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www.ahrq.gov/news/newsroom/case-studies/202304.html
October 01, 2023 - Online Training Enables Primary Care Providers in Rural New Mexico to Prescribe Medication for Opioid Use Disorders
Search All Impact Case Studies
October 2023
Rural primary care practices in New Mexico have expanded on an AHRQ initiative to offer proven medication-assisted treatment to patients with opio…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-ptexp-research-meeting-agenda-2023.pdf
January 01, 2023 - Patient Experience Research Meeting - Agenda
Patient Experience, Patient Safety, and Provider Well-Being:
Associations and Paths for Quality Improvement
A Virtual Research Meeting
Sponsored by the U.S. Agency for Healthcare Research and Quality (AHRQ)
October 19, 2023
11:00 a.m. – 4:00 p.m. ET
MEETING PU…
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www.ahrq.gov/sites/default/files/wysiwyg/topics/diagnostic-safety-workgroup-march-2022-meeting-notes.pdf
January 01, 2022 - Federal Interagency Workgroup: Improving Diagnostic Safety and Quality in Healthcare
Federal Interagency Workgroup: Improving Diagnostic Safety
and Quality in Healthcare
Workgroup Goal: Established by Senate Report 115-150. The Senate Committee on
Appropriations requested “AHRQ to convene a cross agency working …
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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-Prologue_Keyes_Vol3.pdf
June 02, 2025 - Prologue: The Shift toward Performance and Tools
Prologue
The Shift toward Performance and Tools
Margaret A. Keyes, M.A.
The articles in this volume provide a number of perspectives on performance and tools used to
improve the safe delivery of health care. They include a wide variety of approaches that
…
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psnet.ahrq.gov/issue/what-works-medication-reconciliation-treatment-and-site-analysis-marquis2-study
May 19, 2021 - Study
What works in medication reconciliation: an on-treatment and site analysis of the MARQUIS2 study.
Citation Text:
Schnipper JL, Reyes Nieva H, Yoon CS, et al. What works in medication reconciliation: an on-treatment and site analysis of the MARQUIS2 study. BMJ Qual Saf. 2023;32(8):4…
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psnet.ahrq.gov/issue/temporal-trends-rates-patient-harm-resulting-medical-care
April 04, 2011 - Study
Classic
Temporal trends in rates of patient harm resulting from medical care.
Citation Text:
Landrigan CP, Parry G, Bones CB, et al. Temporal trends in rates of patient harm resulting from medical care. N Engl J Med. 2010;363(22):2124-34. doi:10.1056/NEJ…
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psnet.ahrq.gov/issue/comparative-economic-analyses-patient-safety-improvement-strategies-acute-care-systematic
November 07, 2012 - Review
Comparative economic analyses of patient safety improvement strategies in acute care: a systematic review.
Citation Text:
Etchells E, Koo M, Daneman N, et al. Comparative economic analyses of patient safety improvement strategies in acute care: a systematic review. BMJ Qual Saf.…
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psnet.ahrq.gov/issue/25-year-summary-us-malpractice-claims-diagnostic-errors-1986-2010-analysis-national
July 17, 2019 - Study
25-Year summary of US malpractice claims for diagnostic errors 1986–2010: an analysis from the National Practitioner Data Bank.
Citation Text:
Tehrani ASS, Lee HW, Mathews SC, et al. 25-Year summary of US malpractice claims for diagnostic errors 1986-2010: an analysis from the N…
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digital.ahrq.gov/technology/bioinformatics-and-genomics
January 01, 2023 - Bioinformatics and Genomics
Annual Conference on Health Information Technology & Analytics (CHITA) - Final Report
Citation
Agarwal R. Annual Conference on Health Information Technology & Analytics (CHITA) - Final Report. (Prepared by the University of Maryland under Grant No. …
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www.uspreventiveservicestaskforce.org/uspstf/sites/default/files/file/supporting_documents/oral-health-screening-interventions-draft-rec-bulletin.pdf
June 20, 2023 - U.S. Preventive Services Task Force Issues Draft Recommendations on Oral Health in Primary Care: More research is needed to recommend for or against screening and interventions in school-aged children and adults without symptoms
1
www.uspreventiveservicestaskforce.org
U.S. Preventive Services Task Force Iss…
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www.uspreventiveservicestaskforce.org/uspstf/sites/default/files/file/supporting_documents/oral-health-screening-interventions-final-rec-bullletin.pdf
November 07, 2023 - U.S. Preventive Services Task Force Issues Final Recommendations on Screening and Preventive Interventions for Oral Health
www.uspreventiveservicestaskforce.org 1
U.S. Preventive Services Task Force Issues Final Recommendations
on Screening and Preventive Interventions for Oral Health
More research is nee…
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psnet.ahrq.gov/issue/risk-assessment-acute-stroke-diagnostic-process-using-failure-modes-effects-and-criticality
July 21, 2021 - Study
Risk assessment of the acute stroke diagnostic process using failure modes, effects, and criticality analysis.
