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digital.ahrq.gov/sites/default/files/HDPM%20App%20Assessment%20Report_Final.pdf
April 01, 2022 - • Prior experience with FHIR integrations reduced the learning curve for both the app
developer and … postpartum care through proactive
symptom monitoring, but also described improvements that could have reduced … Prior experience with FHIR integrations reduced the
learning curve for both the app developer and healthcare … care through proactive symptom
monitoring, but also described several improvements that could have reduced … efficient identification of relevant diagnoses such as preeclampsia or gestational hypertension
and reduced
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www.uspreventiveservicestaskforce.org/uspstf/document/evidence-summary1/osteoporosis-screening-june-2018
June 26, 2018 - Denosumab reduced the risk of hip fracture (1 RCT [n = 7868]; RR, 0.60 [95% CI, 0.37-0.97]), but bisphosphonates … Evidence was limited for men: zoledronic acid reduced the risk of radiographic vertebral fractures (1 … Relevance: In women, screening to prevent osteoporotic fractures may reduce hip fractures, and treatment reduced … Raloxifene
Raloxifene (60 mg/d) reduced radiographic vertebral fracture (7.5% vs 12.5%; RR, 0.64 [95% … In women, screening to prevent osteoporotic fractures may reduce hip fractures, and treatment reduced
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www.ahrq.gov/sites/default/files/publications/files/clabsi-hpwpreport.pdf
May 01, 2015 - Reduced status distinctions—Practices that emphasize egalitarianism across employee
roles.
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psnet.ahrq.gov/node/45943/psn-pdf
March 15, 2017 - Identifying and reducing complications after emergency
room discharge.
March 15, 2017
Hofmann PB, Bagian JP. Patient Saf Qual Healthc. February 20, 2017.
https://psnet.ahrq.gov/issue/identifying-and-reducing-complications-after-emergency-room-discharge
Emergency departments are complex environments that harbor fac…
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psnet.ahrq.gov/node/72797/psn-pdf
March 03, 2021 - Evaluating the impact of a pharmacist-led prescribing
feedback intervention on prescribing errors in a hospital
setting.
March 3, 2021
Lloyd M, Watmough SD, O'Brien SV, et al. Evaluating the impact of a pharmacist-led prescribing feedback
intervention on prescribing errors in a hospital setting. Res Social Adm Pha…
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psnet.ahrq.gov/node/43774/psn-pdf
March 06, 2015 - A prospective cohort study of medication reconciliation
using pharmacy technicians in the emergency department
to reduce medication errors among admitted patients.
March 6, 2015
Cater SW, Luzum M, Serra AE, et al. A prospective cohort study of medication reconciliation using
pharmacy technicians in the emergency d…
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psnet.ahrq.gov/node/35218/psn-pdf
August 07, 2018 - Building a Memory: Preventing Harm, Reducing Risks and
Improving Patient Safety.
August 7, 2018
Scobie S, Thomson R. London, UK : National Patient Safety Agency; 2005.
https://psnet.ahrq.gov/issue/building-memory-preventing-harm-reducing-risks-and-improving-patient-safety
Created in 2001 to institute changes in he…
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www.ahrq.gov/patient-safety/settings/hospital/resource/index.html
February 01, 2025 - Hospitals and Health Systems
Tools and resources for Hospitals, Long-term Care Facilities, and Primary Care Facilities
Hospital Resources Toolkits, recommendations, and other resources for hospitals and hospital administrators to improve quality, reduce errors, and increase patient safety. Communication and O…
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psnet.ahrq.gov/node/36476/psn-pdf
December 14, 2009 - 10 Patient Safety Tips for Hospitals.
December 14, 2009
Rockville, MD: Agency for Healthcare Research and Quality; December 2009. AHRQ Publication No. 10-
M008.
https://psnet.ahrq.gov/issue/10-patient-safety-tips-hospitals
This tip sheet provides 10 practical steps hospitals can undertake to improve patient safety…
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digital.ahrq.gov/principal-investigator/dziorny-adam-c
January 01, 2025 - Dziorny, Adam C.
