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  1. Complicated: medical missteps are not inevitable. | PSNet

    psnet.ahrq.gov/issue/complicated-medical-missteps-are-not-inevitable
    August 30, 2023 - Commentary Complicated: medical missteps are not inevitable. Citation Text: Yurkiewicz IR. Complicated: Medical Missteps Are Not Inevitable. Health Aff (Millwood). 2018;37(7):1178-1181. doi:10.1377/hlthaff.2017.1550. Copy Citation Format: DOI Google Scholar PubMed BibTeX En…

  2. When diagnostic testing leads to harm: a new outcomes-based approach for laboratory medicine. | PSNet

    psnet.ahrq.gov/issue/when-diagnostic-testing-leads-harm-new-outcomes-based-approach-laboratory-medicine
    September 12, 2018 - Commentary When diagnostic testing leads to harm: a new outcomes-based approach for laboratory medicine. Citation Text: Epner PL, Gans JE, Graber ML. When diagnostic testing leads to harm: a new outcomes-based approach for laboratory medicine. BMJ Qual Saf. 2013;22 Suppl 2:ii6-ii10. d…

  3. Telehealth | Digital Healthcare Research

    digital.ahrq.gov/telehealth-0
    January 01, 2023 - This information is for reference purposes only. It was current when produced and may now be outdated. Archive material is no longer maintained, and some links may not work. Persons with disabilities having difficulty accessing this information should contact us at: https://digital.ahrq.gov/contact-us . Let us know th…

  4. Overview of the Environmental Scan of Primary Care-Based Effort To Reduce Readmissions. | PSNet

    psnet.ahrq.gov/issue/overview-environmental-scan-primary-care-based-effort-reduce-readmissions
    November 01, 2016 - Book/Report Overview of the Environmental Scan of Primary Care-Based Effort To Reduce Readmissions. Citation Text: Overview of the Environmental Scan of Primary Care-Based Effort To Reduce Readmissions. Hochman M, Bourgoin A, Saluja S, et al. Rockville, MD: Agency for Healthcare Research…

  5. Is myocardial infarction overdiagnosed? | PSNet

    psnet.ahrq.gov/issue/myocardial-infarction-overdiagnosed
    June 28, 2017 - Commentary Is myocardial infarction overdiagnosed? Citation Text: McCarthy CP, Wasfy JH, Januzzi JL. Is myocardial infarction overdiagnosed? JAMA. 2024;331(19):1623. doi:10.1001/jama.2024.5235. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML End…

  6. Malnutrition in Hospitalized Adults: A Systematic Review. | PSNet

    psnet.ahrq.gov/issue/malnutrition-hospitalized-adults-systematic-review
    December 21, 2022 - Book/Report Malnutrition in Hospitalized Adults: A Systematic Review. Citation Text: Malnutrition in Hospitalized Adults: A Systematic Review. Uhl S, Siddique SM, McKeever L, et al. Rockville, MD: Agency for Healthcare Research and Quality; October 2021.  AHRQ Publication No. 21(22)…

  7. Reducing Hospital Length of Stay Supplemental Info (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/pdf/topic-nom-length-stay-supplement.pdf
    June 27, 2019 - Reducing Hospital Length of Stay Supplemental Info Reducing Hospital Length of Stay: Topic Nomination from the LHS Panel Project June 27, 2019 1. What is the decision or change (e.g. clinical topic, practice guideline, system design, delivery of care) you are facing or struggling with where a summary of the evid…

  8. Effective Health Care (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/pdf/TND_0261_07-16-2010.pdf
    January 01, 2010 - Effective Health Care Topic Number: 0280 Document Completion Date: 3-23-11 1 Results of Topic Selection Process & Next Steps  Interventions to modify physicians’ and other providers’ adherence to asthma guidelines will go forward for refinement as a systematic review. The scope of this topic,…

  9. An interview with Lucian Leape. | PSNet

    psnet.ahrq.gov/issue/interview-lucian-leape
    June 30, 2011 - Commentary An interview with Lucian Leape. Citation Text: Schyve PM. An Interview with Lucian Leape. Jt Comm J Qual Patient Saf. 2016;30(12):653-658. doi:10.1016/s1549-3741(04)30076-6. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagg…

  10. Potentially Preventable Readmissions: Conceptual Framework To Rethink the Role of Primary Care. Executive Summary. | PSNet

    psnet.ahrq.gov/issue/potentially-preventable-readmissions-conceptual-framework-rethink-role-primary-care-executive
    November 01, 2016 - Book/Report Potentially Preventable Readmissions: Conceptual Framework To Rethink the Role of Primary Care. Executive Summary. Citation Text: Maxwell J, Bourgoin A, Crandall J. Potentially Preventable Readmissions: Conceptual Framework To Rethink The Role Of Primary Care. Executive Summa…

