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www.ahrq.gov/sites/default/files/2025-02/nance-report.pdf
January 01, 2025 - In economic terms alone, it is estimated that a minimum of 62% of medical malpractice
cases would never
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/RrE4_peSk5zVH3cCf77at3
June 24, 2025 - person in a
relationship involving an expectation of trust that causes a serious
risk of harm.4 An estimated
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/restless-legs_executive.pdf
November 01, 2012 - Enrollees had greater disease severity, frequency, and
duration than was reported by the estimated 1.5
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psnet.ahrq.gov/node/49666/psn-pdf
October 01, 2012 - CA-MRSA Skin Infections: An Ounce of Prevention is
Worth a Pound of Cure
October 1, 2012
Liu C. CA-MRSA Skin Infections: An Ounce of Prevention is Worth a Pound of Cure. PSNet [internet].
2012.
https://psnet.ahrq.gov/web-mm/ca-mrsa-skin-infections-ounce-prevention-worth-pound-cure
Case Objectives
Identify risk f…
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psnet.ahrq.gov/perspective/conversation-timothy-b-mcdonald-md-jd
February 26, 2025 - In Conversation With… Timothy B. McDonald, MD, JD
April 1, 2019
Citation Text:
In Conversation With… Timothy B. McDonald, MD, JD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/pharma-nonpharma-ptsd-2022-update-app-g1.xlsx
January 01, 2022 - G-1. RoB 2 Assessment
Table G-1. Risk of Bias 2 assessment of new included studies
RoB Domain Bias Due to Randomization (Cochrane) or Selection Bias (AHRQ); Randomization Bias Due to Randomization (Cochrane) or Selection Bias (AHRQ); Allocation Bias Due to Randomization (Cochrane) or Selection Bias (AHRQ); Similarit…
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psnet.ahrq.gov/web-mm/right-patient-wrong-sample
June 01, 2004 - Right Patient, Wrong Sample
Citation Text:
Astion ML. Right Patient, Wrong Sample. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2006.
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/deprescribing-protocol.pdf
July 01, 2023 - EHC Protocol: Making Healthcare Safer IV: Deprescribing to Reduce Medication Harms in Older Adults
1
Evidence-based Practice Center Rapid Response Protocol
Project Title: Making Healthcare Safer IV: Deprescribing to
Reduce Medication Harms in Older Adults
1. What is the frequency and severity of har…
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digital.ahrq.gov/sites/default/files/docs/publication/uc1hs015316-blair-final-report-2008.pdf
January 01, 2008 - Title Page
Grant Final Report
Grant ID: 5UC1HS015316
Taconic Health Information Network & Community
(THINC)
Inclusive dates: 09/30/04 - 03/31/08
Principal Investigator:
A. John Blair, III, MD
Team members:
Rainu Kaushal, MD (Co-Principal Investigator)
Lisa M. Kern, MD (Investiga…
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psnet.ahrq.gov/node/837791/psn-pdf
August 05, 2022 - Patient Safety in the Ambulatory Care Setting
August 5, 2022
Schiff G, Mossburg SE, Dowell P, et al. Patient Safety in the Ambulatory Care Setting. PSNet [internet].
2022.
https://psnet.ahrq.gov/perspective/patient-safety-ambulatory-care-setting
Introduction
There is no way to review the year 2021 in quality and …
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psnet.ahrq.gov/web-mm/emr-entry-error-not-so-benign
July 01, 2012 - EMR Entry Error: Not So Benign
Citation Text:
Koppel R. EMR Entry Error: Not So Benign. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2009.
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psnet.ahrq.gov/web-mm/duplicate-insulin-order
May 04, 2012 - Duplicate Insulin Order
Citation Text:
Acquisto NM, Cobaugh DJ. Duplicate Insulin Order. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
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psnet.ahrq.gov/node/846170/psn-pdf
March 15, 2023 - Duplicate Therapies in Retail Pharmacy
March 15, 2023
Punatar N, Molla M, Lee S. Duplicate Therapies in Retail Pharmacy. PSNet [internet]. 2023.
https://psnet.ahrq.gov/web-mm/duplicate-therapies-retail-pharmacy
The Cases
Case 1: A middle-aged man with a past medical history of heart failure with reduced ejection f…
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hcup-us.ahrq.gov/reports/factsandfigures/2009/highlights.jsp
January 01, 2009 - HCUP Facts and Figures 2009: Statistics on Hospital-Based Care in the United States
An official website of the Department of Health & Human Services
Search All AHRQ Websites
Careers
Contact …
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hcup-us.ahrq.gov/reports/factsandfigures/2007/sources_methods.jsp
January 01, 2007 - HCUP Facts and Figures 2007: Statistics on Hospital-Based Care in the United States
An official website of the Department of Health & Human Services
Search All AHRQ Websites
Careers
Contact …
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hcup-us.ahrq.gov/datainnovations/raceethnicitytoolkit/or16.pdf
June 16, 2014 - Link Plus - Self-Training Manual for Linkage
1
Link Plus - Self-Training Manual for Linkage
Developed by Northwest Tribal Registry Project staff,
Northwest Portland Area Indian Health Board
** DISCLAIMER: This un-official manual was developed for internal training, and is not sanctioned by
CDC or Link P…
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psnet.ahrq.gov/web-mm/order-interrupted-text-multitasking-mishap
August 21, 2015 - SPOTLIGHT CASE
Order Interrupted by Text: Multitasking Mishap
Citation Text:
Halamka J. Order Interrupted by Text: Multitasking Mishap. 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/pre-analytical-pitfalls-missing-and-mislabeled-specimens
April 18, 2018 - Pre-analytical pitfalls: Missing and mislabeled specimens
Citation Text:
Tran NK, Liu Y. Pre-analytical pitfalls: Missing and mislabeled specimens . PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2020.
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/skin-lesions-evaluation_disposition-comments.pdf
September 01, 2011 - Evidence-based Practice Center Systematic Review Protocol
Source: www.effectivehealthcare.ahrq.gov
Comparative Effectiveness Research Review Disposition of Comments Report
Research Review Title: Noninvasive Diagnostic Techniques for the Detection of Skin
Cancers
Draft review available for…
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psnet.ahrq.gov/web-mm/double-never-event-wrong-patient-and-wrong-side
August 20, 2018 - A Double “Never Event”: Wrong Patient and Wrong Side.
Citation Text:
Bellini A, Salcedo ES. A Double “Never Event”: Wrong Patient and Wrong Side.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2023.
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