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psnet.ahrq.gov/node/867985/psn-pdf
January 01, 2025 - Suicide Prevention
March 25, 2025
Boudreaux E, Gale B, Mossburg SE. Suicide Prevention. PSNet [internet]. 20024.
https://psnet.ahrq.gov/perspective/suicide-prevention
Introduction
Suicide is one of the leading causes of death in the United States, accounting for nearly 50,000 deaths in
2022, a 36% rise since 2000…
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psnet.ahrq.gov/perspective/impact-system-failures-healthcare-workers
August 30, 2023 - Annual Perspective
Impact of System Failures on Healthcare Workers
George Zangaro, PhD, RN, FAAN, Cindy Manaoat Van, MHSA, Sarah Mossburg, RN, PhD
| March 21, 2023
View more articles from the same authors.
Citation Text:
Zangaro G, Van CM, Mossburg S. Imp…
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www.ahrq.gov/sites/default/files/2025-04/castro-report.pdf
January 01, 2025 - Final Progress Report: Diagnostic Error in Medicine Conference 2020-2022
Title Page – Final Progress Report
Title: Diagnostic Error in Medicine Conference 2020-2022
Principal Investigator: Gerry Castro, PhD, MPH
Team Members:
2022 Conference Chairs, Co-chairs and Planning Commitee members
Andrew Olson…
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www.ahrq.gov/sites/default/files/2024-03/connolly-report.pdf
January 01, 2024 - Final Progress Report: Topical Vancomycin for Neurosurgery Wound Prophylaxis
Title: Topical Vancomycin for Neurosurgery Wound Prophylaxis
Principal Investigator: Connolly, Edward Sander
Team Members:
Jared Knopman, MD - Site PI (Cornell)
Emilia Bagiella, PhD - Site PI (Mount Sinai)
Franklin Lowy, MD - Co-Investigato…
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psnet.ahrq.gov/node/33818/psn-pdf
November 01, 2016 - In Conversation With… Andrew Bindman, MD
November 1, 2016
In Conversation With… Andrew Bindman, MD. PSNet [internet]. 2016.
https://psnet.ahrq.gov/perspective/conversation-andrew-bindman-md
Editor's note: Dr. Bindman was appointed as Director of the Agency for Healthcare Research and Quality
(AHRQ) in May 2016. P…
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www.ahrq.gov/patient-safety/reports/candor-demo-program/plan-grants/findings.html
August 01, 2022 - Planning Grants Final Evaluation Report
Findings
Previous Page Next Page
Table of Contents
Planning Grants Final Evaluation Report
Executive Summary
Introduction
Methodology
Findings
Appendix A. Grantee Profiles
Appendix B. References
Improving Communication
Four planni…
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psnet.ahrq.gov/web-mm/discharge-fumbles
September 09, 2009 - SPOTLIGHT CASE
Discharge Fumbles
Citation Text:
Forster AJ. Discharge Fumbles. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2004.
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Format:
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psnet.ahrq.gov/web-mm/when-indications-drug-administration-blur
May 26, 2021 - SPOTLIGHT CASE
When the Indications for Drug Administration Blur
Citation Text:
Munsch J, Doroy A. When the Indications for Drug Administration Blur . PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2020.
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…
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psnet.ahrq.gov/web-mm/eptifibatide-epilogue
March 04, 2011 - Eptifibatide Epilogue
Citation Text:
Churchill WW, Fiumara K. Eptifibatide Epilogue. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2009.
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Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote …
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datatools.ahrq.gov/nhqdr/
January 01, 2023 - Skip to main content
An official website of the Department of Health and Human Services
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digital.ahrq.gov/sites/default/files/docs/publication/r36hs018071-delrahim-howlett-final-report-2010.pdf
January 01, 2010 - Web-Based Intervention for Alcohol Use in Women of Childbearing Potential
Grant Final Report
Grant ID: R36HS18071
Web-Based Intervention for Alcohol Use in Women of
Childbearing Potential
Inclu…
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/cer-247-interventional-treatments-acute-chronic-pain-evidence-summary_0.pdf
September 01, 2021 - Evidence Summary_Comparative Effectiveness Review No. 247_Interventional Treatments for Acute and Chronic Pain: Systematic Review
Comparative Effectiveness Review
Number 247
Interventional Treatments for Acute
and Chronic Pain: Systematic Review
Evidence Summary
Main Points
• Vertebroplasty …
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digital.ahrq.gov/sites/default/files/docs/publication/r01hs015459-goldberg-final-report-2008.pdf
January 01, 2008 - Home Heart Failure (HF) Care Comparing Patient-Driven Technology Models
Grant Final Report
Grant ID: 5R01HS015459
Home Heart Failure (HF) Care Comparing
Patient-Driven Technology Models
Inclusive Dates: 09/30/04 - 09/09/08
Principal Investigator:
Lee R. Goldberg, MD, MPH
Team Members…
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psnet.ahrq.gov/node/60856/psn-pdf
August 26, 2020 - Too Many Cooks in the Kitchen
August 26, 2020
Dutton RP. Too Many Cooks in the Kitchen. PSNet [internet]. 2020.
https://psnet.ahrq.gov/web-mm/too-many-cooks-kitchen
Disclosure of Relevant Financial Relationships: As a provider accredited by the Accreditation Council for
Continuing Medical Education (ACCME), the Un…
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www.ahrq.gov/sites/default/files/2024-01/dresselhaus-report.pdf
January 01, 2024 - Final Progress Report: Real-time assessment of risk factors for medication errors
Title of Project
Real-time assessment of risk factors for medication errors
Principle Investigator and Team Members
Timothy Dresselhaus, MD, MPH (principal investigator)
Matthew Weinger, MD (co-principal investigator)
Thomas Rutled…
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www.ahrq.gov/hai/tools/surgery/modules/on-boarding/sr-exec-slides.html
December 01, 2017 - Engaging Senior Executives: Facilitator Notes
AHRQ Safety Program for Surgery
Slide 1: Engaging Senior Executives
Say:
In this module we will discuss the importance of senior engagement on your safety program team.
Slide 2: Why Do We Need an Executive?
Say:
Sometimes getting executives involved …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_sr-execs_facnotes.docx
December 01, 2017 - Facilitator Guide: Engage Senior Executives in Surgical Site Infection Prevention Work
Engaging Senior Executives – Facilitator Notes
Slide Title and Commentary
Slide Number and Slide
Title Slide
Engaging Senior Executives
SAY:
In this module we will discuss the importance of senior engagement on your safety pr…
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psnet.ahrq.gov/perspective/conversation-david-urbach-md-msc
June 12, 2019 - In Conversation With… David Urbach, MD, MSc
April 1, 2015
Citation Text:
In Conversation With… David Urbach, MD, MSc. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2015.
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psnet.ahrq.gov/web-mm/another-fall
June 01, 2010 - SPOTLIGHT CASE
Another Fall
Citation Text:
Bogardus SG. Another Fall. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2003.
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www.ahrq.gov/patient-safety/quality-measures/21st-century/private-sector.html
June 01, 2018 - The Challenge and Potential for Assuring Quality Health Care for the 21st Century
Private Sector Efforts in Value-Based Purchasing and Quality Improvement
Previous Page
Table of Contents
The Challenge and Potential for Assuring Quality Health Care for the 21st Century
From Quality Measures to Qu…