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  1. Spotlight (pdf file)

    psnet.ahrq.gov/sites/default/files/2023-08/spotlight_case_prolonged_dka_in_pregnancy_-_slides_-_revised.pdf
    January 01, 2023 - Spotlight Spotlight Prolonged DKA in Pregnancy: A Case of Communication Breakdown Source and Credits • This presentation is based on the August 2023 AHRQ WebM&M Spotlight Case o See the full article at https://psnet.ahrq.gov/webmm o CME credit is available o Commentary by: Sarah Marshall, MD and Nina M. …

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49573/psn-pdf
    January 01, 2009 - Dangerous Shift November 1, 2008 Patterson ES. Dangerous Shift. PSNet [internet]. 2008. https://psnet.ahrq.gov/web-mm/dangerous-shift Case Objectives Review the evidence base on erroneous actions related to shift changes. Understand the limits of standardizing handoffs in preventing errors at shift change. Expla…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49437/psn-pdf
    March 01, 2004 - Crossing the Line March 1, 2004 Feldman JP, Gould MK. Crossing the Line. PSNet [internet]. 2004. https://psnet.ahrq.gov/web-mm/crossing-line Case Objectives Review complications of central venous catheterization Discuss patient and operator factors that affect complication rates Describe methods for preventing c…

  4. Findings | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/reports/candor-demo-program/plan-grants/findings.html
    August 01, 2022 - Planning Grants Final Evaluation Report Findings Previous Page Next Page Table of Contents Planning Grants Final Evaluation Report Executive Summary Introduction Methodology Findings Appendix A. Grantee Profiles Appendix B. References Improving Communication Four planni…

  5. Advances in Patient Safety: New Directions and Alternative Approaches | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/reports/advances-new-directions/index.html
    July 01, 2022 - Advances in Patient Safety: New Directions and Alternative Approaches Advances in Patient Safety: New Directions and Alternative Approaches represents years of study by AHRQ-funded patient safety researchers and others. It includes articles on reporting systems, risk assessment, safety culture, m…

  6. Screening for Suicide Risk - Recommendation and Rationale (pdf file)

    www.uspreventiveservicestaskforce.org/home/getfilebytoken/pxMbTT69NULYZRaZ9xs7Du
    May 01, 2004 - Screening for Suicide Risk - Recommendation and Rationale Summary of Recommendation The U.S. Preventive Services Task Force (USPSTF) concludes that the evidence is insufficient to recommend for or against routine screening by primary care clinicians to detect suicide risk in the general population. I recommendation.…

  7. Screening for Depression - Recommendations and Rationale (pdf file)

    www.uspreventiveservicestaskforce.org/home/getfilebytoken/FExZhpEq2337V-hwkaPQ8y
    May 01, 2002 - Screening for Depression - Recommendations and Rationale 121 Summary of Recommendations • The U.S. Preventive Services Task Force (USPSTF) recommends screening adults for depression in clinical practices that have systems in place to assure accurate diagnosis, effective treatment, and follow-up. B recommendation. …

  8. Code Blue—Where To? | PSNet

    psnet.ahrq.gov/web-mm/code-blue-where
    March 30, 2020 - Code Blue—Where To? Citation Text: Adams BD. Code Blue—Where To?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2007. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS…

  9. Dangerous Dialysis | PSNet

    psnet.ahrq.gov/web-mm/dangerous-dialysis
    June 12, 2024 - SPOTLIGHT CASE Dangerous Dialysis Citation Text: Holley JL. Dangerous Dialysis . PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2010. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML …

  10. Prostate-Cancer-Therapies-Update Consumer (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/pdf/prostate-cancer-therapies-update_consumer.pdf
    January 01, 2016 - Treating Localized Prostate Cancer A Review of the Research for Adults Is this information right for me? Yes, this information is right for you if: � Your doctor* said all tests show you have localized prostate cancer (the cancer has not spread outside the prostate gland). This information may not be helpful t…

  11. Medication Mix-Up Leads to Patient Death | PSNet

    psnet.ahrq.gov/web-mm/medication-mix-leads-patient-death
    July 08, 2022 - Medication Mix-Up Leads to Patient Death Citation Text: Sanchez L, Romano PS. Medication Mix-Up Leads to Patient Death. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2023. Copy Citation Format: Google Scholar BibTeX En…

