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  1. The nature, causes, and clinical impact of errors in the clinical laboratory testing process leading to diagnostic error: a voluntary incident report analysis. | PSNet

    psnet.ahrq.gov/issue/nature-causes-and-clinical-impact-errors-clinical-laboratory-testing-process-leading
    May 18, 2022 - Study The nature, causes, and clinical impact of errors in the clinical laboratory testing process leading to diagnostic error: a voluntary incident report analysis. Citation Text: van Moll C, Egberts TCG, Wagner C, et al. The nature, causes, and clinical impact of errors in the clinical…

  2. Targeted versus universal decolonization to prevent ICU infection. | PSNet

    psnet.ahrq.gov/issue/targeted-versus-universal-decolonization-prevent-icu-infection
    November 16, 2022 - Study Classic Targeted versus universal decolonization to prevent ICU infection. Citation Text: Huang SS, Septimus E, Kleinman K, et al. Targeted versus universal decolonization to prevent ICU infection. N Engl J Med. 2013;368(24):2255-2265. doi:10.1056/nejmoa12…

  3. Long-term care healthcare-associated infections in 2021: an analysis of 17,971 reports. | PSNet

    psnet.ahrq.gov/issue/long-term-care-healthcare-associated-infections-2021-analysis-17971-reports
    July 06, 2022 - Study Long-term care healthcare-associated infections in 2021: an analysis of 17,971 reports. Citation Text: Kepner S, Adkins JA, Jones RM. Long-term care healthcare-associated infections in 2021: an analysis of 17,971 reports. Patient Saf. 2022;4(2):6-17. doi:10.33940/data/2022.6.1. C…

  4. AHRQ’s Portrait of Sepsis Reveals Its Alarming Human Toll | Agency for Healthcare Research and Quality

    www.ahrq.gov/news/blog/ahrqviews/portrait-of-sepsis.html
    September 01, 2024 - AHRQ Views: Blog posts from AHRQ leaders AHRQ’s Portrait of Sepsis Reveals Its Alarming Human Toll SEP 27 2024 By Robert Otto Valdez, Ph.D., M.H.S.A., and Pamela Owens, Ph.D. The human suffering caused by sepsis is shocking. New AHRQ analyses show that in 2021, more than 2 m…

  5. Repurposing clinical decision support system data to measure dosing errors and clinician-level quality of care. | PSNet

    psnet.ahrq.gov/issue/repurposing-clinical-decision-support-system-data-measure-dosing-errors-and-clinician-level
    October 21, 2020 - Study Repurposing clinical decision support system data to measure dosing errors and clinician-level quality of care. Citation Text: Chin DL, Wilson MH, Trask AS, et al. Repurposing clinical decision support system data to measure dosing errors and clinician-level quality of care. J Med …

  6. Findings of the first consensus conference on medical emergency teams. | PSNet

    psnet.ahrq.gov/issue/findings-first-consensus-conference-medical-emergency-teams
    August 04, 2021 - Commentary Findings of the first consensus conference on medical emergency teams. Citation Text: DeVita MA, Bellomo R, Hillman KM, et al. Findings of the First Consensus Conference on Medical Emergency Teams*. Crit Care Med. 2006;34(9). doi:10.1097/01.ccm.0000235743.38172.6e. Copy Ci…

  7. Using a patient internet portal to prevent adverse drug events: a randomized, controlled trial. | PSNet

    psnet.ahrq.gov/issue/using-patient-internet-portal-prevent-adverse-drug-events-randomized-controlled-trial
    September 15, 2011 - Study Using a patient internet portal to prevent adverse drug events: a randomized, controlled trial. Citation Text: Weingart SN, Carbo AR, Tess A, et al. Using a Patient Internet Portal to Prevent Adverse Drug Events. J Patient Saf. 2013;9(3). doi:10.1097/pts.0b013e31829e4b95. Copy…

  8. Racial inequality in receipt of medications for opioid use disorder. | PSNet

    psnet.ahrq.gov/issue/racial-inequality-receipt-medications-opioid-use-disorder
    April 24, 2018 - Study Racial inequality in receipt of medications for opioid use disorder. Citation Text: Barnett ML, Meara E, Lewinson T, et al. Racial inequality in receipt of medications for opioid use disorder. New Engl J Med. 2023;388(19):1779-1789. doi:10.1056/nejmsa2212412. Copy Citation Fo…

  9. Increases in drug and opioid overdose deaths—United States, 2000–2015. | PSNet

    psnet.ahrq.gov/issue/increases-drug-and-opioid-overdose-deaths-united-states-2000-2015
    January 23, 2019 - Study Classic Increases in drug and opioid overdose deaths—United States, 2000–2015. Citation Text: Rudd RA, Seth P, David F, et al. Increases in Drug and Opioid-Involved Overdose Deaths - United States, 2010-2015. MMWR Morb Mortal Wkly Rep. 2016;65(50-51):1445-…

  10. A reengineered hospital discharge program to decrease rehospitalization: a randomized trial. | PSNet

    psnet.ahrq.gov/issue/reengineered-hospital-discharge-program-decrease-rehospitalization-randomized-trial
    August 04, 2021 - Study A reengineered hospital discharge program to decrease rehospitalization: a randomized trial. Citation Text: Jack BW, Chetty VK, Anthony D, et al. A reengineered hospital discharge program to decrease rehospitalization: a randomized trial. Ann Intern Med. 2009;150(3):178-87. Copy …

