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psnet.ahrq.gov/issue/analysis-transdermal-medication-patch-errors-uncovers-patchwork-safety-challenges
March 03, 2021 - Newspaper/Magazine Article
Analysis of transdermal medication patch errors uncovers a “patchwork” of safety challenges.
Citation Text:
Analysis of transdermal medication patch errors uncovers a “patchwork” of safety challenges. ISMP Medication Safety Alert! Acute Care. March 11, 2021;26(…
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psnet.ahrq.gov/issue/lessons-war-cancer-need-basic-research-safety
July 14, 2010 - Commentary
Lessons from the war on cancer: the need for basic research on safety.
Citation Text:
Lessons from the war on cancer: the need for basic research on safety. Cook RI. J Patient Saf. 2005.1(1):7-8
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psnet.ahrq.gov/issue/medical-emergency-team-review-literature
March 02, 2011 - Review
Medical emergency team: a review of the literature.
Citation Text:
Barbetti J, Lee G. Medical emergency team: a review of the literature. Nurs Crit Care. 2008;13(2):80-85. doi:10.1111/j.1478-5153.2007.00258.x.
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psnet.ahrq.gov/issue/bundaberg-and-beyond-duty-disclose-adverse-events-patients
January 12, 2022 - Commentary
Bundaberg and beyond: duty to disclose adverse events to patients.
Citation Text:
Madden B, Cockburn T. Bundaberg and beyond: duty to disclose adverse events to patients. J Law Med. 2007;14(4):501-27.
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psnet.ahrq.gov/issue/rapid-response-systems-should-we-still-question-their-implementation
January 06, 2017 - Commentary
Rapid response systems: should we still question their implementation?
Citation Text:
Winters BD, Pronovost P. Rapid response systems: should we still question their implementation? J Hosp Med. 2013;8(5):278-81. doi:10.1002/jhm.2050.
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psnet.ahrq.gov/issue/poor-physician-patient-communication-and-medical-error
August 23, 2023 - Commentary
Poor physician-patient communication and medical error.
Citation Text:
Poor physician-patient communication and medical error. Lazris A, Roth AR, Haskell H, et al. Am Fam Physician. 2021;103(12):757-759.
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/long-term-care-adults_disposition-comments.pdf
November 07, 2012 - Examining provider characteristics was outside
the scope of the review. … necessarily on the radar of policymakers; for example, the need for
the inclusion of societal cost when examining
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs024335-rangachari-final-report-2018.pdf
January 01, 2018 - Using Social Knowledge Networking (SKN) Technology To Enable Meaningful Use of EHR Technology - Final Report
FINAL PROGRESS REPORT
R21HS024335
Using Social Knowledge Networking Technology to…
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digital.ahrq.gov/sites/default/files/docs/publication/r18hs017163-baker-final-report-2011.pdf
January 01, 2011 - 1
FINAL REPORT
Using Precision Performance Measurement to Conduct
Focused Quality Improvement
Principal Investigator: David W. Baker, MD, MPH
Team Members: Steven Persell, MD, MPH; Abel Kho, MD; Nancy Dolan, MD; Muriel Jean-
Jacques, MD
Organization: Northweste…
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/diabetes-behavior-programs_disposition-comments.pdf
September 28, 2015 - We have added a
sentence into the section on Rationale for the
Review in relation to not examining … However, the focus was different with T1DM
examining overall effectiveness and harm including
grading … of outcomes, and T2DM examining
moderators of effectiveness. … comprehensive evaluations including
implementation trials (quality improvement) that go far
beyond examining
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/pelvic-pain-surveillance-151130.pdf
July 10, 2015 - The results of studies examining psychological and complementary
therapies could not be combined to … The same reviewer
also suggested three
additional studies13-15
examining
prevalence/comorbidities … suggested Likely current
approaches typically addressed hormonal interventions and both identified examining … No new literature was
identified
One reviewer suggested
examining studies related
to the use of
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effectivehealthcare.ahrq.gov/sites/default/files/depression-horizon-scan-high-impact-1406.pdf
June 01, 2014 - ES-3
Presented with this challenge, investigators are examining a variety of treatment approaches, … Others are examining ketamine as an add-on to
existing ECT, TMS, vagus nerve stimulation, and psychotherapy … .68,77,78
Clinical trials are ongoing for this off-label indication, including a large study (n=388)
examining … trials are testing
intravenous scopolamine for treating MDD;33,80 NIMH is sponsoring a large trial examining
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Spehar.pdf
April 18, 2004 - Seamless Care: Safe Patient Transitions from Hospital to Home
79
Seamless Care: Safe Patient Transitions
from Hospital to Home
Andrea M. Spehar, Robert R. Campbell, Carron Cherrie, Polly Palacios,
Donna Scott, Jacquelyn L. Baker, Brad Bjornstad, Jay Wolfson
Abstract
Background: “Seamless care” is a smooth a…
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/antipsychotic-medicine-cardiovascular-elderly_research.pdf
February 01, 2009 - that the greater hazards
from conventionals did not emerge immediately and may require separately examining
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/distributed-network-ambulatory-therapeutics_research.pdf
July 01, 2009 - Practice-based research networks provide a mechanism for examining everyday
challenges of clinical … care and for examining the effectiveness of particular features of
clinical practice.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/intro-early-mobility-facguide.docx
January 01, 2017 - Facilitator Guide: Build Your SSI Prevention Bundle
Slide Title and Commentary
Slide Number and Slide
Title Slide
Evidence for Early Mobility: A Protocol To Get Patients Out of Bed Faster
SAY:
This module provides an introduction to and the evidence behind early mobility. We will also discuss establishing a proto…
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www.ahrq.gov/hai/tools/mvp/modules/technical/intro-early-mobility-fac-guide.html
February 01, 2017 - Introduction and Evidence for Early Mobility: A Protocol To Get Patients Out of Bed Faster: Facilitator Guide
AHRQ Safety Program for Mechanically Ventilated Patients
Slide 1: Introduction and Evidence for Early Mobility: A Protocol To Get Patients Out of Bed Faster
Say:
This module provides an introdu…
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www.ahrq.gov/news/newsletters/e-newsletter/958.html
May 01, 2025 - Researcher Megan McHugh, Ph.D., Works To Improve Heart Health in Manufacturing Communities
Issue Number
958
AHRQ News Now is a weekly newsletter that highlights agency research and program activities.
May 20, 2025
Editor’s Note: Due to the Memorial Day holiday, the next issue of AHRQ News Now will be…
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www.ahrq.gov/news/newsletters/e-newsletter/943.html
January 01, 2025 - Recent Evidence Indicates a Flourishing Market for Biosimilar Drugs
Issue Number
943
AHRQ News Now is a weekly newsletter that highlights agency research and program activities.
January 7, 2025
AHRQ Stats: Trends in Prevalence of Common Healthcare-Associated Infections Rates of several common healthcare…
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www.ahrq.gov/sites/default/files/wysiwyg/policy/eeo/nofear-ahrq-fy2022-4thq.pdf
September 30, 2022 - Equal Employment Opportunity Data Posted Pursuant to the No Fear Act: AHRQ for 4th Quarter 2022 for period ending September 30, 2022
This report was generated with a future date. Therefore, the quarter numbers may be
incomplete
Equal Employment Opportunity Data
Posted
Pursuant to the No Fear Act:
AHR…