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psnet.ahrq.gov/web-mm/norepinephrine-dosing-error-associated-multiple-health-system-vulnerabilities
November 27, 2019 - Norepinephrine Dosing Error Associated with Multiple Health System Vulnerabilities
Citation Text:
Duby JJ, Schomer K, Oyewole V, et al. Norepinephrine Dosing Error Associated with Multiple Health System Vulnerabilities. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Departm…
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psnet.ahrq.gov/web-mm/inside-time-out
March 01, 2004 - The Inside of a Time Out
Citation Text:
Feldman DL. The Inside of a Time Out. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2008.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged …
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psnet.ahrq.gov/sites/default/files/2024-08/spotlight_case_a_fatal_twist_in_pseudohyperkalemia_slides.pptx
January 01, 2024 - Spotlight
Spotlight
A Fatal Twist in Pseudohyperkalemia
1
Source and Credits
This presentation is based on the August 2024 AHRQ WebM&M Spotlight Case
See the full article at https://psnet.ahrq.gov/webmm
CME credit is available
Commentary by: Justin L. Devera, MD, David K. Barnes, MD, FACEP, and William R. Le…
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www.ahrq.gov/patient-safety/resources/learning-lab/design-environments-long-desc.html
April 01, 2021 - Institute for the Design of Environments Aligned for Patient Safety (IDEA4PS)
Principal Investigators: Ann Scheck McAlearney, Sc.D., M.S., The Ohio State University, Columbus, OH; formerly Susan Moffatt-Bruce, M.D., Royal College of Physicians and Surgeons of Canada, Ottawa
AHRQ Grant No.: HS024379
Proj…
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integrationacademy.ahrq.gov/products/topic-briefs/community-engagement-for-whole-person-care
February 01, 2025 - Vermont's community-oriented all-payer medical home model reduces expenditures and utilization while
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www.ahrq.gov/sites/default/files/publications/files/interimhacrate2013_0.pdf
October 27, 2014 - Medication safety program reduces adverse drug events in a
community hospital.
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effectivehealthcare.ahrq.gov/sites/default/files/dementia-agitation-aggression_executive.pdf
March 01, 2016 - 1
Comparative Effectiveness Review
Number 177
Nonpharmacologic Interventions for Agitation
and Aggression in Dementia
Executive Summary
Background
Dementia and Agitation and
Aggression
The American Psychiatric Association’s
Diagnostic and Statistical Manual of
Mental Disorders, 5th Edition (DSM-5)
categoriz…
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effectivehealthcare.ahrq.gov/sites/default/files/s16.pdf
October 01, 2007 - studies enrolling older and higher-
risk women, however, confirms the WHS findings that aspirin
use reduces
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integrationacademy.ahrq.gov/sites/default/files/2025-07/MOUD_Playbook_Environmental_Scan_2025.pdf
January 01, 2025 - challenges of reintegrating into
society without adequate support.145,147
MOUD treatment significantly reduces … The change in policy, however, demonstrates the volume of potential providers and reduces the
barriers
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digital.ahrq.gov/sites/default/files/docs/citation/r03hs026809-madathil-final-report-2022.pdf
January 01, 2022 - healthcare informatics research finding high error and data input has concluded that drop-down
selection reduces … This change reduces the number of errors involving switching day and
month or entering month as an abbreviated
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effectivehealthcare.ahrq.gov/sites/default/files/vte-protocol-8-4-10.pdf
February 01, 2008 - Evidence Report on the
Source: www.effectivehealthcare.ahrq.gov
Published Online: August 06, 2010
Evidence-based Practice Center Systematic Review Protocol
Project Title: Comparative Effectiveness of Venous
Thromboembolism (VTE) Prophylaxis in Orthopedic Surgery
I. Background and Objectives for the …
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/blood-clots-hip-knee-surgery_research-protocol.pdf
February 01, 2008 - Evidence Report on the
Source: www.effectivehealthcare.ahrq.gov
Published Online: August 06, 2010
Evidence-based Practice Center Systematic Review Protocol
Project Title: Comparative Effectiveness of Venous
Thromboembolism (VTE) Prophylaxis in Orthopedic Surgery
I. Background and Objectives for the …
-
effectivehealthcare.ahrq.gov/sites/default/files/pdf/psoriasis-chronic_research-protocol.pdf
January 10, 2012 - Evidence-based Practice Center Systematic Review Protocol
Source: www.effectivehealthcare.ahrq.gov
Published Online: January 10, 2012
Evidence-based Practice Center Systematic Review Protocol
Project Title: Biologic and Nonbiologic Systemic Agents and Phototherapy for Treatment
of Chronic Plaque Psoriasis …
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digital.ahrq.gov/sites/default/files/docs/citation/background_report_final.pdf
September 01, 2011 - Strengths: Relatively
inexpensive; reduces
design errors before
expensive user
testing. … Most
appropriate when time
to market is critical as
parallel design
reduces traditional
iterative … Strengths: Sharing
components among
multiple products
reduces the number
of items that
engineers … design; increases the
quantity ordered of
the shared part;
lowers cost per
product sold; and
reduces … Weaknesses References
Slanty Design This is an evolution of user-
centered design that purposely
reduces
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psnet.ahrq.gov/node/60066/psn-pdf
March 25, 2020 - Some Patients Can't Wait: Improving Timeliness of
Emergency Department Care
March 25, 2020
Chang R, Barnes DK. Some Patients Can't Wait: Improving Timeliness of Emergency Department Care.
PSNet [internet]. 2020.
https://psnet.ahrq.gov/web-mm/some-patients-cant-wait-improving-timeliness-emergency-department-care
D…
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www.ahrq.gov/hai/cusp/toolkit/content-calls/zero-clabsi.html
April 01, 2013 - Sustaining Zero CLABSIs (Transcript)
May 8, 2012
Operator: Excuse me, everyone, we now have our speakers in conference. Please be aware that each of your lines is currently in a listen-only mode. At the conclusion of the presentation, we will open the floor for questions, and at that time instructions will b…
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psnet.ahrq.gov/node/838220/psn-pdf
September 27, 2019 - Primary Care and Patient Safety: Opportunities at the
Interface
September 28, 2022
O’Malley P, McNellis B, Chew E, et al. Primary Care and Patient Safety: Opportunities at the Interface.
PSNet [internet]. 2022.
https://psnet.ahrq.gov/perspective/primary-care-and-patient-safety-opportunities-interface
Editor’s Not…
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/poDYcagnw7SqKNNbrFt_CV
June 11, 2019 - HIV acquisition by approximately 80%5 and reduces the risk of other
STIs. … Consistent use of
condoms decreases risk of HIV acquisition by approximately 80%5
and reduces the risk
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effectivehealthcare.ahrq.gov/sites/default/files/tx-for-localized-prostate-cancer_surveillanceassesment_20120614.pdf
May 01, 2012 - CER #13:
Comparative Effectiveness of Therapies for Clinically
Localized Prostate Cancer
Original release date:
February 2008
Surveillance Report:
May 2012
Key Findings:
• The PIVOT trial was identified, making many of the
existing key conclusions out of date.
• Key questions 1, 2, and 4 were found t…
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/tx-for-localized-prostate-cancer_surveillanceassesment_20120614.pdf
May 01, 2012 - CER #13:
Comparative Effectiveness of Therapies for Clinically
Localized Prostate Cancer
Original release date:
February 2008
Surveillance Report:
May 2012
Key Findings:
• The PIVOT trial was identified, making many of the
existing key conclusions out of date.
• Key questions 1, 2, and 4 were found t…