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digital.ahrq.gov/ahrq-funded-projects/using-interactive-health-information-technology-support-women-choices-birth/citation/study
January 01, 2023 - A study to assess the feasibility of implementing a web-based decision aid for birth after cesarean to increase opportunities for shared decision making in ethnically diverse settings.
Citation
Shorten A, Shorten B, Fagerlin A, Illuzzi J, Kennedy HP, Pettker C, Raju D, Whittemore R. A study to assess …
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digital.ahrq.gov/ahrq-funded-projects/enhancing-patient-matching-support-operational-health-information-exchange/citation/assessing
January 01, 2023 - Assessing the impact of privacy-preserving record linkage on record overlap and patient demographic and clinical characteristics in PCORnet®, the National Patient-Centered Clinical Research Network.
Citation
Marsolo K, Kiernan D, Toh S, Phua J, Louzao D, Haynes K, Weiner M, Angulo F, Bailey C, Bian J,…
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psnet.ahrq.gov/node/47057/psn-pdf
July 14, 2018 - A framework for operationalizing risk: a practical
approach to patient safety.
July 14, 2018
Mathews SC, Sutcliffe K, Garrett MR, et al. A framework for operationalizing risk: A practical approach to
patient safety. J Healthc Risk Manag. 2018;38(1):38-46. doi:10.1002/jhrm.21317.
https://psnet.ahrq.gov/issue/frame…
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psnet.ahrq.gov/node/60984/psn-pdf
October 07, 2020 - Prospective validation of classification of intraoperative
adverse events (ClassIntra): international, multicentre
cohort study.
October 7, 2020
Dell-Kuster S, Gomes NV, Gawria L, et al. Prospective validation of classification of intraoperative adverse
events (ClassIntra): international, multicentre cohort study.…
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psnet.ahrq.gov/node/45262/psn-pdf
April 01, 2021 - Each Baby Counts.
April 1, 2021
Royal College of Obstetricians and Gynaecologists.
https://psnet.ahrq.gov/issue/each-baby-counts-key-messages-2015
This organization highlights the importance of in-depth reporting and investigation of adverse events in
labor and delivery, involving parents in the analysis, engaging…
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psnet.ahrq.gov/node/43932/psn-pdf
March 04, 2015 - Safety considerations to mitigate the risks of
misconnections with small-bore connectors intended for
enteral applications.
March 4, 2015
Rockville, MD: Center for Devices and Radiological Health, US Food and Drug Administration; February
11, 2015.
https://psnet.ahrq.gov/issue/safety-considerations-mitigate-risks…
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psnet.ahrq.gov/node/860731/psn-pdf
January 17, 2024 - Occupational Health and Organizational Culture within a
Healthcare Setting: Challenges, Complexities, and
Dynamics.
January 17, 2024
Tran Y, Ellis LA, Clay-Williams R, eds. Lausanne, Switzerland: Frontiers Media SA; 2023. ISBN
9782832540770.
https://psnet.ahrq.gov/issue/occupational-health-and-organizational-cult…
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psnet.ahrq.gov/node/45975/psn-pdf
May 07, 2018 - Two effective initiatives for C-suite leaders to improve
medication safety and the reliability of outcomes.
May 7, 2018
ISMP Medication Safety Alert! Acute care edition. March 23, 2017;22:1-5.
https://psnet.ahrq.gov/issue/two-effective-initiatives-c-suite-leaders-improve-medication-safety-and-
reliability-outcomes…
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psnet.ahrq.gov/node/60807/psn-pdf
August 12, 2020 - Inadequate Emergency Department Care and Physician
Misconduct at the Washington DC VA Medical Center.
August 12, 2020
Office of the Inspector General. Washington, DC: Department of Veterans Affairs; July 28, 2020. Report
Number 19-07507-214.
https://psnet.ahrq.gov/issue/inadequate-emergency-department-care-and-phy…
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psnet.ahrq.gov/node/843431/psn-pdf
January 02, 2001 - The girl who cried pain: a bias against women in the
treatment of pain.
January 2, 2001
Hoffmann DE, Tarzian AJ. The girl who cried pain: a bias against women in the treatment of pain. J Law
Med Ethics. 2001;29(1):13-27. doi:10.1111/j.1748-720x.2001.tb00037.x.
https://psnet.ahrq.gov/issue/girl-who-cried-pain-bias-…
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www.ahrq.gov/patient-safety/reports/liability/baker.html
August 01, 2017 - Advances in Patient Safety and Medical Liability
Patient, Family Member, and Clinician Perceptions of Disclosure of Adverse Events in Labor and Delivery
Previous Page Next Page
Table of Contents
Advances in Patient Safety and Medical Liability
Preface
Acknowledgments
Prologue
Silence A Comme…
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/YFZy6kszQPq5tNGdZC25XC
July 26, 2016 - Screening for Skin Cancer: U.S. Preventive Services Task Force Recommendation Statement
Copyright 2016 American Medical Association. All rights reserved.
Screening for Skin Cancer
US Preventive Services Task Force
Recommendation Statement
US Preventive Services Task Force
T he US Preventive Services Task Force (USP…
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/wheelchair-service_disposition-comments.pdf
January 01, 2012 - service delivery models, it would be useful to
capture how the driving decisions are being made and
assessed … statement in the
referenced paper, it is troubling to consider that an
individual may not be fully assessed
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/thromboembolism-update_research-protocol.pdf
February 17, 2016 - Any studies found from existing systematic reviews will be assessed and
incorporated de novo from the
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs024003-tulu-final-report-2018.pdf
January 01, 2018 - This version was assessed during three key
informant interviews with providers (1st interview with a
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www.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/pu4a.html
October 01, 2014 - Preventing Pressure Ulcers in Hospitals
4. How Do We Implement Best Practices in Our Organization? (continued)
Previous Page Next Page
Table of Contents
Preventing Pressure Ulcers in Hospitals
Overview
Key Subject Area Index
1. Are we ready for this change?
2. How will we manage change?
3.…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/report/apiiia.html
June 01, 2010 - Environmental Scan of Measures for Medicaid Title XIX Home and Community-Based Services
Appendix III (continued)
Previous Page Next Page
Table of Contents
Environmental Scan of Measures for Medicaid Title XIX Home and Community-Based Services
Executive Summary
Introduction and Scan Methodology
…
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www.ahrq.gov/es/patient-safety/settings/hospital/resource/pressureulcer/tool/pu4a.html
October 01, 2014 - Preventing Pressure Ulcers in Hospitals
4. How Do We Implement Best Practices in Our Organization? (continued)
Previous Page Next Page
Table of Contents
Preventing Pressure Ulcers in Hospitals
Overview
Key Subject Area Index
1. Are we ready for this change?
2. How will we manage change?
3.…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/identify/sensemakingnotes.docx
June 02, 2025 - SAY:
The “Identify Defects Through Sensemaking” module of the Comprehensive Unit-based Safety Program (or CUSP) Toolkit will help you identify recurring defects in your system and apply CUSP and Sensemaking tools to help reduce the risk of future harm to your patients.
Slide 1
SAY:
Some of the tools that will help…
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www.ahrq.gov/research/findings/final-reports/ptmgmt/design2.html
July 01, 2018 - The curriculum of ADA-recognized DSME programs must cover all areas of diabetes management, with the assessed