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effectivehealthcare.ahrq.gov/sites/default/files/related_files/prostate-cancer-surveillance_executive.pdf
December 01, 2011 - 04-E029-1 Summary
Advancing Excellence in Health Care • www.ahrq.gov
Agency for Healthcare Research and Quality Evidence-Based
Practice
Backgrounda
In 2011, more than 240,000 men are projected
to be diagnosed with prostate cancer, and
33,000 are projected to die from the disease in
the United States. In the United…
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www.uspreventiveservicestaskforce.org/uspstf/document/final-evidence-summary2/dental-caries-in-children-from-birth-through-age-5-years-screening-2014
June 15, 2013 - Share to Facebook
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archived
Final Evidence Summary
Dental Caries in Children from Birth Through Age 5 Years: Screening
June 15, 2013
Recommendations made by the USPSTF are independent of t…
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/G9P7o8jDh4J3NnAk6y-SYL
December 01, 2011 - Complication rates and risk factors of 5802 transrectal ultrasound-guided sextant
biopsies of the prostate
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/glaucoma-treatment_disposition-comments.pdf
April 01, 2012 - It is therefore not reported as a
complication in any studies we found.
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digital.ahrq.gov/sites/default/files/docs/citation/r01hs021496-jackson-final-report-2019.pdf
January 01, 2019 - Most patients seen at the FCV are experiencing a pregnancy with a fetal anomaly or other
complication
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/labor-nitrous-oxide_disposition-comments.pdf
August 23, 2012 - We do not want to single out incidence for this
specific complication.
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psnet.ahrq.gov/perspective/medical-scribes-and-patient-safety
August 01, 2019 - 2021
WebM&M Cases
Primary Workaround, Secondary Complication
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digital.ahrq.gov/sites/default/files/docs/citation/k08hs018538-gesteland-final-report-2014.pdf
January 01, 2014 - patients about what to watch for, “if you develop signs X, Y and Z, it would
suggest the development of a complication
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effectivehealthcare.ahrq.gov/products/diabetes-update-2015/research-protocol
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psnet.ahrq.gov/node/49397/psn-pdf
May 01, 2003 - The Dropped Lung
May 1, 2003
Heffner JR. The Dropped Lung. PSNet [internet]. 2003.
https://psnet.ahrq.gov/web-mm/dropped-lung
The Case
A 79-year-old woman was admitted for hypoxia and shortness of breath. Two weeks prior she had been
hospitalized for dyspnea and was found to have multiple bilateral pulmonary nodu…
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psnet.ahrq.gov/node/73335/psn-pdf
May 26, 2021 - Hyponatremia Secondary to Home Parenteral Nutrition
Error
May 26, 2021
Haas K, Lee A. Hyponatremia Secondary to Home Parenteral Nutrition Error. PSNet [internet]. 2021.
https://psnet.ahrq.gov/web-mm/hyponatremia-secondary-home-parenteral-nutrition-error
The Case
A 4-year-old (former 33-week premature) boy with a …
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psnet.ahrq.gov/node/33782/psn-pdf
March 01, 2015 - Where Does Risk-Adjusted Mortality Fit Into a Safety
Measurement Program?
March 1, 2015
Scott IA. Where Does Risk-Adjusted Mortality Fit Into a Safety Measurement Program? PSNet [internet].
2015.
https://psnet.ahrq.gov/perspective/where-does-risk-adjusted-mortality-fit-safety-measurement-program
Perspective
Much…
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psnet.ahrq.gov/node/49769/psn-pdf
September 01, 2016 - Complaints as Safety Surveillance
September 1, 2016
Morris JL, Bismark M. Complaints as Safety Surveillance. PSNet [internet]. 2016.
https://psnet.ahrq.gov/web-mm/complaints-safety-surveillance
The Case
A 42-year-old woman presented to the emergency department with abdominal pain. She said the pain
came on sudden…
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psnet.ahrq.gov/node/72587/psn-pdf
December 23, 2020 - Mitigating the Risk of Intrahospital Transport for Pediatric
Patients at Risk of Physiologic Instability
December 23, 2020
Semkiw K, Anderson D, Natale JA. Mitigating the Risk of Intrahospital Transport for Pediatric Patients at
Risk of Physiologic Instability. PSNet [internet]. 2020.
https://psnet.ahrq.gov/web-mm…
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psnet.ahrq.gov/node/72693/psn-pdf
January 29, 2021 - Unintentional Ketamine Overdose in the Operating Room
– Mixing Up the Ampules
January 29, 2021
Bohringer C. Unintentional Ketamine Overdose in the Operating Room – Mixing Up the Ampules. PSNet
[internet]. 2021.
https://psnet.ahrq.gov/web-mm/unintentional-ketamine-overdose-operating-room-mixing-ampules
The Case
A…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/mod2sess1.html
October 01, 2014 - Module 2: Communicating Change in a Resident's Condition
Session 1
Previous Page Next Page
Table of Contents
Module 2: Communicating Change in a Resident's Condition
Learning and Performance Objectives
Session 1
Session 2
Conclusion
Additional Tools and Resources
Appendix. Example of the…
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www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/affinity-details-emerging-strategies-cr.pdf
January 01, 2021 - EVENT SUMMARY
LEARNING COMMUNITY AFFINITY GROUP | SUMMARY AT-AT-GLANCE | 1
AFFINITY GROUP DETAILS AT-A-GLANCE
Title Emerging Strategies for Supporting CR Patients between Onsite Visits
August 13, 2020
Purpose • To provide an opportunity for peer-to-peer sharing related to how CR
programs are suppor…
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www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/operational-adjustments-event-summary.pdf
July 02, 2020 - 1
Learning Community Affinity Group
Summary-at-a-Glance:
Operational Adjustments while Resuming In-Person Cardiac
Rehabilitation Programs
July 2, 2020
Event Purpose and Overview
• Purpose: To share and acquire strategies for how to adjust operations while resuming in-person
cardiac rehabilitation p…
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/labor-delivery-unit/tool-cord-prolapse.html
July 01, 2023 - Labor and Delivery Unit Safety: Umbilical Cord Prolapse
AHRQ Safety Program for Perinatal Care
Purpose of the tool: This tool describes the key perinatal safety elements that support safe umbilical cord prolapse management. The key safety elements are presented within the framework of the Compreh…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/110-ss-lfd-sample.docx
April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI
Learning From Defects Tool—Sample
Surgical Services
For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries
What Is a Defect?
A defect is any clinical or operational event or situation that you would not want to happen again. This could include i…