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psnet.ahrq.gov/web-mm/mismanagement-delirium
February 13, 2014 - Mismanagement of Delirium
Citation Text:
Merrilees J, Lee KP. Mismanagement of Delirium. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2016.
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psnet.ahrq.gov/web-mm/death-pca
January 06, 2017 - Death by PCA
Citation Text:
Hicks RW. Death by PCA. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2013.
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psnet.ahrq.gov/node/72835/psn-pdf
March 10, 2021 - In Conversation With... Libby Hoy and Stephen Hoy
March 10, 2021
In Conversation With.. Libby Hoy and Stephen Hoy. PSNet [internet]. 2021.
https://psnet.ahrq.gov/perspective/conversation-libby-hoy-and-stephen-hoy
Editor’s Note: Libby Hoy, Patient Family Advisor (PFA), is the Founder and CEO of Patient Family
Cente…
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psnet.ahrq.gov/node/842919/psn-pdf
February 01, 2023 - Hospital-Acquired Diabetic Ketoacidosis.
February 1, 2023
Zuidema D, Bagley B, Tan CL. Hospital-Acquired Diabetic Ketoacidosis. PSNet [internet]. 2023.
https://psnet.ahrq.gov/web-mm/hospital-acquired-diabetic-ketoacidosis
The Cases
Case #1: A 46-year-old Hindi-speaking resident of a skilled nursing facility (SNF) …
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psnet.ahrq.gov/web-mm/lung-nodule-refused-grow
March 01, 2004 - SPOTLIGHT CASE
The Lung Nodule That Refused To Grow
Citation Text:
Balekian AA, Gould MK. The Lung Nodule That Refused To Grow. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2012.
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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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cdsic.ahrq.gov/sites/default/files/2025-03/SRF%20Standards%20for%20Patient%20Preferences.pdf
January 01, 2025 - Standards and Regulatory Frameworks Workgroup: Advancing Standardized Representations for Patient Preferences to Support Patient-Centered Clinical Decision Support
Standards and Regulatory
Frameworks Workgroup:
Advancing Standardized
Representations for Patient
Preferences to Support
Patient-Centered Clinic…
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digital.ahrq.gov/sites/default/files/SRF%20Standards%20for%20Patient%20Preferences.pdf
August 01, 2023 - Standards and Regulatory Frameworks Workgroup: Advancing Standardized Representations for Patient Preferences to Support Patient-Centered Clinical Decision Support
Standards and Regulatory
Frameworks Workgroup:
Advancing Standardized
Representations for Patient
Preferences to Support
Patient-Centered Clinic…
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effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/white-paper-standardized-library.pdf
February 01, 2019 - Development of Harmonized Outcome Measures for Use in Patient Registries and Clinical Practice: Methods and Lessons Learned
Final Report
Development of Harmonized Outcome Measures for
Use in Patient Registries and Clinical Practice:
Methods and Lessons Learned
Final Report
…
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hcup-us.ahrq.gov/db/nation/nrd/NRD_Introduction_2013.jsp
January 01, 2013 - THE HCUP NATIONWIDE READMISSIONS DATABASE (NRD), 2013
An official website of the Department of Health & Human Services
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Careers
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www.uspreventiveservicestaskforce.org/uspstf/document/final-evidence-summary34/lipid-disorders-in-children-screening-2007
July 15, 2007 - Share to Facebook
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archived
Final Evidence Summary
Lipid Disorders in Children: Screening
July 15, 2007
Recommendations made by the USPSTF are independent of the U.S. government. They shou…
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digital.ahrq.gov/sites/default/files/docs/citation/assessingdynamicchroniccareregistry_120111comp.pdf
November 09, 2011 - influenced study outcomes include telephone nurse
case management initiatives, programs to promote establishing
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effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/registry-of-patient-registries_research.pdf
April 15, 2019 - The OMF should also promote the use of data standards by
establishing a data architecture and encouraging … Establishing a harmonized haemophilia registry for
countries with developing health care systems.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Chan.pdf
July 01, 2004 - Development of a Multipurpose Dataset to Evaluate Potential Medication Errors in Ambulatory Settings
225
Development of a Multipurpose
Dataset to Evaluate Potential Medication
Errors in Ambulatory Settings
K. Arnold Chan for the HMO Research Network
CERT Patient Safety Investigators
Abstract
Ten health m…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Blegen.pdf
January 01, 2004 - Safety Climate on Hospital Units: A New Measure
429
Safety Climate on Hospital
Units: A New Measure
Mary A. Blegen, Ginette A. Pepper, Joseph Rosse
Abstract
Objectives: The purpose of this project was to create a measure of safety climate
for hospital inpatient care units and to determine the psychometric …
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www.ahrq.gov/healthsystemsresearch/hspc-research-study/study-methods.html
June 01, 2020 - 2. Study Methods
Health Services and Primary Care Research Study: Comprehensive Report
In this chapter, we describe the research methods used in this study. We first present the definitions of HSR and PCR that were used to identify relevant federally supported research projects and to develop a research domai…
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www.ahrq.gov/sites/default/files/2025-05/silber-report.pdf
January 01, 2025 - Medical Failure-to-Rescue Final Report
Medical Failure-to-Rescue
Final Report
November 13, 2018
Principal Investigator: Jeffrey H. Silber, MD, PhD1,2,3,4,5
Co-investigators: Paul R. Rosenbaum, Ph.D5,6
Patrick S. Romano, MD, MPH7
Project Manager: Bijan A. Niknam, BS1
Orit Even-Shoshan, MS1,5
Senior Statis…
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www.ahrq.gov/sites/default/files/2024-10/wilson-report.pdf
January 01, 2024 - Final Progress Report: Labor and Delivery Nurse Staffing: A Patient Safety Intervention
Labor and Delivery Nurse Staffing: A Patient Safety Intervention
Team members:
Barbara L. Wilson, PhD, RN
Principal Investigator (PI)
Associate Professor
University of Utah College of Nursing
Barbara.wilson@nurs.utah.edu
R…
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www.ahrq.gov/sites/default/files/2024-05/sarcevic-report.pdf
January 01, 2024 - Final Progress Report: Analysis of Factors Associated With Clinical Checklist Compliance
AHRQ Grant Final Progress Report
Title of Project:
Analysis of Factors Associated with Clinical Checklist Compliance
Principal Investigator:
Aleksandra Sarcevic, PhD
Associate Professor, College of Computing and Informatics, D…
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www.ahrq.gov/sites/default/files/2024-01/field-report.pdf
January 01, 2024 - Final Progress Report: Risk-Informed Intervention to Improve Ambulatory Drug Monitoring and Safety
AHRQ Grant Final Progress Report
Field, Terry S.
Grant Award Number: R18HS017906
TITLE PAGE
Title of Project: Risk-Informed Intervention to Improve Ambulatory Drug Monitoring and
Safety
Principal Investigator: Ter…