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psnet.ahrq.gov/primer/maternal-safety
January 10, 2024 - The contribution of maternal characteristics and cesarean delivery to an increasing trend of severe maternal
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module1/module1_pu-whychange.docx
July 12, 2017 - Because of the ever-increasing number of obese, diabetic, and elderly patients, pressure injury rates
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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 - Once final selections are made, these resources
receive the “Classic” designation, increasing its weight
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs024117-leung-final-report-2018.pdf
January 01, 2018 - Compensation was
distributed in increasing amounts at each time point (T1: child US $10, parent/guardian … different sized devices
• Make newsletter printable as a PDF
• Focus health content of newsletter on
increasing
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www.uspreventiveservicestaskforce.org/uspstf/document/final-evidence-summary/prevention-of-dental-caries-in-children-younger-than-age-5-years-screening-and-interventions1
December 07, 2021 - In addition to increasing the precision of estimates, 6 new trials were conducted in very high HDI settings … (compared with 2 of 5 prior trials), potentially increasing applicability to US primary care settings
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psnet.ahrq.gov/web-mm/may-i-have-another-medication-error
March 01, 2009 - May I Have Another?—Medication Error
Citation Text:
Wolf MS. May I Have Another?—Medication Error. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2014.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNote …
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/mhs4-opioid-stewardship-protocol.pdf
July 01, 2023 - EHC Protocol: Making Healthcare Safer IV: Opioid Stewardship
1
Evidence-based Practice Center Rapid Review Protocol
Project Title: Making Healthcare Safer IV: Opioid Stewardship
Review Questions
1. What is the frequency and severity of harms associated with opioid prescribing and ordering?
2. What …
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digital.ahrq.gov/sites/default/files/docs/publication/r18hs022667-stockwell-final-report-2014.pdf
January 01, 2014 - DEVISE: Data Exchange of Vaccine Information between an Immunization Information System and Electronic Health Record - Final Report
FINAL REPORT
Project Title: “DEVISE: Data Exchange of Vaccine Information between an IIS and EHR” …
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meps.ahrq.gov/data_files/publications/st515/stat515.pdf
September 01, 2018 - AHRQ Statistical Brief
STATISTICAL BRIEF #515
September 2018
Any Use and Frequent Use of Opioids among Elderly Adults in 2015-2016,
by Socioeconomic Characteristics
Asako S. Moriya, PhD and G. Edward Miller, PhD
Highlights
In 2015-2016, 19.3 percent of
elderly adults, on average, filled at
least 1 outpatient op…
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psnet.ahrq.gov/web-mm/pre-analytical-pitfalls-missing-and-mislabeled-specimens
April 18, 2018 - Pre-analytical pitfalls: Missing and mislabeled specimens
Citation Text:
Tran NK, Liu Y. Pre-analytical pitfalls: Missing and mislabeled specimens . PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2020.
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Format:
…
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psnet.ahrq.gov/sites/default/files/2022-01/final_spotlight_stacked_opioid_administration_01.03.2022.pdf
January 01, 2022 - Spotlight
Spotlight
Patient Safety Events Involving Opioid
Dose Stacking
Source and Credits
• This presentation is based on the January 2022 AHRQ WebM&M
Spotlight Case
o See the full article at https://psnet.ahrq.gov/webmm
o CME credit is available
o Commentary by: Hollie Porras, PharmD, BCPS and Cathy Lammers…
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psnet.ahrq.gov/node/74713/psn-pdf
January 26, 2022 - Patient Safety Events Involving Opioid Dose Stacking
January 26, 2022
Porras H, Lammers C. Patient Safety Events Involving Opioid Dose Stacking. PSNet [internet]. 2022.
https://psnet.ahrq.gov/web-mm/patient-safety-events-involving-opioid-dose-stacking
Disclosure of Relevant Financial Relationships: As a provider ac…
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psnet.ahrq.gov/node/49666/psn-pdf
October 01, 2012 - CA-MRSA Skin Infections: An Ounce of Prevention is
Worth a Pound of Cure
October 1, 2012
Liu C. CA-MRSA Skin Infections: An Ounce of Prevention is Worth a Pound of Cure. PSNet [internet].
2012.
https://psnet.ahrq.gov/web-mm/ca-mrsa-skin-infections-ounce-prevention-worth-pound-cure
Case Objectives
Identify risk f…
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psnet.ahrq.gov/sites/default/files/2022-08/final_spotlight_case_mesenteric_ischemia_08.05.2022.pdf
January 01, 2022 - Spotlight
Spotlight
Delayed Diagnosis of Mesenteric Ischemia
Source and Credits
• This presentation is based on the August 2022 AHRQ WebM&M
Spotlight Case
o See the full article at https://psnet.ahrq.gov/webmm
o CME credit is available
o Commentary by: Anamaria Robles, MD, and Garth Utter, MD, MSc
o AHRQ WebM&M…
-
psnet.ahrq.gov/node/846915/psn-pdf
March 29, 2023 - Challenging Case of Multiple Suicide Attempts in a
Complex Patient with Psychiatric Comorbidities.
March 29, 2023
Bourgeois JA, Xiong G. Challenging Case of Multiple Suicide Attempts in a Complex Patient with
Psychiatric Comorbidities. PSNet [internet]. 2023.
https://psnet.ahrq.gov/web-mm/challenging-case-multiple…
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www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/teamwork-ptsafety-norms-slides.pdf
August 01, 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/ambulatory-care/allergies-slides.pptx
September 01, 2022 - Acute Care Asymptomatic Bacteriuria and Urinary Tract Infections
Best Practices in the Management of Patients With Antibiotic Allergies
Ambulatory Care
AHRQ Safety Program for
Improving Antibiotic Use
AHRQ Pub. No. 17(22)-0030
September 2022
Antibiotic Allergies
AHRQ Safety Program for Improving Antibiotic Us…
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/topicrefinement/lbpinject-topicref.pdf
March 03, 2014 - Pain Management Injection Therapies for Low-back Pain: Topic Refinement
Final Topic Refinement Document
Pain Management Injection Therapies for Low back Pain – Project ID ESIB0813
Date: 9/19/14
Topic: Pain Management Injection Therapies for Low-back Pain
Evidence-based Practice…
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meps.ahrq.gov/data_files/publications/st516/stat516.pdf
September 01, 2018 - AHRQ Statistical Brief
STATISTICAL BRIEF #516
September 2018
Any Use and Frequent Use of Opioids among Non-Elderly Adults in
2015-2016, by Socioeconomic Characteristics
G. Edward Miller, PhD and Asako S. Moriya, PhD
Highlights
In 2015-2016, 13.0 percent of non-
elderly adults, on average, filled at
least 1 outp…
-
www.ahrq.gov/hai/pfp/2015-interim.html
December 01, 2016 - National Scorecard on Rates of Hospital-Acquired Conditions 2010 to 2015: Interim Data From National Efforts To Make Health Care Safer
Summary
Preliminary 1 estimates for 2015 show a 21 percent decline in hospital-acquired conditions (HACs) since 2010. A cumulative total of 3.1 million fewer HACs were expe…