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psnet.ahrq.gov/node/842760/psn-pdf
January 18, 2023 - Self-reported gaps in care coordination and preventable
adverse outcomes among older adults receiving home
health care.
January 18, 2023
Sterling MR, Lau J, Rajan M, et al. Self?reported gaps in care coordination and preventable adverse
outcomes among older adults receiving home health care. J Am Geriatr Soc. 2023…
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psnet.ahrq.gov/node/60023/psn-pdf
March 11, 2020 - Patient-related factors associated with an increased risk
of being a reported case of preventable harm in first-line
health care: a case-control study
March 11, 2020
Fernholm R, Holzmann MJ, Wachtler C, et al. Patient-related factors associated with an increased risk of
being a reported case of preventable harm in…
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psnet.ahrq.gov/node/836967/psn-pdf
April 20, 2022 - Hospital acquired infections in surgical patients: impact
of COVID-19-related infection prevention measures.
April 20, 2022
Tham N, Fazio T, Johnson D, et al. Hospital acquired infections in surgical patients: impact of COVID-19-
related infection prevention measures. World J Surg. 2022;46:1249-1258. doi:10.1007/s0…
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psnet.ahrq.gov/node/45216/psn-pdf
June 08, 2016 - Ambulatory computerized prescribing and preventable
adverse drug events.
June 8, 2016
Overhage JM, Gandhi TK, Hope C, et al. Ambulatory Computerized Prescribing and Preventable Adverse
Drug Events. J Patient Saf. 2016;12(2):69-74. doi:10.1097/PTS.0000000000000194.
https://psnet.ahrq.gov/issue/ambulatory-computeriz…
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psnet.ahrq.gov/node/37923/psn-pdf
July 23, 2008 - Unit-based clinical pharmacists' prevention of serious
medication errors in pediatric inpatients.
July 23, 2008
Kaushal R, Bates DW, Abramson EL, et al. Unit-based clinical pharmacists' prevention of serious
medication errors in pediatric inpatients. Am J Health-Syst Pharm. 2008;65(13):1254-1260.
doi:10.2146/ajhp0…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/fallspx/handout.html
November 01, 2017 - I don’t think we do well at finding weaknesses in our overall preventive practices.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Encinosa.pdf
January 01, 2003 - What Happens After a Patient Safety Event? Medical Expenditures and Outcomes in Medicare
423
What Happens After a Patient Safety Event?
Medical Expenditures and Outcomes
in Medicare
William E. Encinosa, Fred J. Hellinger
Abstract
Objective: To estimate the impact of potentially preventable adverse event…
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psnet.ahrq.gov/node/45332/psn-pdf
August 27, 2018 - Guideline implementation: prevention of retained surgical
items.
August 27, 2018
Fencl JL. Guideline Implementation: Prevention of Retained Surgical Items. AORN J. 2016;104(1):37-48.
doi:10.1016/j.aorn.2016.05.005.
https://psnet.ahrq.gov/issue/guideline-implementation-prevention-retained-surgical-items
Although i…
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www.ahrq.gov/nursing-home/resources/module-3-integrating-prevention.html
April 01, 2022 - Module 3—Integrating Infection Prevention and Control into the Quality Assurance Performance Improvement Program—The Nursing Home Infection Preventionist Training Course
Resource: Module 3—Integrating Infection Prevention and Control into the Quality Assurance Performance Improvement Program—The Nursing Home I…
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psnet.ahrq.gov/node/43640/psn-pdf
November 12, 2014 - Infection prevention in the emergency department.
November 12, 2014
Liang SY, Theodoro DL, Schuur JD, et al. Infection prevention in the emergency department. Ann Emerg
Med. 2014;64(3):299-313. doi:10.1016/j.annemergmed.2014.02.024.
https://psnet.ahrq.gov/issue/infection-prevention-emergency-department
Emergency c…
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psnet.ahrq.gov/node/72697/psn-pdf
February 03, 2021 - Culture of safety: impact on improvement in infection
prevention process and outcomes.
