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www.ahrq.gov/sites/default/files/2024-01/gurwitz-report.pdf
January 01, 2024 - Comparisons of the rates of follow-up INRs occurring
within 3 days after an INR value of 4.5 or greater
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/Ym2epesCwZWNPaaMr78Shp
August 01, 2014 - Abdominal aortic aneurysms are most prevalent in
men who have ever smoked, occurring in approximately … causes of death and a de-
clining benefit–risk ratio for operative interventions), with
70% of deaths occurring
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psnet.ahrq.gov/issue/systematic-review-psychological-literature-interruption-and-its-patient-safety-implications
September 24, 2016 - September 24, 2016
Medication errors occurring with the use of bar-code administration
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psnet.ahrq.gov/issue/patient-reported-approach-identify-medical-errors-and-improve-patient-safety-emergency
July 13, 2010 - June 2, 2021
Analysis of risk factors for patient safety events occurring in the emergency
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psnet.ahrq.gov/issue/characteristics-medication-errors-and-adverse-drug-events-hospitals-participating-california
July 13, 2010 - October 30, 2010
Medication errors occurring with the use of bar-code administration
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psnet.ahrq.gov/issue/comparison-voluntary-safety-reporting-system-global-trigger-tool-identifying-adverse-events
July 24, 2017 - October 16, 2024
Review of reported adverse events occurring among the homeless veteran
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psnet.ahrq.gov/issue/multifaceted-approach-safety-synergistic-detection-adverse-drug-events-adult-inpatients
April 11, 2011 - March 10, 2011
Medication errors occurring with the use of bar-code administration technology
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psnet.ahrq.gov/issue/safety-overlapping-surgery-high-volume-referral-center
January 11, 2017 - August 29, 2012
Classification of adverse events occurring in a surgical intensive care
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psnet.ahrq.gov/issue/finding-diagnostic-errors-children-admitted-picu
May 21, 2016 - May 18, 2022
Preventable harm occurring to critically ill children.
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psnet.ahrq.gov/issue/effect-visitation-restrictions-ed-error
July 01, 2016 - March 2, 2022
Analysis of risk factors for patient safety events occurring in the emergency
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psnet.ahrq.gov/web-mm/one-dose-two-errors
September 29, 2017 - One Dose, Two Errors
Citation Text:
Filice GA. One Dose, Two Errors. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2016.
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Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId …
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psnet.ahrq.gov/web-mm/who-nose-where-airway
May 01, 2016 - Who Nose Where the Airway Is?
Citation Text:
Lee CR. Who Nose Where the Airway Is?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2009.
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Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote t…
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psnet.ahrq.gov/perspective/methicillin-resistant-staphylococcus-aureus
June 24, 2010 - Methicillin-Resistant Staphylococcus aureus
Gary A. Noskin, MD | April 1, 2008
View more articles from the same authors.
Citation Text:
Noskin GA. Methicillin-Resistant Staphylococcus aureus. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Qua…
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psnet.ahrq.gov/web-mm/wrong-shot-error-disclosure
May 01, 2011 - SPOTLIGHT CASE
The Wrong Shot: Error Disclosure
Citation Text:
Gallagher TH, Levinson W. The Wrong Shot: Error Disclosure. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2004.
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Format:
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psnet.ahrq.gov/node/865778/psn-pdf
May 29, 2024 - Navigating Complications: The Unintended Journey of a
Guidewire During Dialysis Catheter Placement
May 29, 2024
Vuyyuru S, Kapa N. Navigating Complications: The Unintended Journey of a Guidewire During Dialysis
Catheter Placement. PSNet [internet]. 2024.
https://psnet.ahrq.gov/web-mm/navigating-complications-unint…
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psnet.ahrq.gov/web-mm/resuscitation-errors-shocking-problem
October 19, 2022 - SPOTLIGHT CASE
Resuscitation Errors: A Shocking Problem
Citation Text:
Edelson DP, Abella BS. Resuscitation Errors: A Shocking Problem. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2007.
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Format:
…
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psnet.ahrq.gov/node/49540/psn-pdf
August 21, 2007 - Resuscitation Errors: A Shocking Problem
August 21, 2007
Edelson DP, Abella BS. Resuscitation Errors: A Shocking Problem. PSNet [internet]. 2007.
https://psnet.ahrq.gov/web-mm/resuscitation-errors-shocking-problem
Case Objectives
Appreciate that delays in defibrillation can have significant negative effects on sur…
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psnet.ahrq.gov/node/49669/psn-pdf
November 01, 2012 - Transfusion Overload
November 1, 2012
Patel MS, Carson JL. Transfusion Overload. PSNet [internet]. 2012.
https://psnet.ahrq.gov/web-mm/transfusion-overload
Case Objectives
Understand that the traditional transfusion thresholds of hemoglobin below 10 g/dL and hematocrit
below 30% are not supported by the evidence.…
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www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/webinars/perinatal-care-experience-slides.pdf
March 06, 2025 - Factors that Impact Perinatal Care Experience and Outcomes: Slide Presentation
National Center for Excellence in Primary Care Research
Presents
Factors that Impact Perinatal Care Experience and Outcomes
March 6, 2025
Presented by:
Amy G. Cantor MD, MPH, FAAFP
Lindsay Kennedy Admon, MD, MSc
Mark Allen Clapp, …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-assessment.pdf
June 02, 2025 - AHRQ’s Safety Program for Nursing Homes: On-Time
Pressure Ulcer Healing
On-Time Pressure Ulcer Assessment
The On-Time Pressure Ulcer Assessment incorporates elements from the Bates-Jensen Wound Assessment
Tool (BWAT) with additional standardized treatment and intervention descriptors. The On-Time Pressure
Ulc…