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  1. psnet.ahrq.gov/web-mm/hurried-team-huddle-and-poor-communication-unsafe-practice-during-anesthesia-emergency
    September 27, 2023 - SPOTLIGHT CASE Hurried Team Huddle and Poor Communication: Unsafe Practice During Anesthesia for Emergency Cesarean Delivery Citation Text: Curtin A, Schloemerkemper N. Hurried Team Huddle and Poor Communication: Unsafe Practice During Anesthesia for Emergency Cesarean Delivery.. PSNet [internet]…
  2. psnet.ahrq.gov/perspective/conversation-david-gruen-md
    January 31, 2020 - In Conversation With... David Gruen, MD January 31, 2020  Also Read the Essay Citation Text: In Conversation With.. David Gruen, MD. PSNet [internet]. 2020.In Conversation With... David Gruen, MD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research an…
  3. psnet.ahrq.gov/perspective/artificial-intelligence-and-diagnostic-errors
    January 31, 2020 - Artificial Intelligence and Diagnostic Errors January 31, 2020  Also Read the Conversation View more articles from the same authors. Citation Text: Hall KK, Fitall E. Artificial Intelligence and Diagnostic Errors. PSNet [internet]. Rockville (MD): Agency for Hea…
  4. www.ahrq.gov/sites/default/files/2024-11/stulberg-report.pdf
    January 01, 2024 - Final Progress Report: Preventing Opioid Misuse Through Safe Opioid Use Agreements Between Patients and Surgical Providers (PROMISE-ME) TITLE PAGE Title of Project: Preventing Opioid Misuse through Safe Opioid Use Agreements between Patients and Surgical Providers (PROMISE-ME) Team Members: Principal Investi…
  5. psnet.ahrq.gov/perspective/safety-across-board
    August 31, 2020 - Safety Across The Board August 31, 2020  Also Read the Conversation View more articles from the same authors. Citation Text: Fitall E, Hall KK, Gale B. Safety Across The Board . PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US De…
  6. psnet.ahrq.gov/perspective/missed-nursing-care-key-measure-patient-safety
    March 01, 2018 - Missed Nursing Care: A Key Measure for Patient Safety Jane Ball, PhD, and Peter Griffiths, PhD | March 1, 2018  Also Read a Conversation View more articles from the same authors. Citation Text: Ball JE, Griffiths P. Missed Nursing Care: A Key Measure for Patient…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867035/psn-pdf
    October 30, 2024 - A Tale of Two Falls October 30, 2024 Jackson V, Satake A. A Tale of Two Falls. PSNet [internet]. 2024. https://psnet.ahrq.gov/web-mm/tale-two-falls The Cases Case #1: A 79-year-old woman with a history of impaired cognition at baseline was brought from a skilled nursing facility to the emergency department (ED) f…
  8. www.ahrq.gov/hai/pfp/interimhacrate2013.html
    November 01, 2015 - Efforts To Improve Patient Safety Result in 1.3 Million Fewer Patient Harms Next Page Table of Contents Efforts To Improve Patient Safety Result in 1.3 Million Fewer Patient Harms Appendix References Interim Update on 2013 Annual Hospital-Acquired Condition Rate and Estimates of Co…
  9. psnet.ahrq.gov/web-mm/possible-probable-sure-wrong-premature-closure-and-anchoring-complicated-case
    October 02, 2013 - From Possible to Probable to Sure to Wrong—Premature Closure and Anchoring in a Complicated Case Citation Text: Newman-Toker DE. From Possible to Probable to Sure to Wrong—Premature Closure and Anchoring in a Complicated Case. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US …
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866370/psn-pdf
    July 31, 2024 - Intraoperative Awareness during Rhinoplasty July 31, 2024 Bohringer C, Toor J. Intraoperative Awareness during Rhinoplasty. PSNet [internet]. 2024. https://psnet.ahrq.gov/web-mm/intraoperative-awareness-during-rhinoplasty Disclosure of Relevant Financial Relationships: As a provider accredited by the Accreditation …
