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psnet.ahrq.gov/node/60542/psn-pdf
May 27, 2020 - Life-Threatening Infant Overdose of Sodium Chloride
May 27, 2020
Hamline M, McGlynn G, Lee A, et al. Life-Threatening Infant Overdose of Sodium Chloride. PSNet
[internet]. 2020.
https://psnet.ahrq.gov/web-mm/life-threatening-infant-overdose-sodium-chloride
The Case
An infant with trisomy 21 underwent repair of a…
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psnet.ahrq.gov/node/49768/psn-pdf
September 01, 2016 - A Pill Organizing Plight
September 1, 2016
McGalliard B, Shane R, Rosen S. A Pill Organizing Plight. PSNet [internet]. 2016.
https://psnet.ahrq.gov/web-mm/pill-organizing-plight
Case Objectives
Identify patients at high risk for adverse drug events.
List drugs that are considered inappropriate in older patients.
…
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digital.ahrq.gov/sites/default/files/docs/citation/r18hs018167-roberts-final-report-2013.pdf
January 01, 2013 - Self-Management & Reminders with Technology: SMART Appraisal of an Integrated PHR - Final Report
Title: Self-Management & Reminders with Technology: SMART Appraisal
of an Integrated PHR
Principal Investigator: Mark S. Roberts, MD, MPP
Team Members: Gary Fischer MD, University of Pittsburgh, Co-Investigator
…
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/anxiety-children_research-protocol.pdf
September 12, 2016 - Anxiety in Children
Evidence-based Practice Center Systematic Review Protocol
Project Title: Anxiety in Children
I. Background and Objectives for the Systematic Review
Childhood anxiety disorders are very common, affecting one in eight children1. The
National Institute of Mental Health (NIMH) estimates a li…
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effectivehealthcare.ahrq.gov/sites/default/files/s29.pdf
October 01, 2007 - ORIGINAL ARTICLE
Cluster Randomized Trials
Opportunities and Barriers Identified by Leaders of Eight Health Plans
Kathleen M. Mazor, MS, EdD,* James E. Sabin, MD,†‡§ Denise Boudreau, PhD,¶
Michael J. Goodman, PhD,� Jerry H. Gurwitz, MD,* Lisa J. Herrinton, PhD,**
Marsha A. Raebel, PharmD,††‡‡ Douglas Roblin, PhD,§§ …
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/prostate-cancer-surveillance_executive.pdf
December 01, 2011 - Five surveys of patients reported that
their physician’s treatment recommendation was the most
influential … recommended by their urologists to seek a second opinion.
12
None of the men followed through with the recommendation … The survey in
North Carolina reported that there was a difference in
whether physician recommendation
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hcup-us.ahrq.gov/db/state/siddist/WALetter_PAY2_PAY2_X.pdf
August 01, 2008 - Microsoft Word - WALetter_PAY2_PAY2_X.doc
DEPARTMENT OF HEALTH AND HUMAN SERVICES Public Health Service
Agency for Healthcare
Research and Quality
540 Gaither Road
Rockville, MD 20850
The Washington HCUP Central Distributor State Inpatient Databases (SID) that were
purchased prior to August 2008 …
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digital.ahrq.gov/ahrq-funded-projects/automated-notification-follow-testing-recommendations-across-care-settings/citation/impact
January 01, 2023 - Impact of an electronic alert notification system embedded in radiologists' workflow on closed-loop communication of critical results: a time series analysis.
Citation
Lacson R, O'Connor SD, Sahni VA, et al. Impact of an electronic alert notification system embedded in radiologists' workflow on closed…
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digital.ahrq.gov/2018-year-review/research-summary/emerging-innovative-newly-funded-research/learning-health-systems-applying-data-and-evidence-improve-patient-care
January 01, 2018 - Learning Health Systems—Applying Data and Evidence to Improve Patient Care
Health systems that effectively apply data and evidence to improve patient outcomes and care are called learning health systems (LHSs). Gathering evidence on how best to utilize health IT to generate, integrate, an…
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psnet.ahrq.gov/node/48170/psn-pdf
July 31, 2019 - Developing resilience to combat nurse burnout.
