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www.ahrq.gov/ncepcr/reports/2024-annual-report/future-directions.html
May 01, 2024 - Investments in Primary Care Research for 2021 and 2022
3. Future Directions for NCEPCR
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Table of Contents
Investments in Primary Care Research for 2021 and 2022
Acknowledgments and Authors
Message from the Acting Director of AHRQ's National Center for Excellence in Primary…
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digital.ahrq.gov/sites/default/files/docs/page/2017-ahrq-hit-annual-report.pdf
January 01, 2017 - 2017 Health Information Technology Annual Report
AHRQ Health Information Technology
Annual
20
17
Report
AHRQ Health Information Technology Division’s
2017 Annual Report
Prepared for:
Agency for Healthcare Research and Qua…
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www.ahrq.gov/sites/default/files/2024-10/sills-report.pdf
January 01, 2024 - The greatest delays were in administration of steroids and opioids, the two processes
requiring a physician
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psnet.ahrq.gov/perspective/health-care-data-science-quality-improvement-and-patient-safety
October 01, 2016 - Health Care Data Science for Quality Improvement and Patient Safety
Alvin Rajkomar, MD | October 1, 2016
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Rajkomar A. Health Care Data Science for Quality Improvement and Patient S…
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psnet.ahrq.gov/node/867672/psn-pdf
February 26, 2025 - Misdiagnosis of Small Bowel Obstruction in the Setting of
Previous Abdominal Operations
February 26, 2025
Brown S, Utter GH, Barnes DK. Misdiagnosis of Small Bowel Obstruction in the Setting of Previous
Abdominal Operations. PSNet [internet]. 2025.
https://psnet.ahrq.gov/web-mm/misdiagnosis-small-bowel-obstruction…
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psnet.ahrq.gov/webmm-case-studies
March 25, 2025 - WebM&M: Case Studies
WebM&M (Morbidity & Mortality Rounds on the Web) features expert analysis of medical errors reported anonymously by our readers. Spotlight Cases include interactive learning modules available for CME/CPE . Commentaries are written by patient safety experts and published monthly. Have you encou…
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www.ahrq.gov/news/events/nac/2015-03-nac/nacmtg0715-minutes.html
December 01, 2015 - Meeting Minutes, July 24, 2015
National Advisory Council
Minutes from the July 24, 2015, meeting of the Agency for Healthcare Research and Quality's National Advisory Council.
Contents
Summary
Call to Order and Approval of March 27, 2015, Summary Report
Director's Update
2014 National Healthcare Q…
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www.ahrq.gov/news/events/nac/2016-07-nac/nacmtg0716-minutes.html
November 01, 2016 - Meeting Minutes, July 2016
National Advisory Council
Minutes from the July 22, 2016, meeting of the Agency for Healthcare Research and Quality's National Advisory Council.
Contents
Summary
Call to Order and Approval of April 20, 2016, Summary Report
Director's Update
Update on the Synthesis of Evide…
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www.ahrq.gov/patient-safety/reports/engage/appf.html
March 01, 2017 - Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families
Appendix F. Interventions
Previous Page
Table of Contents
Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families
Executive Summary
Introduction
Limitations of …
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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-Patterson_48.pdf
May 05, 2008 - Parents
Anxiety
Dangerous Movement Mechanical
Procedure operator
Airway
Local anesthesia
Non-opioids … Opioids
Distraction
Choice
Inhalational
Benzo
Table 1.
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www.ahrq.gov/sites/default/files/publications2/files/hac-cost-report2017.pdf
November 01, 2017 - Adverse Drug Events (anticoagulants, opioids, and hypoglycemic agents)
2. … Another caution: we were only able to
include studies involving the administration of opioids and, thus … dealing with the
three drug classes in the Common Formats for Surveillance definition of ADEs, including opioids … Estimate (95% CI)
ADE Hospitalized patients who
are given anticoagulants,
hypoglycemic agents, and
opioids
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/hac-cost-report2017.pdf
November 01, 2017 - Adverse Drug Events (anticoagulants, opioids, and hypoglycemic agents)
2. … Another caution: we were only able to
include studies involving the administration of opioids and, thus … dealing with the
three drug classes in the Common Formats for Surveillance definition of ADEs, including opioids … Estimate (95% CI)
ADE Hospitalized patients who
are given anticoagulants,
hypoglycemic agents, and
opioids
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psnet.ahrq.gov/web-mm/check-bags
January 03, 2017 - Check the Bags
Citation Text:
Caldwell M, Dracup KA. Check the Bags. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2003.
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psnet.ahrq.gov/web-mm/secured-not-always-safe
October 01, 2015 - Secured But Not Always Safe
Citation Text:
Jahr JS, Hosseini P. Secured But Not Always Safe. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2006.
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psnet.ahrq.gov/node/49860/psn-pdf
April 01, 2019 - Hip Fractures in Older Patients: the Case for Geriatrics
Comanagement
April 1, 2019
Rogers S, Ward D. Hip Fractures in Older Patients: the Case for Geriatrics Comanagement. PSNet
[internet]. 2019.
https://psnet.ahrq.gov/web-mm/hip-fractures-older-patients-case-geriatrics-comanagement
The Case
An 82-year-old man …
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psnet.ahrq.gov/innovation/critical-radiology-alert-process
November 16, 2022 - Critical Radiology Alert Process
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October 30, 2024
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Innovation
Contact
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March 04, 2020 - The Hidden Harms of Hand Sanitizer
Citation Text:
Stewart S. The Hidden Harms of Hand Sanitizer. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017.
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psnet.ahrq.gov/sites/default/files/2023-01/spotlight_respiratory_distress_after_neck_surgery_two_cases_of_postoperative_cervical_hematoma.pdf
January 01, 2023 - osteoarthritis, and spinal stenosis, status/post two previous
spine surgeries and long-term use of opioid … analgesics
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digital.ahrq.gov/sites/default/files/docs/artificial-intelligence-tools-improve-qa-03182025.pdf
March 18, 2025 - AHRQ National Webinar on Artificial Intelligence Tools to Improve Provider Effectiveness and Patient Outcomes – Questions and Answers
AHRQ National …
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psnet.ahrq.gov/web-mm/misdiagnosis-small-bowel-obstruction-setting-previous-abdominal-operations
September 27, 2023 - SPOTLIGHT CASE
Misdiagnosis of Small Bowel Obstruction in the Setting of Previous Abdominal Operations
Citation Text:
Brown S, Utter GH, Barnes DK. Misdiagnosis of Small Bowel Obstruction in the Setting of Previous Abdominal Operations. PSNet [internet]. Rockville (MD): Agency for Healthcare Rese…