  11. HealthGrades Quality Study: Fourth Annual Patient Safety in American Hospitals Study. | PSNet

    psnet.ahrq.gov/issue/healthgrades-quality-study-fourth-annual-patient-safety-american-hospitals-study
    January 04, 2017 - Book/Report HealthGrades Quality Study: Fourth Annual Patient Safety in American Hospitals Study. Citation Text: HealthGrades Quality Study: Fourth Annual Patient Safety in American Hospitals Study. Denver, CO; Health Grades Inc; 2007. Copy Citation Save Save …

  12. Medication reconciliation only as good as the IT allows. | PSNet

    psnet.ahrq.gov/issue/medication-reconciliation-only-good-it-allows
    July 10, 2024 - Newspaper/Magazine Article Medication reconciliation only as good as the IT allows. Citation Text: Page D. Medication reconciliation only as good as the IT allows. Hospitals & health networks. 2011;85(3):48, 50. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 …

  13. Hospitals in two states denied an abortion to a miscarrying patient. Investigators say they broke federal law. | PSNet

    psnet.ahrq.gov/issue/hospitals-two-states-denied-abortion-miscarrying-patient-investigators-say-they-broke-federal
    September 20, 2023 - Newspaper/Magazine Article Hospitals in two states denied an abortion to a miscarrying patient. Investigators say they broke federal law. Citation Text: Hospitals in two states denied an abortion to a miscarrying patient. Investigators say they broke federal law. Surana K. Pro Publica. M…

  14. Special report: COVID deepens the other opioid crisis - a shortage of hospital painkillers. | PSNet

    psnet.ahrq.gov/issue/special-report-covid-deepens-other-opioid-crisis-shortage-hospital-painkillers
    March 31, 2021 - Newspaper/Magazine Article Special report: COVID deepens the other opioid crisis - a shortage of hospital painkillers. Citation Text: Girion L, Levine D, Respaut R. Special report: COVID deepens the other opioid crisis - a shortage of hospital painkillers. Reuters. 2020;June 9. Copy Ci…

  15. Medication Safety: Advancing the Development of Improvement Strategies and Tools (R18). | PSNet

    psnet.ahrq.gov/issue/medication-safety-advancing-development-improvement
    January 08, 2020 - Grant Announcement Medication Safety: Advancing the Development of Improvement Strategies and Tools (R18). Citation Text: Medication Safety: Advancing the Development of Improvement Strategies and Tools (R18).  Rockville, MD: Agency for Healthcare Research and Quality; Septembe…

  16. Improving care transitions: current practice and future opportunities for pharmacists. | PSNet

    psnet.ahrq.gov/issue/improving-care-transitions-current-practice-and-future-opportunities-pharmacists
    December 12, 2012 - Commentary Improving care transitions: current practice and future opportunities for pharmacists. Citation Text: Pharmacy AC of C, Hume AL, Kirwin J, et al. Improving care transitions: current practice and future opportunities for pharmacists. Pharmacotherapy. 2012;32(11):e326-37. doi…

  17. Adversarial attacks on medical machine learning. | PSNet

    psnet.ahrq.gov/issue/adversarial-attacks-medical-machine-learning
    March 19, 2019 - Study Adversarial attacks on medical machine learning. Citation Text: Finlayson SG, Bowers JD, Ito J, et al. Adversarial attacks on medical machine learning. Science (1979). 2019;363(6433):1287-1289. doi:10.1126/science.aaw4399. Copy Citation Format: DOI Google Scholar PubM…

  18. Do no unconscious harm. | PSNet

    psnet.ahrq.gov/issue/do-no-unconscious-harm
    October 14, 2020 - Newspaper/Magazine Article Do no unconscious harm. Citation Text: Ortega RP. Do no unconscious harm. Science. 2023;379(6635):870-873. doi:10.1126/science.adh3698. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

  19. Focus on Computerized Provider Order Entry. | PSNet

    psnet.ahrq.gov/issue/focus-computerized-provider-order-entry
    March 11, 2020 - Special or Theme Issue Focus on Computerized Provider Order Entry. Citation Text: Focus on Computerized Provider Order Entry. J Am Med Inform Assoc. 2007 Jan-Feb;14(1):25-75 Copy Citation Save Save to your library Print Download PDF Share …

  20. Education is “predictably disappointing” and should never be relied upon alone to improve safety. | PSNet

    psnet.ahrq.gov/issue/education-predictably-disappointing-and-should-never-be-relied-upon-alone-improve-safety
    June 15, 2022 - Newspaper/Magazine Article Education is “predictably disappointing” and should never be relied upon alone to improve safety. Citation Text: Education is “predictably disappointing” and should never be relied upon alone to improve safety. ISMP Medication Safety Alert! Acute care edition. …
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