July 31, 2019
Quick Safety. July 15, 2019;(50):1-4.
https://psnet.ahrq.gov/issue/developing-resilience-combat-nurse-burnout
This newsletter article discusses nurse burnout and how to reduce conditions that contribute to the problem
. Recommendations focus on the role …
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psnet.ahrq.gov/node/35015/psn-pdf
June 16, 2011 - Keeping Patients Safe: Transforming the Work
Environment of Nurses.
June 16, 2011
Page A; Committee on the Work Environment for Nurses and Patient Safety, Board on Health Care
Services. Washington, DC: The National Academies Press; 2004. ISBN: 9780309090674.
https://psnet.ahrq.gov/issue/keeping-patients-safe-trans…
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psnet.ahrq.gov/node/42491/psn-pdf
September 18, 2013 - The incidence of diagnostic error in medicine.
September 18, 2013
Graber ML. The incidence of diagnostic error in medicine. BMJ Qual Saf. 2013;22 Suppl 2:ii21-ii27.
doi:10.1136/bmjqs-2012-001615.
https://psnet.ahrq.gov/issue/incidence-diagnostic-error-medicine
This review examines eight research methods used to es…
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www.ahrq.gov/patients-consumers/patient-involvement/patients-risk-of-falls.html
September 01, 2015 - New Tools Help Health Providers Reduce Patients' Risk of Falls
For older adults, falls are serious, no matter the setting. These falls can cause bone fractures, disability, and even death. Among people 75 and older, falls are far more likely to cause admissions into a long term care facility than for adults 10…
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psnet.ahrq.gov/node/39023/psn-pdf
November 19, 2018 - Pediatric Readiness in the Emergency Department.
November 19, 2018
Remick K, Gausche-Hill M, Joseph MM, et al. Pediatric Readiness in the Emergency Department.
Pediatrics. 2018;142(5):e20182459. doi:10.1542/peds.2018-2459.
https://psnet.ahrq.gov/issue/pediatric-readiness-emergency-department
This revised set of gu…
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psnet.ahrq.gov/node/35719/psn-pdf
April 12, 2011 - Risk management, or just a different risk: a national
survey of newborn units following a patient safety alert.
April 12, 2011
Freer Y. Risk management, or just a different risk? Archives of Disease in Childhood - Fetal and Neonatal
Edition. 2006;91(5). doi:10.1136/adc.2005.089540.
https://psnet.ahrq.gov/issue/ris…
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www.ahrq.gov/patients-consumers/index.html
August 01, 2018 - Patients & Consumers
AHRQ offers the latest evidence-based information for improving your health
Diagnosis & Treatment
Information for Patients and Consumers about getting diagnosed, having surgery, taking medications and having treatments, and using hospitals and clinics
Diagnosis
Surgery
…
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psnet.ahrq.gov/node/35535/psn-pdf
July 13, 2010 - American College of Endocrinology and American
Association of Clinical Endocrinologists position
statement on patient safety and medical system errors in
diabetes and endocrinology.
July 13, 2010
Bates DW, Clark NG, Cook RI, et al. American College of Endocrinology and American Association of
Clinical Endocrinolo…
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psnet.ahrq.gov/node/40592/psn-pdf
July 06, 2011 - Intrahospital transport to the radiology department: risk
for adverse events, nursing surveillance, utilization of a
MET and practice implications.
July 6, 2011
Ott LK, Hoffman LA, Hravnak M. Intrahospital Transport to the Radiology Department: Risk for Adverse
Events, Nursing Surveillance, Utilization of a MET an…
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psnet.ahrq.gov/node/42687/psn-pdf
September 29, 2017 - Safety checklist compliance and a false sense of safety:
new directions for research.
September 29, 2017
Rydenfält C, Ek Å, Larsson PA. Safety checklist compliance and a false sense of safety: new directions for
research. BMJ Qual Saf. 2014;23(3):183-6. doi:10.1136/bmjqs-2013-002168.
https://psnet.ahrq.gov/issue/s…
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psnet.ahrq.gov/node/37261/psn-pdf
December 19, 2011 - Creating complex health improvement programs as
mindful organizations: from theory to action.
December 19, 2011
Issel M, Narasimha KM. Creating complex health improvement programs as mindful organizations: from
theory to action. J Health Organ Manag. 2007;21(2):166-83.
https://psnet.ahrq.gov/issue/creating-complex…