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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-hcfd-041825.pdf
April 01, 2025 - Improving Healthcare Safety by Enhancing Healthcare Facility Design
AHRQ-Funded Patient Safety
Project Highlights
Improving Healthcare Safety by
Enhancing Healthcare Facility Design
Overview
Research has shown that optimizing the physical, functional, and aesthetic details of healthcare facilitiesi
(e.g., units,…
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psnet.ahrq.gov/perspective/evidence-based-physical-examination-patient-safety-practice
November 01, 2012 - The Evidence-Based Physical Examination as a Patient Safety Practice
Steven McGee, MD | November 1, 2012
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Citation Text:
McGee S. The Evidence-Based Physical Examination as a Patient Safety Pract…
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs028104-final-report-zhang-2024.pdf
January 01, 2024 - A Novel Approach for Supporting Care Coordination Across Distributed Emergency Care Teams - Final Report
AHRQ Grant Final Progress Report
• Title of Project: A novel approach for supporting care coordination across
distributed emergency care teams
• Principal Investigator and Team Members:
Zhan Zhang, PhD…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Duthie.pdf
January 01, 2004 - Quantitative and Qualitative Analysis of Medication Errors: The New York Experience
131
Quantitative and Qualitative Analysis of
Medication Errors: The New York Experience
Elizabeth Duthie, Barbara Favreau, Angelo Ruperto,
Janet Mannion, Ellen Flink, Ruth Leslie
Abstract
Objectives: In June 2000, the New Yo…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Potter.pdf
January 01, 2003 - An Analysis of Nurses' Cognitive Work: A New Perspective for Understanding Medical Errors
39
An Analysis of Nurses’ Cognitive Work:
A New Perspective for Understanding
Medical Errors
Patricia Potter, Laurie Wolf, Stuart Boxerman, Deborah Grayson,
Jennifer Sledge, Clay Dunagan, Bradley Evanoff
Abstract
He…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Gallagher1.pdf
January 01, 2004 - Validation of AHRQ’s Patient Safety Indicator for Accidental Puncture or Laceration
27
Validation of AHRQ’s Patient Safety Indicator
for Accidental Puncture or Laceration
Brian Gallagher, Liyi Cen, Edward L. Hannan
Abstract
Objectives: This study examined whether clinical evidence in medical records
confirms…
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/topicrefinement/afib_topicref.pdf
January 01, 2020 - Catheter Ablation for Atrial Fibrillation: Topic Refinement - Project ID: CRDT0913
Final Topic Refinement Document
Catheter Ablation for Atrial Fibrillation - Project ID: CRDT0913
Date: 05/29/2014
Topic: Catheter Ablation for Atrial Fibrillation – Project ID: CRDT0913
EPC: Pacific Northwest EPC
AHRQ Task …
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/gW6MHsqzJ7Nn4a7S6S_9UN
June 04, 2024 - Interventions to Prevent Falls in Community-Dwelling Older Adults: US Preventive Services Task Force Recommendation Statement
Interventions to Prevent Falls in Community-Dwelling Older Adults
US Preventive Services Task Force Recommendation Statement
US Preventive Services Task Force
Summary of Recommendations
See …
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psnet.ahrq.gov/web-mm/dangers-missing-epidural-abscess-multiple-visits-and-delayed-diagnosis-severely-negative
April 27, 2022 - SPOTLIGHT CASE
Dangers of Missing an Epidural Abscess: Multiple Visits and Delayed Diagnosis with a Severely Negative Outcome
Citation Text:
Lantz L, Yoon J, Barnes DK. Dangers of Missing an Epidural Abscess: Multiple Visits and Delayed Diagnosis with a Severely Negative Outcome. PSNet [internet…
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psnet.ahrq.gov/perspective/first-do-no-harm-value-driven-patient-safety-neonatal-intensive-care-unit
October 30, 2019 - First, Do No Harm: Value-driven Patient Safety in the Neonatal Intensive Care Unit
Jochen Profit, MD, MPH; Annette Scheid, MD; and Erick Ridout, MD | October 30, 2019
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Citation Text:
Profit J, …
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www.uspreventiveservicestaskforce.org/uspstf/about-uspstf/methods-and-processes/use-decision-models-development-evidence-based-clinical-preventive-services-recommendations
May 01, 2019 - Use of Decision Models in the Development of Evidence-Based Clinical Preventive Services Recommendations
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Table of Contents
Abstract
Introduction
Rationale for Use of …
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digital.ahrq.gov/sites/default/files/docs/technologies-underserved-populations-slides-02282023.pdf
February 28, 2023 - AHRQ Webinar: Leveraging Digital Health Technologies to Address the Needs of Underserved Populations - Slides
AGENCY FOR HEALTHCARE RESEARCH AND QUALITY
Leveraging Digital Health Technologies
to Address the Needs of Underserved Populations
Presented by:
Andrea Wallace, Ph.D., R.N.
