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2941. Medication or Other Substance Dashboard | Agency for Healthcare Research and Quality
      www.ahrq.gov/npsd/data/dashboard/medication.html
      September 01, 2024 - Medication or Other Substance Dashboard Learn more about how the dashboards are set up . This dashboard presents information on medication or other substance-related patient safety concerns, which span incidents, near misses, and unsafe conditions. At-a-glance information on description of safety concerns, o…

2942. Spotlight Case July 2008 (ppt file)
      psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.212_slideshow.ppt
      February 01, 2010 - Spotlight Case July 2008 Spotlight Case Adolescent Diabetes: A Routine Visit? Source and Credits This presentation is based on the February 2010 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available Commentary by: Gail B. Slap, MD, MSc, Children’s Hospital of P…

2943. Articulate Word Output (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/heart-health/primary-prevention-cvd-with-statins.pdf
      June 02, 2025 - Articulate Word Output Primary Prevention of Cardiovascular Disease (CVD) Events with Statins 1 Primary Prevention of Cardiovascular Disease (CVD) Events with Statins 2 Welcome by Michael Pignone, MD, MPH Hi, my name is Dr. Michael Pignone. I’m a General Internist and faculty member at The Univer…

2944. Rapid Mis-St(r)ep | PSNet
      psnet.ahrq.gov/web-mm/rapid-mis-strep
      February 01, 2004 - Rapid Mis-St(r)ep Citation Text: Kaplan EL. Rapid Mis-St(r)ep. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2007. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

2945. Electronic Medication Management (pdf file)
      digital.ahrq.gov/sites/default/files/docs/publication/r03hs018250-vawdrey-final-report-2011.pdf
      January 01, 2011 - In examining the completeness and safety of medication lists recorded in outpatient notes, admission

2946. MS Protocol draft_12_12-13 clean[2] (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pdf/multiple-sclerosis_research-protocol.pdf
      December 17, 2013 - the long-term (greater than 3 years) consequences of discontinuing disease- modifying treatment by examining

2947. Final Recommendation Statement: Prostate Cancer: Screening | United States Preventive Services Taskforce
      www.uspreventiveservicestaskforce.org/uspstf/document/RecommendationStatementFinal/prostate-cancer-screening
      May 08, 2018 - Epidemiologic studies examining outcomes in men with relatives who died of prostate cancer vs men with … mortality (HR, 0.94 [95% CI, 0.81-1.09]) compared with conservative management. 29 Several cohort studies examining

2948. Avera Health | Digital Healthcare Research
      digital.ahrq.gov/organization/avera-health
      January 01, 2023 - Avera Health Electronic Prescribing and Decision Support to Improve Rural Primary Care Quality - 2011 Principal Investigator Veline, James Project Name Electronic Prescribing and Decision Support to Improve Rural Primary Care Quality Elect…

2949. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37242/psn-pdf
      September 12, 2016 - Failure-to-rescue: comparing definitions to measure quality of care. September 12, 2016 Silber JH, Romano PS, Rosen AK, et al. Failure-to-rescue: comparing definitions to measure quality of care. Med Care. 2007;45(10):918-25. https://psnet.ahrq.gov/issue/failure-rescue-comparing-definitions-measure-quality-care T…

2950. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/866863/psn-pdf
      October 02, 2024 - The nature of adverse events in dentistry. October 2, 2024 Tokede B, Yansane A, Walji MF, et al. The nature of adverse events in dentistry. J Patient Saf. 2024;20(7):454-460. doi:10.1097/pts.0000000000001255. https://psnet.ahrq.gov/issue/nature-adverse-events-dentistry Patient safety in dentistry is relatively und…

2951. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/837813/psn-pdf
      January 21, 2021 - Recognizing Excellence in Diagnosis. January 21, 2021 The Leapfrog Group. https://psnet.ahrq.gov/issue/recognizing-excellence-diagnosis Examination of diagnostic failure and identification of reduction strategies require multidisciplinary expertise to be successful. This collaborative initiative will initially dev…

2952. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/72512/psn-pdf
      November 25, 2020 - The untold story of a cyberattack, a hospital and a dying woman. November 25, 2020 Ralston W. Wired Magazine. November 11, 2020. https://psnet.ahrq.gov/issue/untold-story-cyberattack-hospital-and-dying-woman Health information system downtime can affect patient safety. This story discusses a ransomware incide…

2953. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/72809/psn-pdf
      March 03, 2021 - Dying on the waitlist. March 3, 2021 Armstrong D. Allen M. ProPublica. February 18, 2021. https://psnet.ahrq.gov/issue/dying-waitlist The COVID-19 pandemic has revealed systemic weaknesses in health care access and delivery. This story examines how equipment shortages affected treatment decisions to culminate in r…

2954. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37731/psn-pdf
      July 15, 2013 - The relationship between nurse education level and patient safety: an integrative review. July 15, 2013 Ridley RT. The relationship between nurse education level and patient safety: an integrative review. J Nurs Educ. 2008;47(4):149-56. https://psnet.ahrq.gov/issue/relationship-between-nurse-education-level-and-pa…

2955. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42814/psn-pdf
      February 06, 2014 - Twelve tips on engaging learners in checking health care decisions. February 6, 2014 Sibbald M, de Bruin A, van Merrienboer JJG. Twelve tips on engaging learners in checking health care decisions. Med Teach. 2014;36(2):111-5. doi:10.3109/0142159X.2013.847910. https://psnet.ahrq.gov/issue/twelve-tips-engaging-learn…

2956. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/74766/psn-pdf
      June 24, 2024 - Patient handoffs. June 24, 2024 Arora V, Farnan J. UpToDate. June 24, 2024. https://psnet.ahrq.gov/issue/patient-handoffs-0 The change of an inpatient’s location or handoffs between teams can fragment care due to communication, information, and knowledge gaps. This review examines in-patient transition safety issu…

2957. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/837985/psn-pdf
      August 31, 2022 - Inequity and Iatrogenic Harm. August 31, 2022 AMA J Ethics. 2022;24(8):e715-e816. https://psnet.ahrq.gov/issue/inequity-and-iatrogenic-harm Health inequity is recent expansion in the patient safety canon. This special issue examines poor access, quality of care, and health status as contributors to patient harm. A…

2958. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39078/psn-pdf
      May 21, 2014 - Assessing Patient Safety Practices and Outcomes in the U.S. Health Care System. May 21, 2014 Farley DO, Ridgely MS, Mendel P, et al. Santa Monica, CA: RAND Corporation; 2009. ISBN: 9780833047748. https://psnet.ahrq.gov/issue/assessing-patient-safety-practices-and-outcomes-us-health-care-system This publication re…

2959. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36828/psn-pdf
      August 29, 2011 - Pediatric medication errors in the postanesthesia care unit: analysis of MEDMARX data. August 29, 2011 Payne CH, Smith CR, Newkirk LE, et al. Pediatric medication errors in the postanesthesia care unit: analysis of MEDMARX data. AORN J. 2007;85(4):731-40; quiz 741-4. https://psnet.ahrq.gov/issue/pediatric-medicati…

2960. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42762/psn-pdf
      November 27, 2013 - Motivational antecedents of incident reporting: evidence from a survey of nurses and physicians. November 27, 2013 Pfeiffer Y, Briner M, Wehner T, et al. Motivational antecedents of incident reporting: evidence from a survey of nurses and physicians. Swiss Med Wkly. 2013;143:w13881. doi:10.4414/smw.2013.13881. htt…