February 3, 2021
Braun B, Chitavi SO, Suzuki H, et al. Culture of Safety: Impact on Improvement in Infection Prevention
Process and Outcomes. Curr Infect Dis Rep. 2020;22(12):34. doi:10.1007/s11908-020-00741-y.
https://psnet.ahr…
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psnet.ahrq.gov/node/50652/psn-pdf
January 01, 2020 - Preventable adverse drug events: descriptive
epidemiology.
November 13, 2019
Woo SA, Cragg A, Wickham ME, et al. Preventable adverse drug events: Descriptive epidemiology. Br J
Clin Pharmacol. 2020;86(2):291-302. doi:10.1111/bcp.14139.
https://psnet.ahrq.gov/issue/preventable-adverse-drug-events-descriptive-epidem…
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psnet.ahrq.gov/node/34674/psn-pdf
December 23, 2008 - Incidence and preventability of adverse drug events in
hospitalized patients.
December 23, 2008
Bates DW, Leape L, Petrycki S. Incidence and preventability of adverse drug events in hospitalized adults.
J Gen Intern Med. 1993;8(6):289-294.
https://psnet.ahrq.gov/issue/incidence-and-preventability-adverse-drug-even…
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psnet.ahrq.gov/node/44378/psn-pdf
August 05, 2015 - Advancing medication safety: establishing a National
Action Plan for Adverse Drug Event Prevention.
August 5, 2015
Harris Y, Hu DJ, Lee C, et al. Advancing Medication Safety: Establishing a National Action Plan for
Adverse Drug Event Prevention. Jt Comm J Qual Patient Saf. 2015;41(8):351-60.
https://psnet.ahrq.gov…
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psnet.ahrq.gov/node/50888/psn-pdf
February 12, 2020 - Preventable closed claims in the AANA Foundation
closed malpractice claims database.
February 12, 2020
Kremer MJ, Hirsch M, Geisz-Everson M, et al. Preventable Closed Claims in the AANA Foundation Closed
Malpractice Claims Database. AANA J. 2019;87(6).
https://psnet.ahrq.gov/issue/preventable-closed-claims-aana-fo…
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-213-fullreport.pdf
January 01, 2019 - Service – preventive health, including services to promote healthy birth: Yes.
e. … Preventive
Services Task Force (USPSTF) rankings (criteria denoted in Table 4; see Supporting
Documents … ONC’s Health IT Standards explicitly address the ability to create patient‐specific reminders
for preventive … manage SCD could be achieved through these
mechanisms, meeting the goals of anticipatory guidance preventive
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/prostate-cancer-therapies-update_executive.pdf
December 01, 2014 - Preventive Services Task Force
recommended against PSA-based screening for prostate
cancer in healthy … Preventive Services Task Force. Screening
for prostate cancer: U.S. … Preventive Services Task Force
recommendation statement. … Preventive Services Task Force left out. N Engl J Med. 2011 Nov
24;365(21):1949-51.
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs023654-munson-final-report-2017.pdf
January 01, 2017 - In June 2012, The United States Preventive Services Task Force published guidelines recommending
primary … US Preventive services task force recommendation
21
statement. … US Preventive Services Task Force. Screening for and
Management of Obesity in Adults: U.S. … Preventive Services
Task Force Recommendation Statement. AHRQ #11-
05159-EF-2. June 2012.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/108-performing-premortem-project-assessment.pptx
April 01, 2025 - Mini Presentation: Performing a Premortem Project Assessment
Mini Presentation: Performing a Premortem Project Assessment
Surgical Services
For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries
AHRQ Pub. No. 25-0029
April 2025
AHRQ Safety Program for MRSA Prevention: Targeting SSI
AHRQ Safety Pro…
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psnet.ahrq.gov/issue/comparing-catheter-associated-urinary-tract-infection-prevention-programs-between-veterans
December 21, 2017 - Study
Comparing catheter-associated urinary tract infection prevention programs between Veterans Affairs nursing homes and non–Veterans Affairs nursing homes.
Citation Text:
Mody L, Greene T, Saint S, et al. Comparing Catheter-Associated Urinary Tract Infection Prevention Programs Betwee…