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digital.ahrq.gov/sites/default/files/docs/citation/r01hs024538-adelman-final-report-2022.pdf
January 01, 2022 - has been estimated that preventable harm among hospitalized patients results in more than 400,000 deaths
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effectivehealthcare.ahrq.gov/health-topics/ovarian-cancer
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/antipsychotics-children-update_research-protocol.pdf
December 04, 2015 - .$$$
Tardive$Dyskinesia$
Neuroleptic$Malignant$Syndrome$(NMS)$
Sudden,$unexpected$deaths$in$conditions
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Shaha.pdf
May 01, 2004 - Establishing a Culture of Patient Safety Through a Low-tech Approach to Reducing Medication Errors
333
Establishing a Culture of Patient
Safety Through a Low-tech Approach
to Reducing Medication Errors
Steven H. Shaha, Linda Brodsky, Michael S. Leonard, Michael A. Cimino,
Sandra A. McDougal, Joann M. Pilliod…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Banja.pdf
January 01, 2004 - Does Medical Error Disclosure Violate the Medical Malpractice Insurance Cooperation Clause?
371
Does Medical Error Disclosure
Violate the Medical Malpractice
Insurance Cooperation Clause?
John D. Banja
Abstract
Medical malpractice insurance policies customarily contain a “cooperation”
clause requiring ins…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Pace.pdf
January 01, 2004 - Developing a Taxonomy for Coding Ambulatory Medical Errors: A Report from the ASIPS Collaborative
63
Developing a Taxonomy for Coding
Ambulatory Medical Errors: A Report
from the ASIPS Collaborative
Wilson D. Pace, Douglas H. Fernald, Daniel M. Harris,
L. Miriam Dickinson, Rodrigo Araya-Guerra, Elizabeth W. …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Rask.pdf
January 01, 2004 - Voluntary Hospital Coalitions to Promote Patient Safety
493
Voluntary Hospital Coalitions
to Promote Patient Safety
Kimberly J. Rask, Dorothy “Vi” Naylor, Linda Schuessler
Abstract
Translating research or care innovation into broader clinical practice requires
more than simply the publication of new findin…
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digital.ahrq.gov/ahrq-funded-projects/emerging-lessons/computerized-provider-order-entry-inpatient/inpatient-computerized-provider-order-entry-cpoe
January 01, 2023 - Inpatient Computerized Provider Order Entry (CPOE)
Findings from the AHRQ Health IT Portfolio
Prepared for: Agency for Healthcare Research and Quality U.S. Department of Health and Human Services 540 Gaither Road Rockville, MD 20850 www.ahrq.gov
Contract No. 290-04-0016
Prepared by…
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psnet.ahrq.gov/sites/default/files/2024-09/final_spotlight_case_open_wound_of_the_elbow_slides_09.19.2024.pptx
January 01, 2024 - Spotlight
Spotlight
Errors in Managing an Open Wound of the Elbow Leading to Multiple Complications and Operations
1
Source and Credits
This presentation is based on the September 2024 AHRQ WebM&M Spotlight Case
See the full article at https://psnet.ahrq.gov/webmm
CME credit is available
Commentary by: David…
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psnet.ahrq.gov/node/837958/psn-pdf
December 01, 2021 - EMS Perils from Hospital Overcrowding
August 31, 2022
Brown S, Rose JS, Barnes DK. EMS Perils from Hospital Overcrowding. PSNet [internet]. 2022.
https://psnet.ahrq.gov/web-mm/ems-perils-hospital-overcrowding
The Case
A 71-year-old man with a history of postoperative septic knee arthritis (status: post-intravenous…
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psnet.ahrq.gov/node/836877/psn-pdf
May 16, 2022 - In Conversation With... Remle P. Crowe, PhD
May 16, 2022
In Conversation With.. Remle P. Crowe, PhD . PSNet [internet]. 2022.
https://psnet.ahrq.gov/perspective/conversation-remle-p-crowe-phd
Editor’s Note: Remle Crowe, PhD, NREMT, is the Director of Clinical and Operational Research at ESO.
In her professional ro…
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/worker-health_research-protocol.pdf
May 26, 2015 - worker-health-protocol-150526
Evidence-based Practice Center Systematic Review Protocol
Project Title: Total Worker Health
I. Background and Objectives for the Systematic Review
Workplac…
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digital.ahrq.gov/sites/default/files/docs/publication/r18hs017831-mertens-final-report-2012.pdf
January 01, 2012 - Improving Pediatric Cancer Survivorship Care through SurvivorLink - Final Report
Grant Final Report
Grant ID: R18HS017831
Improving Pediatric Cancer Survivorship Care through
SurvivorLink
Inclusive project dates: 09/30/08 - 09/29/11
Principal Investigator:
Ann C Mertens, PhD
Team members:
Lillian Meac…
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/medicare-utilization-seniors_research.pdf
June 01, 2012 - Newly Medicare-Eligible Elders: Data Points #12
Newly Medicare-Eligible Elders Data Points # 12
Health care use in the first six months of Medicare eligibility for
elders: Impact of State support
Approximately 10 percent of newly age-
eligible Medicare enrollees receive assistance
from States either as full Medic…
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psnet.ahrq.gov/perspective/establishing-safety-culture-thinking-small
December 01, 2006 - Establishing a Safety Culture: Thinking Small
Timothy J. Hoff, PhD | December 1, 2006
Also Read a Conversation
View more articles from the same authors.
Citation Text:
Hoff TJ. Establishing a Safety Culture: Thinking Small. PSNet [internet]. Rockville (MD): Age…
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psnet.ahrq.gov/node/866839/psn-pdf
September 25, 2024 - Errors in Managing an Open Wound of the Elbow Leading
to Multiple Complications and Operations
September 25, 2024
Barnes DK, Utter GH. Errors in Managing an Open Wound of the Elbow Leading to Multiple Complications
and Operations. PSNet [internet]. 2024.
https://psnet.ahrq.gov/web-mm/errors-managing-open-wound-elb…
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psnet.ahrq.gov/perspective/conversation-abraham-verghese-md
November 01, 2012 - In Conversation With… Abraham Verghese, MD
November 1, 2012
Also Read an Essay
Citation Text:
In Conversation With… Abraham Verghese, MD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 201…
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psnet.ahrq.gov/perspective/conversation-withpat-croskerry-md-phd
June 01, 2010 - In Conversation with…Pat Croskerry, MD, PhD
June 1, 2010
Also Read an Essay
Citation Text:
In Conversation with…Pat Croskerry, MD, PhD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2010.…
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digital.ahrq.gov/sites/default/files/docs/page/09-0031-EF_cpoe.pdf
January 01, 2009 - Layout 1
Inpatient Computerized
Provider Order Entry (CPOE)
Findings from the AHRQ
Health IT Portfolio
Agency for Healthcare Research and Quality
Advancing Excellence in Health Care www.ahrq.gov Health IT
Inpatient Computerized
Provider Order Entry (CPOE)
Findings from the AHRQ Health IT Portfolio
Prepared for:…
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www.ahrq.gov/sites/default/files/publications/files/simulation-brief.pdf
February 01, 2015 - Health Care Simulation to Advance Safety: AHRQ Issue Brief
Foreword
Simulation has long been recognized for the integral role it plays in high-
risk industries. Our aerospace, transportation, and power-generation
industries have become steadily safer over the years with the aid of
simulation. As the Ebola virus di…