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psnet.ahrq.gov/sites/default/files/2025-01/spotlight_case_misdiagnosis_of_small_bowel_obstruction_-_slides_-_final.pptx
January 01, 2025 - Spotlight
Spotlight
Misdiagnosis of Small Bowel Obstruction in the Setting of Previous Abdominal Operations
1
Source and Credits
This presentation is based on the January 2025 AHRQ WebM&M Spotlight Case
See the full article at https://psnet.ahrq.gov/webmm
CME credit is available
Commentary by: Samantha Brown…
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psnet.ahrq.gov/perspective/equity-patient-safety
September 24, 2024 - Annual Perspective
Equity in Patient Safety
Angela D. Thomas, DrPH, MPH, MBA; Merton Lee, PhD, PharmD; Sarah Mossburg, RN, PhD
| March 27, 2024
View more articles from the same authors.
Citation Text:
Thomas A, Lee M, Mossburg S. Equity in Patient Safety. …
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www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/dx-journey-presenter-notes.pdf
June 02, 2025 - TeamSTEPPS® Diagnosis Improvement: Diagnostic Journey of Mr. Kane
Slide 1
TeamSTEPPS® for Diagnosis
Improvement
The Diagnostic Journey of
Mr. Kane
Narrator: This story is about the diagnostic journey of Mr. Kane. The story
outlines several areas where communication failures led to missed and
delayed diag…
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www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/dx-journey-mr-kane.pptx
June 02, 2025 - Journey of Mr. Kane
The Diagnostic Journey of
Mr. Kane
TeamSTEPPS® for Diagnosis Improvement
Narrator: This story is about the diagnostic journey of Mr. Kane. The story outlines several areas where communication failures led to missed and delayed diagnosis that contributed to Mr. Kane’s death. The story is told fro…
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effectivehealthcare.ahrq.gov/sites/default/files/ch_6-user-guide-to-ocer_130129.pdf
October 30, 2012 - 71
Abstract
This chapter provides an overview of considerations for the development of outcome measures
for observational comparative effectiveness research (CER) studies, describes implications of the
proposed outcomes for study design, and enumerates issues of bias that may arise in incorporating the
ascertainme…
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/GcjfCZtGpACQMv2KScLbEu
June 11, 2019 - JAMA
Screening for HIV Infection in Pregnant Women
Updated Evidence Report and Systematic Review
for the US Preventive Services Task Force
Shelley S. Selph, MD, MPH; Christina Bougatsos, MPH; Tracy Dana, MLS; Sara Grusing, BA; Roger Chou, MD
IMPORTANCE Prenatal screening for HIV can inform use of interventions to re…
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effectivehealthcare.ahrq.gov/sites/default/files/rfviia.pptx
May 01, 2010 - Epidemiology of trauma deaths: a reassessment. J Trauma 1995;38:185-93. … There were no deaths in either study group.
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/rfviia.pptx
May 01, 2010 - Epidemiology of trauma deaths: a reassessment. J Trauma 1995;38:185-93. … There were no deaths in either study group.
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www.uspreventiveservicestaskforce.org/uspstf/document/final-evidence-summary/low-dose-aspirin-use-for-the-prevention-of-morbidity-and-mortality-from-preeclampsia-preventive-medication
September 28, 2021 - perinatal mortality, indicating a range of effects spanning a 4% to 44% reduction in fetal and neonatal deaths … Racial/ethnic disparities in pregnancy-related deaths—United States, 2007-2016.
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/long-term-care-adults-future_research.pdf
July 01, 2013 - adjust for case mix and account for changes in
the composition of the populations that result from deaths … adjust for case mix and account
for changes in the composition of the populations that result from deaths
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hcup-us.ahrq.gov/reports/methods/Comparison_Report_NIS41995Final.pdf
December 21, 1998 - Percent Mortality
Let P be the estimated proportion of in-hospital deaths. … error is valid only
if:
(1) estimated total discharges exceeds 366,657 and the estimated number of deaths … exceeds zero, or
(2) both estimated total discharges and estimated total deaths exceed 60,769.
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/risk-cardiovascular-disease.pdf
January 01, 2023 - Recent trends in cardiovascular disease
deaths: a state specific perspective.
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/LgBN7_z7hqynt6BRzUUYA-
February 01, 2009 - mortality tally was
probably complete because the research team used several
sources to identify deaths
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hcup-us.ahrq.gov/reports/statbriefs/sb63.pdf
November 01, 2008 - In-hospital deaths were substantially higher for stays involving lung cancer than the average non-
maternal
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www.uspreventiveservicestaskforce.org/uspstf/document/final-evidence-summary25/folic-acid-to-prevent-neural-tube-defects-preventive-medication-2009
May 15, 2009 - Shaw et al, 2002 20
Case-control study of live births and fetal deaths (at >20 weeks) from January … Shaw et al, 1998 21
Case-control study of live births and fetal deaths (at >20 weeks) and fetuses with … Outcomes: absolute difference in overall NTDs and twin gestations and perinatal and postnatal deaths.
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/lung-cancer-nonsurgical-therapies_research-protocol.pdf
February 22, 2012 - lung cancer (NSCLC) is the leading cause of cancer-related mortality
worldwide, with over 1 million deaths … of cancer death; in 2010, an estimated 222,520 cases were expected to be
diagnosed, with 157,300 deaths … manifested by
symptoms of disabling dyspnea, cough, and hemoptysis.4, 5 Up to 40 percent of lung cancer
deaths
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/sppc-summary_report.pdf
May 01, 2017 - For example, some
maternal or neonatal intensive care unit admissions or deaths may reflect serious … that administrative data sometimes contain coding errors, and when
events are rare (e.g., maternal deaths
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effectivehealthcare.ahrq.gov/sites/default/files/methodsguide_conductingquantitativesynthesis.pdf
October 01, 2010 - Conducting Quantitative Synthesis when Comparing Medical Interventions: AHRQ and the Effective Health Care Program
Methods Guide for
Comparative Effectiveness Reviews
Conducting Quantitative Synthesis
When Comparing Medical Interventions:
AHRQ and the Effective Health Care Program
…
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/methods-guidance-quantitative-synthesis_methods.pdf
October 01, 2010 - Conducting Quantitative Synthesis when Comparing Medical Interventions: AHRQ and the Effective Health Care Program
Methods Guide for
Comparative Effectiveness Reviews
Conducting Quantitative Synthesis
When Comparing Medical Interventions:
AHRQ and the Effective Health Care Program
…
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/cer-221-copd-comments_0.pdf
October 11, 2019 - CER 221 Disposition of Comments: Pharmacologic and Nonpharmacologic Therapies in Adult Patients With Exacerbation of COPD
Comparative Effectiveness Review Disposition of Comments Report
Research Review Title: Pharmacologic and Nonpharmacologic Therapies in Adult Patients
With Exacerbation of COPD: A Systematic Rev…