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www.ahrq.gov/sites/default/files/2024-07/peters-report.pdf
January 01, 2024 - Final Progress Report: How Do Consumers View the Risks of Medical Errors?
FINAL REPORT
Title of Project: How Do Consumers View the Risks
of Medical Errors?
Principal Investigator: Ellen Peters
Team Member: Paul Slovic
Organization: Decision Research
Inclusive Dates of Project: 09/01/2001 – 08/31/2003
Federal …
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psnet.ahrq.gov/node/33767/psn-pdf
May 01, 2014 - Innovations in Promoting Hand Hygiene Compliance
May 1, 2014
Marra AR, Edmond MB. Innovations in Promoting Hand Hygiene Compliance. PSNet [internet]. 2014.
https://psnet.ahrq.gov/perspective/innovations-promoting-hand-hygiene-compliance
Perspective
One hundred sixty-five years after the publication of Ignaz Semmel…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/122-unit-level-gap-analysis.pdf
June 02, 2025 - Gap Analysis for MRSA Prevention (Unit-Level)
AHRQ Safety Program for
MRSA Prevention
Gap Analysis for MRSA Prevention
(Unit-Level)
ICU & Non-ICU
Please indicate which of the following methicillin-resistant Staphylococcus aureus (MRSA) preve…
-
psnet.ahrq.gov/node/49516/psn-pdf
August 01, 2006 - Physical Diagnosis: A Lost Art?
August 1, 2006
Thompson GR, Verghese A. Physical Diagnosis: A Lost Art? PSNet [internet]. 2006.
https://psnet.ahrq.gov/web-mm/physical-diagnosis-lost-art
Case Objectives
Appreciate the decline in proficiency and reliance on physical examination skills among health care
providers.
…
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www.ahrq.gov/hai/tools/mvp/modules/vae/overview-off-ventilator-slides.html
February 01, 2017 - Overview: Getting Patients Off the Ventilator Faster: Slide Presentation
AHRQ Safety Program for Mechanically Ventilated Patients
Slide 1: AHRQ Safety Program for Mechanically Ventilated Patients
Overview: Getting Patients Off the Ventilator Faster
Slide 2: Learning Objectives
After this session, yo…
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psnet.ahrq.gov/node/49480/psn-pdf
May 01, 2005 - Diagnosing Diagnostic Mistakes
May 1, 2005
McNutt RA, Abrams RI, Hasler S. Diagnosing Diagnostic Mistakes. PSNet [internet]. 2005.
https://psnet.ahrq.gov/web-mm/diagnosing-diagnostic-mistakes
Learning Objectives
Understand the biases that may contribute to overcalling medical errors
Describe the impact of conside…
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www.ahrq.gov/patient-safety/settings/hospital/candor/impguide.html
August 01, 2022 - Implementation Guide for the CANDOR Process
Communication and Optimal Resolution Toolkit
Purpose: The Toolkit Implementation Guide is a reference for organizational leaders who are committed to improving their response to unexpected patient harm events. The guide describes the CANDOR process, implementatio…
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psnet.ahrq.gov/node/33723/psn-pdf
December 01, 2011 - Implementing a Fall Prevention Program
December 1, 2011
Healey F. Implementing a Fall Prevention Program. PSNet [internet]. 2011.
https://psnet.ahrq.gov/perspective/implementing-fall-prevention-program
Perspective
Throughout the developed world, most hospital beds are occupied by older people, many of whom have
b…
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psnet.ahrq.gov/node/33643/psn-pdf
December 01, 2006 - In Conversation with...J. Bryan Sexton, PhD, MA
December 1, 2006
In Conversation with..J. Bryan Sexton, PhD, MA. PSNet [internet]. 2006.
https://psnet.ahrq.gov/perspective/conversation-withj-bryan-sexton-phd-ma
Editor's Note: J. Bryan Sexton, PhD, MA, is Assistant Professor, Department of Anesthesiology and
Critic…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/c2_combo_prioritizationworksheetexample.pdf
June 02, 2025 - AHRQ Quality Indicators Prioritization Worksheet Example
AHRQ Quality Indicators Toolkit
Tool C.2
Volume of
Cases at
Risk
Cost of Single
Event
Total Cost
Cost To
Implement
Penalties and
Incentives
Proxies for Cost
Strategic
Alignment
External
Mandates
Public
Perception
Executive-
Level Support
…
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psnet.ahrq.gov/web-mm/missed-appendicitis
March 13, 2013 - SPOTLIGHT CASE
Missed Appendicitis
Citation Text:
Adams JG. Missed Appendicitis. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2003.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML E…
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effectivehealthcare.ahrq.gov/sites/default/files/cer-244-safety-of-vaccines.pdf
May 25, 2021 - TEP #3 Results: KQ2 [Comment in pdf file on “Across both
reports, outcomes that were assessed
in more … We presume this refers to adding the
word “vaccines” after “Studies
assessed RotaTeq or Rotarix”, and … The safety findings
from reference 111 are described, but
then excluded because “they were not
assessed … women
[Comment in pdf file on “For this
update, we identified no studies in
pregnant women that assessed
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/ambulatory-surgery-report.pdf
May 01, 2017 - The QIAs assessed where facilities were and focused on
taking them to a higher level of quality.
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/point-of-care_research.pdf
April 01, 2014 - utilization project, based upon report hits and
downloads, for a sample of CERs.4 Other efforts have assessed … comprehensive search to identify 18 point-of-care tools meeting
specific inclusion criteria.7 They then assessed
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effectivehealthcare.ahrq.gov/sites/default/files/tech-brief-37-opiod-use-adults-comments.pdf
November 03, 2020 - Use” as follows: “In
addition to research that helps to answer
how benefits and harms should be
assessed … Evidence
summary
Reference: “35 studies assessed factors
independently associated with opioid-related … Moreover, the
strength of medical evidence for almost all of the
so-called alternatives is assessed
-
www.uspreventiveservicestaskforce.org/home/getfilebytoken/nMb54adBfgajp8dG87kPcw
April 17, 2018 - How is high risk assessed in the included trials? … Citations excluded based on
review of title and abstract
3441 Citations screened
418 Full-text articles assessed … How is high risk assessed in the included trials?
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/dementia-nursing-home-characteristics_research-protocol.pdf
November 03, 2011 - Evidence-based Practice Center Systematic Review Protocol
Source: www.effectivehealthcare.ahrq.gov
Published Online: November 3, 2011
Evidence-based Practice Center Systematic Review Protocol
Project Title: Comparison of Characteristics of Nursing Homes and Other
Residential Long-Term Care Settings for Peo…
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effectivehealthcare.ahrq.gov/sites/default/files/substance-abuse-horizon-scan-high-impact-1406.pdf
January 01, 2020 - #14 SUBSTANCE ABUSE
AHRQ Healthcare Horizon Scanning System – Potential
High-Impact Interventions Report
Priority Area 14: Substance Abuse
Prepared for:
Agency for Healthcare Research and Quality
U.S. Department of Health and Human Services
540 Gaither Road
Rockville, MD 20850
www.ahrq.…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Implement_Hndbook_508_v2.pdf
April 01, 2011 - Strategy 4: IDEA Discharge Planning (Implementation Handbook)
Strategy 4: IDEAL Discharge Planning (Implementation Handbook)
Guide to Patient and Family Engagement
Care Transitions from
Hospital to Home:
IDEAL Discharge Planning
Implementation Handbook
Strategy 4: IDEAL Discharge Planning (Implementation …
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effectivehealthcare.ahrq.gov/products/hepatitis-c-treatment-future/research