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effectivehealthcare.ahrq.gov/sites/default/files/pdf/TND_0519_02-27-2012.pdf
January 01, 2012 - Effective Health Care
Topic Number: 0437
Document Completion Date: 05-10-12
1
Results of Topic Selection Process & Next Steps
Heart failure hospital readmission prevention will go forward for refinement as an update to or
expansion of an existing comparative effectiveness or effectiveness revie…
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psnet.ahrq.gov/issue/greater-focus-credentialing-needed-prevent-disqualified-providers-delivering-patient-care
September 25, 2019 - Book/Report
Greater Focus on Credentialing Needed to Prevent Disqualified Providers From Delivering Patient Care.
Citation Text:
Greater Focus on Credentialing Needed to Prevent Disqualified Providers From Delivering Patient Care. Washington, DC: United States Government Accountability O…
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psnet.ahrq.gov/issue/prevalence-preventable-medication-related-hospitalizations-australia-opportunity-reduce-harm
September 23, 2020 - Study
Prevalence of preventable medication-related hospitalizations in Australia: an opportunity to reduce harm.
Citation Text:
Kalisch LM, Caughey GE, Barratt JD, et al. Prevalence of preventable medication-related hospitalizations in Australia: an opportunity to reduce harm. Int J Qual…
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psnet.ahrq.gov/issue/building-safer-systems-ecological-design-using-restoration-science-develop-medication-safety
February 14, 2024 - Study
Building safer systems by ecological design: using restoration science to develop a medication safety intervention.
Citation Text:
Marck PB, Kwan JA, Preville B, et al. Building safer systems by ecological design: using restoration science to develop a medication safety intervent…
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psnet.ahrq.gov/issue/do-micropauses-prevent-surgeons-fatigue-and-loss-accuracy-associated-prolonged-surgery
November 29, 2023 - Study
Do micropauses prevent surgeon's fatigue and loss of accuracy associated with prolonged surgery? An experimental prospective study.
Citation Text:
Dorion D, Darveau S. Do micropauses prevent surgeon's fatigue and loss of accuracy associated with prolonged surgery? An experimental…
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psnet.ahrq.gov/issue/physician-implicit-review-identify-preventable-errors-during-hospital-cardiac-arrest
August 02, 2013 - Study
Physician implicit review to identify preventable errors during in-hospital cardiac arrest.
Citation Text:
Jain R, Kuhn L, Repaskey W, et al. Physician implicit review to identify preventable errors during in-hospital cardiac arrest. Arch Intern Med. 2011;171(1):89-90. doi:10.1001/…
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psnet.ahrq.gov/issue/medication-errors-neonatal-intensive-care-unit
October 05, 2022 - Study
Medication errors in a neonatal intensive care unit.
Citation Text:
Lerner RB de ME, de Carvalho M, Vieira AA, et al. Medication errors in a neonatal intensive care unit. J Pediatr (Rio J). 2008;84(2):166-70. doi:10.2223/JPED.1757.
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psnet.ahrq.gov/issue/role-medical-students-preventing-patient-harm-and-enhancing-patient-safety
July 10, 2008 - Study
Role of medical students in preventing patient harm and enhancing patient safety.
Citation Text:
Seiden SC, Galvan C, Lamm R. Role of medical students in preventing patient harm and enhancing patient safety. Qual Saf Health Care. 2006;15(4):272-6.
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psnet.ahrq.gov/issue/factors-associated-reported-preventable-adverse-drug-events-retrospective-case-control-study
November 16, 2022 - Study
Factors associated with reported preventable adverse drug events: a retrospective, case-control study.
Citation Text:
Beckett RD, Sheehan AH, Reddan JG. Factors associated with reported preventable adverse drug events: a retrospective, case-control study. Ann Pharmacother. 2012;46…
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psnet.ahrq.gov/issue/safe-medication-management-ambulatory-surgery-centers
December 14, 2016 - Commentary
Safe medication management at ambulatory surgery centers.
Citation Text:
Ubaldi K. Safe Medication Management at Ambulatory Surgery Centers. AORN J. 2019;109(4):435-442. doi:10.1002/aorn.12635.
