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  1. www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/advisorycouncil/advisorycouncil.pdf
    April 01, 2008 - As they struggled with an initiative to improve medication safety in the outpatient setting, they realized
  2. effectivehealthcare.ahrq.gov/sites/default/files/pdf/presentations-future_research.pdf
    April 01, 2012 - controlled trials have been published with high crossover rates in which patients have taken the initiative
  3. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-212-fullreport.pdf
    September 01, 2018 - The Global Initiative for Asthma (GINA): Global Strategy for Asthma Management and Prevention (GINA, … The Global Initiative for Asthma: Global Strategy for Asthma Management and Prevention (GINA, 2014) … docID=8744 http://www.cdc.gov/vitalsigns/asthma/ 26 Global Initiative for Asthma (GINA).
  4. hcup-us.ahrq.gov/reports/statbriefs/SB307-508.pdf
    November 03, 2021 - Clinical Conditions With Frequent, Costly Hospital Readmissions by Payer, 2020 1 [Type here] Clinical Conditions With Frequent, Costly Hospital Readmissions by Payer, 2020 Statistical Brief #307 | April 2024 H. Joanna Jiang, Ph.D., and Marguerite L. Barrett, M.S. Introduction Overall hospital utilization de…
  5. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Dingley_14.pdf
    February 06, 2008 - Improving Patient Safety Through Provider Communication Strategy Enhancements Improving Patient Safety Through Provider Communication Strategy Enhancements Catherine Dingley RN, PhD, FNP; Kay Daugherty RN, PhD; Mary K. Derieg RN, DNP; Rebecca Persing, RN, DNP Abstract The purpose of this study was to devel…
  6. www.ahrq.gov/sites/default/files/2024-01/anumba-report_0.pdf
    January 01, 2024 - Final Progress Report: A Pilot Study for Intrgrating Facility Information With Healthcare Information to Improve Patient Safety FINAL PROGRESS REPORT PROJECT TITLE: A PILOT STUDY FOR INTEGRATING FACILITY INFORMATION WITH HEALTHCARE INFORMATION TO IMPROVE PATIENT SAFETY PRINCIPAL INVESTIGATOR: DR C. J. ANUMBA (Penn…
  7. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Maddox_111.pdf
    June 18, 2008 - Continuous Respiratory Monitoring and a “Smart” Infusion System Improve Safety of Patient-Controlled Analgesia in the Postoperative Period Continuous Respiratory Monitoring and a “Smart” Infusion System Improve Safety of Patient-Controlled Analgesia in the Postoperative Period Ray R. Maddox, PharmD; Harold Oglesby…
  8. cds.ahrq.gov/sites/default/files/cds/artifact/1061/2024_Intervention_Content_Prediabetes_and_Type_2_Diabetes_Part_one_Screening.xlsx
    January 01, 2024 - Example Intervention Text Example Patient-Facing Intervention Text: Prediabetes and Type 2 Diabetes: Part 1, Screening General Information The example intervention text shown below is embedded in the Clinical Quality Language (CQL) files for the Prediabetes and Type 2 Diabetes Part One: Screening artifact. Imple…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/841567/psn-pdf
    December 14, 2022 - Measuring Patient Safety December 14, 2022 Schreiber M, Van C, Mossburg SE. Measuring Patient Safety. PSNet [internet]. 2022. https://psnet.ahrq.gov/perspective/measuring-patient-safety Following the landmark report To Err is Human: Building a Safer Health System, developed by the Institute of Medicine in 1999, pa…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49632/psn-pdf
    July 01, 2011 - A Seasonal Care Transition Failure July 1, 2011 Young JQ. A Seasonal Care Transition Failure. PSNet [internet]. 2011. https://psnet.ahrq.gov/web-mm/seasonal-care-transition-failure The Case A 70-year-old healthy man presented to his primary care doctor—a third-year internal medicine resident—for routine follow-up…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49401/psn-pdf
    May 01, 2003 - Suicidal Man With Gun May 1, 2003 Simon RI. Suicidal Man With Gun. PSNet [internet]. 2003. https://psnet.ahrq.gov/web-mm/suicidal-man-gun The Case The patient is a 36-year-old man who came to a psychiatry clinic for outpatient evaluation of severe depression that had persisted for nearly 2 years. On initial inter…
  12. psnet.ahrq.gov/web-mm/benefits-vs-risks-intraosseous-vascular-access
    September 01, 2005 - Benefits vs. Risks of Intraosseous Vascular Access Citation Text: Fowler RL, Lippmann MJ. Benefits vs. Risks of Intraosseous Vascular Access. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2014. Copy Citation Format: Go…
  13. psnet.ahrq.gov/web-mm/missing-ecg-and-missed-diagnosis-lead-dangerous-delay
    March 01, 2015 - Missing ECG and Missed Diagnosis Lead to Dangerous Delay Citation Text: O'Connor RE. Missing ECG and Missed Diagnosis Lead to Dangerous Delay. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2018. Copy Citation Format: G…
  14. psnet.ahrq.gov/web-mm/saved-ecmo
    May 05, 2017 - Saved by ECMO Citation Text: Weiss NA. Saved by ECMO . PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2023. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …
  15. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/medication/tool_safe-mgso4.docx
    May 30, 2013 - AHRQ Safety Program for Perinatal Care: Safe Medication Administration: Magnesium Sulfate AHRQ Safety Program for Perinatal Care Safe Medication Administration Magnesium Sulfate Safe Medication Administration—Magnesium Sulfate Purpose of the tool: This tool describes the key perinatal safety elements with examples for…
  16. digital.ahrq.gov/sites/default/files/docs/citation/r21hs024751-dalal-final-report-2019.pdf
    January 01, 2019 - Interactive Patient-Centered Discharge Toolkit - Final Report TITLE: Interactive Patient-Centered Discharge Toolkit Principal Investigator and Team Members: Anuj K Dalal, MD (PI); Jeffrey L Schnipper, MD, MPH (Co-I); Stuart Lipsitz, ScD (Co-I); …
  17. 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…
  18. effectivehealthcare.ahrq.gov/sites/default/files/related_files/angina-heart-attack-treatments_executive.pdf
    January 01, 2014 - 1 Comparative Effectiveness Review Number 129 Antiplatelet and Anticoagulant Treatments for Unstable Angina/Non–ST Elevation Myocardial Infarction Executive Summary Background Acute coronary syndrome (ACS) encompasses three similar yet distinct disorders: (1) ST–elevation myocardial infarction (STEMI), (2)…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865778/psn-pdf
    May 29, 2024 - is the preferred location for catheter placement, according to the Kidney Disease Outcomes Quality Initiative
  20. www.ahrq.gov/ncepcr/reports/2025-annual-report/patient-safety.html
    August 01, 2025 - and Quality Centers These two grants are part AHRQ’s Diagnostic Safety Centers of Excellence grant initiative