  12. Evidence in Use of Clinical Reasoning Checklists for Diagnostic Error Reduction (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/diagnostic-error-reduction.pdf
    September 04, 2020 - Evidence in Use of Clinical Reasoning Checklists for Diagnostic Error Reduction PATIENT SAFETY e Issue Brief 3 Evidence on Use of Clinical Reasoning Checklists for Diagnostic Error Reduction e Issue Brief Evidence on Use of Clinical Reasoning Checklists for Diagnostic Error Reduction Prepared for: …

  13. Deprescribing as a Patient Safety Strategy | PSNet

    psnet.ahrq.gov/primer/deprescribing-patient-safety-strategy
    December 15, 2024 - Deprescribing as a Patient Safety Strategy Citation Text: Takhar S, Nelson N. Deprescribing as a Patient Safety Strategy. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2021. Copy Citation Format: Google Scholar BibTeX …

  14. PSNet Curated Library (pdf file)

    psnet.ahrq.gov/print/pdf/node/866984
    January 01, 2020 - PSNet Curated Library AHRQ: Agency for Healthcare Research and Quality Interdisciplinary teamwork Curated Library Foundations Medical teamwork and the evolution of safety science: a critical review. Neuhaus C, Lutnæs DE, Bergström J. Cogn Technol Work. 2020;22:13-27. In this narrative review, the authors contr…

  15. Making Patient Apps Interoperable With the Health IT Ecosystem (pdf file)

    cdsic.ahrq.gov/sites/default/files/2025-06/SRF%20Topic%20Highlight%20Patient%20App%20Interoperability.pdf
    January 01, 2025 - Making Patient Apps Interoperable With the Health IT Ecosystem AHRQ Pub. No. 25-0053 June 2025 Making Patient Apps Interoperable With the Health IT Ecosystem This resource for app developers explains considerations for developing patient-facing applications (apps) that are interoperable with …

  16. Current Processes: Refining Evidence-based Recommendation Development | United States Preventive Services Taskforce

    www.uspreventiveservicestaskforce.org/uspstf/about-uspstf/methods-and-processes/current-processes-refining-evidence-based-recommendation-development
    January 01, 2014 - Current Processes: Refining Evidence-based Recommendation Development Share to Facebook Share to X Share to WhatsApp Share to Email Print Table of Contents Preface Introduction Types of Recommendations Types of Evidence Reviews Co…

  17. The Danger of 10% Intravenous Calcium Chloride Extravasation. | PSNet

    psnet.ahrq.gov/web-mm/danger-10-intravenous-calcium-chloride-extravasation
    April 24, 2024 - The Danger of 10% Intravenous Calcium Chloride Extravasation. Citation Text: The Danger of 10% Intravenous Calcium Chloride Extravasation.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2023. Copy Citation Format: Goog…

  18. Screening for Ovarian Cancer - Recommendation Statement (pdf file)

    www.uspreventiveservicestaskforce.org/home/getfilebytoken/za7BqXMwT8BMz4Z_ygrvKm
    May 01, 2004 - Screening for Ovarian Cancer - Recommendation Statement Summary of Recommendation The U.S. Preventive Services Task Force (USPSTF) recommends against routine screening for ovarian cancer. D recommendation. The USPSTF found fair evidence that screening with serum CA-125 level or transvaginal ultrasound can detect ov…

  19. Patient Safety Tools | Agency for Healthcare Research and Quality

    www.ahrq.gov/research/findings/evidence-based-reports/makinghcsafer.html
    June 01, 2022 - Patient Safety Tools The Agency for Healthcare Research and Quality (AHRQ) offers tools for health care organizations, providers, policymakers, and patients to improve patient safety in health care settings. The free tools and resources listed here are available online and in print. Contents   Tools for H…

  20. Slide 1

    effectivehealthcare.ahrq.gov/sites/default/files/community-based-participatory-research-slides.pptx
    January 01, 2013 - Slide 1 Community-Based Participatory Research: Lessons for Stakeholder Engagement in Patient-Centered Outcomes Research June 19th, 2013 Numeric
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