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psnet.ahrq.gov/periodic-issue/periodic-issue-469
December 31, 2024 - January 8, 2025 Weekly Issue
PSNet highlights the latest patient safety literature, news, and expert commentary, including Weekly
Updates, WebM&M, and Perspectives on Safety. The current issue highlights what's new this week in patient
safety literature, news, conferences, reports…
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psnet.ahrq.gov/primer/failure-rescue
September 15, 2024 - Failure to Rescue
Citation Text:
Tokareva I, Romano P. Failure to Rescue. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2025.
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Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubM…
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pso.ahrq.gov/sites/default/files/wysiwyg/oig-list-long-term-care-hospitals-2019.pdf
January 01, 2019 - Adverse and Temporary Harm Events in Long-Term-Care Hospitals (LTCH) Designated in Office of Inspector General Report1 as Clearly Preventable or Likely Preventable, by Clinical Category
Page 1 of 9
Adverse and Temporary Harm Events in Long-Term-Care
Hospitals (LTCH) Designated in Office of Inspector General
Report…
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/RaBrLyur6uTNS8-_nyysj2
April 01, 2009 - Counseling and Interventions to Prevent Tobacco Use and Tobacco-Caused Disease in Adults and Pregnant Women: Reaffirmation Recommendation Statement
Counseling and Interventions to Prevent Tobacco Use and Tobacco-
Caused Disease in Adults and Pregnant Women: U.S. Preventive Services
Task Force Reaffirmation Recommenda…
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effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/white-paper-lumbar-spondylolisthesis.pdf
March 01, 2021 - White Paper: Standardized Library of Lumbar Spondylolisthesis Outcome Measures
Research White Paper
Standardized Library of Lumbar Spondylolisthesis
Outcome Measures
Research White Paper
Standardized Library of Lumbar Spondylolisthesis
Outcome Measures
Prepared for: …
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psnet.ahrq.gov/web-mm/when-taking-sglt2-inhibitor-remember-sstop-stop-sglt2-inhibitor-three-days-bef-o-re
February 01, 2023 - When Taking an SGLT2 inhibitor, Remember To SSTOP (Stop SGLT2 Inhibitor Three days bef-O-re Procedures)!
Citation Text:
Bagley B, Tan CL, Plante D. When Taking an SGLT2 inhibitor, Remember To SSTOP (Stop SGLT2 Inhibitor Three days bef-O-re Procedures)!. PSNet [internet]. Rockville (MD): Agency for Healthcar…
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www.ahrq.gov/action-alliance/resources/type-harm.html
July 01, 2025 - Resources by Safety Topic
Contents Diagnostic Safety Emergency Preparedness Falls Healthcare-Associated Infections Maternal Safety Medication Safety Never Events Opioid Safety Pressure Ulcers Readmissions Sepsis Surgical Safety Transitions in Care Venous Thromboembolism Diagnostic Safety AHRQ Diagnostic Steward…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Deis_82.pdf
June 03, 2008 - Transforming the Morbidity and Mortality Conference into an Instrument for Systemwide Improvement
Transforming the Morbidity and Mortality Conference
into an Instrument for Systemwide Improvement
Jamie N. Deis, MD; Keegan M. Smith, MD; Michael D. Warren, MD;
Patricia G. Throop, BSN, CPHQ; Gerald B. Hickson, MD; …
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www.ahrq.gov/patient-safety/news-events/summit-research-2020/questions.html
March 01, 2021 - Summary of Patient Safety Research Opportunities
AHRQ Summit and Roundtable on Research Priorities for Patient Safety Improvement
Research questions, topics, and key themes that were addressed as part of the Patient Safety Roundtable and Patient Safety Summit included the items listed below. It is important t…
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effectivehealthcare.ahrq.gov/health-topics/huntingtons-disease
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effectivehealthcare.ahrq.gov/health-topics/interstitial-cystitis
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effectivehealthcare.ahrq.gov/health-topics/encephalitis
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effectivehealthcare.ahrq.gov/health-topics/dementia
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effectivehealthcare.ahrq.gov/health-topics/appendicitis
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effectivehealthcare.ahrq.gov/health-topics/acoustic-neuroma
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effectivehealthcare.ahrq.gov/health-topics/hay-fever
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effectivehealthcare.ahrq.gov/health-topics/gluten-sensitivity
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effectivehealthcare.ahrq.gov/health-topics/heart-attack
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effectivehealthcare.ahrq.gov/health-topics/alpha-1-antitrypsin-deficiency
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effectivehealthcare.ahrq.gov/health-topics/ovarian-cancer