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effectivehealthcare.ahrq.gov/sites/default/files/related_files/arthritis-knee-physical-therapy_executive.pdf
November 01, 2012 - What are the harms from
physical therapy interventions available for
adult patients with chronic … Which patient characteristics are associated with the
harms of examined physical therapy interventions … Do harms differ by the duration of the treatment and
time of followup? … We defined harms as a totality of all possible adverse
consequences of an intervention.25 We included … Assessing harms when
comparing medical interventions: AHRQ and the Effective
Health-Care Program.
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www.ahrq.gov/sites/default/files/2024-01/lambert-report.pdf
January 01, 2024 - Final Progress Report: TOP-MEDS CERT: Tools for Optimizing Medication Safety
Principal Investigator: Lambert, Bruce L. (Grant No. U19HS021093)
Northwestern University
TOP-MEDS CERT: Tools for Optimizing Medication Safety
Final Report, September 1, 2011, to August 30, 2017
Submitted November 20, 2017
This proje…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/SOPS-Nursing-Home-DB-Part-I-2023.pdf
January 01, 2023 - Surveys on Patient Safety Culture (SOPS) Nursing Home Survey: 2023 User Database Report Part I
SURVEYS ON PATIENT
SAFETY CULTURE
Nursing Home Survey:
2023 User Database Report
Surveys on
Patient Safety
Culture™
PATIENT
SAFETY
[This page intentionally left blank]
Surveys on Patient Safety CultureTM (SOPS®)…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/2019-pharmacy-sops-database-report-appendix.pdf
January 01, 2019 - Community Pharmacy Survey on Patient Safety Culture: 2019 User Database Report
Community Pharmacy Survey on Patient Safety
Culture: 2019 User Database Report
Part II
Appendix A—Overall Results by Community
Pharmacy Characteristics
Appendix B—Overall Results by Respondent
Characteristics
Prepared for:
Agency fo…
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digital.ahrq.gov/sites/default/files/docs/citation/u19hs021093-lambert-final-report-2017.pdf
January 01, 2017 - Tools for Optimizing Medication Safety (TOP-MEDS) - Final Report
…
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/ps-research-summary-pfe.pdf
April 30, 2025 - ■ Reduce the rate of harms and errors within hospital settings (e.g., patient-focused recommendations … $2,493,137
Purpose: To redesign primary care work systems to address multiple types of
medication-related harms
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www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/teamwork-ptsafety-norms-slides.pdf
June 30, 2025 - Improving Safety Using Teamwork and Patient Safety Norms
Creating and Maintaining a Culture of Safety Series
(Session 2)
Improving Safety Using Teamwork and Patient Safety Norms
NATIONAL WEBINAR SERIES
March 18, 2025
Housekeeping Instructions
• This webinar will be recorded and available for viewing on the NAA…
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/improve/behavior-change-facilitator-guide.pdf
November 01, 2019 - Making Effective Behavior Changes Around Antibiotic Prescribing
AHRQ Safety Program for Improving
Antibiotic Use
1AHRQ Pub. No. 17(20)-0028-EF
November 2019
AHRQ Pub. No. 17(20)-0028-EF
November 2019
Making Effective Behavior Changes
Around Antibiotic Prescribing
Acute Care
S…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/central-catheter-insertion-notes.docx
April 01, 2022 - Central Venous Catheter Insertion Bundle Facilitator Notes
CLABSI Module:
Central Venous Catheter Insertion
Facilitator Guide
Slide Number and Image
This module, titled Central Venous Catheter Insertion, is part of the Agency for Healthcare Research and Quality’s Safety Program for Intensive Care Units (ICUs) t…
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psnet.ahrq.gov/node/49684/psn-pdf
May 01, 2013 - Right Regimen, Wrong Cancer: Patient Catches Medical
Error
May 1, 2013
Weingart SN, Jacobson J. Right Regimen, Wrong Cancer: Patient Catches Medical Error. PSNet [internet].
