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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-Conlon_50.pdf
May 06, 2008 - Using an Anonymous Web-Based Incident Reporting Tool to Embed the Principles of a High-Reliability Organization
Using an Anonymous Web-Based
Incident Reporting Tool to Embed the
Principles of a High-Reliability Organization
Paul Conlon, PharmD, JD; Rebecca Havlisch, RN, JD; Narendra Kini, MD, MSHA;
Christine P…
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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-Browne_5.pdf
January 20, 2008 - Common Cause Analysis: Focus on Institutional Change
Common Cause Analysis:
Focus on Institutional Change
Anne Marie Browne, MSN, RN; Robert Mullen, PharmD; Jeanette Teets, MSN, CRNP, RN;
Annette Bollig, MSN, RN; James Steven, MD, SM
Abstract
The Children’s Hospital of Philadelphia has created a mechanism …
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/asthma-treatment_research-protocol.pdf
February 10, 2010 - Evidence-based Practice Center Systematic Review Protocol
Source: www.effectivehealthcare.ahrq.gov
Published Online: April 25, 2011
Page 1 of 18
Evidence-based Practice Center Systematic Review Protocol
Project Title: Comparative Effectiveness of Breathing Exercises and/or Retraining
Techniques in the T…
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/structured-handoff-rapid-research.pdf
January 01, 2025 - events per
1,000 hospital days:
Intervention: 93.7
Control: 86.0
Preventable AE with
patient death
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/crohns-disease_disposition-comments.pdf
February 25, 2014 - Disposition of Comments Report for Comparative Effectiveness Review No. 131
Comparative Effectiveness Research Review Disposition of Comments Report
Research Review Title: Pharmacologic Therapies for the Management of Crohn’s Disease:
Comparative Effectiveness
Draft review available for public commen…
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/antipsychotics-children-update_research-protocol.pdf
December 04, 2015 - Suicide-related ideations or behaviors, or death by suicide*
•! … patients$with$dementia"related$
psychosis$treated$with$antipsychotic$
drugs$are$at$an$increased$risk$of$death
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cds.ahrq.gov/sites/default/files/cds/artifact/76/CMSs%20Million%20Hearts%20Model%20Longitudinal%20ASCVD%20Risk%20Assessment%20Tool%20for%20Shared%20Decision%20Making.pdf
April 01, 2021 - “hard” ASCVD event, defined as: nonfatal
myocardial infarction (MI), coronary heart disease (CHD) death
-
cds.ahrq.gov/sites/default/files/cds/artifact/81/CMSs%20Million%20Hearts%20Model%20Longitudinal%20ASCVD%20Risk%20Assessment%20Tool%20for%20Updated%2010-Year%20ASCVD%20Risk.pdf
January 01, 2010 - first-time “hard” ASCVD event,
defined as nonfatal myocardial infarction (MI), coronary heart disease (CHD) death
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/cer-216-telehealth-evidence-summary.pdf
April 01, 2019 - inclusion of
differences in patient outcomes based on the
Glasgow Outcome Scale (GOS) at 6 months: (1)
death
-
digital.ahrq.gov/sites/default/files/docs/citation/r21hs024755-hettinger-final-report-2019.pdf
January 01, 2019 - clinically equivalent for this medication, there are some medications that can cause serious harm or
death
-
effectivehealthcare.ahrq.gov/sites/default/files/pdf/public-reporting-quality-improvement_research-protocol.pdf
August 17, 2011 - (New York adj5 surg$)
or Cleveland Health Quality Choice or (HCFA adj5 mortality) or
(HCFA adj5 death
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psnet.ahrq.gov/perspective/safety-considerations-building-point-care-ultrasound-program
June 01, 2018 - RW : The transition zone is partly because you have this death spiral where people no longer learn very
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www.ahrq.gov/hai/cauti-tools/archived-webinars/sustaining-change-transcript.html
December 01, 2017 - I will say he died an early death because of this urinary catheter. It never needed to happen.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/sustaining-change-transcript.docx
April 14, 2015 - I will say he died an early death because of this urinary catheter. It never needed to happen.
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www.ahrq.gov/sites/default/files/2024-12/cook-hoas-report.pdf
January 01, 2024 - Institute of Medicine (IOM),
medical error ranks somewhere between the fifth and eighth leading cause of
death
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www.ahrq.gov/research/findings/final-reports/ptfamilyscan/ptfamily3a.html
July 01, 2018 - sentinel event, defined by the JC as "any unanticipated event in a health care setting resulting in death
-
www.uspreventiveservicestaskforce.org/uspstf/recommendation/depression-in-adults-screening
January 26, 2016 - associated with a small increase in risk of preeclampsia, postpartum hemorrhage, miscarriage, perinatal death
-
www.ahrq.gov/patient-safety/patients-families/consumer-exp/reporting/chapter3.html
August 01, 2022 - experienced a range of patient safety events, from near misses to those that caused serious harm or death
-
digital.ahrq.gov/sites/default/files/docs/citation/r18hs025654-lenert_final-report-2023.pdf.pdf
January 01, 2023 - Danger 5
assesses level of risk for future severe physical injury or possible IPV related death.
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psnet.ahrq.gov/perspective/maternal-safety-and-perinatal-mental-health
March 28, 2023 - The MMRC data that are collected after the death of people who have been pregnant or were pregnant shows