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effectivehealthcare.ahrq.gov/sites/default/files/related_files/hro-rapid-research.pdf
May 01, 2025 - proportion of Truman PS reports that identified
potential SSEs (potential SSEs/total PS reports)
decreased … 41.8/424.9)
between pre-intervention and post-intervention
(p<0.001) compared with All VHA, which decreased … Truman’s potential SSER (the proportion of total
patient safety reports that identified potential SSEs) decreased
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digital.ahrq.gov/sites/default/files/docs/citation/r01hs021495-safran-final-report-2019.pdf
January 01, 2019 - We observed that the rate of skipped or unanswered survey questions decreased from baseline to six months
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www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-chartbook-2023-rev.pdf
January 01, 2023 - The
percentage of reported Near misses decreased steadily from 26.1% (27,011 / 103,392) in 2013 to … From 2010 to 2019, Incidents where Harm was reported decreased from 42.3% (14,043
/ 33,197) to 14.4% … In 2020, Incidents where Harm was reported increased to
38.6% (31,894 / 82,526), but has decreased
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/cancer-radiation_executive.pdf
November 01, 2009 - Layout 1
Background
Radiotherapy with charged particles can
potentially deliver maximal doses while
minimizing irradiation of surrounding
tissues. It may be more effective or less
harmful than other forms of radiotherapy
for some cancers. Currently, seven centers
in the United States have facilities for
particle (pr…
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digital.ahrq.gov/sites/default/files/docs/survey/healthcare-provider-survey.pdf
June 16, 2021 - Healthcare Provider Survey
Healthcare Provider Survey
Primary Care Development Corporation, New York NY
This is a questionnaire designed to be completed by clinical staff in an
ambulatory setting. The tool includes questions to assess user's perceptions of
electronic health records and clinical decision support s…
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digital.ahrq.gov/sites/default/files/docs/page/SRD%20Call%208.30.06.ppt
August 22, 2006 - Slide 1
Volunteer eHealth Initiative
SW Tennessee’s experience
The Legal Side of the Project
Vicki Estrin – Program Manager
vicki.y.estrin@vanderbilt.edu
Funding: AHRQ Contract 290-04-0006; State of Tennessee; Vanderbilt University.
This presentation has not been approved by the Agency for Healthcare Research…
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www.ahrq.gov/hai/cusp/modules/identify/alt-text.html
March 01, 2013 - Identify Defects Module Alternate Text
Slide Number and Title
Slide Content
Content for Alternative Text (Illustration)
Slide 1
Cover Slide
(CUSP Toolkit logo)
The "Identify Defects Through Sensemaking" module of the Comprehensive Unit-Based Safety Program (CUSP) Toolkit. The CUSP Toolk…
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meps.ahrq.gov/data_files/publications/st108/stat108.pdf
January 01, 2006 - Statistical Brief #108: Trends in Employer-Sponsored Health Insurance Plans That Required No Employee Contribution to the Premium Cost, 1998–2003
Medical Expenditure Panel Survey
Agen
Res
8
January 2006
Trends in Employer-Sponsored Health
Insurance Plans That Required No
Employee C…
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psnet.ahrq.gov/node/33773/psn-pdf
September 01, 2014 - Overuse as a Patient Safety Problem
September 1, 2014
Moriates C. Overuse as a Patient Safety Problem. PSNet [internet]. 2014.
https://psnet.ahrq.gov/perspective/overuse-patient-safety-problem
Perspective
Nearly half of primary care physicians in the United States believe that patients cared for in their own
prac…
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psnet.ahrq.gov/web-mm/shake-well
September 01, 2006 - Shake Well
Citation Text:
Flynn EA. Shake Well. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2003.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS
Downloa…
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psnet.ahrq.gov/node/49413/psn-pdf
September 01, 2003 - Did We Forget Something?
September 1, 2003
Gibbs VC. Did We Forget Something? PSNet [internet]. 2003.
https://psnet.ahrq.gov/web-mm/did-we-forget-something
The Case
A 76-year-old-man underwent right aorto-iliac aneurysm repair. He developed postoperative fever, initially
attributed to ventilator-associated pneumo…
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psnet.ahrq.gov/node/49389/psn-pdf
February 01, 2003 - Procedural Mishap: Learning Curve?
February 1, 2003
Gibbs VC, Leape L. Procedural Mishap: Learning Curve? PSNet [internet]. 2003.
https://psnet.ahrq.gov/web-mm/procedural-mishap-learning-curve
The Case
A 28-year-old multiparous obese female presented for laparoscopic tubal ligation. The patient had
undesired fert…
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meps.ahrq.gov/data_files/publications/st372/stat372.shtml
June 01, 2012 - STATISTICAL BRIEF #372:
Trends in Anticonvulsants Utilization and Expenditures for the U.S. Civilian Noninstitutionalized Population, 1999 and 2009
Skip to main content
An official website of the Department of Health …
-
psnet.ahrq.gov/node/867655/psn-pdf
February 26, 2025 - Learning Health Systems for Patient Safety
February 26, 2025
Savitz LA, Sousane Z, Mossburg SE. Learning Health Systems for Patient Safety. PSNet [internet]. 2025.
https://psnet.ahrq.gov/perspective/learning-health-systems-patient-safety
Despite an observable decrease in adverse events in health care over time, rat…
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psnet.ahrq.gov/web-mm/forgotten-drip
April 01, 2014 - The Forgotten Drip
Citation Text:
Josephson AS. The Forgotten Drip. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2008.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId R…
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psnet.ahrq.gov/web-mm/security-lapse
December 18, 2019 - Security Lapse
Citation Text:
Mason D. Security Lapse. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2004.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS
…
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psnet.ahrq.gov/web-mm/check-bags
January 03, 2017 - Check the Bags
Citation Text:
Caldwell M, Dracup KA. Check the Bags. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2003.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId …
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psnet.ahrq.gov/node/49812/psn-pdf
November 01, 2017 - Specimen Almost Lost
November 1, 2017
Hehe YK. Specimen Almost Lost. PSNet [internet]. 2017.
https://psnet.ahrq.gov/web-mm/specimen-almost-lost
The Case
A 29-year-old woman presented to the hospital with a rash that had spread across her legs and abdomen.
She was admitted to the medicine service for further evalu…
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psnet.ahrq.gov/node/49406/psn-pdf
June 01, 2003 - The Dangerous Detour
June 1, 2003
Gibson J, HTaylor D. The Dangerous Detour. PSNet [internet]. 2003.
https://psnet.ahrq.gov/web-mm/dangerous-detour
The Case
Following an overdose of alcohol and Ativan, a 26-year-old woman was admitted to the Medicine service
for observation after being placed on a 72-hour hold by…
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psnet.ahrq.gov/node/73412/psn-pdf
August 01, 2022 - “Behavioral Health Vital Signs” Initiative Increases Patient
Education and Disclosure about Interpersonal Violence
(IPV)
June 30, 2021
https://psnet.ahrq.gov/innovation/behavioral-health-vital-signs-initiative-increases-patient-education-and-
disclosure
Summary
The Behavioral Health Vital Signs (BHVS) screener i…