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www.ahrq.gov/ncepcr/reports/cost-guide/practical-guide.html
February 01, 2017 - Use of a comparable control group that did not undergo transformation can help to distinguish changes caused
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www.uspreventiveservicestaskforce.org/uspstf/recommendation/vision-in-children-ages-6-months-to-5-years-screening
September 05, 2017 - associated with the development of amblyopia include strabismus (ocular misalignment); vision deprivation caused
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www.ahrq.gov/sites/default/files/2024-02/jones-report.pdf
January 01, 2024 - Final Progress Report: Implementing a Program of Patient Safety in Small, Rural Hospitals
Implementing a Program of Patient Safety in Small,
Rural Hospitals
Principal Investigators
Katherine J. Jones, PhD, PT, January 2007 – June 20071
Keith J. Mueller, PhD, July 2005 – December 20061
Team Members
Anne Skinn…
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psnet.ahrq.gov/node/861738/psn-pdf
January 31, 2024 - Suggest possible approaches to mitigating errors caused by human factors.
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psnet.ahrq.gov/sites/default/files/2024-01/spotlight_case_laceration_needed_exam_not_x-ray_final.pdf
January 01, 2024 - • Suggest possible approaches to mitigating errors caused by human
factors.
3
A LACERATION THAT
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psnet.ahrq.gov/web-mm/delayed-diagnosis-setting-virtual-care-remembering-physical-examination
April 29, 2020 - About 90% of anorectal abscesses are caused by non-specific obstruction and subsequent infection of the
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psnet.ahrq.gov/perspective/technology-tool-improving-patient-safety
April 26, 2023 - However, even when CPOE and CDS are in place, errors can still occur and even be caused by the systems
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/o7FfN6a6DA5LqDsfMgBxkk
June 01, 2003 - bed exposure, 4 found a positive association,
particularly if the dose of exposure was high and
if it caused
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psnet.ahrq.gov/node/837958/psn-pdf
December 01, 2021 - formal EMS-to-
ED transition.24 This issue is increasingly relevant as hospital and ED crowding have caused
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/6XMRch-R3m4UMVoBMcv43f
December 01, 2007 - Screening for Carotid Artery Stenosis: Recommendation Statement
Screening for Carotid Artery Stenosis: U.S. Preventive Services Task
Force Recommendation Statement
U.S. Preventive Services Task Force*
Description: Update of the 1996 U.S. Preventive Services Task
Force statement about screening for asymptomatic carot…
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psnet.ahrq.gov/node/848110/psn-pdf
April 26, 2023 - Failure to Ensure Patient Safety Leads to Patient Falls in
Nursing Homes.
April 26, 2023
Failure to Ensure Patient Safety Leads to Patient Falls in Nursing Homes. PSNet [internet]. 2023.
https://psnet.ahrq.gov/web-mm/failure-ensure-patient-safety-leads-patient-falls-nursing-homes
Disclosure of Relevant Financial R…
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www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/video/module-4-mutual-support-facilitator-guide.pdf
June 02, 2025 - TeamSTEPPS Video-Based Simulation: Facilitator Guide Module 4
Video-Based Simulation:
Facilitator Guide
Mutual Support
Task Assistance
TeamSTEPPS Training Curriculum
This page intentionally left blank.
3
Table of Contents
SECTION I: INTRODUCTION TO VIDEO-BASED SIMULATION TRAINING 4
TeamSTEPPS 4
V…
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www.ahrq.gov/sites/default/files/2025-06/dean-report.pdf
January 01, 2025 - Final Progress Report: Adaptation and Pilot Implementation of a Validated, Electronic Real-Time Clinical Decision Support Tool for the Care of Pneumonia Patients in 12 Utah Urgent Care Centers
Adaptation and pilot implementation of a
validated, electronic real-time clinical decision
support tool for the care of pne…
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psnet.ahrq.gov/perspective/conversation-carole-stockmeier-about-zero-harm-striving-reduce-preventable-harms-point
September 24, 2024 - In Conversation with Carole Stockmeier about Zero Harm: Striving to Reduce Preventable Harms – Point, Counterpoint, and Areas of Agreement
Carole Stockmeier, Sarah Mossburg, Lee Merton | September 24, 2024
Also Read the Essay
View more articles from the same authors.
…
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psnet.ahrq.gov/web-mm/impact-communication-medication-errors
August 01, 2009 - The Impact of Communication on Medication Errors
Citation Text:
Branch J, Hiner D, Jackson V. The Impact of Communication on Medication Errors. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2021.
Copy Citation
Format:
…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/learn/faclearncusp.docx
January 01, 2009 - SAY:
The “Learn About CUSP” module of the Comprehensive Unit-based Safety Program (or CUSP) Toolkit introduces CUSP and provides an overview of resources to use when applying the CUSP model.
Slide 1
SAY:
This module offers an outline and brief history of the CUSP model, summarizes the CUSP Toolkit modules, and expl…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Woolever.pdf
January 01, 2001 - The Impact of a Patient Safety Program on Medical Error Reporting
307
The Impact of a Patient Safety Program
on Medical Error Reporting
Donald R. Woolever
Abstract
Background: In response to the occurrence of a sentinel event—a medical error
with serious consequences—Eglin U.S. Air Force (USAF) Regional Hos…
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www.ahrq.gov/research/findings/nhqrdr/chartbooks/effectivetreatment/effectivetreatment-slides.html
April 01, 2018 - Organized Around Priorities of the National Quality Strategy
Making care safer by reducing harm caused … Notes:
Importance: Some heart attacks are caused by blood clots. … Early actions, such as fibrinolytic medication, may open blockages caused by blood clots, reduce heart … estimated that 41% of the 50 million U.S. adults living with arthritis report activity limitations caused
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www.ahrq.gov/sites/default/files/2024-03/strom2-report.pdf
January 01, 2024 - Final Progress Report: Improving Patient Safety by Reducing Medication Errors
Improving Patient Safety by Reducing Medication Errors
Brian Strom, MD, MPH, Principal Investigator:
Director, Administrative Core; Director, Data Collection Core
Harold I. Feldman, MD, MSCE: Co-Principal Investigator; Co-Director, Ad…
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hcup-us.ahrq.gov/reports/methods/TrendReport2005_1.pdf
March 19, 2004 - Change in the definition of teaching hospitals
This redefinition caused some hospitals to change strata … Change in the bed size categories
This revision caused some hospitals to move from one bed size stratum … Change in ownership strata
This change caused some hospitals in low-frequency ownership categories … 1998 Sample Design Revisions
It appears that many of the “discontinuities” between 1997 and 1998 caused … Ironically, this caused the NIS and the NHDS ALOS trends to diverge sharply for the Northeast
region