  11. effectivehealthcare.ahrq.gov/sites/default/files/related_files/mhs-iv-nv-hap-protocol.pdf
    August 05, 2024 - Making Healthcare Safer IV: Interventions to Prevent Nonventilator Hospital-acquired Pneumonia (NV-HAP) for Inpatients Evidence-based Practice Center Rapid Review Protocol Project Title: Making Healthcare Safer IV: Interventions to Prevent Nonventilator Hospital-acquired Pneumonia (NV-HAP) for Inpatients …
  12. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Kaprielian_9.pdf
    January 01, 2007 - A System to Describe and Reduce Medical Errors in Primary Care A System to Describe and Reduce Medical Errors in Primary Care Victoria Kaprielian, MD; Truls Østbye, MD, PhD; Samuel Warburton, MD; Devdutta Sangvai, MD, MBA; Lloyd Michener, MD Abstract Although much attention has been focused on finding wa…
  13. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Sehgal_64.pdf
    April 02, 2008 - Development of a Web-Based Patient Safety Resource: AHRQ Patient Safety Network (PSNet) Development of a Web-Based Patient Safety Resource: AHRQ Patient Safety Network (PSNet) Niraj L. Sehgal, MD, MPH; Sumant R. Ranji, MD; Kaveh G. Shojania, MD; Russ J. Cucina, MD, MS; Erin E. Hartman, MS; Lorri Zipperer, MA; Rob…
  14. hcup-us.ahrq.gov/reports/statbriefs/sb116.jsp
    June 01, 2011 - Statistical Brief #116 An official website of the Department of Health & Human Services Search All AHRQ Websites Careers Contact Us Espanol FAQs Email Updates …
  15. effectivehealthcare.ahrq.gov/sites/default/files/pdf/cancer-drugs-utilization_research.pdf
    January 01, 2011 - Utilization of anticancer biologic products among Medicare beneficiaries, by diagnostic cancer subchapter, 2006-2009 Anticancer Biologics Data Points #7 Fewer than 50 percent of beneficiaries with bevacizumab orders had a cancer diagnosis in the prior 6 months. This was driven by the biologic’s off-label use …
  16. effectivehealthcare.ahrq.gov/sites/default/files/pdf/diabetes-foot-ulcer-amputation-economics_research.pdf
    January 01, 2011 - Economic burden of diabetic foot ulcers and amputations Data Points #3Diabetic Foot Ulcers Beneficiaries with a diabetic foot ulcer are seen by their outpatient health care provider about 14 times per year and are hospitalized about 1.5 times per year. The cost of care for these beneficiaries is substantial, at…
  17. psnet.ahrq.gov/web-mm/adolescent-diabetes-routine-visit
    November 18, 2016 - SPOTLIGHT CASE Adolescent Diabetes: A Routine Visit? Citation Text: Slap GB. Adolescent Diabetes: A Routine Visit?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2010. Copy Citation Format: Google Scholar Bi…
  18. hcup-us.ahrq.gov/reports/ataglance/HCUPanalysisCdiff2022.pdf
    December 08, 2022 - HCUPanalysisCdiff2022 Adult, Nonmaternal Inpatient Stays Related to Clostridioides difficile: National Trends, 2011–2020 December 08, 2022 Recommended Citation: Adult, Nonmaternal Inpatient Stays Related to Clostridioides difficile: National Trends, 2011–2020. Healthcare Cost and Utilization Project. ONLINE. De…
  19. hcup-us.ahrq.gov/reports/methods/2005_04.pdf
    January 01, 2005 - Microsoft Word - EvaloftheSASD2002_HCUP_CD_Final.doc HCUP Methods Series kbr33831 Contact Information: Healthcare Cost and Utilization Project (HCUP) Agency for Healthcare Research and Quality 540 Gaither Road Rockville, MD 20850 http://www.hcup-us.ahrq.gov For Technical Assistance with HCUP Pr…
  20. hcup-us.ahrq.gov/datainnovations/clinicaldata/FL4AHRQProjectFinalReportMar2010_v2.jsp
    July 01, 2016 - Budget Committee to amend its budget before the grant funding was initiated and the Agency could receive funds