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  1. Opioid Stewardship. | PSNet

    psnet.ahrq.gov/issue/opioid-stewardship
    February 06, 2019 - Special or Theme Issue Opioid Stewardship. Citation Text: Opioid Stewardship. Ochsner J. 2018;18(1):20-45. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL A…

  2. Managing the risks of direct oral anticoagulants. | PSNet

    psnet.ahrq.gov/issue/managing-risks-direct-oral-anticoagulants
    December 23, 2016 - Sentinel Event Alerts Managing the risks of direct oral anticoagulants. Citation Text: Managing the risks of direct oral anticoagulants. Sentinel Event Alert. July 30, 2019;(61):1-5. Copy Citation Save Save to your library Print Download PDF Sh…

  3. The Role of Nutrition in Mental Wellbeing and Integrated Care as a Strategy for Improvement | The Academy

    integrationacademy.ahrq.gov/news-and-events/calendar/event/23668
    August 11, 2025 - An official website of the Department of Health & Human Services Search All AHRQ Sites Careers Contact Us Español FAQs Email Updates The Academy Integrating Behavioral Health & Primary Care Expand Navi…

  4. AHRQ Academy: Charting the Future of Integrated Behavioral Health: Perspectives from the Field | The Academy

    integrationacademy.ahrq.gov/news-and-events/calendar/event/23428
    August 06, 2025 - An official website of the Department of Health & Human Services Search All AHRQ Sites Careers Contact Us Español FAQs Email Updates The Academy Integrating Behavioral Health & Primary Care Expand Navi…

  5. Teaching Pre-Implementation Measurement | Agency for Healthcare Research and Quality

    www.ahrq.gov/teamstepps-program/curriculum/implement/pre-measure.html
    May 01, 2023 - Teaching Pre-Implementation Measurement Present Slide 12, “Measurement.” Use this slide to introduce the topic of measurement and note that it is key to all organizational improvement initiatives. In discussing Slide 13, “Define a Measurable Goal or Problem You Plan To Address,” it’s important to stress t…

  6. How DeKalb Medical fixed drug safety problems after fatal error. | PSNet

    psnet.ahrq.gov/issue/how-dekalb-medical-fixed-drug-safety-problems-after-fatal-error
    October 11, 2017 - Newspaper/Magazine Article How DeKalb Medical fixed drug safety problems after fatal error. Citation Text: How DeKalb Medical fixed drug safety problems after fatal error. Porter S. HealthLeaders Media. April 26, 2018. Copy Citation Save Save to your library …

  7. Clinical Summary: Risk Assessment, Genetic Counseling, and Genetic Testing for BRCA-Related Cancer (pdf file)

    www.uspreventiveservicestaskforce.org/home/getfilebytoken/y3mQMyN2Y8mxKvPPXjM6kV
    Clinical Summary: Risk Assessment, Genetic Counseling, and Genetic Testing for BRCA-Related Cancer Clinical Summary: Risk Assessment, Genetic Counseling, and Genetic Testing for BRCA-Related Cancer Population Women with a personal or family history of breast, ovarian, tubal, or peritoneal cancer or who have…

  8. Health Literacy Practices in Primary Care Settings: Examples from the Field. | PSNet

    psnet.ahrq.gov/issue/health-literacy-practices-primary-care-settings-examples-field
    April 27, 2022 - Book/Report Health Literacy Practices in Primary Care Settings: Examples from the Field. Citation Text: Health Literacy Practices in Primary Care Settings: Examples from the Field. Barrett SE, Puryear JS, Westpheling K. Washington DC: The Commonweath Fund; January 1, 2008. Copy Ci…

  9. Eliminating CLABSI: A National Patient Safety Imperative. | PSNet

    psnet.ahrq.gov/issue/eliminating-clabsi-national-patient-safety-imperative
    October 23, 2019 - Book/Report Eliminating CLABSI: A National Patient Safety Imperative. Citation Text: Eliminating CLABSI: A National Patient Safety Imperative. Rockville, MD: Agency for Healthcare Research and Quality; September 2011. AHRQ Publication No. 11-0037-1-EF. Copy Citation …

  10. Patient engagement in patient safety: barriers and facilitators. | PSNet

    psnet.ahrq.gov/issue/patient-engagement-patient-safety-barriers-and-facilitators
    May 09, 2015 - Newspaper/Magazine Article Patient engagement in patient safety: barriers and facilitators. Citation Text: Patient engagement in patient safety: barriers and facilitators. Scobie AC, Persaud DD. Patient Saf Qual Healthc. March/April 2010;7:42-47. Copy Citation Save …

