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www.ahrq.gov/sites/default/files/wysiwyg/topics/dx-safety-workgroup-meeting-notes-mar2024.pdf
July 26, 2024 - Federal Interagency Workgroup: Improving Diagnostic Safety and Quality in Healthcare: March 2024 Meeting
Federal Interagency Workgroup:
Improving Diagnostic Safety and Quality in Healthcare
March 2024 Meeting
Workgroup Goal: Established by Senate Report 115-150. The Senate Committee on
Appropriations request…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4e_combo_psi08-postophipfx-bestpractices.pdf
May 20, 2016 - Selected Best Practices and Suggestions for Improvement
Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
1 Tool D.4e
Selected Best Practices and Suggestions for Improvement
PSI 08: Postoperative Hip Fracture
Why Focus on Postoperative Hip Fracture?
• Hip fracture…
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psnet.ahrq.gov/node/73335/psn-pdf
May 26, 2021 - Hyponatremia Secondary to Home Parenteral Nutrition
Error
May 26, 2021
Haas K, Lee A. Hyponatremia Secondary to Home Parenteral Nutrition Error. PSNet [internet]. 2021.
https://psnet.ahrq.gov/web-mm/hyponatremia-secondary-home-parenteral-nutrition-error
The Case
A 4-year-old (former 33-week premature) boy with a …
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psnet.ahrq.gov/node/49670/psn-pdf
November 01, 2012 - Missed Pneumonia
November 1, 2012
Rohde JM, Flanders S. Missed Pneumonia. PSNet [internet]. 2012.
https://psnet.ahrq.gov/web-mm/missed-pneumonia
The Case
A 32-year-old man presented to the emergency department (ED) with 3 days of fever and right pleuritic
chest pain. Review of systems was negative for cough or dy…
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psnet.ahrq.gov/node/33700/psn-pdf
October 01, 2010 - In Conversation with...Peter J. Pronovost, MD, PhD
October 1, 2010
In Conversation with..Peter J. Pronovost, MD, PhD. PSNet [internet]. 2010.
https://psnet.ahrq.gov/perspective/conversation-withpeter-j-pronovost-md-phd-0
Editor's note: Peter J. Pronovost, MD, PhD, is a Professor of Anesthesia, Critical Care, and He…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/item-sets/elicitation/cahps-patient-narrative-elicitation-protocol-qa-03-01-2017.pdf
January 01, 2017 - Questions & Answers: The CAHPS Patient Narrative Elicitation Protocol
QUESTIONS & ANSWERS
The CAHPS Patient Narrative Elicitation Protocol:
A Scientific Approach to Collecting Comments on Experiences of Care
Narratives from patients about their health care experiences can provide a valuable complement to
standar…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/warmhandoff-designguide.pdf
June 02, 2025 - Design Guide for Implementing Warm Handoffs
Design Guide for
Implementing
Warm Handoffs
The Guide to Improving Patient Safety in Primary Care
Settings by Engaging Patients and Families
Table of Contents
Introduction ............................................................................................…
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psnet.ahrq.gov/node/33624/psn-pdf
December 01, 2005 - In Conversation with…Troyen A. Brennan, MD, JD, MPH
December 1, 2005
In Conversation with…Troyen A. Brennan, MD, JD, MPH. PSNet [internet]. 2005.
https://psnet.ahrq.gov/perspective/conversation-withtroyen-brennan-md-jd-mph
Dr. Robert Wachter, Editor, AHRQ WebM&M: What got you interested in the law and its interface…
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psnet.ahrq.gov/node/73999/psn-pdf
October 27, 2021 - To Dilute or Not Dilute: Drug Errors and Consequences in
the Operating Room
October 27, 2021
Aldwinckle R, Florendo E. To Dilute or Not Dilute: Drug Errors and Consequences in the Operating Room.
