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psnet.ahrq.gov/node/48055/psn-pdf
June 26, 2019 - Prevention of opioid overdose.
June 26, 2019
Babu KM, Brent J, Juurlink DN. Prevention of opioid overdose. N Engl J Med. 2019;380(23):2246-2255.
doi:10.1056/NEJMra1807054.
https://psnet.ahrq.gov/issue/prevention-opioid-overdose
Reducing patient harm associated with the use of opioids to manage pain is a patient s…
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psnet.ahrq.gov/node/43743/psn-pdf
December 03, 2014 - Conflict of interest, Dr Charles Denham and the Journal of
Patient Safety.
December 3, 2014
Wu AW, Kavanagh KT, Pronovost P, et al. Conflict of interest, Dr Charles Denham and the Journal of
Patient Safety. J Patient Saf. 2014;10(4):181-5. doi:10.1097/PTS.0000000000000144.
https://psnet.ahrq.gov/issue/conflict-int…
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psnet.ahrq.gov/node/47708/psn-pdf
February 13, 2019 - The role of purple pens in learning to prescribe.
February 13, 2019
Kinston R, McCarville N, Hassell A. The role of purple pens in learning to prescribe. Clin Teach.
2019;16(6):598-603. doi:10.1111/tct.12991.
https://psnet.ahrq.gov/issue/role-purple-pens-learning-prescribe
Interventions utilizing color as visual c…
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psnet.ahrq.gov/node/836835/psn-pdf
March 30, 2022 - Bias in mental health diagnosis gets in the way of
treatment.
March 30, 2022
Garb HN. Psyche. March 22, 2022.
https://psnet.ahrq.gov/issue/bias-mental-health-diagnosis-gets-way-treatment
A wide array of biases can affect clinical judgement and contribute to diagnostic error. This article
discusses the impact of i…
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psnet.ahrq.gov/node/47332/psn-pdf
November 02, 2018 - Interventions for postsurgical opioid prescribing: a
systematic review.
November 2, 2018
Wick EC, Sehgal NL. A Learning Health System Approach to the Opioid Crisis. JAMA Surg.
2018;153(10):948-954. doi:10.1001/jamasurg.2018.2731.
https://psnet.ahrq.gov/issue/interventions-postsurgical-opioid-prescribing-systematic…
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www.ahrq.gov/sites/default/files/2025-05/nielsen2-report.pdf
January 01, 2025 - Final Progress Report: Challenges and Opportunities for Stewardship of Urological Imaging
Challenges and Opportunities
for Stewardship of Urological Imaging
Quality Improvement Summit
October 21, 2017
Principal Investigator. Matthew E. Nielsen, MD
Team Members.
Presenters
Timothy Averch, MD; AUA Quality Improve…
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www.ahrq.gov/sites/default/files/2025-04/nielsen-report.pdf
January 01, 2025 - Final Progress Report: Challenges and Opportunities for Stewardship of Urological Imaging
Challenges and Opportunities
for Stewardship of Urological Imaging
Quality Improvement Summit
October 21, 2017
Principal Investigator. Matthew E. Nielsen, MD
Team Members.
Presenters
Timothy Averch, MD; AUA Quality Improve…
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www.ahrq.gov/sites/default/files/2024-01/crystal-report.pdf
January 01, 2024 - Final Progress Report: Improving Medication Safety in Nursing Home Dementia Care
Title of Project: Improving Medication Safety in Nursing Home Dementia Care
Principal Investigator: Stephen Crystal, Ph.D.
Team Members: Stephen Crystal, Richard Hermida, Olga Jarrin, Marsha Rosenthal, Beth Angell,
Sharon Cook, Shere…
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psnet.ahrq.gov/curated-library/diagnostic-safety-improvement
November 10, 2025 - Breadcrumb
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Diagnostic Safety Improvement
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Created By: Lorri Zipperer, Cybrarian, AHRQ PSNe…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/building-team-040814.pptx
January 01, 2013 - Nursing Intervention to Remove Non-necessary Urinary Catheters
Mohamad Fakih, MD, MPH
Professor of Medicine
Wayne State University School of Medicine
Medical Director, Infection Prevention and Control
St. John Hospital and Medical Center
Barbara Lucas, MD, MHSA
Project Consultant
Michigan Health & Hospital Associatio…
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psnet.ahrq.gov/web-mm/amphotericin-toxicity
April 01, 2014 - Amphotericin Toxicity
Citation Text:
Nagel J, Nguyen E. Amphotericin Toxicity. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2015.
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Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/medical-office-ve-suppl-item-set-english-2023.docx
January 01, 2023 - SOPS® Value and Efficiency Supplemental Item Set for the SOPS Medical Office Survey - English
SOPS® Value and Efficiency Supplemental Item Set for the SOPS Medical Office Survey
Language: English
Purpose: This supplemental item set was designed for use with the core SOPS® Medical Office Survey to help medical office…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/48-prep-colorectal-facilitator.docx
June 01, 2023 - Oral Antibiotics and Mechanical Bowel Prep for SSI Prevention for Colorectal Surgery: Facilitator Guide AHRQ Safety Program for Improving Surgical
Care and Recovery
Slide Title and Commentary
Slide Number and Slide
Title slide: Oral Antibiotics and Mechanical Bowel Prep for SSI Prevention for Colorectal Surgery
H…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/resources/tools/reduce/antibiotic-faqs.docx
March 01, 2017 - BLADDER SCAN – POLICY #2202 12/11/06
AHRQ Safety Program for Long-Term Care: HAIs/CAUTI
AHRQ Safety Program for Reducing CAUTI in Hospitals
Antibiotic Stewardship FAQs
The frequently asked questions (FAQs) that are intended to support long-term care (LTC) facilities in the implementation of efforts to reduce the over…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4h_combo_psi11-postoprespfailure-bestpractices.pdf
May 20, 2016 - Selected Best Practices and Suggestions for Improvement
Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
1 Tool D.4h
Selected Best Practices and Suggestions for Improvement
PSI 11: Postoperative Respiratory Failure
Why Focus on Postoperative Respiratory Failure? …
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digital.ahrq.gov/ahrq-funded-projects/care-transitions-app-patients-multiple-chronic-conditions
January 01, 2023 - Care Transitions App for Patients with Multiple Chronic Conditions
Project Description
Research Story
A patient-facing mobile health application simplifying the information patients and caregivers receive has the potential to better engage patients and families in their h…
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digital.ahrq.gov/decisionmaker-brief-chronic-disease-management
January 01, 2023 - This information is for reference purposes only. It was current when produced and may now be outdated. Archive material is no longer maintained, and some links may not work. Persons with disabilities having difficulty accessing this information should contact us at: https://digital.ahrq.gov/contact-us . Let us know th…
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digital.ahrq.gov/sites/default/files/docs/page/08-0084_cdm_0.pdf
August 01, 2008 - Layout 1
Agency for Healthcare Research and Quality
Advancing Excellence in Health Care www.ahrq.gov Health IT
AHRQ's Health IT Portfolio. AHRQ’s health information technology (health IT) initiative is
part of the Nation’s strategy to put information technology to work in health care. By developing
secure and privat…
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www.ahrq.gov/sites/default/files/2025-03/fenton-report.pdf
January 01, 2025 - Final Progress Report: Watchful Waiting as a Strategy for Reducing Low-value Spinal Imaging
Agency for Healthcare Quality and Research
Research Grant Final Report
December 5, 2024
Watchful Waiting as a Strategy for Reducing Low-valu…
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integrationacademy.ahrq.gov/news-and-events/calendar/event/23308
June 10, 2025 - An official website of the Department of Health & Human Services
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