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psnet.ahrq.gov/node/36107/psn-pdf
September 28, 2010 - The "Big Dog" effect: variability assessing the causes of
error in diagnoses of patients with lung cancer.
September 28, 2010
Raab SS, Meier FA, Zarbo RJ, et al. The "Big Dog" effect: variability assessing the causes of error in
diagnoses of patients with lung cancer. J Clin Oncol. 2006;24(18):2808-14.
https://psn…
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psnet.ahrq.gov/node/47518/psn-pdf
January 23, 2019 - Evaluation of a measurement system to assess ICU team
performance.
January 23, 2019
Dietz AS, Salas E, Pronovost P, et al. Evaluation of a Measurement System to Assess ICU Team
Performance. Crit Care Med. 2018;46(12):1898-1905. doi:10.1097/CCM.0000000000003431.
https://psnet.ahrq.gov/issue/evaluation-measurement-s…
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psnet.ahrq.gov/node/42746/psn-pdf
November 20, 2013 - Whole-patient measure of safety: using administrative
data to assess the probability of highly undesirable
events during hospitalization.
November 20, 2013
Perla RJ, Hohmann S, Annis K. Whole-patient measure of safety: using administrative data to assess the
probability of highly undesirable events during hospital…
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psnet.ahrq.gov/node/37264/psn-pdf
May 21, 2014 - Assessment of the AHRQ Patient Safety Initiative: Moving
from Research to Practice Evaluation Report II
(2003–2004).
May 21, 2014
Farley D, Morton SC, Damberg CL et al. Santa Monica, CA: Rand Corporation; 2007.
https://psnet.ahrq.gov/issue/assessment-ahrq-patient-safety-initiative-moving-research-practice-evaluati…
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psnet.ahrq.gov/node/40918/psn-pdf
November 09, 2011 - VA Health Care: VA Uses Medical Injury Tort Claims Data
to Assess Veterans’ Care, but Should Take Action to
Ensure That These Data Are Complete.
November 9, 2011
Washington, DC: United States Government Accountability Office; October 28, 2011. Publication GAO-12-
6R.
https://psnet.ahrq.gov/issue/va-health-care-va…
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psnet.ahrq.gov/node/74859/psn-pdf
February 23, 2022 - Characteristics of registered clinical trials assessing
strategies of medication errors prevention- an unusual
cross sectional analysis.
February 23, 2022
doi:http://doi.org/10.23750/abm.v92iS2.11507.
https://psnet.ahrq.gov/issue/characteristics-registered-clinical-trials-assessing-strategies-medication-errors-
p…
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psnet.ahrq.gov/node/38840/psn-pdf
August 12, 2009 - Assessment of quality of data provided on Pap test
requisitions: implications for quality of care and patient
safety.
August 12, 2009
Naryshkin S, Schultz BL. Assessment of quality of data provided on Pap test requisitions: implications for
quality of care and patient safety. Cytojournal. 2009;6:11. doi:10.4103/17…
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psnet.ahrq.gov/node/40922/psn-pdf
December 21, 2014 - Assessment of latent factors contributing to error:
addressing surgical pathology error wisely.
December 21, 2014
Smith ML, Raab SS. Assessment of Latent Factors Contributing to Error: Addressing Surgical Pathology
Error Wisely. Arch Pathol Lab Med. 2011;135(11). doi:10.5858/arpa.2011-0334-oa.
