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psnet.ahrq.gov/node/43140/psn-pdf
October 31, 2014 - The frequency of diagnostic errors in outpatient care:
estimations from three large observational studies
involving US adult populations.
October 31, 2014
Singh H, Meyer AND, Thomas EJ. The frequency of diagnostic errors in outpatient care: estimations from
three large observational studies involving US adult popu…
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psnet.ahrq.gov/node/72567/psn-pdf
December 16, 2020 - Transforming the medication regimen review process
using telemedicine to prevent adverse events.
December 16, 2020
Kane?Gill SL, Wong A, Culley CM, et al. Transforming the medication regimen review process using
telemedicine to prevent adverse events. J Am Geriatr Soc. 2020;69(2):530-538. doi:10.1111/jgs.16946.
ht…
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psnet.ahrq.gov/node/38886/psn-pdf
August 26, 2009 - Medication overdoses leading to emergency department
visits among children.
August 26, 2009
Schillie SF, Shehab N, Thomas KE, et al. Medication overdoses leading to emergency department visits
among children. Am J Prev Med. 2009;37(3):181-7. doi:10.1016/j.amepre.2009.05.018.
https://psnet.ahrq.gov/issue/medication…
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psnet.ahrq.gov/node/40982/psn-pdf
March 23, 2012 - Emergency hospitalizations for adverse drug events in
older Americans.
March 23, 2012
Budnitz DS, Lovegrove MC, Shehab N, et al. Emergency hospitalizations for adverse drug events in older
Americans. New Engl J Med. 2011;365(21):2002-2012. doi:10.1056/NEJMsa1103053.
https://psnet.ahrq.gov/issue/emergency-hospitali…
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psnet.ahrq.gov/node/46531/psn-pdf
January 24, 2019 - Tracking progress in improving diagnosis: a framework
for defining undesirable diagnostic events.
January 24, 2019
Olson A, Graber ML, Singh H. Tracking Progress in Improving Diagnosis: A Framework for Defining
Undesirable Diagnostic Events. J Gen Intern Med. 2018;33(7):1187-1191. doi:10.1007/s11606-018-4304-2.
ht…
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psnet.ahrq.gov/node/45959/psn-pdf
June 29, 2017 - Impact of the Opioid Safety Initiative on opioid-related
prescribing in veterans.
June 29, 2017
Lin LA, Bohnert ASB, Kerns RD, et al. Impact of the Opioid Safety Initiative on opioid-related prescribing in
veterans. Pain. 2017;158(5):833-839. doi:10.1097/j.pain.0000000000000837.
https://psnet.ahrq.gov/issue/impact…
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www.ahrq.gov/talkingquality/translate/organize/composites.html
November 01, 2018 - Combining Quality Measures Into Composites
Composite scores represent small sets of data points that are highly related to one another, both conceptually and statistically. Combining and presenting these items as a single score reduces the potential for information overload. Learn more about Combining Measures…
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psnet.ahrq.gov/node/43176/psn-pdf
July 03, 2014 - Patient safety in the era of the 80-hour workweek.
July 3, 2014
Shelton J, Kummerow K, Phillips S, et al. Patient safety in the era of the 80-hour workweek. J Surg Educ.
2014;71(4):551-9. doi:10.1016/j.jsurg.2013.12.011.
https://psnet.ahrq.gov/issue/patient-safety-era-80-hour-workweek
Regulations intended to reduc…
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psnet.ahrq.gov/node/845640/psn-pdf
March 08, 2023 - Effect of Patient and Family Centered I-PASS on adverse
event rates in hospitalized children with complex chronic
conditions.
March 8, 2023
Kuzma N, Khan A, Rickey L, et al. Effect of Patient and Family Centered I?PASS on adverse event rates in
hospitalized children with complex chronic conditions. J Hosp Med. 202…
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psnet.ahrq.gov/node/44812/psn-pdf
February 15, 2017 - Combining systems and teamwork approaches to
enhance the effectiveness of safety improvement
interventions in surgery: the Safer Delivery of Surgical
Services (S3) program.
