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  1. digital.ahrq.gov/sites/default/files/docs/citation/r21hs023994-tubb-final-report-2018.pdf
    January 01, 2018 - A Mobile App to Enhance Smoking Cessation Shared Decision Making in Primary Care - Final Report Title of Project: A Mobile App to Enhance Smoking Cessation Shared Decision Making in Primary Care Principal Investigator: Matthew Tubb MD PhD Team Members: Nancy Elder MD MSPH, Saundra Regan PhD, Sha…
  2. hcup-us.ahrq.gov/datainnovations/clinicaldata/FinalResultsofLOINCMapEval.jsp
    October 05, 2010 - AHCA Evaluation of the LOINC Mapping Process Report An official website of the Department of Health & Human Services Search All AHRQ Websites Careers Contact Us Espanol FAQs …
  3. hcup-us.ahrq.gov/datainnovations/clinicaldata/FinalResultsofLOINCMapEval.pdf
    September 01, 2009 - Evaluation of LOINC Mapping Process Report CHARLIE CRIST GOVERNOR ANDREW C. AGWUNOBI, M.D. SECRETARY V i s i t A HC A o n l in e a t h t tp : / / ah c a . my f lo r id a . co m 2 7 2 7 M a h an Dr i v e , M S# T a l l a h a s s e e , F l o r i d a 3 2 3 0 8 Evaluation of the L…
  4. Spotlight (pdf file)

    psnet.ahrq.gov/sites/default/files/2020-05/final_may-spotlight-fatal_pca_slides_05.01.2020_cme_review-revised.pdf
    January 01, 2020 - Spotlight Spotlight Fatal PCA Opioid-Induced Respiratory Depression Source and Credits • This presentation is based on the May 2020 AHRQ WebM&M Spotlight Case o See the full article at https://psnet.ahrq.gov/webmm • Commentary by: Sarina Fazio, PhD, RN and Rachelle Firestone, PharmD, BCCCP o Editors in Chie…
  5. psnet.ahrq.gov/perspective/conversation-paul-aylin-mbchb
    June 01, 2017 - In Conversation With… Paul Aylin, MBChB June 1, 2017  Also Read an Essay Citation Text: In Conversation With… Paul Aylin, MBChB. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017. Copy …
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33833/psn-pdf
    May 01, 2017 - In Conversation With… David Juurlink, MD, PhD May 1, 2017 In Conversation With… David Juurlink, MD, PhD. PSNet [internet]. 2017. https://psnet.ahrq.gov/perspective/conversation-david-juurlink-md-phd Editor's note: Dr. Juurlink is professor of medicine, pediatrics, and health policy at the University of Toronto, w…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/861760/psn-pdf
    January 31, 2024 - Syringe Swap During Regional Block: A Case of Medication Error and Recovery January 31, 2024 Beres K, Gutierrez MC. Syringe Swap During Regional Block: A Case of Medication Error and Recovery. PSNet [internet]. 2024. https://psnet.ahrq.gov/web-mm/syringe-swap-during-regional-block-case-medication-error-and-recover…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/846169/psn-pdf
    March 15, 2023 - Distraction of the Anesthesiologist and Lack of Resuscitation Drugs Resulting in Delayed Treatment of Laryngospasm. March 15, 2023 Bohringer C. Distraction of the Anesthesiologist and Lack of Resuscitation Drugs Resulting in Delayed Treatment of Laryngospasm. PSNet [internet]. 2023. https://psnet.ahrq.gov/web-mm/…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49681/psn-pdf
    April 01, 2013 - Total Parenteral Nutrition, Multifarious Errors April 1, 2013 Boullata JI. Total Parenteral Nutrition, Multifarious Errors. PSNet [internet]. 2013. https://psnet.ahrq.gov/web-mm/total-parenteral-nutrition-multifarious-errors Case Objectives Define parenteral nutrition (PN). Describe the PN-use process. Identify …
  10. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/004-cusp-learning-from-defects.docx
    October 01, 2024 - AHRQ Safety Program for MRSA Prevention Learning From Defects ICU & Non-ICU Slide Title and Commentary Slide Number and Slide Learning From Defects SAY: Welcome to this presentation on Learning From Defects (LFD) as part of an overall approach to preventing MRSA in ICU and non-ICU settings. Slide 1 Educational…