PSNet [internet]. 2021.
https://psnet.ahrq.gov/web-mm/dilute-or-not-dilute-drug-errors-and-consequences-operating-room
…
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psnet.ahrq.gov/node/49815/psn-pdf
December 01, 2017 - Over-the-Counter Oversight
December 1, 2017
Janamanchi V, Modha K, Whinney C. Over-the-Counter Oversight. PSNet [internet]. 2017.
https://psnet.ahrq.gov/web-mm/over-counter-oversight
The Case
A 56-year-old man was evaluated in the burn clinic for a second-degree burn on his chest. Although
portions of his skin we…
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www.uspreventiveservicestaskforce.org/uspstf/document/final-research-plan/screening-anxiety-children-adolescents
March 29, 2022 - Share to Facebook
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Final Research Plan
Anxiety in Children and Adolescents: Screening
March 29, 2022
Recommendations made by the USPSTF are independent of the U.S. government. They should not…
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www.uspreventiveservicestaskforce.org/uspstf/document/final-research-plan/screening-depression-suicide-risk-children-adolescents
August 13, 2020 - Share to Facebook
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Final Research Plan
Depression and Suicide Risk in Children and Adolescents: Screening
August 13, 2020
Recommendations made by the USPSTF are independent of the U.S. governm…
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/breastfeeding-health-outcomes-disposition-comments.pdf
March 31, 2025 - These approaches can offer
more nuanced insights into the systemic barriers to
breastfeeding success … This systematic review
underscores the need for multi-sectoral approaches to
breastfeeding promotion … center marginalized
communities, address systemic barriers, and promote
holistic, community-driven approaches
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psnet.ahrq.gov/perspective/conversation-cheryl-jones-about-addressing-workplace-violence-and-creating-safer
October 31, 2023 - Jones: I think there are several opportunities to improve current approaches to addressing workplace … Patient safety approaches generally emphasize a “systems” approach to create safe work environments; … look to theories that come from within and outside of healthcare, including health services research approaches
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psnet.ahrq.gov/perspective/addressing-workplace-violence-and-creating-safer-workplace
October 31, 2023 - Jones: I think there are several opportunities to improve current approaches to addressing workplace … Patient safety approaches generally emphasize a “systems” approach to create safe work environments; … look to theories that come from within and outside of healthcare, including health services research approaches
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/pneumonia-antibiotic-treatment_research-protocol.pdf
July 19, 2013 - strategies may offer a pharmacodynamic advantage, studies
evaluating the clinical outcomes of these approaches … Therefore study questions, design, and/or methodological
approaches do not necessarily represent the … Technical Experts provide information to the EPC to identify literature search strategies and
recommend approaches
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/opioid-treatments-chronic-pain-protocol.pdf
December 19, 2018 - Therefore,
optimal approaches to the management of chronic pain should consider psychological
and social … Therefore
study questions, design, and methodological approaches do not necessarily represent the
views … Technical Experts provide information
to the EPC to identify literature search strategies and suggest approaches
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/trauma-child-interventions_disposition-comments.pdf
February 11, 2013 - out that the complexity and clinical
heterogeneity of maltreatment has generated diverse clinical approaches … TEP #5 Clarity/
Usability
It is clear to me that alternative approaches need to be developed for … Alternative approaches would include systems for monitoring and
reporting on the large number of uses
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www.ahrq.gov/sites/default/files/2024-01/friese-report.pdf
January 01, 2024 - These results suggest that, despite numerous evidence-based guidelines, current symptom
management approaches … remain suboptimal and novel approaches are needed to address
these problems. … Oncology nurses will benefit from structural and behavioral approaches to provide
clarity surrounding
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/nUKZWGKL2FA2Z5fZ3eCrDU
November 22, 2023 - assess-
ments (eg, physical examination) and standardized risk prediction
tools or a combination of approaches … and adolescents,1 risk in pregnant youth may be
elevated.4
Potential Harms
Primary care screening approaches … decayed or filled teeth (26.1% vs 49.7%;
relative risk, 0.52 [95% CI, 0.40-0.70]).1,22,31 Training approaches