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effectivehealthcare.ahrq.gov/sites/default/files/related_files/suicidal-thoughts-young-people-exe-sum.pdf
April 01, 2025 - Management of Suicidal Thoughts and Behaviors in Youth: A Systematic Review
Systematic Review
Management of Suicidal Thoughts and
Behaviors in Youth: A Systematic Review
Executive Summary
Main Points
• The current body of evidence is derived primarily from racially and ethnically
diverse f…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/123-mrsa-toolkit-implementation-guide.docx
October 01, 2024 - Decolonize Patients
Decolonization eliminates or reduces the amount of colonizing bacteria on patients
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www.uspreventiveservicestaskforce.org/uspstf/recommendation/oral-cancer-screening
November 15, 2013 - Effectiveness of Early Detection and Treatment
No direct evidence was available on whether screening reduces
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effectivehealthcare.ahrq.gov/sites/default/files/ebc-challenge-3rdplace_tympanic.pdf
May 29, 2025 - Middle Ear Infections: What to Expect and Treatment Options
1
Middle Ear Infections:
What to Expect and Treatment Options
(1)
Authors: Nicola Archie BSN, MSN, FNP-c & Tara Jones BSN, MSN, FNP-c
Reviewed by: Richard F. Kuehne, MD, MPH
2
Provider
Normal Tympanic Me…
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www.ahrq.gov/sites/default/files/wysiwyg/news/events/ahrq-research-summit/brady-summit2016-breakout.pdf
September 28, 2016 - Breakout Session: Use of Data and Measurement in Improving Diagnostic Safety
Breakout Session:
Use of Data and Measurement in
Improving Diagnostic Safety
Jeffrey Brady, MD, MPH
Director, Center for Quality Improvement and Patient Safety
AHRQ Research Summit on Diagnostic Safety
September 28, 2016
Discussant…
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hcup-us.ahrq.gov/reports/race/annotatedslidesforR_E_report2.pdf
January 01, 2011 - Microsoft PowerPoint - annotatedslidesforR_E_report#2.ppt [Compatibility Mode]
State Docum
Racial and Ethnic
to Inform Stra
July 2
mentation of
Health Disparities
ategic Action
2011
22
Federal and Natio
the Stage for
Understanding the problem:
– AHRQ National Healthcare Qualit
Disparities Report
– CDC He…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospitalvaluepilotreport.pdf
November 01, 2017 - AHRQ CVE Pilot Study_Hospital Final Report_11-2-2017
Results From the 2014 Pilot Study of the AHRQ
SOPS™ Value and Efficiency Supplemental Items for
the Hospital SOPS Survey
Prepared for:
Agency for Healthcare Research and Quality
5600 Fishers Lane
Rockville, MD 20857
www.ahrq.gov
Contract No. HHSA 2902013…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospvaluepilotreport.pdf
November 01, 2017 - AHRQ Hospital Pilot Study Final Report
Results From the 2014 Pilot Study of the AHRQ
SOPS™ Value and Efficiency Supplemental Items for
the Hospital SOPS Survey
Prepared for:
Agency for Healthcare Research and Quality
5600 Fishers Lane
Rockville, MD 20857
www.ahrq.gov
Contract No. HHSA 290201300003C
Manag…
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psnet.ahrq.gov/node/49844/psn-pdf
October 01, 2018 - Diffusion of Responsibility Leads to Danger
October 1, 2018
Balcezak TJ, Deshpande O. Diffusion of Responsibility Leads to Danger. PSNet [internet]. 2018.
https://psnet.ahrq.gov/web-mm/diffusion-responsibility-leads-danger
The Case
A 70-year-old man was sent to the emergency department (ED) from a nursing facility…
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psnet.ahrq.gov/node/49396/psn-pdf
April 01, 2003 - The 2-Week Itch
April 1, 2003
Cohen MR. The 2-Week Itch. PSNet [internet]. 2003.
https://psnet.ahrq.gov/web-mm/2-week-itch
The Case
A 40-year-old woman with bipolar disorder (on trazodone) came to her primary care physician with new
urticaria. She received a handwritten prescription for Zyrtec and Atarax.
