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psnet.ahrq.gov/node/867035/psn-pdf
October 30, 2024 - A Tale of Two Falls
October 30, 2024
Jackson V, Satake A. A Tale of Two Falls. PSNet [internet]. 2024.
https://psnet.ahrq.gov/web-mm/tale-two-falls
The Cases
Case #1: A 79-year-old woman with a history of impaired cognition at baseline was brought from a skilled
nursing facility to the emergency department (ED) f…
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psnet.ahrq.gov/node/866370/psn-pdf
July 31, 2024 - Intraoperative Awareness during Rhinoplasty
July 31, 2024
Bohringer C, Toor J. Intraoperative Awareness during Rhinoplasty. PSNet [internet]. 2024.
https://psnet.ahrq.gov/web-mm/intraoperative-awareness-during-rhinoplasty
Disclosure of Relevant Financial Relationships: As a provider accredited by the Accreditation …
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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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digital.ahrq.gov/sites/default/files/docs/publication/uc1hs015258-aders-final-report-2007.pdf
January 01, 2007 - Improving Health Care through Health Information Technology in Morgan County, IN - Final Report
Grant Final Report
Grant ID: 5UC1HS015258-03
Improving Health Care through Health Information
Technology in Morgan County, Indiana
Inclusive Dates: 09/30/04 - 09/29/07
Principal Investigator:
De…
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digital.ahrq.gov/sites/default/files/docs/publication/uc1hs015339-aranaydo-final-report-2007.pdf
January 01, 2007 - Information Technology Systems for Rural Indian Health Care: Implementation and Use of a Commercial Ambulatory Care Electronic Health Record - Final Report
Grant Final Report
Grant ID: UC1HS015339
Information Technology Systems for Rural Indian
Health Care: Implementation and Use of a Commercial
Ambulatory …
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/topic-brief3-SUD.pdf
April 01, 2021 - Rapid Evidence Product
April 2021
Treatments, Technologies, and Models
for Management of Acute and Chronic
Pain in People With a History of
Substance Use Disorder
Purpose
The purpose of this topic development brief is to explore and scope the evidence on
treatments, technologies, and models for managem…
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digital.ahrq.gov/sites/default/files/docs/publication/r18hs017099-weiner-final-report-2010.pdf
January 01, 2010 - Crossing the Quality Assessment Chasm: Aligning Measured and True Quality of Care
Grant Final Report
Grant ID: 1R18HS017099-01
Crossing the Quality Assessment Chasm: Aligning
Measured and True Quality of Care
Inclusive dates: 09/30/07 - 09/29/10
Principal Investigator:
Mark G. Weiner…
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/women-hiv_disposition-comments.pdf
November 21, 2016 - Disposition of Comments for Technical Brief 29 Women Living With HIV-AIDS
Source: https://www.effectivehealthcare.ahrq.gov/search-for-guides-reviews-and-reports/
?pageaction=displayproduct&productid=2328
Published Online: November 21, 2016
Technical Brief Disposition of Comments Report
Research Rev…
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/topic-brief3-SUD.pdf
April 01, 2021 - Rapid Evidence Product
April 2021
Treatments, Technologies, and Models
for Management of Acute and Chronic
Pain in People With a History of
Substance Use Disorder
Purpose
The purpose of this topic development brief is to explore and scope the evidence on
treatments, technologies, and models for managem…
-
www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/perspectives-quality-improvement-collaboratives.pdf
January 01, 2018 - Perspectives on Implementing Quality Improvement Collaboratives Effectively: Qualitative Findings from the CHIPRA Quality Demonstration Grant Program
The Joint Commission Journal on Quality and Patient Safety 2018; 44:12–22
Perspectives on Implementing Quality Improvement
Collaboratives Effectively: Qualitative Fi…
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www.ahrq.gov/sites/default/files/2025-02/holl-report.pdf
