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hcup-us.ahrq.gov/db/nation/nis/reports/NIS_2012_Redesign_report.jsp
January 01, 2012 - HCUP Nationwide Inpatient Sample Redesign Final Report
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www.ahrq.gov/sites/default/files/2025-05/nielsen2-report.pdf
January 01, 2025 - Final Progress Report: Challenges and Opportunities for Stewardship of Urological Imaging
Challenges and Opportunities
for Stewardship of Urological Imaging
Quality Improvement Summit
October 21, 2017
Principal Investigator. Matthew E. Nielsen, MD
Team Members.
Presenters
Timothy Averch, MD; AUA Quality Improve…
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www.ahrq.gov/sites/default/files/2025-04/nielsen-report.pdf
January 01, 2025 - Final Progress Report: Challenges and Opportunities for Stewardship of Urological Imaging
Challenges and Opportunities
for Stewardship of Urological Imaging
Quality Improvement Summit
October 21, 2017
Principal Investigator. Matthew E. Nielsen, MD
Team Members.
Presenters
Timothy Averch, MD; AUA Quality Improve…
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www.ahrq.gov/patient-safety/resources/learning-lab/index.html
August 01, 2025 - caregivers to ensure treatment trajectories match the anticipated course for working diagnoses or symptoms, ensuring … Ensure broader generalizability of results of Aims 1 and 2 by ensuring these new processes are effective
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www.ahrq.gov/sites/default/files/publications/files/chipra-final-report_0.pdf
February 21, 2016 - States found the following strategies to be useful in recruiting
and ensuring the ongoing engagement … were uncomfortable discussing sensitive health issues or
conditions with teenagers and had difficulty ensuring
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digital.ahrq.gov/sites/default/files/docs/page/ahrq-dhr-2022-year-in-review.pdf
January 01, 2022 - Digital
healthcare technologies
hold the key to this vision,
and research holds the
key to ensuring … right people at the right times, allows clinicians to make the best
treatment decisions, while also ensuring … Communication is key to ensuring medication safety
CancelRx is an e-prescribing tool that electronically … motivating
factor [to implement CancelRx] with the ultimate goals of
improving communication and ensuring … This
is critical to ensuring that evidence-based fall strategies are routinely
implemented into clinical
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psnet.ahrq.gov/web-mm/may-i-have-another-medication-error
March 01, 2009 - May I Have Another?—Medication Error
Citation Text:
Wolf MS. May I Have Another?—Medication Error. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2014.
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psnet.ahrq.gov/node/852698/psn-pdf
August 30, 2023 - The e-Autopsy/e-Biopsy: A Systematic Chart Review to
Increase Safety and Diagnostic Accuracy Innovation
August 30, 2023
https://psnet.ahrq.gov/innovation/e-autopsye-biopsy-systematic-chart-review-increase-safety-and-
diagnostic-accuracy
Summary
Addressing diagnostic errors to improve outcomes and patient safety h…
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psnet.ahrq.gov/node/866055/psn-pdf
May 29, 2024 - Reducing Preventable Patient Harm Due to Retained
Surgical Items: The RSI Bundle
May 29, 2024
https://psnet.ahrq.gov/innovation/reducing-preventable-patient-harm-due-retained-surgical-items-rsi-bundle
Summary
Retained surgical items (RSIs) cause severe yet preventable patient harm. RSIs are the most common
catego…
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psnet.ahrq.gov/web-mm/near-miss-bedside-medications
February 01, 2006 - SPOTLIGHT CASE
Near Miss with Bedside Medications
Citation Text:
Wu AW. Near Miss with Bedside Medications. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2011.
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psnet.ahrq.gov/web-mm/verbal-orders-and-medication-overrides-dangerous-combination
September 27, 2023 - Verbal Orders and Medication Overrides: A Dangerous Combination
Citation Text:
Mueller C, MacDowell P, Bourgeois JA. Verbal Orders and Medication Overrides: A Dangerous Combination. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2024…
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digital.ahrq.gov/sites/default/files/docs/improve-medication-management-slides-091318.pdf
September 27, 2018 - A National Conference on the Role of Health IT to Improve Medication Management - Slides
A National Web Conference on the Role
of Health IT to Improve Medication
Management
Presented by:
Karen Farris, PhD
Jeffrey Schnipper, MD, MPH, FHM
Margie Snyder, PharmD, MPH, FCCP
Modera…
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/disruptive-behavior-disorders-research-executive-summ.pdf
April 01, 2025 - Executive Summary_Systematic Review: Psychosocial and Pharmacologic Interventions for Disruptive Behavior in Children and Adolescents
Systematic Review
Psychosocial and Pharmacologic
Interventions for Disruptive Behavior in
Children and Adolescents
Executive Summary
Main Points
• When po…
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psnet.ahrq.gov/perspective/role-patient-improving-patient-safety
March 01, 2007 - The Role of the Patient in Improving Patient Safety
Rosemary Gibson, MSc | March 1, 2007
Also Read a Conversation
View more articles from the same authors.
Citation Text:
Gibson R. The Role of the Patient in Improving Patient Safety. PSNet [internet]. Rockville…
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psnet.ahrq.gov/web-mm/hidden-mystery
December 01, 2011 - SPOTLIGHT CASE
Hidden Mystery
Citation Text:
Brunette DD. Hidden Mystery. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2005.
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psnet.ahrq.gov/node/73526/psn-pdf
July 28, 2021 - Medication Errors in Retail Pharmacies: Wrong Patient,
Wrong Instructions.
July 28, 2021
Li C, Marquez K. Medication Errors in Retail Pharmacies: Wrong Patient, Wrong Instructions. PSNet
[internet]. 2021.
https://psnet.ahrq.gov/web-mm/medication-errors-retail-pharmacies-wrong-patient-wrong-instructions
The Case
…
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digital.ahrq.gov/sites/default/files/docs/publication/BarrierstoMeaningfulUseAppendixF.pdf
October 31, 2013 - Appendix F to the Final Report Barriers to Meaningful Use in Medicaid: Analysis and Recommendations
Form Approved
OMB No. 0935-0186
Exp. Date 10/31/2013
F-1
Appendix F
Barriers to Meaningful Use of Electronic Health
Records in Medicaid
Focus Group Moderator’s Guide
For “virtual” use with non-users of E…
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psnet.ahrq.gov/web-mm/open-wider-failure-use-interpreter-results-fractured-teeth-and-hypoxia-during-simple
January 29, 2021 - Open wider: Failure to use an interpreter results in fractured teeth and hypoxia during a simple elective operation.
Citation Text:
Bohringer C, Godoy L. Open wider: Failure to use an interpreter results in fractured teeth and hypoxia during a simple elective operation.. PSNet [internet]. Rockville (MD): Ag…
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psnet.ahrq.gov/web-mm/unexplained-apnea-under-anesthesia
December 01, 2005 - SPOTLIGHT CASE
Unexplained Apnea Under Anesthesia
Citation Text:
Barach P. Unexplained Apnea Under Anesthesia. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2003.
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digital.ahrq.gov/sites/default/files/docs/citation/r01hs025412-bajaj-final-report-2024.pdf
January 01, 2024 - Health-IT generated PROs to Improve Outcomes in Cirrhosis - Final Report
Health-IT generated PROs to Improve Outcomes in Cirrhosis
PI: Jasmohan S Bajaj, MD
Subsites: Mayo Clinic, Rochester, CITI US Corporation, and Richmond Institute for Veterans
Research at the …