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January 29, 2020 - Delayed Recognition of a Positive Blood Culture
Citation Text:
Doernberg S. Delayed Recognition of a Positive Blood Culture. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017.
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July 01, 2017 - Delayed Recognition of a Positive Blood Culture
July 1, 2017
Doernberg S. Delayed Recognition of a Positive Blood Culture. PSNet [internet]. 2017.
https://psnet.ahrq.gov/web-mm/delayed-recognition-positive-blood-culture
The Case
A 58-year-old woman with metastatic breast cancer recently treated with immunosuppress…
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psnet.ahrq.gov/node/33707/psn-pdf
February 01, 2011 - The University of Texas System Clinical Safety and
Effectiveness Course
February 1, 2011
Thomas EJ, Patterson JE, Martin S, et al. The University of Texas System Clinical Safety and
Effectiveness Course. PSNet [internet]. 2011.
https://psnet.ahrq.gov/perspective/university-texas-system-clinical-safety-and-effectiv…
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psnet.ahrq.gov/sites/default/files/2024-03/delayed_diagnosis_and_treatment_of_sle.pdf
January 01, 2024 - Microsoft PowerPoint - Spotlight Case_Delayed Diagnosis and Treatment of Lupus_SLIDES - FINAL.pptx
Spotlight
Delayed Diagnosis and Treatment of Systemic Lupus
Erythematosus with a Psychiatric Presentation
Source and Credits
• This presentation is based on the March 2024 AHRQ WebM&M
Spotlight Case
o See the full …
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January 01, 2020 - PSNet
Curated Library
AHRQ: Agency for Healthcare Research and Quality
Interdisciplinary teamwork
Curated Library
Foundations
Medical teamwork and the evolution of safety science: a critical review.
Neuhaus C, Lutnæs DE, Bergström J. Cogn Technol Work. 2020;22:13-27.
In this narrative review, the authors contr…
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hcup-us.ahrq.gov/db/nation/nrd/nrddde.jsp
May 01, 2024 - NRD Description of Data Elements
An official website of the Department of Health & Human Services
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Careers
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www.uspreventiveservicestaskforce.org/uspstf/recommendation/preeclampsia-screening-1996
January 01, 1996 - Share to Facebook
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archived
Final Recommendation Statement
Preeclampsia: Screening
January 01, 1996
Recommendations made by the USPSTF are independent of the U.S. government. They should …
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/hospitals/nicutoolkit.pdf
January 01, 2004 - Transitioning Newborns from NICU to Home: A Resource Toolkit
Transitioning Newborns
from NICU to Home:
A Resource Toolkit
Table of Contents
Overview: Improving the Quality of the Transition Home from the NICU............................1
Tools f…
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-older-adults3.html
August 01, 2024 - State of the Science and Future Directions To Improve Diagnostic Safety in Older Adults
Implications for Practice Improvement, Research, and Policy
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Table of Contents
State of the Science and Future Directions To Improve Diagnostic Safety in Older Adults
Introduction
Uniqu…
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cds.ahrq.gov/sites/default/files/cds/artifact/logic/2023-09/Wells%20Criteria.txt
January 01, 2023 - Wells Criteria - Derivation of a simple clinical model to categorize patientsÕ probability of pulmonary embolism.
Rules
1. IF [Wells score >4] THEN [CTPE]
2. IF [Wells Score <=4] AND [D-dimer normal] THEN NOT [CTPE]
3. IF [Wells score <=4] AND [D-Dimer elevated] THEN [CTPE]
Additional Values (Wells score)
- Clinical…
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psnet.ahrq.gov/node/60988/psn-pdf
October 07, 2020 - Team-based approach to improving medication
reconciliation rates in family medicine residency clinics.
October 7, 2020
Harper PG, Schafer KM, Van Riper K, et al. Team-based approach to improving medication reconciliation
rates in family medicine residency clinics. J Am Pharm Assoc (2003). 2021;61(1):e46-e52.
doi:1…
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psnet.ahrq.gov/node/46479/psn-pdf
October 04, 2017 - Managing the Costs of Clinical Negligence in Trusts.
October 4, 2017
Comptroller and Auditor General, Department of Health; London, UK: National Audit Office; 2017. ISBN:
9781786041395.
https://psnet.ahrq.gov/issue/managing-costs-clinical-negligence-trusts
Applying evidence generated from complaints submitted to h…
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psnet.ahrq.gov/node/37606/psn-pdf
January 10, 2017 - Enhancing healthcare process design with human factors
engineering and reliability science, part 2: applying the
knowledge to clinical documentation systems.
January 10, 2017
Boston-Fleischhauer C. Enhancing healthcare process design with human factors engineering and
reliability science, part 2: applying the know…
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psnet.ahrq.gov/node/44431/psn-pdf
October 21, 2015 - Use of a human factors classification framework to
identify causal factors for medication and medical device-
related adverse clinical incidents.
October 21, 2015
Mitchell RJ, Williamson A, Molesworth B. Use of a human factors classification framework to identify causal
factors for medication and medical device-re…
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psnet.ahrq.gov/node/42657/psn-pdf
October 16, 2013 - Medication safety and knowledge-based functions: a
stepwise approach against information overload.
October 16, 2013
Patapovas A, Dormann H, Sedlmayr B, et al. Medication safety and knowledge-based functions: a stepwise
approach against information overload. Br J Clin Pharmacol. 2013;76 Suppl 1:14-24.
doi:10.1111/b…
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psnet.ahrq.gov/node/41361/psn-pdf
May 09, 2012 - Tolerance of uncertainty and fears of making mistakes
among fifth-year medical students.
May 9, 2012
Nevalainen M, Kuikka L, Sjoberg L, et al. Tolerance of uncertainty and fears of making mistakes among
fifth-year medical students. Fam Med. 2012;44(4):240-6.
https://psnet.ahrq.gov/issue/tolerance-uncertainty-and-f…
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psnet.ahrq.gov/node/43726/psn-pdf
September 01, 2016 - Differences of reasons for alert overrides on
contraindicated co-prescriptions by admitting
department.
September 1, 2016
Ahn EK, Cho S-Y, Shin D, et al. Differences of Reasons for Alert Overrides on Contraindicated Co-
prescriptions by Admitting Department. Healthc Inform Res. 2014;20(4):280-7.
doi:10.4258/hir.2…
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digital.ahrq.gov/ahrq-funded-projects/shareable-interoperable-clinical-decision-support-older-adults-advancing-fall/citation/management
January 01, 2023 - Management of fall risk among older adults in diverse primary care settings.
Citation
Shear K, Rice H, Garabedian PM, Bjarnadottir R, Lathum N, Horgas AL, Harle CA, Dykes PC, Lucero R. Management of fall risk among older adults in diverse primary care settings. J Appl Gerontol. 2023 Jun 30:73346482311…
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www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit2-1.html
November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies
Exhibit 2.1. Interviewees by Type of Participant and Clinical Role
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Table of Contents
Improving Care Delivery Through Lean: Implementation Case Studies
Introduction to the Case Studies
Case 1. Lakeview Healt…
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psnet.ahrq.gov/node/50399/psn-pdf
January 01, 2020 - Building the bridge to quality: an urgent call to integrate
quality improvement and patient safety education with
clinical care
October 2, 2019
Wong BM, Baum KD, Headrick LA, et al. Building the bridge to quality: an urgent call to integrate quality
improvement and patient safety education with clinical care. Acad…