Citation Text:
Liberman AL, Holl JL, Romo E, et al. Risk assessment of the acute stroke diagnostic process using failure modes, effects, and criticality analysis. Acad Eme…
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digital.ahrq.gov/sites/default/files/docs/citation/ddi-non-interruptive-alerts-poster-2013.pdf
January 01, 2013 - 56
151
62
215
0
50
100
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250
Niacins + Statins (Inpatient) Niacins + Statins (Outpatient)
Alerts Overridden Alerts Generated
U.S. System
In the U.S. system, the Niacin + Statin
interaction was triggered and overridden most
often in both inpatient and outpatient systems.
U.K. …
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psnet.ahrq.gov/issue/disparate-perspectives-exploring-healthcare-professionals-misaligned-mental-models-older
May 11, 2022 - Study
Disparate perspectives: exploring healthcare professionals' misaligned mental models of older adults' transitions of care between the emergency department and skilled nursing facility.
Citation Text:
Werner NE, Rutkowski RA, Krause S, et al. Disparate perspectives: exploring health…
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psnet.ahrq.gov/issue/adverse-events-related-accidental-unintentional-ingestions-cough-and-cold-medications
May 06, 2020 - Study
Adverse events related to accidental unintentional ingestions from cough and cold medications in children.
Citation Text:
Wang GS, Reynolds KM, Banner W, et al. Adverse events related to accidental unintentional ingestions from cough and cold medications in children. Pediatr Emerg …
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psnet.ahrq.gov/issue/governing-patient-safety-lessons-learned-mixed-methods-evaluation-implementing-ward-level
June 25, 2014 - Study
Governing patient safety: lessons learned from a mixed methods evaluation of implementing a ward-level medication safety scorecard in two English NHS hospitals.
Citation Text:
Ramsay AIG, Turner S, Cavell G, et al. Governing patient safety: lessons learned from a mixed methods ev…
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psnet.ahrq.gov/issue/medication-discrepancies-resident-sign-outs-and-their-potential-harm
March 28, 2011 - Study
Medication discrepancies in resident sign-outs and their potential to harm.
Citation Text:
Arora V, Kao J, Lovinger D, et al. Medication discrepancies in resident sign-outs and their potential to harm. J Gen Intern Med. 2007;22(12):1751-5.
Copy Citation
Format:
Goog…
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psnet.ahrq.gov/issue/physician-specialty-differences-unprofessional-behaviors-observed-and-reported-coworkers
June 27, 2018 - Study
Physician specialty differences in unprofessional behaviors observed and reported by coworkers.
Citation Text:
Cooper WO, Hickson GB, Dmochowski RR, et al. Physician specialty differences in unprofessional behaviors observed and reported by coworkers. JAMA Netw Open. 2024;7(6):e241…
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psnet.ahrq.gov/issue/systematic-review-effects-resident-duty-hour-restrictions-surgery-impact-resident-wellness
March 19, 2018 - Review
Classic
A systematic review of the effects of resident duty hour restrictions in surgery: impact on resident wellness, training, and patient outcomes.
Citation Text:
Ahmed N, Devitt KS, Keshet I, et al. A systematic review of the effects of resident duty …
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psnet.ahrq.gov/issue/burden-opioid-related-mortality-united-states
June 02, 2021 - Study
Classic
The burden of opioid-related mortality in the United States.
Citation Text:
Gomes T, Tadrous M, Mamdani MM, et al. The burden of opioid-related mortality in the United States. JAMA Netw Open. 2018;1(2):e180217. doi:10.1001/jamanetworkopen.2018.0217…