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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
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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
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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).
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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…
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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-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…
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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…
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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…
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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…
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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…
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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…
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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…
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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…
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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…
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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
…
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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…
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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);
…
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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…
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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)…
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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
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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