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3241. Overdose of Gabapentin and Oxycodone in a Patient with End-Stage Renal Disease: A Case for Appropriate Interruptive Drug-Disease Alerts. | PSNet
      psnet.ahrq.gov/web-mm/overdose-gabapentin-and-oxycodone-patient-end-stage-renal-disease-case-appropriate
      June 24, 2020 - SPOTLIGHT CASE Overdose of Gabapentin and Oxycodone in a Patient with End-Stage Renal Disease: A Case for Appropriate Interruptive Drug-Disease Alerts. Citation Text: Keenan CR, MacDonald S, Takeshita A, et al. Overdose of Gabapentin and Oxycodone in a Patient with End-Stage Renal Disease: A Case…

3242. Patient Safety Amid Nursing Workforce Challenges | PSNet
      psnet.ahrq.gov/perspective/patient-safety-amid-nursing-workforce-challenges
      April 24, 2024 - Patient Safety Amid Nursing Workforce Challenges Katie Boston-Leary, PhD, MBA, MHA, RN, NEA-BC, Merton Lee, PharmD, PhD, Sarah E. Mossburg, RN, PhD | April 24, 2024  Also Read the Conversation View more articles from the same authors. Citation Text: Leary KB, L…

3243. A Postpartum Woman with an Erroneous SARS-CoV-2 Test | PSNet
      psnet.ahrq.gov/web-mm/postpartum-woman-erroneous-sars-cov-2-test
      December 23, 2020 - A Postpartum Woman with an Erroneous SARS-CoV-2 Test Citation Text: Martin SA, Kanjilal S, Schiff G. A Postpartum Woman with an Erroneous SARS-CoV-2 Test. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2021. Copy Citation Forma…

3244. Draft Recommendation: Breastfeeding: Primary Care Behavioral Counseling Interventions | United States Preventive Services Taskforce
      www.uspreventiveservicestaskforce.org/uspstf/draft-recommendation/breastfeeding-interventions
      October 22, 2024 - Share to Facebook Share to X Share to WhatsApp Share to Email Print in progress Draft Recommendation Statement Breastfeeding: Primary Care Behavioral Counseling Interventions October 22, 2024 Recommendations made by the USPSTF are indepen…

3245. Hospital Deaths for Common Heart Conditions Increased While Hospitalizations Decreased During the First Year of COVID-19 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/qdr-data-spotlight-heart-failure-hospital.pdf
      July 01, 2023 - Hospital Deaths for Common Heart Conditions Increased While Hospitalizations Decreased During the First Year of COVID-19 1 Hospital Deaths for Common Heart Conditions Increased While Hospitalizations Decreased During the First Year of COVID-19 Deaths From Heart Disease Increased in 2020 Heart disease is the mo…

3246. National Action Alliance to Advance Patient Safety Webinar Series (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/CMS-Aug-23-board-session.pdf
      August 22, 2023 - National Action Alliance to Advance Patient Safety Webinar Series National Action Alliance to Advance Patient Safety Webinar Series Engaging Boards and Executive Leadership In Safety August 22, 2023 Beth Daley Ullem Founder and CEO, Quality and Safety First National Action Alliance To Advance …

3247. Preparing for Health Reform: The Federal Government and the Nursing Workforce | PSNet
      psnet.ahrq.gov/perspective/preparing-health-reform-federal-government-and-nursing-workforce
      September 01, 2012 - Preparing for Health Reform: The Federal Government and the Nursing Workforce Peter I. Buerhaus, PhD, RN | September 1, 2012  Also Read a Conversation View more articles from the same authors. Citation Text: Buerhaus P. Preparing for Health Reform: The Federal G…

3248. Practice and Quality Improvement | Agency for Healthcare Research and Quality
      www.ahrq.gov/ncepcr/reports/2024-annual-report/recent-grants-improvement.html
      May 01, 2024 - Investments in Primary Care Research for 2021 and 2022 Practice and Quality Improvement Previous Page Next Page Table of Contents Investments in Primary Care Research for 2021 and 2022 Acknowledgments and Authors Message from the Acting Director of AHRQ's National Center for Excellence in Primar…

