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9461. Behavioral Counseling Interventions to Promote a Healthy Diet and Physical Activity for CVD Prevention in Adults Without Known CVD Risk Factors: USPSTF Recommendation Statement (pdf file)
      www.uspreventiveservicestaskforce.org/home/getfilebytoken/HMSNGkJatRuN5VoVWfbuFL
      March 01, 2022 - Common di- etary counseling advice promotes increased consumption of fruits, vegetables, and fiber; reduced … • Common dietary counseling advice promotes increased consumption of fruits, vegetables, and fiber; reduced

9462. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/867805/psn-pdf
      February 26, 2025 - The safe surgery checklist is another example of an intervention that has clearly reduced risk, although

9463. Patient Safety: A Perspective from Office Practice | PSNet
      psnet.ahrq.gov/perspective/patient-safety-perspective-office-practice
      May 01, 2009 - we found that when there were complications at the hospital, the profit margin for the hospital was reduced

9464. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50771/psn-pdf
      May 29, 2024 - AHRQ Health Literacy Universal Precautions Toolkit. 3rd edition. May 29, 2024 Brach C, ed. Rockville, MD: Agency for Healthcare Research and Quality; March 2024. AHRQ Publication No. 15-0023-EF. https://psnet.ahrq.gov/issue/ahrq-health-literacy-universal-precautions-toolkit-2nd-edition The AHRQ Health Literacy Un…

9465. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45932/psn-pdf
      May 18, 2017 - Polypharmacy. May 18, 2017 Zagaria MAE, ed. Clin Geriatr Med. 2017;33:153-292. https://psnet.ahrq.gov/issue/polypharmacy Older patients are likely to be prescribed multiple medications, which can increase risks. Articles in this special issue explore polypharmacy in a variety of care settings and provide tactics f…

9466. Upper Peninsula Health Care Network | Digital Healthcare Research
      digital.ahrq.gov/organization/upper-peninsula-health-care-network
      January 01, 2023 - Upper Peninsula Health Care Network Critical Access Hospital Partnership Health Information Technology Implementation - 2009 Principal Investigator Wheeler, Donald Project Name Critical Access Hospital Partnership Health Information Technology Implementation …

9467. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41506/psn-pdf
      October 12, 2012 - Preventable errors in organ transplantation: an emerging patient safety issue? October 12, 2012 Ison MG, Holl JL, Ladner D. Preventable errors in organ transplantation: an emerging patient safety issue? Am J Transplant. 2012;12(9):2307-12. doi:10.1111/j.1600-6143.2012.04139.x. https://psnet.ahrq.gov/issue/preventa…

9468. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/48026/psn-pdf
      July 10, 2019 - Network of Patient Safety Databases. July 10, 2019 Agency for Healthcare Research and Quality. https://psnet.ahrq.gov/issue/network-patient-safety-databases The Patient Safety Organization (PSO) program seeks to gather and analyze nonidentifiable patient safety incident data to track concerns and reduce risks. Thi…

9469. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/48190/psn-pdf
      June 17, 2024 - APSF Stoelting Conference. June 17, 2024 Anesthesia Patient Safety Foundation. Markell Conference Center, Somerville, MA, September 4–5, 2024. https://psnet.ahrq.gov/issue/apsf-stoelting-conference Anesthesia is a high-risk activity that has achieved safety successes. This hybrid conference explored topics related…

9470. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39585/psn-pdf
      June 09, 2010 - Bar code technology and medication administration error. June 9, 2010 Young J, Slebodnik M, Sands L. Bar Code Technology and Medication Administration Error. J Patient Saf. 2010;6(2):115-120. doi:10.1097/pts.0b013e3181de35f7. https://psnet.ahrq.gov/issue/bar-code-technology-and-medication-administration-error This…

9471. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73173/psn-pdf
      April 21, 2021 - Racism and Health. April 21, 2021 Centers for Disease Control and Prevention. https://psnet.ahrq.gov/issue/racism-and-health Ethnic and social inequities have a substantial impact on the safety and effectiveness of health care. This US Centers for Disease Control and Prevention (CDC) initiative provides access to …

9472. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44226/psn-pdf
      November 03, 2015 - The Patient Survival Handbook. November 3, 2015 Powell SM, Stone RD. Peachtree City, GA: Synensis; 2015. https://psnet.ahrq.gov/issue/patient-survival-handbook Engaging patients in their care is increasingly advocated as a way to improve safety. This book recommends actions for patients and families to reduce risk…

9473. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42311/psn-pdf
      May 29, 2013 - We know what they did wrong, but not why: the case for 'frame-based' feedback. May 29, 2013 Rudolph JW, Raemer D, Shapiro J. We knowwhatthey did wrong, but notwhy: the case for ‘frame-based’ feedback. Clin Teach. 2013;10(3):186-189. doi:10.1111/j.1743-498x.2012.00636.x. https://psnet.ahrq.gov/issue/we-know-what-th…

9474. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45226/psn-pdf
      January 04, 2017 - AHRQ Research Summit on Improving Diagnosis in Health Care. January 4, 2017 Rockville, MD; Agency for Healthcare Research and Quality: September 28, 2016. https://psnet.ahrq.gov/issue/ahrq-research-summit-improving-diagnosis-health-care Research is increasingly focusing on diagnostic errors and strategies to reduc…

9475. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37413/psn-pdf
      November 14, 2011 - Patient Safety Tools: Improving Safety at the Point of Care. November 14, 2011 https://psnet.ahrq.gov/issue/patient-safety-tools-improving-safety-point-care-0 Produced in conjunction with its Partnerships in Implementing Patient Safety (PIPS) grant program, AHRQ has released 17 freely available toolkits to help ho…

9476. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/74766/psn-pdf
      June 24, 2024 - Patient handoffs. June 24, 2024 Arora V, Farnan J. UpToDate. June 24, 2024. https://psnet.ahrq.gov/issue/patient-handoffs-0 The change of an inpatient’s location or handoffs between teams can fragment care due to communication, information, and knowledge gaps. This review examines in-patient transition safety issu…

9477. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42447/psn-pdf
      July 24, 2013 - Economic Analysis of Medical Malpractice Liability and Its Reform. July 24, 2013 Arlen J. New York, NY: New York University School of Law; May 9, 2013. Public Law Research Paper No. 13-25.   https://psnet.ahrq.gov/issue/economic-analysis-medical-malpractice-liability-and-its-reform This report describes a ma…

9478. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/61002/psn-pdf
      September 17, 2020 - Patient Safety September 17, 2020 Organisation for Economic Co-operation and Development. https://psnet.ahrq.gov/issue/patient-safety-21 Organizations worldwide are focusing efforts on reducing the conditions that contribute to medical error. This website provides a collection of reports and other resources that c…

9479. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42975/psn-pdf
      February 26, 2014 - State-Wide Initiative to Standardize the Compounding of Oral Liquids in Pediatrics. February 26, 2014 Michigan Pharmacists Association; MPA. https://psnet.ahrq.gov/issue/state-wide-initiative-standardize-compounding-oral-liquids-pediatrics Children are often prescribed oral liquid medications due to difficulty swa…

9480. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45291/psn-pdf
      November 30, 2016 - Just Bag It. November 30, 2016 National Comprehensive Cancer Network. https://psnet.ahrq.gov/issue/just-bag-it Vincristine is a chemotherapy agent that can have serious consequences if administered incorrectly. Drawing from guidelines and expert opinion regarding vincristine administration, this campaign advocates…