February 15, 2017
McCulloch P, Morgan L, New S, et al. Combining Systems and Teamwork Approaches to Enhance the
Effectiveness of Safety Impro…
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psnet.ahrq.gov/node/45839/psn-pdf
February 07, 2018 - Mortality trends after a voluntary checklist-based surgical
safety collaborative.
February 7, 2018
Haynes AB, Edmondson L, Lipsitz S, et al. Mortality Trends After a Voluntary Checklist-based Surgical
Safety Collaborative. Ann Surg. 2017;266(6):923-929. doi:10.1097/SLA.0000000000002249.
https://psnet.ahrq.gov/issu…
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psnet.ahrq.gov/node/45109/psn-pdf
May 11, 2016 - Implementation of the surgical safety checklist in South
Carolina hospitals is associated with improvement in
perceived perioperative safety.
May 11, 2016
Molina G, Jiang W, Edmondson L, et al. Implementation of the Surgical Safety Checklist in South Carolina
Hospitals Is Associated with Improvement in Perceived P…
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psnet.ahrq.gov/node/866686/psn-pdf
September 11, 2024 - Impact of automated alerts on discharge opioid
overprescribing after general surgery.
September 11, 2024
Rizk E, Kaur N, Duong PY, et al. Impact of automated alerts on discharge opioid overprescribing after
general surgery. Am J Health Syst Pharm. 2024;81(24):1288-1296. doi:10.1093/ajhp/zxae185.
https://psnet.ahrq…
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www.ahrq.gov/hai/cusp/clabsi-neonatal/nclabsi7.html
January 01, 2013 - Eliminating CLABSI, A National Patient Safety Imperative: Neonatal CLABSI Prevention
Conclusion
Previous Page Next Page
Table of Contents
Eliminating CLABSI, A National Patient Safety Imperative: Neonatal CLABSI Prevention
Executive Summary
Introduction & Objectives
Methods
Data Collection a…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/021-optimizing-evc-webinar-slides_revised.pptx
October 01, 2024 - Non-ICU
Optimizing Environmental Cleaning
44
Key Takeaways
There is no quick fix when it comes to reducing … An evaluation of environmental decontamination with hydrogen peroxide vapor for reducing the risk of
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digital.ahrq.gov/sites/default/files/docs/publication/r18hs017016-williams-final-report-2010.pdf
January 01, 2010 - detect, and manage CVD will help enable those parts of the
research and quality improvement agenda for reducing … counseling for weight loss in primary care, there is an urgent need to exploit all plausible
means of reducing … Indices based on EMR data can identify
physicians who are successful in reducing weight among obese … Systolic and diastolic blood pressure management: High blood pressure is medically
managed as a means of reducing … Many clinical trials have proven the
efficacy of antihypertensive medication in reducing risk of morbidity
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/ph_fauqHQjmrSqPAWKrARA
September 28, 2021 - framework was developed with 3 key questions (KQs)
(Figure 1) that examined the effectiveness of aspirin in reducing … Does effectiveness of aspirin for reducing adverse health outcomes vary by subpopulations
defined by … Does the effectiveness of aspirin for reducing ad-
verse health outcomes vary by subpopulations defined … Does the effectiveness of aspirin for reducing pre-
eclampsia vary by subpopulations defined by personal … Reducing disparities in severe
maternal morbidity and mortality.
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/TND-0543_05-24-2013.pdf
January 01, 2013 - Summary: alternative strategies, including educational strategies and antibiotic management, for
reducing … Individuals with acute cough illness Intervention(s): Educational and
antimicrobial strategies for reducing … present with ACI, what is the comparative effectiveness of various
from Nominator: interventions for reducing
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/003-ss-antimicrobial-prophylaxis-part-2-fg.docx
April 01, 2025 - prophylaxis has been a continued topic of investigation, many studies have found that the largest impact on reducing
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cds.ahrq.gov/sites/default/files/cds/artifact/136331/Benzodiazepine%20Patient%20Handout.pdf
January 01, 2018 - Microsoft PowerPoint - Updated Handouts - Read-Only
REDUCING MEDICATIONS SAFELY
TO MEET LIFE’S CHANGES … taking:_____________________
Your dose: _____________________________________________
WHY CONSIDER REDUCING … Adapted from “Reducing Medications Safely to Meet Life’s Changes, Focus on Benzodiazepine Receptor Agonists