3249. AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and Emergency Department Visits | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/prevhosp/ereports.html
      September 01, 2017 - AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and Emergency Department Visits Electronic Reports Five reports are described here. Each section presents a sample report followed by purpose, description, and users and potential uses. The reports are: Transfer Risk Reports  (A high r…

3250. Strategies for Improving Clinician Psychological Safety in Reporting and Discussing Diagnostic Error (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/topics/dxsafety-psychological-safety.pdf
      September 01, 2023 - Strategies for Improving Clinician Psychological Safety in Reporting and Discussing Diagnostic Error Issue Brief 15 Strategies for Improving Clinician Psychological Safety in Reporting and Discussing Diagnostic Error PATIENT SAFETY e This page intentionally left blank. e Issue Brief 15 Strategies for I…

3251. NPSD Data Spotlight - Patient Safety and COVID-19: A Qualitative Analysis of Concerns During the Public Health Emergency (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/spotlights/spotlight-ptsafety-and-covid-19.pdf
      November 01, 2021 - NPSD Data Spotlight - Patient Safety and COVID-19: A Qualitative Analysis of Concerns During the Public Health Emergency Patient Safety and COVID-19: A Qualitative Analysis of Concerns During the Public Health Emergency NPSD Data Spotlight This document is in the public domain and may b…

3252. Meeting Minutes, July 2017 | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/events/nac/2017-07-nac/nacmtg0717-minutes.html
      November 01, 2017 - Meeting Minutes, July 2017 National Advisory Council Minutes from the July 26, 2017, meeting of the Agency for Healthcare Research and Quality's National Advisory Council. Contents Summary Call to Order and Approval of November 2, 2016, Summary Report Director's Update Update on Learning Health Care…

3253. In Conversation with...Katie Boston-Leary about Patient Safety Amid Nursing Workforce Challenges | PSNet
      psnet.ahrq.gov/perspective/conversation-withkatie-boston-leary-about-patient-safety-amid-nursing-workforce
      April 24, 2024 - In Conversation with...Katie Boston-Leary about Patient Safety Amid Nursing Workforce Challenges Katie Boston-Leary, PhD, MBA, MHA, RN, NEA-BC, CCT | April 24, 2024  Also Read the Essay View more articles from the same authors. Citation Text: Leary KB. In Con…

3254. AHRQ Stats | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/newsroom/ahrq-stats.html
      January 01, 2025 - (Source: Trends in Severe Maternal Morbidity in the US Across the Transition from ICD-10-CM/PCS from

3255. Final Progress Report: Pediatric patient safety learning laboratory to re-engineer continuous physiologic monitoring systems (pdf file)
      www.ahrq.gov/sites/default/files/2024-05/bonafide-report.pdf
      January 01, 2024 - In this project, we found that important predictors of SpO2 overuse were patient age, recent transition

3256. Automated Adverse Drug Event Detection and Intervention - Final Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/publication/uc1hs014882-ferranti-final-report-2008.pdf
      January 01, 2008 - However, training is underway to transition this effort to hospital-funded pharmacy resources.

3257. 2. Synthesis of Key Findings by Category | Agency for Healthcare Research and Quality
      www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/final-report/section2.html
      October 01, 2015 - vendors’ reluctance stemmed in part from their need to pay attention to other priorities (such as ICD-10 transition

3258. Analysis of HCUP-SID MHSA Discharge Data and MCR Psychiatric Unit Data (pdf file)
      hcup-us.ahrq.gov/reports/MCRSIDFinalReport083110.pdf
      September 07, 2010 - PPS was implemented with a three year transition starting in January 2005, with an increasing percentage

3259. 2021 Medicaid and Children's Health Insurance Program (CHIP) Chartbook: What Enrollees Say About Their Experiences With Their Health Plans and Medical Care (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cahps/cahps-database/2021-hp-chartbook.pdf
      January 01, 2021 - Although the CAHPS Health Plan Survey instrument changed slightly during this period with the transition

3260. PowerPoint Presentation
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/sppcii-obstetric-hemorrhage-scenarios.pptx
      July 01, 2023 - Sonentag at that time is 6 cm dilated, 90% effaced, and 0 station, marking transition to active labor