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psnet.ahrq.gov/periodic-issue/periodic-issue-473
March 25, 2025 - March 5, 2025 Weekly Issue
PSNet highlights the latest patient safety literature, news, and expert commentary, including Weekly
Updates, WebM&M, and Perspectives on Safety. The current issue highlights what's new this week in patient
safety literature, news, conferences, reports, …
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www.uspreventiveservicestaskforce.org/uspstf/draft-recommendation/syphilis-infection-pregnant-persons
November 19, 2024 - Share to Facebook
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in progress
Draft Recommendation Statement
Syphilis Infection During Pregnancy: Screening
November 19, 2024
Recommendations made by the USPSTF are independent of the U.S. …
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www.ahrq.gov/sites/default/files/2024-11/blumenthal-report.pdf
January 01, 2024 - Final Progress Report: Validation of an Innovative Approach to Error Reduction
Final Progress Report
Validation of an Innovative Approach To Error Reduction
Principal Investigator: David Blumenthal, MD, MPP
Team Members:
Carlos A. Camargo, Jr., MD, DrPH (Massachusetts General Hospital)
Paul D. Cleary, PhD (Yale…
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www.ahrq.gov/sites/default/files/2024-01/gandhi-report.pdf
January 01, 2024 - Final Progress Report: Using Barcode Technology to Improve Medication Safety
FINAL REPORT: April 16, 2007
Using Barcode Technology to Improve Medication Safety
Principal Investigator: Tejal Gandhi, tgandhi@partners.org
Brigham and Women’s Hospital
Tejal Gandhi MD, MPH, Principle Investigator
Eric Poon, MD, MPH, …
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www.ahrq.gov/research/shuttered/toolkitchecklist/surgetkit2.html
July 01, 2018 - Facilities
Public Health Emergency Preparedness
1. Preplanning
Description: Certain equipment, services, or staffing required for surge use of the shuttered hospital will necessitate advance arrangements, including identification of providers, contracts, specifications, and protocols.
Timeframe: As soon…
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hcup-us.ahrq.gov/reports/statbriefs/sb136.pdf
March 01, 2012 - Statistical Brief #137: Hospital Visits in the U.S. for Firearm-Related Injuries, 2009
1
June 2012
Hospital Visits in the U.S. for Firearm-
Related Injuries, 2009
Alison Evans Cuellar, Ph.D., Elizabeth Stranges, M.S., and
Carol Stocks, R.N., M.H.S.A.
Introduction
Firearm injuries make up …
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hcup-us.ahrq.gov/reports/statbriefs/sb48.pdf
March 01, 2008 - Statistical Brief #48: Violence-Related Stays in U.S. Hospitals, 2005
HEALTHCARE COST AND
UTILIZATION PROJECT Agen
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March 2008
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psnet.ahrq.gov/web-mm/falling-through-crack-bedrails
February 19, 2020 - SPOTLIGHT CASE
Falling Through the Crack (in the Bedrails)
Citation Text:
Dykes PC, Vacca V, Leung WY. Falling Through the Crack (in the Bedrails). PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2016.
Copy Citation
F…
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hcup-us.ahrq.gov/reports/statbriefs/sb164.pdf
October 01, 2013 - Characteristics of Adverse Drug Events Originating During the Hospital Stay, 2011
1
October 2013
Characteristics of Adverse Drug Events
Originating During the Hospital Stay, 2011
Audrey J. Weiss, Ph.D. and Anne Elixhauser, Ph.D.
Introduction
An adverse drug event (ADE) involves patient in…
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www.uspreventiveservicestaskforce.org/uspstf/recommendation/abdominal-aortic-aneurysm-screening-february-2005
February 15, 2005 - Share to Facebook
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archived
Final Recommendation Statement
Abdominal Aortic Aneurysm: Screening
February 15, 2005
Recommendations made by the USPSTF are independent of the U.S. government.…
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hcup-us.ahrq.gov/reports/statbriefs/sb81.pdf
April 01, 2010 - Statistical Brief #81: The Costs of End-of_Life Hospitalizations, 2007
From
HEALTHCARE COST AND
UTILIZATION PROJECT
Agency for Healthcare
Research and Quality
STATISTICAL BRIEF #81
Highlights
■ Thirty-two percent of all deaths in
the U.S. in 2007 were inpatient
hospital deaths.
■ T…
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digital.ahrq.gov/sites/default/files/docs/citation/HealthITHazardManagerFinalReport.pdf
May 01, 2012 - Health IT Hazard Manager Beta-Test
Final Report
Health IT Hazard Manager Beta-Test
Prepared for:
Agency for Healthcare Research and Quality
540 Gaither Road
Rockville, MD 20850
www.ahrq.gov
Contract No. HHSA290200600011i, #14
Prepared by:
Abt Associates and Geisinger Health System
Contributing Authors…
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psnet.ahrq.gov/perspective/conversation-enrico-coiera-mb-bs-phd
February 01, 2014 - people to interrupt because the last thing anybody wants to do is to prevent crucial communication from occurring … when administering medications, one can wear a bright color vest that says, "Medicine Administration Occurring
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psnet.ahrq.gov/perspective/patient-safety-and-health-information-technology-learning-our-mistakes
July 01, 2012 - RW : Do you see a transformation in vendor-built systems occurring on the horizon? … read the literature 5 years ago, you would have found that there was more good than harm but it was occurring
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psnet.ahrq.gov/perspective/conversation-david-blumenthal-md-mpp
July 01, 2012 - RW : Do you see a transformation in vendor-built systems occurring on the horizon? … read the literature 5 years ago, you would have found that there was more good than harm but it was occurring
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www.ahrq.gov/sites/default/files/2024-04/ratliff-report.pdf
January 01, 2024 - Assessment
To validate the predictive model, we conducted a prospective assessment of complications occurring … and Medicare data,
we divided the patients into tertiles based upon probability of an adverse event
occurring
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/bimp-protocol.pdf
September 27, 2022 - vary among individuals characterized by biopsychosocial factors
(e.g., sex, socioeconomic status, co-occurring … how do the findings vary by baseline biopsychosocial factors (e.g.,
sex, socioeconomic status, co-occurring
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/cer-208-bipolar-evidence-summary.pdf
August 01, 2018 - adding to the individual
illness burden, 92 percent of individuals
with BD experience another co-occurring … change side effects of drug treatments, and
how effects differ by patient characteristics, such as
co-occurring
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hcup-us.ahrq.gov/reports/statbriefs/sb300-COVID-19-AllHospital.pdf
September 01, 2022 - patient age, the number of hospitalizations decreased across all categories, with the greatest
decrease occurring … among patients aged 80+ years (15.2 percent) and the smallest decrease
occurring among patients aged
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www.ahrq.gov/sites/default/files/2025-02/umoren-report.pdf
January 01, 2025 - the first 2 days of admission (RR 0.86 per
year, 95% CI 0.82-0.91, p<0.001) were noted, but deaths occurring … factors are the root cause of 67% of avoidable adverse
events on transport, with most adverse events occurring