrq.gov/sites/default/files/2020-05/final_may-spotlight-fatal_pca_slides_05.01.2020_cme_review-revised.pdf
January 01, 2020 - improvements in detecting oxygen desaturation compared with
intermittent nursing spot-checks
– Deaths
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/white-paper-lumbar-spondylolisthesis.pdf
March 01, 2021 - White Paper: Standardized Library of Lumbar Spondylolisthesis Outcome Measures
Research White Paper
Standardized Library of Lumbar Spondylolisthesis
Outcome Measures
Research White Paper
Standardized Library of Lumbar Spondylolisthesis
Outcome Measures
Prepared for: …
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psnet.ahrq.gov/web-mm/inadequate-preanesthetic-evaluation-airway-trouble
November 01, 2023 - Inadequate Preanesthetic Evaluation, Airway Trouble
Citation Text:
Blitz J. Inadequate Preanesthetic Evaluation, Airway Trouble. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2018.
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