Brian Jack, M.D.
Peter Yellowle…
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www.ahrq.gov/sites/default/files/2025-07/fenton2-report.pdf
January 01, 2025 - Final Progress Report: Watchful Waiting as a Strategy for Reducing Low-value Spinal Imaging
Watchful Waiting as a Strategy for Reducing Low-value Spinal Imaging
Principal Investigator: Joshua J. Fenton, MD, MPH
Team Members: Anthony Jerant. MD
Camille Cipri, BS
Melissa Gosdin, PhD
Daniel Tancredi, PhD
Guibo Xing, P…
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/GytpQk-RYN3yBfdzkqUpff
January 23, 2024 - Screening for Speech and Language Delay and Disorders in Children: US Preventive Services Task Force Recommendation Statement
Screening for Speech and Language Delay and Disorders in Children
US Preventive Services Task Force Recommendation Statement
US Preventive Services Task Force
Summary of Recommendation
See t…
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psnet.ahrq.gov/perspective/health-equity-and-maternal-health
October 06, 2021 - Health Equity and Maternal Health
October 6, 2021
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Citation Text:
Tully K, Stuebe AM, Gibson A, et al. Health Equity and Maternal Health. PSNet [internet]. Rockville (MD): Agency for Healthcare…
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psnet.ahrq.gov/perspective/conversation-didier-pittet-md-ms
May 01, 2014 - In Conversation With… Didier Pittet, MD, MS
May 1, 2014
Also Read an Essay
Citation Text:
In Conversation With… Didier Pittet, MD, MS. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2014. …
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psnet.ahrq.gov/perspective/conversation-withsteven-j-spear-dba-ms-ms
August 01, 2009 - In Conversation with...Steven J. Spear, DBA, MS, MS
August 1, 2009
Also Read an Essay
Citation Text:
In Conversation with..Steven J. Spear, DBA, MS, MS . PSNet [internet]. 2009.In Conversation with...Steven J. Spear, DBA, MS, MS . PSNet [internet]. Rockville (MD…
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www.ahrq.gov/news/events/nac/2023-11-nac/nacmtg111623-minutes.html
January 01, 2024 - Meeting Minutes (Draft), November 2023
Minutes from the November 16, 2023, meeting of the Agency for Healthcare Research and Quality's National Advisory Council.
Contents
Summary
Call to Order and Approval of July 12, 2023, Meeting Summary
AHRQ Director’s Highlights
Consumer Experience Measurement: C…
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/ptsd-5-protocol-update-2023.pdf
January 01, 2023 - Evidence-based Practice Center Systematic Review Protocol
Evidence-based Practice Center Systematic Review Protocol
Project Title: Pharmacologic and Nonpharmacologic Treatments for Posttraumatic
Stress Disorder: An Update of the PTSD Repository Evidence Base
I. Background and Objectives for the System…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/workplace-safety-resources.pdf
May 01, 2023 - Improving Workplace Safety in Hospitals: A Resource List for Users of the AHRQ Workplace Safety Supplemental Item Set
SOPS Workplace Safety for Hospitals Supplemental Item Set Resource List 1
Improving Workplace Safety in Hospitals:
A Resource List for Users of the AHRQ Workplace
Safety Supplemental Item Set
I…