The PICU data collaborative: A novel, multi-institutional, pediatric critical care dataset.
Citation
Farris RWD, Shah SS, Bennett TD, Brown SR, Cornell TT, Dziorny AC, Flynn A, Grunwell J, Heneghan JA, Kennedy CE, Kretsu A, Mendonca E, Nishisaki A, Rogerson C,…
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digital.ahrq.gov/principal-investigator/shah-sareen-s
January 01, 2025 - Shah, Sareen S.
The PICU data collaborative: A novel, multi-institutional, pediatric critical care dataset.
Citation
Farris RWD, Shah SS, Bennett TD, Brown SR, Cornell TT, Dziorny AC, Flynn A, Grunwell J, Heneghan JA, Kennedy CE, Kretsu A, Mendonca E, Nishisaki A, Rogerson C, …
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psnet.ahrq.gov/node/50930/psn-pdf
February 21, 2020 - Pharmacist Role in Patient Safety
February 21, 2020
Dopp AL, Hall KK. Pharmacist Role in Patient Safety. PSNet [internet]. 2020.
https://psnet.ahrq.gov/perspective/pharmacist-role-patient-safety
Background: The Evolving Role of the Pharmacist
Medication errors are highly pervasive across all settings of care,[1] w…
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psnet.ahrq.gov/node/861882/psn-pdf
January 31, 2024 - Patient Safety in Office-Based Care Settings
January 31, 2024
Ricciardi R, Lee M, Mossburg S. Patient Safety in Office-Based Care Settings. PSNet [internet]. 2024.
https://psnet.ahrq.gov/perspective/patient-safety-office-based-care-settings
The Institute of Medicine’s 2000 publication To Err Is Human summarized res…
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integrationacademy.ahrq.gov/products/topic-briefs/emerging-best-practices-addressing-suicidality-primary-care
September 01, 2025 - coercive—can erode patient trust, discourage future help-seeking, and is not reliably associated with reduced … Contrary to common assumptions, involuntary psychiatric hospitalization is not reliably associated with reduced … of studies including over 3,500 participants found that Safety Planning Interventions significantly reduced … least six months and had frequent clinical touchpoints were significantly more likely to experience reduced
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psnet.ahrq.gov/node/33605/psn-pdf
March 12, 2021 - Timing errors were also reduced by 27% in this study.
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psnet.ahrq.gov/web-mm/diagnostic-overshadowing-dangers
February 12, 2020 - A bedside echocardiogram revealed severely reduced left ventricular function with an akinetic inferior
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psnet.ahrq.gov/web-mm/diffusion-responsibility-leads-danger
November 08, 2013 - Coordination Center has led to improvement in ED throughput metrics, earlier discharge times, and has reduced
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www.ahrq.gov/sites/default/files/wysiwyg/hai/cauti-tools/cauti-icu/preventing-cauti-icu-setting-transcript.pdf
September 01, 2015 - Preventing CAUTI in the ICU Setting: Transcript
Preventing CAUTI in the ICU Setting
Transcript
AHRQ Safety Program for Reducing CAUTI in Hospitals
AHRQ Pub No. 15-0073-4-EF
September 2015
Contents
Module 1: Overview .............................................................................................…
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psnet.ahrq.gov/node/44975/psn-pdf
November 09, 2017 - Safe injection, infusion, and medication vial practices in
health care (2016).
November 9, 2017
Dolan SA, Arias KM, Felizardo G, et al. APIC position paper: Safe injection, infusion, and medication vial
practices in health care. American journal of infection control. 2016;44(7):750-7.
doi:10.1016/j.ajic.2016.02.03…
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psnet.ahrq.gov/node/46092/psn-pdf
July 11, 2017 - Development of a research agenda to identify evidence-
based strategies to improve physician wellness and
reduce burnout.
July 11, 2017
Dyrbye LN, Trockel M, Frank E, et al. Development of a Research Agenda to Identify Evidence-Based
Strategies to Improve Physician Wellness and Reduce Burnout. Ann Intern Med. 2017…