  11. AHRQ National Advisory Council to Meet Virtually on July 21 with 7 New Members | Agency for Healthcare Research and Quality

    www.ahrq.gov/news/newsroom/press-releases/nac-meeting-members.html
    July 01, 2022 - AHRQ National Advisory Council to Meet Virtually on July 21 with 7 New Members Press Release Date: July 18, 2022 The National Advisory Council (NAC) for the Agency for Healthcare Research and Quality (AHRQ) has added seven new members who will convene with the council for their next meeting on Thursday, July 21, …

  12. Patient Safety 101 | PSNet

    psnet.ahrq.gov/patient-safety-101
    March 26, 2025 - Patient Safety 101: The Fundamentals What is Patient Safety? The breadth of the field of patient safety is captured in various definitions. It has been defined as avoiding harm to patients from care that is intended to help them. 1 It involves the prevention and mitigation of harm caused by err…

  13. Products | The Academy

    integrationacademy.ahrq.gov/products
    June 01, 2022 - An official website of the Department of Health & Human Services Search All AHRQ Sites Careers Contact Us Español FAQs Email Updates The Academy Integrating Behavioral Health & Primary Care Expand Navi…

  14. Unequal Treatment: Confronting Racial and Ethnic Disparities in Health Care. | PSNet

    psnet.ahrq.gov/issue/unequal-treatment-confronting-racial-and-ethnic-disparities-health-care
    June 15, 2011 - Book/Report Unequal Treatment: Confronting Racial and Ethnic Disparities in Health Care. Citation Text: Unequal Treatment: Confronting Racial and Ethnic Disparities in Health Care. Smedley BD, Stith AY, Nelson AR, eds and Institute of Medicine. Washington, DC; The National Academies Pres…

  15. Patients with low health literacy make more errors interpreting instructions and warnings. | PSNet

    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…

  16. Global Burden of Preventable Medication-related Harm in Health Care: A Systematic Review. | PSNet

    psnet.ahrq.gov/issue/global-burden-preventable-medication-related-harm-health-care-systematic-review
    November 15, 2023 - Book/Report Global Burden of Preventable Medication-related Harm in Health Care: A Systematic Review. Citation Text: Global Burden of Preventable Medication-related Harm in Health Care: A Systematic Review. Geneva, Switzerland: World Health Organization; 2023. ISBN: 9789240088887. Co…

  17. Wrong drug and wrong dose dispensing errors identified in pharmacist professional liability claims. | PSNet

    psnet.ahrq.gov/issue/wrong-drug-and-wrong-dose-dispensing-errors-identified-pharmacist-professional-liability
    August 31, 2016 - Study Wrong drug and wrong dose dispensing errors identified in pharmacist professional liability claims. Citation Text: Wrong drug and wrong dose dispensing errors identified in pharmacist professional liability claims. Reiner G, Pierce SL, Flynn J. J Am Pharm Assoc (2003). 2020;60(5):e…

  18. Preventing Falls in Hospitals: A Toolkit for Improving Quality of Care. | PSNet

    psnet.ahrq.gov/issue/preventing-falls-hospitals-toolkit-improving-quality-care
    December 24, 2008 - Toolkit Preventing Falls in Hospitals: A Toolkit for Improving Quality of Care. Citation Text: Preventing Falls in Hospitals: A Toolkit for Improving Quality of Care. Ganz DA, Huang C, Saliba D, et al. Rockville, MD: Agency for Healthcare Research and Quality; January 2013. AHRQ Publicat…

  19. Screening for iron deficiency anemia in young children literature surveillance report 2023 (pdf file)

    www.uspreventiveservicestaskforce.org/home/getfilebytoken/sCkggReHbVWXtLoqWhEPrh
    July 01, 2023 - Screening for iron deficiency anemia in young children literature surveillance report 2023 1 U.S. Preventive Services Task Force Topic Development Background Document Title: Screening for iron deficiency anemia in young children Literature surveillance date: July 2023 Recommendation Summary: In 2015,…

  20. The Anatomy of Medical Error: Preventing Harm with People-Based Patient Safety. | PSNet

    psnet.ahrq.gov/issue/anatomy-medical-error-preventing-harm-people-based-patient-safety
    March 10, 2021 - Book/Report The Anatomy of Medical Error: Preventing Harm with People-Based Patient Safety. Citation Text: The Anatomy of Medical Error: Preventing Harm with People-Based Patient Safety. Geller ES, Johnson D. Virginia Beach, VA: Costal Training Technologies Corporation; 2007. ISBN: 9…
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