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effectivehealthcare.ahrq.gov/sites/default/files/related_files/cer-215-depression-older-adults-comments.pdf
March 28, 2019 - CER 215 Adverse Effects of Pharmacologic Treatments of Major Depression in Older Adults
Comparative Effectiveness Review Disposition of Comments Report
Research Review Title: Adverse Effects of Pharmacologic Treatments of Major Depression
in Older Adults
Draft review available for public comment from May 13, 201…
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/fetal-surgery_disposition-comments.pdf
July 05, 2011 - Evidence-based Practice Center Systematic Review Protocol
Source: www.effectivehealthcare.ahrq.gov
Published Online: July 5, 2011
Technical Brief Research Review Disposition of Comments Report
Research Review Title: Maternal-Fetal Surgical Procedures
Draft review available for public comm…
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psnet.ahrq.gov/node/37009/psn-pdf
March 18, 2010 - Doing the "right" things to correct wrong-site surgery.
March 18, 2010
Patient Safety Advisory
https://psnet.ahrq.gov/issue/doing-right-things-correct-wrong-site-surgery
This article discusses reports of wrong-site surgery submitted to the PA-PSRS, compares them with results
of other studies, and provides suggesti…
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psnet.ahrq.gov/web-mm/wrong-side-bedside-paravertebral-block-preventing-preventable
August 10, 2019 - Wrong-side Bedside Paravertebral Block: Preventing the Preventable
Citation Text:
Barrington MJ, Uda Y. Wrong-side Bedside Paravertebral Block: Preventing the Preventable. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017.
Copy C…
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hcup-us.ahrq.gov/db/nation/nass/nassknowndataissue_2021.jsp
January 01, 2021 - 2021 NASS Known Data Issues
An official website of the Department of Health & Human Services
Search All AHRQ Websites
Careers
Contact Us
Espanol
FAQs
Email Updates
…
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psnet.ahrq.gov/node/33825/psn-pdf
January 01, 2017 - Rethinking Root Cause Analysis
January 1, 2016
Gupta K, Lyndon A. Rethinking Root Cause Analysis. PSNet [internet]. 2016.
https://psnet.ahrq.gov/perspective/rethinking-root-cause-analysis
Annual Perspective 2016
Introduction
Root cause analysis (RCA) is a systematic process to analyze adverse events and near miss…
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psnet.ahrq.gov/node/47536/psn-pdf
March 09, 2019 - Evaluation of wound photography for remote
postoperative assessment of surgical site infections.
March 9, 2019
Broman KK, Gaskill CE, Faqih A, et al. Evaluation of Wound Photography for Remote Postoperative
Assessment of Surgical Site Infections. JAMA Surg. 2019;154(2):117-124.
doi:10.1001/jamasurg.2018.3861.
htt…
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digital.ahrq.gov/sites/default/files/docs/medicaid/OK_CaseStudy_FINAL.pdf
February 01, 2011 - There was a strong desire to get the
plan done correctly and quickly.
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digital.ahrq.gov/sites/default/files/docs/page/ok_casestudy_final_0.pdf
February 01, 2011 - There was a strong desire to get the
plan done correctly and quickly.
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psnet.ahrq.gov/web-mm/incomplete-orders-hypertonic-saline-treat-hyponatremia
February 23, 2022 - Incomplete Orders for Hypertonic Saline to Treat Hyponatremia
Citation Text:
Wiegley N, Morfín JA. Incomplete Orders for Hypertonic Saline to Treat Hyponatremia. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2020.
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…
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psnet.ahrq.gov/node/45370/psn-pdf
July 27, 2016 - Correct use of inhalers: help patients breathe easier.
July 27, 2016
ISMP Medication Safety Alert! Acute Care Edition. July 14, 2016;21:1-6.
https://psnet.ahrq.gov/issue/correct-use-inhalers-help-patients-breathe-easier
Patients and clinicians can make medication administration mistakes when new drug delivery mecha…
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www.uspreventiveservicestaskforce.org/uspstf/recommendation/impaired-visual-acuity-in-older-adults-screening-2009
July 15, 2009 - visual condition compared with ophthalmologic examination, and 1 study reported that geriatricians correctly
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hcup-us.ahrq.gov/db/state/siddist/2010_2011ARSIDCDDoc071414.pdf
January 01, 2010 - The HCUP Central Distributor State Inpatient Databases (SID) for Arkansas 2010 and 2011
contain incorrect expected payer information for two hospitals in 2010 (exactly 4 percent of all
discharges) and five hospitals in 2011 (about one percent of all discharges). The 2010 and 2011
AR SID have been recreated with corr…
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psnet.ahrq.gov/node/49791/psn-pdf
April 01, 2017 - Wrong-side Bedside Paravertebral Block: Preventing the
Preventable
April 1, 2017
Barrington MJ, Uda Y. Wrong-side Bedside Paravertebral Block: Preventing the Preventable. PSNet
[internet]. 2017.
https://psnet.ahrq.gov/web-mm/wrong-side-bedside-paravertebral-block-preventing-preventable
The Case
An 84-year-old wo…
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psnet.ahrq.gov/perspective/rethinking-root-cause-analysis
August 21, 2016 - Annual Perspective
Rethinking Root Cause Analysis
Kiran Gupta, MD, MPH, and Audrey Lyndon, PhD | January 1, 2016
View more articles from the same authors.
Citation Text:
Gupta K, Lyndon A. Rethinking Root Cause Analysis. PSNet [internet]. Rockville (MD): Age…
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psnet.ahrq.gov/issue/surgical-confusions-ophthalmology
November 16, 2022 - Study
Surgical confusions in ophthalmology.
Citation Text:
Simon JW, Ngo Y, Khan S, et al. Surgical confusions in ophthalmology. Arch Ophthalmol. 2007;125(11):1515-22.
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Format:
Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId…
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/friedman-cp-et-al-1999
January 01, 1999 - Friedman CP et al. 1999 "Enhancement of clinicians' diagnostic reasoning by computer-based consultation - a multisite study of 2 systems."
Reference
Friedman CP, Elstein AS, Wolf FM, et al. Enhancement of clinicians' diagnostic reasoning by computer-based consultation - a multisite study of 2 systems.…
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cds.ahrq.gov/sites/default/files/cds/artifact/1071/2024_Data_Requirements_Healthy_Diet_and_Physical_Activity.xlsx
January 01, 2024 - FHIR DSTU2 Data Requirements
FHIR DSTU2 Data Requirements: Healthy Diet and Physical Activity for CVD Prevention
This spreadsheet was created to assist with integration efforts (i.e., integrating the interoperable logic with a health IT system). It provides details about each clinical concept included in the CDS exp…
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psnet.ahrq.gov/node/35868/psn-pdf
July 10, 2008 - Incidence, patterns, and prevention of wrong-site surgery.
July 10, 2008
Kwaan MR, Studdert DM, Zinner MJ, et al. Incidence, patterns, and prevention of wrong-site surgery. Arch
Surg. 2006;141(4):353-358.
https://psnet.ahrq.gov/issue/incidence-patterns-and-prevention-wrong-site-surgery
This AHRQ-supported study an…
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psnet.ahrq.gov/node/49766/psn-pdf
August 21, 2016 - Getting the (Right) Doctor, Right Away
August 21, 2016
Gupta K, Khanna R. Getting the (Right) Doctor, Right Away. PSNet [internet]. 2016.
https://psnet.ahrq.gov/web-mm/getting-right-doctor-right-away
The Case
A 57-year-old woman with a history of chronic obstructive pulmonary disease underwent hip surgery.
Postop…