  11. Opioid prescribing after nonfatal overdose and association with repeated overdose: a cohort study. | PSNet

    psnet.ahrq.gov/issue/opioid-prescribing-after-nonfatal-overdose-and-association-repeated-overdose-cohort-study
    January 23, 2019 - Study Classic Opioid prescribing after nonfatal overdose and association with repeated overdose: a cohort study. Citation Text: Larochelle MR, Liebschutz JM, Zhang F, et al. Opioid Prescribing After Nonfatal Overdose and Association With Repeated Overdose: A Coh…

  12. Association of pharmaceutical industry marketing of opioid products with mortality from opioid-related overdoses. | PSNet

    psnet.ahrq.gov/issue/association-pharmaceutical-industry-marketing-opioid-products-mortality-opioid-related
    November 17, 2021 - Study Classic Association of pharmaceutical industry marketing of opioid products with mortality from opioid-related overdoses. Citation Text: Hadland SE, Rivera-Aguirre A, Marshall BDL, et al. Association of Pharmaceutical Industry Marketing of Opioid Products …

  13. Child Health Care Quality Toolbox: Resources | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/quality-resources/tools/chtoolbx/resources/index.html
    June 01, 2020 - Child Health Care Quality Toolbox: Resources The Child Health Toolbox contains concepts, tips, and tools for evaluating the quality of health care for children. This section identifies national initiatives that serve as clearinghouses for measures of the quality of children's health, health care, and general …

  14. Changes in prevalence of health care-associated infections in U.S. hospitals. | PSNet

    psnet.ahrq.gov/issue/changes-prevalence-health-care-associated-infections-us-hospitals
    December 18, 2014 - Study Classic Changes in prevalence of health care-associated infections in U.S. hospitals. Citation Text: Magill SS, O'Leary E, Janelle SJ, et al. Changes in Prevalence of Health Care-Associated Infections in U.S. Hospitals. N Engl J Med. 2018;379(18):1732-1744…

  15. A surgical safety checklist to reduce morbidity and mortality in a global population. | PSNet

    psnet.ahrq.gov/issue/surgical-safety-checklist-reduce-morbidity-and-mortality-global-population
    February 09, 2011 - Study Classic A surgical safety checklist to reduce morbidity and mortality in a global population. Citation Text: Haynes AB, Weiser TG, Berry WR, et al. A surgical safety checklist to reduce morbidity and mortality in a global population. N Engl J Med. 2009;3…

  16. Clinically inconsequential alerts: the characteristics of opioid drug alerts and their utility in preventing adverse drug events in the emergency department. | PSNet

    psnet.ahrq.gov/issue/clinically-inconsequential-alerts-characteristics-opioid-drug-alerts-and-their-utility
    May 18, 2022 - Study Clinically inconsequential alerts: the characteristics of opioid drug alerts and their utility in preventing adverse drug events in the emergency department. Citation Text: Genco EK, Forster JE, Flaten H, et al. Clinically Inconsequential Alerts: The Characteristics of Opioid Drug …

  17. The extent and importance of unintended consequences related to computerized provider order entry. | PSNet

    psnet.ahrq.gov/issue/extent-and-importance-unintended-consequences-related-computerized-provider-order-entry
    May 27, 2011 - Study Classic The extent and importance of unintended consequences related to computerized provider order entry. Citation Text: Ash JS, Sittig DF, Poon EG, et al. The extent and importance of unintended consequences related to computerized provider order entry…

  18. Time to listen: a review of methods to solicit patient reports of adverse events. | PSNet

    psnet.ahrq.gov/issue/time-listen-review-methods-solicit-patient-reports-adverse-events
    November 23, 2016 - Review Time to listen: a review of methods to solicit patient reports of adverse events. Citation Text: King A, Daniels J, Lim J, et al. Time to listen: a review of methods to solicit patient reports of adverse events. Qual Saf Health Care. 2010;19(2):148-57. doi:10.1136/qshc.2008.0301…

  19. Using computerized provider order entry and clinical decision support to improve referring physicians' implementation of consultants' medical recommendations. | PSNet

    psnet.ahrq.gov/issue/using-computerized-provider-order-entry-and-clinical-decision-support-improve-referring
    August 20, 2018 - Study Using computerized provider order entry and clinical decision support to improve referring physicians' implementation of consultants' medical recommendations. Citation Text: Were MC, Abernathy G, Hui SL, et al. Using computerized provider order entry and clinical decision support…

  20. Introducing a New Database for Users of the CAHPS Home and Community-Based Services (HCBS CAHPS) Survey - BROWN (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/hcbs-2021-webcast-quality-measures.pdf
    January 01, 2021 - Introducing a New Database for Users of the CAHPS Home and Community-Based Services (HCBS CAHPS) Survey - BROWN Looking Forward: HCBS Quality Measures Alignment and HCBS CAHPS® Survey Melanie Brown, PhD, Technical Director Division of Community Systems Transformation, Disabled and Elderly Health Programs Group, Ce…
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