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hcup-us.ahrq.gov/reports/statbriefs/sb96.pdf
September 01, 2010 - Statistical Brief #96: Potentially Preventable Hospitalizations among Medicare-Medicaid Dual Eligibles, 2008
From
HEALTHCARE COST AND
UTILIZATION PROJECT
Agency for Healthcare
Research and Quality
STATISTICAL BRIEF #96
September 2010
Highlights
■ In 2008, approximately 18 percent of
Medic…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/023-ss-cusp-learning-from-defects-fg.docx
April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI
Learning From Defects
Surgical Services
For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries
Slide Title and Commentary
Slide Number and Slide
Learning From Defects
SAY:
Welcome to this presentation on Learning From Defects as part of an o…
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psnet.ahrq.gov/node/49666/psn-pdf
October 01, 2012 - CA-MRSA Skin Infections: An Ounce of Prevention is
Worth a Pound of Cure
October 1, 2012
Liu C. CA-MRSA Skin Infections: An Ounce of Prevention is Worth a Pound of Cure. PSNet [internet].
2012.
https://psnet.ahrq.gov/web-mm/ca-mrsa-skin-infections-ounce-prevention-worth-pound-cure
Case Objectives
Identify risk f…
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psnet.ahrq.gov/node/49448/psn-pdf
June 01, 2004 - Listen to the Family
June 1, 2004
Campbell D. Listen to the Family. PSNet [internet]. 2004.
https://psnet.ahrq.gov/web-mm/listen-family
The Case
Vascular surgery was consulted for placement of a dialysis catheter in a patient on the medical floor. The
surgical resident examined the patient, an elderly woman with …
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/urinary-retention.pdf
April 01, 2022 - Making It Work Tip Sheet: Managing Urinary Retention and Catheterization in Intensive Care Unit Patients With Primary Neurologic Disorders
AHRQ Safety Program for Intensive Care Units:
Preventing CLABSI and CAUTI
Making It Work Tip Sheet
Managing Urinary Retention and Catheterization in Intensive
Care …
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www.ahrq.gov/research/findings/nhqrdr/2014chartbooks/womenhealth/wm-comm.html
September 01, 2015 - Chartbook on Women's Health Care
Communication and Care Coordination
Previous Page Next Page
Table of Contents
Chartbook on Women's Health Care
Acknowledgments
Women's Health Care
Key Findings of the 2014 QDR
2014 Chartbooks
Access to Health Care
Affordability
Communication and Care …
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psnet.ahrq.gov/node/33735/psn-pdf
August 01, 2012 - Medication Safety in Nursing Homes: What's Wrong and
How to Fix It
August 1, 2012
Gurwitz JH. Medication Safety in Nursing Homes: What's Wrong and How to Fix It. PSNet [internet]. 2012.
https://psnet.ahrq.gov/perspective/medication-safety-nursing-homes-whats-wrong-and-how-fix-it
Perspective
At any point in time, …
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psnet.ahrq.gov/primer/measurement-patient-safety
September 15, 2024 - Measurement of Patient Safety
Citation Text:
Measurement of Patient Safety. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/cer-210-breastfeeding-evidence-summary.pdf
January 01, 2020 - Preventive Services Task Force
(USPSTF) recommends providing interventions during
pregnancy and after … Women’s
Preventive Services Guidelines. … Primary
care interventions to support breastfeeding: US Preventive
Services Task Force recommendation … interventions to support breastfeeding: updated evidence report
and systematic review for the US Preventive
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/hbSopN6uA9u-4EQuKtRGDP
October 01, 2011 - Preventive Services
Task Force
Erin S. LeBlanc, MD, MPH; Elizabeth O’Connor, PhD; Evelyn P. … Preventive Services Task Force
(USPSTF) recommended that clinicians screen all adults
for obesity and … Harris RP, Helfand M, Woolf SH, Lohr KN, Mulrow CD, Teutsch SM,
et al; Methods Work Group, Third US Preventive … Current
methods of the US Preventive Services Task Force: a review of the process.