2013.
https://psnet.ahrq.gov/web-mm/right-regimen-wrong-cancer-patient-catches-medical-error
Case Objectives
Appreciate that chemotherapy a…
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psnet.ahrq.gov/node/49786/psn-pdf
March 01, 2017 - Consequences of Medical Overuse
March 1, 2017
Morgan DJ, Foy AJ. Consequences of Medical Overuse. PSNet [internet]. 2017.
https://psnet.ahrq.gov/web-mm/consequences-medical-overuse
Case Objectives
Define overuse and overdiagnosis.
State how much of all care is estimated to be overuse.
Describe why the likelihood…
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www.ahrq.gov/sites/default/files/wysiwyg/news/events/ahrq-research-summit/dzau-summit2016.pdf
September 28, 2016 - Improving the Safety and Quality of Health Care: The Impact of the National Academy of Medicine on Research and Collaboration
Improving the Safety and Quality
of Health Care: The Impact of the
National Academy of Medicine on
Research and Collaboration
Victor J Dzau, MD
President, National Academy of Medicine
AH…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/029-ss-review-ssi-prevention-fg.docx
April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI
Review of SSI Program Tools
Surgical Services
For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries
Slide Title and Commentary
Slide Number and Slide
Review of SSI Program Tools
SAY:
This presentation provides an overview of all the program…
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/epilepsy-medicine_disposition-comments.pdf
March 01, 2012 - We have made the following change:
“So when qualitatively assessing the balance of
benefits to harms … similar
comparative effectiveness versus newer
antiepileptic medications with greater benefit but
more harms … Peer Reviewer #3
Discussion The review compared benefits or harms for AEDs in subgroups
of patients … We reported the
reported final health outcomes and the harms
from those studies. … suggests that initiating innovator and “A” rated
products provide inherently similar efficacy and
harms
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/prostate-cancer-surveillance_disposition-comments.pdf
December 01, 2011 - (2) It appears that the discussion of harms is
limited to those reported for both observation … We have provided additional information on harms from
randomized trials. … Unfortunately, observational studies rarely
reported information on treatment related harms. … It also appears that the
discussion of harms is limited to those
reported for both observation and … AS with active
treatment are likely to provide valuable information on the
relative benefits and harms
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/ZYao53-sqRb6oZzKzDmjjt
December 01, 2003 - ratio 0.10; CI, 0.03–0.28) was
seen in the SOS surgical patients versus non-surgical
patients.121
Harms … Harms of Intervention
Treatment appeared reasonably safe. … We identified
no evidence evaluating counseling harms. … Other topics requiring future research include
longer-term efficacy and harms follow-up of weight
loss … pressure, lipid disorders
— Duration: ≥ 1 yr
— Cohort
— Initial BMI ≥ 25 kg/m2
— Surgical procedure
Harms
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psnet.ahrq.gov/issue/long-way-go
June 13, 2011 - Newspaper/Magazine Article
A long way to go.
Citation Text:
A long way to go. DerGurahian J.
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December 16…
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psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-4
October 25, 2023 - Commentary
ISMP medication error report analysis.
Citation Text:
ISMP medication error report analysis. Cohen M.
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…
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psnet.ahrq.gov/issue/sentinel-event-alert-63-optimizing-smart-infusion-pump-safety-ders
March 22, 2023 - Sentinel Event Alerts
Sentinel Event Alert 63: optimizing smart infusion pump safety with DERS.
Citation Text:
Sentinel Event Alert 63: Optimizing Smart Infusion Pump Safety with DERS. Jt Comm J Qual Patient Saf. 2021;47(6):394-397. doi:10.1016/j.jcjq.2021.03.013.
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psnet.ahrq.gov/issue/ambulatory-care-patient-safety-2017-2018
April 15, 2005 - Multi-use Website
Ambulatory Care Patient Safety 2017–2018.
Citation Text:
Ambulatory Care Patient Safety 2017–2018. National Quality Forum; NQF.
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