The ha…
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psnet.ahrq.gov/innovation/system-approaches-social-determinants-health-screening-and-intervention-innovation
July 23, 2024 - System Approaches to Social Determinants of Health Screening and Intervention Innovation Summary
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September 23, 2024
View more articles from the same…
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www.ahrq.gov/hai/tools/surgery/modules/implementation/audit-briefing-slides.html
December 01, 2017 - Auditing Your Briefings and Debriefings Process: Slide Presentation
AHRQ Safety Program for Surgery
Slide 1: AHRQ Safety Program for Surgery—Implementation
Auditing Your Briefings and Debriefings Process
Slide 2: Learning Objectives
Recap the briefings and debriefings process.
Adapt a briefing a…
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psnet.ahrq.gov/node/837139/psn-pdf
May 18, 2022 - Multispecialty physician online survey reveals that
burnout related to adverse event involvement may be
mitigated by peer support.
May 18, 2022
Gupta K, Rivadeneira NA, Lisker S, et al. Multispecialty physician online survey reveals that burnout related
to adverse event involvement may be mitigated by peer support…
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psnet.ahrq.gov/node/837694/psn-pdf
July 20, 2022 - Implementing root cause analysis and action: integrating
human factors to create strong interventions and reduce
risk of patient harm.
July 20, 2022
Wolf L, Gorman K, Clark J, et al. Implementing root cause analysis and action: integrating human factors to
create strong interventions and reduce risk of patient har…
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psnet.ahrq.gov/node/865480/psn-pdf
April 03, 2024 - A narrative review of the well-being and burnout of U.S.
community pharmacists.
April 3, 2024
Wash A, Moczygemba LR, Brown CM, et al. A narrative review of the well-being and burnout of U.S.
community pharmacists. J Am Pharm Assoc (2003). 2023;64(2):337-349. doi:10.1016/j.japh.2023.11.017.
https://psnet.ahrq.gov/i…
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psnet.ahrq.gov/node/35977/psn-pdf
February 17, 2011 - Making patient safety the centerpiece of medical liability
reform.
February 17, 2011
Clinton HR, Obama B. Making Patient Safety the Centerpiece of Medical Liability Reform. New England
Journal of Medicine. 2006;354(21). doi:10.1056/nejmp068100.
https://psnet.ahrq.gov/issue/making-patient-safety-centerpiece-medical…
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psnet.ahrq.gov/node/47013/psn-pdf
April 07, 2019 - An electronic intervention to improve safety for pain
patients co-prescribed chronic opioids and
benzodiazepines.
April 7, 2019
Zaman T, Rife TL, Batki SL, et al. An electronic intervention to improve safety for pain patients co-
prescribed chronic opioids and benzodiazepines. Subst Abus. 2018;39(4):441-448.
doi:…
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psnet.ahrq.gov/node/40575/psn-pdf
July 06, 2011 - Student-observed surgical safety practices across an
urban regional health authority.
July 6, 2011
Spence J, Goodwin B, Enns C, et al. Student-observed surgical safety practices across an urban regional
health authority. BMJ Qual Saf. 2011;20(7):580-6. doi:10.1136/bmjqs.2010.044826.
https://psnet.ahrq.gov/issue/st…
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psnet.ahrq.gov/node/43751/psn-pdf
February 11, 2015 - Perceptions of time spent on safety tasks in surgical
operations: a focus group study.
February 11, 2015
Høyland S, Haugen AS, Thomassen Ø. Perceptions of time spent on safety tasks in surgical operations: A
focus group study. Saf Sci. 2014;70. doi:10.1016/j.ssci.2014.05.009.
https://psnet.ahrq.gov/issue/perceptio…
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psnet.ahrq.gov/node/839831/psn-pdf
November 09, 2022 - A new category of "never events"-ending harmful hospital
policies.
November 9, 2022
Chokshi DA, Beckman AL. A new category of "never events"-ending harmful hospital policies. JAMA Health
Forum. 2022;3(10):e224703. doi:10.1001/jamahealthforum.2022.4703.
https://psnet.ahrq.gov/issue/new-category-never-events-ending-…