https://psnet.ahrq.g…
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www.ahrq.gov/research/findings/final-reports/crcscreeningrpt/index.html
April 01, 2018 - Health Care Systems for Tracking Colorectal Cancer Screening Tests
Next Page
Table of Contents
Health Care Systems for Tracking Colorectal Cancer Screening Tests
Executive Summary
1. Introduction
2. Description of the Intervention
2. Description of the Intervention (continued)
3. Assessment …
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digital.ahrq.gov/ahrq-funded-projects/improving-health-data-quality-assessing-and-enhancing-semantic-integrity
January 01, 2023 - Improving Health Data Quality by Assessing and Enhancing Semantic Integrity
Project Description
Creating tools to automate the assessment and improvement of representational semantic integrity of terminologies in electronic health record databases will lead to improved database…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module3/putoolkit_module3_tools.docx
June 02, 2025 - Pressure Ulcer Prevention Toolkit
Pressure Ulcer Prevention Toolkit
Module 3 Tools
3A: Pressure Ulcer Prevention Pathway for Acute Care
3B: Elements of a Comprehensive Skin Assessment
3C: Pressure Ulcer Identification Notepad
3D: The Braden Scale for Predicting Pressure Sore Risk
3E: Norton Scale
3F: Care Plan
3G: Pat…
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www.ahrq.gov/action-alliance/resources/measure-domains.html
April 01, 2025 - Resources by the CMS Patient Safety Structural Measure Domains
The Patient Safety Structural Measure is an attestation-based measure to assess whether hospitals demonstrate having a structure and culture that prioritizes patient safety. The Patient Safety Structural Measure is informed by the National Action P…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/factraining.html
December 01, 2014 - AHRQ's Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention
Facilitator Training
Slide 1: Overview of On-Time
Slide 2: On-Time Pressure Ulcer Prevention Facilitator Training
Say:
Welcome to the On-Time Pressure Ulcer Prevention Facilitator Training.
This 2-day Facilitator training …
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psnet.ahrq.gov/node/836842/psn-pdf
April 07, 2022 - Assessing the impact of virtual medication history
technicians on medication reconciliation discrepancies.
April 7, 2022
Gadallah A, McGinnis B, Nguyen B, et al. Assessing the impact of virtual medication history technicians on
medication reconciliation discrepancies. Int J Clin Pharm. 2021;43(5):1404-1411. doi:10.…
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digital.ahrq.gov/organization/university-colorado-health-sciences-center
January 01, 2023 - University of Colorado Health Sciences Center
Report on Continuity of Care Document (CCD) Functionality of Colorado Community Health Center Electronic Medical Record Systems
Description
This is a questionnaire designed to be completed by vendors for an ambulatory setting. The …
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psnet.ahrq.gov/node/46723/psn-pdf
April 12, 2019 - Diagnostic assessment of deep learning algorithms for
detection of lymph node metastases in women with
breast cancer.
April 12, 2019
Bejnordi BE, Veta M, van Diest PJ, et al. Diagnostic Assessment of Deep Learning Algorithms for Detection
of Lymph Node Metastases in Women With Breast Cancer. JAMA. 2017;318(22):219…
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psnet.ahrq.gov/node/39139/psn-pdf
June 02, 2010 - Assessing resident safety culture in nursing homes:
using the nursing home survey on resident safety.
June 2, 2010
Castle NG, Wagner LM, Perera S, et al. Assessing Resident Safety Culture in Nursing Homes. J Patient
Saf. 2010;64(2):59-67. doi:10.1097/pts.0b013e3181bc05fc.
https://psnet.ahrq.gov/issue/assessing-res…
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psnet.ahrq.gov/node/37515/psn-pdf
February 06, 2008 - Probabilistic risk assessment of accidental ABO-
incompatible thoracic organ transplantation before and
after 2003.
February 6, 2008
Cook RI, Wreathall J, Smith A, et al. Probabilistic risk assessment of accidental ABO-incompatible thoracic
organ transplantation before and after 2003. Transplantation. 2007;84(12):…
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psnet.ahrq.gov/node/43330/psn-pdf
July 09, 2014 - Impact of workplace mistreatment on patient safety risk
and nurse-assessed patient outcomes.
July 9, 2014
Laschinger HKS. Impact of workplace mistreatment on patient safety risk and nurse-assessed patient
outcomes. J Nurs Adm. 2014;44(5):284-90. doi:10.1097/NNA.0000000000000068.
https://psnet.ahrq.gov/issue/impact…
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psnet.ahrq.gov/node/72511/psn-pdf
November 25, 2020 - Hospital Preparedness for a COVID-19 Surge:
Assessment Tool.
November 25, 2020
Boston, MA: Institute for Healthcare Improvement; 2020.
https://psnet.ahrq.gov/issue/hospital-preparedness-covid-19-surge-assessment-tool
Hospital crisis management, preparation, and planning are of heightened interest due to the …