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psnet.ahrq.gov/web-mm/multiple-levels-involved-prescribing-wrong-medication
December 23, 2020 - Multiple Levels Involved in Prescribing the Wrong Medication
Citation Text:
Chin K, Chau V, Spero H, et al. Multiple Levels Involved in Prescribing the Wrong Medication. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2020.
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psnet.ahrq.gov/web-mm/life-threatening-infant-overdose-sodium-chloride
December 23, 2020 - Life-Threatening Infant Overdose of Sodium Chloride
Citation Text:
Hamline M, McGlynn G, Lee A, et al. Life-Threatening Infant Overdose of Sodium Chloride. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2020.
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www.uspreventiveservicestaskforce.org/uspstf/recommendation/tobacco-use-in-children-and-adolescents-primary-care-interventions-2013
August 15, 2013 - Share to Facebook
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Final Recommendation Statement
Tobacco Use in Children and Adolescents: Primary Care Interventions
August 15, 2013
Recommendations made by the USPSTF are inde…
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www.ahrq.gov/sites/default/files/2024-01/robinson-papp-report.pdf
January 01, 2024 - Final Progress Report: Toward safer opioid prescribing for chronic pain in high risk populations
FINAL PROGRESS REPORT
1. TITLE PAGE
Title: Toward safer opioid prescribing for chronic pain in high risk populations: implementing the Centers for
Disease Control Guideline (CDC) guideline in the primary care HIV clini…
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www.ahrq.gov/sites/default/files/2025-03/mahajan-manojlovich-report.pdf
January 01, 2025 - Final Progress Report: Developing a Framework to Study and Improve Communication to Enhance Diagnostic Quality in the ED
A. Title Page
Project Title: Developing a Framework to Study and Improve Communication to Enhance
Diagnostic Quality in the ED
Principal Investigator Information:
PRASHANT MAHAJAN, MBA, MD, MPH …
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www.ahrq.gov/practiceimprovement/delivery-initiative/ihs/execsumm.html
December 01, 2017 - ARRA ACTION: Comparative Effectiveness of Health Care Delivery Systems for American Indians and Alaska Natives Using Enhanced Data Infrastructure
Executive Summary
Previous Page Next Page
Table of Contents
ARRA ACTION: Comparative Effectiveness of Health Care Delivery Systems for American Indians an…
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psnet.ahrq.gov/perspective/conversation-michael-cohen-rph-ms-scd-hon
April 01, 2006 - In Conversation with… Michael Cohen, RPh, MS, ScD (hon)
April 1, 2006
Also Read an Essay
Citation Text:
In Conversation with… Michael Cohen, RPh, MS, ScD (hon). PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Chan.pdf
January 01, 2004 - Post-fielding Surveillance of a Guideline-based Decision Support System
331
Post-fielding Surveillance of a Guideline-
based Decision Support System
Albert S. Chan, Susana B. Martins, Robert W. Coleman, Hayden B.
Bosworth, Eugene Z. Oddone, Michael G. Shlipak, Samson W. Tu,
Mark A. Musen, Brian B. Hoffman, …
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hcup-us.ahrq.gov/reports/statbriefs/sb235-Inpatient-Stays-Age-Payer-Trends.pdf
December 01, 2016 - Trends in Hospital Inpatient Stays by Age and Payer, 2000-2015
1
January 2018
Trends in Hospital Inpatient Stays by Age
and Payer, 2000–2015
Ruirui Sun, Ph.D., Zeynal Karaca, Ph.D., and
Herbert S. Wong, Ph.D.
Introduction
The utilization of hospital care is related to and affected by changes …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Thomadsen.pdf
December 23, 2004 - Taxonomic Guidance for Remedial Actions
75
Taxonomic Guidance for Remedial Actions
Bruce Thomadsen, Shi-Woei Lin
Abstract
Objectives: This project developed a taxonomy to provide guidance in selecting
remedial actions to address problems uncovered during root cause analyses of
events in a medical setting. M…
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integrationacademy.ahrq.gov/products/playbooks/behavioral-health-and-primary-care/implementing-plan/secure-financial-support-behavioral-health-services
August 01, 2025 - An official website of the Department of Health & Human Services
Search All AHRQ Sites
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Integrating Behavioral Health & Primary Care
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psnet.ahrq.gov/primer/safety-i-safety-ii-and-new-views-safety
October 02, 2024 - Safety I, Safety II, and the New Views of Safety
Citation Text:
Scanlon M, Jacobson N. Safety I, Safety II, and the New Views of Safety. PSNet [internet]. Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2025.
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psnet.ahrq.gov/primer/retained-surgical-items-causation-and-prevention
January 04, 2024 - Retained Surgical Items: Causation and Prevention
Citation Text:
Gibbs V, Romano P. Retained Surgical Items: Causation and Prevention. PSNet [internet]. Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2025.
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psnet.ahrq.gov/web-mm/critical-echocardiogram-result-lost-follow
July 31, 2023 - Critical Echocardiogram Result Lost to Follow-up
Citation Text:
Boctor N, Molla M. Critical Echocardiogram Result Lost to Follow-up.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2023.
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www.ahrq.gov/cahps/quality-improvement/improvement-guide/4-approach-qi-process/index.html
January 01, 2020 - Section 4: Ways To Approach the Quality Improvement Process (Page 1 of 2)
Contents
On Page 1 of 2:
4.A. Focusing on Microsystems
4.B. Understanding and Implementing the Improvement Cycle
On Page 2 of 2:
4.C. An Overview of Improvement Models
4.D. Tools To Enhance Quality Improvement Initiatives
Re…
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www.uspreventiveservicestaskforce.org/uspstf/about-uspstf/methods-and-processes/evidence-based-prevention-resource-nurse-practitioners
April 01, 2019 - The U.S. Preventive Services Task Force: An Evidence-Based Prevention Resource for Nurse Practitioners
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Table of Contents Preface Abstract Introduction The Mandate of the U.S.…
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www.uspreventiveservicestaskforce.org/uspstf/document/final-evidence-review79/ovarian-cancer-screening-2004
May 15, 2004 - Share to Facebook
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Final Evidence Review
Ovarian Cancer: Screening, May 2004
May 15, 2004
Recommendations made by the USPSTF are independent of the U.S. government. They should …
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs028511-held-final-report-2024.pdf
January 01, 2024 - A Machine Learning Health System to Integrate Care for Substance Misuse and HIV Treatment and Prevention among Hospitalized Patients - Final Report
2024
A Machine Learning Health System to
Integrate Care for Substance Misuse and HIV
Treatment and Prevention among
Ho…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/a2_combo_boardpresentation.pptx
October 01, 2015 - Background for AHRQ Quality Indicators
Tool A.2 Slide ‹#›
Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
Tool A.2 Slide ‹#›
Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
AHRQ Quality Indicators Toolkit
Prepared by RAND and …
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/ehc-presentation-quantitative-synthesis-chapter-5.pdf
February 01, 2018 - Quantitative Synthesis: Chapter 5. Network Meta-Analysis
Quantitative Synthesis
Chapter 5. Network Meta-Analysis
Prepared for:
The Agency for Healthcare Research and Quality (AHRQ)
Training Modules for Systematic Reviews Methods Guide
www.ahrq.gov
Presenter
Presentation Notes
Prioritization and Selection of Harms…