January 01, 2025 - Final Progress Report: Risk Assessment of Pediatric Emergency Transfers
Risk Assessment of Pediatric Emergency Transfers
Final Report
AHRQ P20 HS17125-01
Project Period: 09.31.07 – 02.28.09
Principal Investigator: Jane L. Holl, MD, MPH
Northwestern University Institute for Healthcare Studies
Co- Investigators: D…
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www.ahrq.gov/sites/default/files/2024-12/weinger2-report.pdf
January 01, 2024 - Final Progress Report: Unexpected Clinical Events: Impact on Patient Safety
FINAL REPORT SUMMARY
Grant #: HS11375-03
Matthew B. Weinger
9/27/01 to 9/30/05
Center for Perioperative Research in Quality
Vanderbilt University Medical Center
1211 22nd Avenue South, 526 MAB
Nashville, TN 37212
Phone: 615…
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/2DGd8AvVMTJwP3ttrPcnLL
February 25, 2020 - JAMA
Primary Care Interventions for Prevention and Cessation of Tobacco Use
in Children and Adolescents
US Preventive Services Task Force Recommendation Statement
US Preventive Services Task Force
Summary of Recommendations
The USPSTF recommends that primary care clinicians provide interventions, including educatio…
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www.ahrq.gov/sites/default/files/2025-03/lacson-report.pdf
January 01, 2025 - Final Progress Report: Factors That Enhance Diagnostic Imaging Safety in the Ambulatory Setting
Project Title: Factors that Enhance Diagnostic Imaging Safety in the Ambulatory Setting
Principal Investigator: Ronilda Lacson, MD, PHD
Team Members:
Ramin Khorasani, MD, MPH
Ivan Ip, MD, MPH
Sonali Desai, MD
Allen Ka…
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www.ahrq.gov/sites/default/files/2024-10/barnes-report.pdf
January 01, 2024 - Final Progress Report: Improving Safe Use of Direct Oral Anticoagulants: A Population Health Approach
TITLE PAGE
Project Title: Improving Safe Use of Direct Oral Anticoagulants: A Population Health Approach
Principal Investigator: Geoffrey Douglas Barnes, BS, MD, MS
Team members:
Michael Dorsch, PharmD, MS, Co-In…
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www.ahrq.gov/sites/default/files/wysiwyg/diagnostic/resources/issue-briefs/dx-safety-patient-role.pdf
September 01, 2024 - The Patient’s Role in Diagnostic Safety and Excellence: From Passive Reception Toward Co-Design
Issue Brief 23
The Patient’s Role in Diagnostic Safety
and Excellence: From Passive Reception
Toward Co-Design
PATIENT
SAFETY
e
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e
Issue Brief 23
The Patient’s Role in Diagn…
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www.ahrq.gov/sites/default/files/wysiwyg/diagnostic/dx-safety-issue-brief-co-design-rev.pdf
September 01, 2024 - The Patient’s Role in Diagnostic Safety and Excellence: From Passive Reception Toward Co-Design
Issue Brief 23
The Patient’s Role in Diagnostic Safety
and Excellence: From Passive Reception
Toward Co-Design
PATIENT
SAFETY
e
This page intentionally left blank.
e
Issue Brief 23
The Patient’s Role in Diagn…
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/mental-health-pregnant-protocol.pdf
August 24, 2023 - Nonpharmacologic Treatment for Maternal Mental Health Conditions
Evidence-based Practice Center Review Protocol
Project Title: Nonpharmacologic Treatment for Maternal Mental Health
Conditions
Initial Publication Date: May 25, 2023
Amendment Date: August 24, 2023
(Amendments Details-see Section VIII)…
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digital.ahrq.gov/sites/default/files/docs/citation/r01hs022085-melton-meaux-final-report-2018.pdf
January 01, 2018 - Discovery and Visualization of New Information from Clinical Reports in the EHR - Final Report
AHRQ Grant Final Progress Report
Title of Project:
Discovery and Visualizati…
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs024327-ornstein-final-report-2018.pdf
January 01, 2018 - Learning from Primary Care EHR Exemplars About HIT Safety - Final Report
Project Title: Learning from Primary Care EHR E xemplars About HIT Safety
Principal Investigator: Steven Mark Ornstein, MD
Team members: Cara B. Litvin, MD, MS; Lynne S. Nemeth, PhD, RN; Andrea Wessel…