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  1. Psn-Pdf (pdf file)

    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…
  2. Psn-Pdf (pdf file)

    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…
  3. Psn-Pdf (pdf file)

    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…
  4. Psn-Pdf (pdf file)

    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…
  5. Psn-Pdf (pdf file)

    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…
  6. Psn-Pdf (pdf file)

    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…
  7. 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…
  8. Psn-Pdf (pdf file)

    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…
  9. Psn-Pdf (pdf file)

    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…
  10. Psn-Pdf (pdf file)

    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…
  11. Psn-Pdf (pdf file)

    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…
  12. Psn-Pdf (pdf file)

    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…
  13. Psn-Pdf (pdf file)

    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…
  14. 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…
  15. 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
  16. 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
  17. 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.
  18. TND-0543_05-24-2013 (pdf file)

    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
  19. 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
  20. 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