  11. psnet.ahrq.gov/web-mm/dont-wait-collect-accurate-weight-case-subtherapeutic-insulin-therapy
    July 01, 2008 - Don’t Wait to Collect an Accurate Weight: A Case of Subtherapeutic Insulin Therapy Citation Text: Newton B, Seitz R. Don’t Wait to Collect an Accurate Weight: A Case of Subtherapeutic Insulin Therapy. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and H…
  12. hcup-us.ahrq.gov/reports/statbriefs/sb83.pdf
    December 01, 2009 - Statistical Brief #83: Potentially Preventable Hospitalization Rates Declined for Older Adults, 2003-2007 From HEALTHCARE COST AND UTILIZATION PROJECT Agency for Healthcare Research and Quality STATISTICAL BRIEF #83 December 2009 Highlights • In 2007, rates of potentially preventable hos…
  13. www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-older-adults2.html
    September 01, 2024 - State of the Science and Future Directions To Improve Diagnostic Safety in Older Adults Unique Challenges in Approaching Diagnostic Safety in Older Adults Previous Page Next Page Table of Contents State of the Science and Future Directions To Improve Diagnostic Safety in Older Adults Introduction …
  14. psnet.ahrq.gov/classics
    August 01, 2023 - Classics and Emerging Classics To help our readers navigate the tremendous breadth of the PSNet Collection, AHRQ PSNet editors and advisors have given the designation of “Classic” to review articles, empirical studies, government and stakeholder reports, commentaries, and books of lasting importance to the patient sa…
  15. psnet.ahrq.gov/web-mm/patient-safety-events-involving-opioid-dose-stacking
    July 08, 2022 - SPOTLIGHT CASE Patient Safety Events Involving Opioid Dose Stacking Citation Text: Porras H, Lammers C. Patient Safety Events Involving Opioid Dose Stacking. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2022. Copy Cita…
  16. www.ahrq.gov/hai/cauti-tools/archived-webinars/preventing-cauti-engaging-leadership-slides.html
    December 01, 2017 - Preventing CAUTI: Engaging Clinicians and Senior Leadership to Implement Change Slide presentation Slide 1 Preventing CAUTI: Engaging Clinicians and Senior Leadership to Implement Change Sanjay Saint, MD, MPH M. Todd Greene, MPH, PhD University of Michigan Medical School Ann Arbor VA Medical Center …
  17. psnet.ahrq.gov/web-mm/ca-mrsa-skin-infections-ounce-prevention-worth-pound-cure
    March 01, 2005 - SPOTLIGHT CASE CA-MRSA Skin Infections: An Ounce of Prevention is Worth a Pound of Cure Citation Text: Liu C. CA-MRSA Skin Infections: An Ounce of Prevention is Worth a Pound of Cure. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human S…
  18. www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/highlight07.html
    February 01, 2014 - How are CHIPRA quality demonstration States designing and implementing caregiver peer support programs? Evaluation Highlight No. 7 Authors: Grace A. Ferry, Henry Ireys, Dana Petersen, and Joseph Zickafoose Contents Key Messages Background Findings Conclusions Implications Learn More Endnotes…
  19. digital.ahrq.gov/electronic-medical-record-systems
    January 01, 2023 - This information is for reference purposes only. It was current when produced and may now be outdated. Archive material is no longer maintained, and some links may not work. Persons with disabilities having difficulty accessing this information should contact us at: https://digital.ahrq.gov/contact-us . Let us know th…
  20. psnet.ahrq.gov/web-mm/perils-cross-coverage
    September 22, 2010 - SPOTLIGHT CASE The Perils of Cross Coverage Citation Text: Farnan JM, Arora V. The Perils of Cross Coverage. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2012. Copy Citation Format: Google Scholar BibTeX En…