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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/156-what-are-4es.pptx
October 01, 2024 - AHRQ Safety Program for MRSA Prevention
AHRQ Safety Program for MRSA Prevention
What Are the 4 Es?
ICU/Non-ICU
AHRQ Pub. No. 25-0007
October 2024
AHRQ Safety Program for MRSA Prevention | ICU & Non-ICU
What Are The Four Es
1
Educational Objectives
Define the 4 Es framework—Engage, Educate, Execute, Evaluate—and ex…
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www.ahrq.gov/sites/default/files/2024-07/bates2-report.pdf
January 01, 2024 - Final Progress Report: Improving Quality With Outpatient Decision Support
Title: Improving Quality With Outpatient Decision Support
Principal Investigator: David W. Bates, MD
Organization: Brigham and Women's Hospital, Boston, Massachusetts
Federal Project Officer: Stanley Edinger
Grant Number: 5 U18 HS011046
Grant S…
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cdsic.ahrq.gov/sites/default/files/2024-09/CDSiC%20Chart%20Book%202024_508.pdf
January 01, 2024 - Involving End-Users in Co-Design of Patient-Centered Clinical Decision Support
Involving End-Users in Co-Design
of Patient-Centered Clinical
Decision Support
This chartbook provides an overview of key takeaways from Trust and Patient-Centeredness
Workgroup: Methods for Involving End-Users in PC CDS Co-Design, …
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digital.ahrq.gov/sites/default/files/CDSiC%20Chart%20Book%202024_508.pdf
May 08, 2023 - Involving End-Users in Co-Design of Patient-Centered Clinical Decision Support
Involving End-Users in Co-Design
of Patient-Centered Clinical
Decision Support
This chartbook provides an overview of key takeaways from Trust and Patient-Centeredness
Workgroup: Methods for Involving End-Users in PC CDS Co-Design, …
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psnet.ahrq.gov/web-mm/strongyloides-hidden-traveler-and-potentially-lethal-missed-diagnosis
August 25, 2021 - SPOTLIGHT CASE
Strongyloides: A Hidden Traveler and Potentially Lethal Missed Diagnosis.
Citation Text:
Carlile N, Smith CL, Maguire JH, et al. Strongyloides: A Hidden Traveler and Potentially Lethal Missed Diagnosis.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, …
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/TuWmfBsDp6S9NXjTHNdGou
April 01, 2004 - Prevention of Dental Caries in Preschool Children - Recommendations and Rationale
Summary of
Recommendations
The USPSTF recommends that primary care
clinicians prescribe oral fluoride supplementation at
currently recommended doses to preschool children
older than 6 months of age whose primary water
source is deficie…
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/deprescribing-protocol.pdf
July 01, 2023 - EHC Protocol: Making Healthcare Safer IV: Deprescribing to Reduce Medication Harms in Older Adults
1
Evidence-based Practice Center Rapid Response Protocol
Project Title: Making Healthcare Safer IV: Deprescribing to
Reduce Medication Harms in Older Adults
1. What is the frequency and severity of har…
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effectivehealthcare.ahrq.gov/sites/default/files/s5.pdf
October 01, 2007 - ORIGINAL ARTICLE
Emerging Methods in Comparative Effectiveness
and Safety
Symposium Overview and Summary
Kathleen N. Lohr, PhD
Background: Interest in new methods for comparative effective-
ness, drug and patient safety, and related studies is burgeoning. The
advent of Medicare Part D for outpatient prescription dr…
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psnet.ahrq.gov/node/49771/psn-pdf
July 01, 2016 - Unintended Consequences of CPOE
October 1, 2016
Wears RL. Unintended Consequences of CPOE. PSNet [internet]. 2016.
https://psnet.ahrq.gov/web-mm/unintended-consequences-cpoe
Case Objectives
Explain how technology, including computerized provider order entry, can transform, rather than
eliminate, hazards.
Recogni…
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psnet.ahrq.gov/web-mm/emr-entry-error-not-so-benign
July 01, 2012 - EMR Entry Error: Not So Benign
Citation Text:
Koppel R. EMR Entry Error: Not So Benign. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2009.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endno…
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psnet.ahrq.gov/web-mm/pre-analytical-pitfalls-missing-and-mislabeled-specimens
April 18, 2018 - Pre-analytical pitfalls: Missing and mislabeled specimens
Citation Text:
Tran NK, Liu Y. Pre-analytical pitfalls: Missing and mislabeled specimens . PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2020.
Copy Citation
Format:
…
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psnet.ahrq.gov/Information/Editor
May 23, 2025 - Browse Author Resources
Meet PSNet's Editorial Team The PSNet editorial team is committed to producing the highest quality patient safety content. The team brings a wealth of experience and deep subject matter expertise in the field, ensuring that PSNet content is accurate, reliable, and…
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psnet.ahrq.gov/web-mm/snfs-opening-black-box
August 27, 2012 - SNFs: Opening the Black Box
Citation Text:
Ouslander JG, Bonner A. SNFs: Opening the Black Box. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2013.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 X…
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psnet.ahrq.gov/node/49758/psn-pdf
April 01, 2016 - Dropping to New Lows
April 1, 2016
Juang PC, Kulasa K. Dropping to New Lows. PSNet [internet]. 2016.
https://psnet.ahrq.gov/web-mm/dropping-new-lows
Case Objectives
State how to manage diabetes medications when patients are admitted to the hospital
Describe a guideline-recommended insulin regimen for a hospitaliz…
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psnet.ahrq.gov/node/73145/psn-pdf
April 28, 2021 - In Conversation With... José A, Morfín, MD, FASN
April 28, 2021
In Conversation With.. José A, Morfín, MD, FASN. PSNet [internet]. 2021.
https://psnet.ahrq.gov/perspective/conversation-jose-morfin-md-fasn
Editor’s Note: José A, Morfín, MD, FASN, is a health sciences clinical professor at the University of
Californ…
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/ace-inhibitor-arb-future_research.pdf
March 01, 2012 - Future Research Needs for Angiotensin-Converting Enzyme Inhibitors (ACEIs), Angiotensin II Receptor Antagonists (ARBs), or Direct Renin Inhibitors (DRIs) for Treating Hypertension
Future Research Needs Paper
Number 14
Future Research Needs for
Angiotensin-Converting
Enzyme Inhibitors (ACEIs),
Angiotensin II Receptor…
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www.ahrq.gov/faqs/index.html?page=3
December 20, 2012 - written agreement with a third party for the acquisition of property or services or the conduct of prescribed
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/029-ss-review-ssi-prevention-fg.docx
April 01, 2025 - A sample of the purulent drainage was sent for cultures, and he was prescribed oral antibiotics.
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/ssi/ssiapu.pptx
September 18, 2011 - Microbiology test ordered between post-operative days 4 and 30 (inclusive), or
An antibacterial was prescribed
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cdsic.ahrq.gov/sites/default/files/2024-02/Innovation%20Center%20Q4%202023%20Progress%20Report_508_01052024.pdf
January 01, 2024 - medications were modified to ensure that a)
patients begin and continue taking their medications as prescribed