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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/understand/understand-facilitator-guide.docx
May 01, 2017 - Over half a million patients develop catheter-associated urinary tract infections, resulting in 13,000 deaths
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/understand-sci-fac-guide.html
July 01, 2023 - Over half a million patients develop catheter-associated urinary tract infections, resulting in 13,000 deaths
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www.uspreventiveservicestaskforce.org/uspstf/recommendation/human-immunodeficiency-virus-hiv-infection-screening
June 11, 2019 - outcomes (relative rate, 0.51 [95% CI, 0.32-0.83]). 49 However, the absolute risk of ART-related liver deaths … in the D:A:D cohorts was low (0.04 deaths per 1000 person-years). 50 Another D:A:D analysis found an
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psnet.ahrq.gov/web-mm/duty-disclose-someone-elses-error
June 01, 2004 - SPOTLIGHT CASE
Duty to Disclose Someone Else's Error?
Citation Text:
Gallagher TH. Duty to Disclose Someone Else's Error?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2011.
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hcup-us.ahrq.gov/reports/statbriefs/sb56.pdf
July 01, 2008 - Statistical Brief #56: Hospital Stays for Children, 2006
HEALTHCARE COST AND
UTILIZATION PROJECT
Agen
Res
July 2008
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stays
the ag
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hospit
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shorte
length
expen
charg
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childre
billion
total h
In 200
childre
private
perce
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2…
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meps.ahrq.gov/about_meps/hc_sample.shtml
April 01, 2005 - MEPS Sample Persons In-Scope for Part of the Year: Identification and Analytic Considerations
Skip to main content
An official website of the Department of Health & Human Services
More
…
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www.uspreventiveservicestaskforce.org/uspstf/document/final-evidence-summary38/obesity-in-adults-screening-and-management-2012
October 15, 2011 - Excess deaths associated with underweight, overweight, and obesity. JAMA . 2005;293:1861-7. … based interventions
Death
2
Good
No differences in death rate, but small number of deaths … limits conclusions
CVD
4
Fair to good
No differences in CVD events or CVD-related deaths … Pharmacotherapy
Orlistat
Death
4
Fair
Each study only had 1 death; in all studies, deaths … Metformin
Death
2
Fair to good
No difference between groups, but small number of deaths
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effectivehealthcare.ahrq.gov/products/lung-cancer-nonsurgical-therapies/research-protocol
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/mat-retention-strategies-rapid-review-1.pdf
August 01, 2020 - American deaths from opioid overdose now approach 50,000 annually. … methadone intervention reported 67 non–study-related hospitalizations and
two non–study-related deaths … Drug and
opioid-involved overdose deaths—United
States, 2013–2017. … NIH funds
study in four states to reduce opioid related
deaths by 40 percent over three years. … PCM had 2 non-study related
deaths, 1 from methadone
overdose; 59 non-study related
hospitalizations
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psnet.ahrq.gov/sites/default/files/2021-02/final_feb_2021_spotlight_delay_in_appropriate_dx.pdf
January 01, 2021 - Microsoft PowerPoint - FINAL Feb 2021 Spotlight_Delay in Appropriate DX.pptx - Read-Only
Spotlight
Delay in Appropriate Diagnosis and
Treatment Leading to Death from
Pulmonary Embolism
Source and Credits
• This presentation is based on the February 2021 AHRQ WebM&M
Spotlight Case
o See the full article at ht…
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psnet.ahrq.gov/node/841467/psn-pdf
December 14, 2022 - A framework for assessing reasoning about controversial
end-of-life clinical decisions.
December 14, 2022
Fedyk M, Fairman N, Romano PS, et al. A framework for assessing reasoning about controversial end-of-
life clinical decisions. PSNet [internet]. 2022.
https://psnet.ahrq.gov/web-mm/framework-assessing-reasonin…
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/colon-cancer-gene-profiling_research-protocol.pdf
March 13, 2012 - , and
lung cancer) with an estimated 103,170 new cases and the second most common cause of
cancer deaths … (after lung cancer) with 51,690 deaths.1
The most important prognostic factor for colon cancer is
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www.uspreventiveservicestaskforce.org/uspstf/recommendation/syphilis-infection-in-pregnancy-screening
May 13, 2025 - congenital syphilis in the US, including 279 congenital syphilis-related stillbirths and neonatal/infant deaths … congenital syphilis in the US, including 279 congenital syphilis–related stillbirths and neonatal/infant deaths
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www.ahrq.gov/hai/pfp/haccost2017-ref.html
May 01, 2023 - Research and Quality. 2013 annual hospital-acquired condition rate and estimates of cost savings and deaths
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psnet.ahrq.gov/issue/woman-works-end-black-maternal-health-crisis-after-daughter-dies-after-giving-birth
May 27, 2020 - Newspaper/Magazine Article
Woman works to end Black maternal health crisis after daughter dies after giving birth.
Citation Text:
Woman works to end Black maternal health crisis after daughter dies after giving birth. Kindelan K. ABC News. April 14, 2022.
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psnet.ahrq.gov/issue/patients-low-health-literacy-make-more-errors-interpreting-instructions-and-warnings
May 03, 2023 - Newspaper/Magazine Article
Patients with low health literacy make more errors interpreting instructions and warnings.
Citation Text:
Patients with low health literacy make more errors interpreting instructions and warnings. ISMP Medication Safety Alert! Acute Care. 2023;28(24):1-3.
Cop…
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psnet.ahrq.gov/issue/untold-story-cyberattack-hospital-and-dying-woman
August 25, 2021 - Newspaper/Magazine Article
The untold story of a cyberattack, a hospital and a dying woman.
Citation Text:
The untold story of a cyberattack, a hospital and a dying woman. Ralston W. Wired Magazine. November 11, 2020.
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psnet.ahrq.gov/issue/pain-was-unbearable-so-why-did-doctors-turn-her-away
November 25, 2020 - Newspaper/Magazine Article
The pain was unbearable. So why did doctors turn her away?
Citation Text:
The pain was unbearable. So why did doctors turn her away? Szalavitz M. Wired Magazine. August 11, 2021.
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psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-43
September 26, 2017 - Commentary
ISMP medication error report analysis.
Citation Text:
Cohen MR, Smetzer JL. Safer Connectors in the United Kingdom; Value of the Independent Double-Check; Medication Errors Column in 35th Year. Hosp Pharm. 2010;45(3). doi:10.1310/hpj4503-191.
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psnet.ahrq.gov/issue/heparin-sodium-injection-10000-unitsml-and-hep-lock-10-unitsml-medication-errors
February 17, 2021 - Press Release/Announcement
Heparin sodium injection 10,000 units/mL, and HEP-LOCK U/P 10 units/mL medication errors.
Citation Text:
Heparin sodium injection 10,000 units/mL, and HEP-LOCK U/P 10 units/mL medication errors. MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Adm…