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psnet.ahrq.gov/node/867651/psn-pdf
February 26, 2025 - Safety I, Safety II, and the New Views of Safety
February 26, 2025
Scanlon M, Jacobson N. Safety I, Safety II, and the New Views of Safety. PSNet [internet]. 2025.
https://psnet.ahrq.gov/primer/safety-i-safety-ii-and-new-views-safety
Background and Context
Safety I and Safety II (Safety I/II) are not safety method…
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www.ahrq.gov/sites/default/files/2025-03/mahajan-manojlovich-report.pdf
January 01, 2025 - Final Progress Report: Developing a Framework to Study and Improve Communication to Enhance Diagnostic Quality in the ED
A. Title Page
Project Title: Developing a Framework to Study and Improve Communication to Enhance
Diagnostic Quality in the ED
Principal Investigator Information:
PRASHANT MAHAJAN, MBA, MD, MPH …
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www.ahrq.gov/practiceimprovement/delivery-initiative/redesigningprimaryhealthcareteams.html
November 01, 2017 - Redesigning Primary Health Care Teams for Population Health and Quality Improvement
Executive Summary
Over a 3-year period, Penobscot Community Health Care implemented a primary care transformation initiative that redesigned its care teams and their workflows. Under this "Delegate Model," Penobsco…
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psnet.ahrq.gov/node/846171/psn-pdf
July 26, 2022 - Agitated Delirium Contributes to Missed Testing and
Delayed Diagnosis of Gastric Perforation
March 15, 2023
Trask J, Carlsen KM, Kuhn BT. Agitated Delirium Contributes to Missed Testing and Delayed Diagnosis of
Gastric Perforation. PSNet [internet]. 2023.
https://psnet.ahrq.gov/web-mm/agitated-delirium-contributes…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/american-indian/about/PROD_AI_FieldTestRpt.pdf
September 25, 2006 - Summary of Analyses of American Indian Field Test
CAHPS® American Indian Survey
Summary of Analyses of the Field Test
September 25, 2006
Beverly Weidmer, Patrik Johansson, Debbie Dalpoas, David Wharton, Charles Darby, and Ron D. Hays
Background
The CAHPS® American Indian Survey was developed as part of a c…
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psnet.ahrq.gov/web-mm/missed-opportunities-suicide-risk-assessment
September 27, 2023 - SPOTLIGHT CASE
Missed Opportunities for Suicide Risk Assessment
Citation Text:
Xiong G, Kahn D. Missed Opportunities for Suicide Risk Assessment. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
Copy Citation
For…
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www.ahrq.gov/ncepcr/tools/workforce-financing/case-example-7.html
July 01, 2019 - Case Example #7: Cherokee Health Systems
This report is based on research conducted by Abt Associates in partnership with the MacColl Center for Health Care Innovation and Bailit Health Purchasing, Cambridge, MA, under contract to the Agency for Healthcare Research and Quality (AHRQ), Rockville, MD …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Chan.pdf
January 01, 2004 - Post-fielding Surveillance of a Guideline-based Decision Support System
331
Post-fielding Surveillance of a Guideline-
based Decision Support System
Albert S. Chan, Susana B. Martins, Robert W. Coleman, Hayden B.
Bosworth, Eugene Z. Oddone, Michael G. Shlipak, Samson W. Tu,
Mark A. Musen, Brian B. Hoffman, …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Evanoff.pdf
January 01, 2003 - Can We Talk? Priorities for Patient Care Differed Among Health Care Providers
5
Can We Talk? Priorities for Patient Care
Differed Among Health Care Providers
Bradley Evanoff, Patricia Potter, Laurie Wolf, Deborah Grayson,
Clay Dunagan, Stuart Boxerman
Abstract
Objective: Poor communication and collabora…
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effectivehealthcare.ahrq.gov/sites/default/files/diverticulitis-comments.pdf
October 12, 2020 - Disposition of Comments: Management of Colonic Diverticulitis
Comparative Effectiveness Review Disposition of Comments Report
Research Review Title: Management of Colonic Diverticulitis
Draft report available for public comment from June 2, 2020 to June 29, 2020.
Research Review Citation: Balk EM,…
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psnet.ahrq.gov/primer/safety-i-safety-ii-and-new-views-safety
October 02, 2024 - Safety I, Safety II, and the New Views of Safety
Citation Text:
Scanlon M, Jacobson N. Safety I, Safety II, and the New Views of Safety. PSNet [internet]. Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2025.
Copy Citation
Format:
Google Scholar BibTeX E…
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psnet.ahrq.gov/web-mm/critical-echocardiogram-result-lost-follow
July 31, 2023 - Critical Echocardiogram Result Lost to Follow-up
Citation Text:
Boctor N, Molla M. Critical Echocardiogram Result Lost to Follow-up.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2023.
Copy Citation
Format:
Google Sch…
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psnet.ahrq.gov/web-mm/possible-probable-sure-wrong-premature-closure-and-anchoring-complicated-case
October 02, 2013 - From Possible to Probable to Sure to Wrong—Premature Closure and Anchoring in a Complicated Case
Citation Text:
Newman-Toker DE. From Possible to Probable to Sure to Wrong—Premature Closure and Anchoring in a Complicated Case. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Kaprielian_9.pdf
January 01, 2007 - A System to Describe and Reduce Medical Errors in Primary Care
A System to Describe and Reduce Medical Errors in
Primary Care
Victoria Kaprielian, MD; Truls Østbye, MD, PhD; Samuel Warburton, MD;
Devdutta Sangvai, MD, MBA; Lloyd Michener, MD
Abstract
Although much attention has been focused on finding wa…
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/obesity-child_disposition-comments.pdf
June 10, 2013 - Teaching healthful food choices to
elementary school students and their parents:
the Nutrition Detectives
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/preterm-birth-terbutaline-pump_research-protocol.pdf
October 18, 2010 - Evidence Report on the
Source: www.effectivehealthcare.ahrq.gov
Published Online: October 18, 2010
1
Evidence-based Practice Center Systematic Review Protocol
Proj…
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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/related_files/disabilities-quality-improvement-outcomes_executive.pdf
October 01, 2012 - Evidence-Based
Practice
Evidence-based Practice
Program
The Agency for Healthcare Research and
Quality (AHRQ), through its Evidence-
based Practice Centers (EPCs), sponsors
the development of evidence reports and
technology assessments to assist public-
and private-sector organizations in their
efforts to imp…
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digital.ahrq.gov/sites/default/files/docs/citation/u18hs026849-dorr-final-report-2022.pdf
January 01, 2022 - Translating Hypertension Guidelines into Practice: Development of Interoperable Clinical Decision Support - Final Report
Translating Hypertension Guidelines into Practice: Development of Interoperable Clinical Decision
Support
Principal Investigator: David Dorr, MD, MS, FACMI
Team Me…
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www.uspreventiveservicestaskforce.org/uspstf/recommendation/osteoporosis-screening-june-2018
June 26, 2018 - Share to Facebook
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archived
Final Recommendation Statement
Osteoporosis to Prevent Fractures: Screening
June 26, 2018
Recommendations made by the USPSTF are independent of the U.S. gov…