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psnet.ahrq.gov/node/50904/psn-pdf
February 19, 2020 - The harms of promoting 'Zero Harm'.
February 19, 2020
Thomas EJ. The harms of promoting ‘Zero Harm’. BMJ Qual Saf. 2019;29(1):4-6. doi:10.1136/bmjqs-2019-
009703.
https://psnet.ahrq.gov/issue/harms-promoting-zero-harm
Achieving “zero harm” has been advocated as a patient safety goal. This editorial proposes that t…
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psnet.ahrq.gov/node/50453/psn-pdf
October 09, 2019 - Effect of a sedation weaning protocol on safety and
medication use among hospitalized children post critical
illness
October 9, 2019
Solodiuk JC, Greco CD, O'Donnell KA, et al. Effect of a Sedation Weaning Protocol on Safety and
Medication Use among Hospitalized Children Post Critical Illness. J Pediatr Nurs. 2019…
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www.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4/aph.html
August 01, 2022 - Event Investigation and Analysis Guide: Appendix H
Hierarchy of Solutions
Do solutions meet the following criteria:
Address the root cause/contributing factor.
Are specific and concrete.
Can be understood and implemented by a reader unfamiliar with the situation.
Will be tested or simulated prior to…
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psnet.ahrq.gov/node/73871/psn-pdf
September 22, 2021 - Making Health Care Safer in Ambulatory Care Settings
and Long-term Care Facilities (R18).
September 22, 2021
Rockville, MD: Agency for Healthcare Research and Quality; September 9, 2021. PA-21-267.
https://psnet.ahrq.gov/issue/making-health-care-safer-ambulatory-care-settings-and-long-term-care-
facilities-r…
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psnet.ahrq.gov/node/61033/psn-pdf
October 14, 2020 - L.A.’s poorest patients endure long delays to see medical
specialists. Some die waiting.
October 14, 2020
Dolan J, Mejia B. Los Angeles Times. September 30, 2020.
https://psnet.ahrq.gov/issue/las-poorest-patients-endure-long-delays-see-medical-specialists-some-die-
waiting
Socioeconomic conditions influence acces…
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psnet.ahrq.gov/node/47798/psn-pdf
February 20, 2019 - Simulation safety first: an imperative.
February 20, 2019
Raemer D, Hannenberg A, Mullen A. Simulation Safety First: An Imperative. Simul Healthc.
2018;13(6):373-375. doi:10.1097/SIH.0000000000000341.
https://psnet.ahrq.gov/issue/simulation-safety-first-imperative
Although simulation training heightens the learnin…
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psnet.ahrq.gov/node/72606/psn-pdf
December 23, 2020 - Best Practices in Developing Proprietary Names for
Human Prescription Drug Products Guidance for Industry.
December 23, 2020
Rockville, MD: US Department of Health and Human Services, Food and Drug Administration, Center for
Drug Evaluation and Research; December 2020.
https://psnet.ahrq.gov/issue/best-practices-d…
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digital.ahrq.gov/principal-investigator/friedman-amy
January 01, 2023 - Friedman, Amy
Web-based Renal Transplant Patient Medication System - Final Report
Citation
Friedman A. Web-based Renal Transplant Patient Medication System - Final Report. (Prepared by Yale University under Grant No. R01 HS015038). Rockville, MD: Agency for Healthcare Research…
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digital.ahrq.gov/principal-investigator/mingle-daniel
January 01, 2023 - Mingle, Daniel
Improving Health Information Technology Implementation in a Rural Health System - Final Report
Citation
Mingle D. Improving Health Information Technology Implementation in a Rural Health System - Final Report. (Prepared by Maine General Medical Center under Gra…
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digital.ahrq.gov/location/usa-vt-windsor
January 01, 2023 - USA, VT, Windsor
Clinical Portal Survey: Mt. Ascutney Hospital and Health Center
Description
This is a questionnaire designed to be completed by nurses, physicians, and hospital staff in an inpatient setting. The tool includes questions to assess user's needs of electronic hea…
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psnet.ahrq.gov/node/853071/psn-pdf
August 30, 2023 - A natural language processing approach to categorise
contributing factors from patient safety event reports.
August 30, 2023
Tabaie A, Sengupta S, Pruitt ZM, et al. BMJ Health Care Inform. 2023;30(1):e100731.
https://psnet.ahrq.gov/issue/natural-language-processing-approach-categorise-contributing-factors-patient-
…
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/instrumental-variable-methods_research.pdf
April 01, 2010 - An analytical framework for quantifying components of variability in prescriber decisions
The DEcIDE (Developing Evidence to Inform Decisions about Effectiveness) network is part of
AHRQ‟s Effective Health Care Program. It is a collaborative network of research centers that
support the rapid development of n…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/engaging-nurse-physician-patient-transcript.docx
June 02, 2025 - choices, and communicate more effectively with providers, that open communication promotes efficiency, reduces
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www.ahrq.gov/hai/cauti-tools/archived-webinars/engaging-nurse-physician-patient-transcript.html
December 01, 2017 - choices, and communicate more effectively with providers, that open communication promotes efficiency, reduces
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www.uspreventiveservicestaskforce.org/uspstf/document/final-evidence-summary/chronic-obstructive-pulmonary-disease-screening
May 10, 2022 - Share to Facebook
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Evidence Summary
Chronic Obstructive Pulmonary Disease: Screening
May 10, 2022
Recommendations made by the USPSTF are independent of the U.S. government. They should not be…
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psnet.ahrq.gov/node/49537/psn-pdf
June 01, 2007 - Beeline to Spine
June 1, 2007
Smetana GW. Beeline to Spine. PSNet [internet]. 2007.
https://psnet.ahrq.gov/web-mm/beeline-spine
Case Objectives
Understand the elements of preoperative medical evaluation.
Appreciate the limited role for preoperative laboratory testing.
Appreciate the importance of communication a…
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psnet.ahrq.gov/node/49849/psn-pdf
January 01, 2019 - Spotlight: Mistaken Attribution, Diagnostic Misstep
January 1, 2019
Kreider TR, Young JQ. Spotlight: Mistaken Attribution, Diagnostic Misstep. PSNet [internet]. 2019.
https://psnet.ahrq.gov/web-mm/spotlight-mistaken-attribution-diagnostic-misstep
Case Objectives
List the patient safety events that are unique to in…
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psnet.ahrq.gov/innovation/affordable-housing-community-offers-seniors-onsite-health-care-coordination-and-support
March 27, 2024 - Affordable Housing Community Offers Seniors Onsite Health Care Coordination and Support, Reducing Hospital Admissions and Falls and Improving Resident Health
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www.uspreventiveservicestaskforce.org/uspstf/recommendation/suicide-risk-screening-1996
January 01, 1996 - Share to Facebook
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archived
Final Recommendation Statement
Suicide Risk: Screening, 1996
January 01, 1996
Recommendations made by the USPSTF are independent of the U.S. government. They s…
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www.ahrq.gov/hai/pfp/hacrate2013.html
January 01, 2018 - 2013 Annual Hospital-Acquired Condition Rate and Estimates of Cost Savings and Deaths Averted From 2010 to 2013
Next Page
Table of Contents
2013 Annual Hospital-Acquired Condition Rate and Estimates of Cost Savings and Deaths Averted From 2010 to 2013
Appendix
References
Summary
…