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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/McNeill.pdf
January 01, 2004 - Beyond the Dusty Shelf: Shifting Paradigms and Effecting Change
383
Beyond the Dusty Shelf: Shifting
Paradigms and Effecting Change
Dwight McNeill, Howard Holland, Kerm Henriksen
Abstract
This paper addresses how to make happen the improvements in the quality of
health care that have been identified from si…
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psnet.ahrq.gov/web-mm/missed-bowel-perforation-importance-diagnostic-reasoning
January 29, 2021 - SPOTLIGHT CASE
A Missed Bowel Perforation - the Importance of Diagnostic Reasoning
Citation Text:
Timbag L, Sinigayan VR, Molla M. A Missed Bowel Perforation - the Importance of Diagnostic Reasoning. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of He…
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/chartbooks/personcentered/qdr2015-chartbook-personcenteredcare.pptx
September 01, 2016 - Poor communication is defined as responded sometimes or never to the set of survey questions: "During … The goal of end-of-life care is to achieve a “good death,” defined by the Institute of Medicine as:
…
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effectivehealthcare.ahrq.gov/sites/default/files/cer-245-breast-reconstruction-after-mastectomy-disposition-comments.pdf
October 01, 2021 - • Reviewers also suggested providing details regarding how studies defined specific
outcomes, such
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/app-d-opioid-chronic-pain-surveill-report-1.xlsx
September 30, 2015 - Mean age: 77 years
Race/ethnicity
White: 83%
Black: 10%
Other: 6%
Female: 83% Long-term opioid therapy defined
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/prostate-cancer-radiation_research.pdf
November 01, 2012 - Race/ethnicity: Race and ethnicity were defined using the Research
Triangle Institute Race Code, which
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/celiac-disease_clinician.pdf
July 01, 2016 - safety
data on VCE when used specifically to diagnose celiac disease.
c Capsule retention is typically defined
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effectivehealthcare.ahrq.gov/sites/default/files/s9.pdf
October 01, 2007 - In 2006, the Medicare Part D defined the standard
prescription drug benefit, with an average premium
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psnet.ahrq.gov/web-mm/dangerous-shift
July 24, 2013 - Expertise is largely defined by context-dependent knowledge of how and when to relax constraints in over-constrained
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psnet.ahrq.gov/web-mm/signout-fallout
November 16, 2022 - Almost half of all sentinel events—defined as "an unexpected occurrence involving death or serious physical
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/cer-272-genitourinary-syndrome-executive-summary.pdf
July 01, 2024 - For the eight COMMA outcomes defined above, the evidence was very uncertain
(very low COE) for all other
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psnet.ahrq.gov/node/33714/psn-pdf
July 01, 2011 - , and even potentially across the world, can report
information on patient safety in a way that is defined … clinically in a congruent way and defined electronically
in an interoperable way so that information … We defined
what should be collected at the local level, where care is being delivered at the hospital
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psnet.ahrq.gov/node/47445/psn-pdf
October 24, 2018 - Diagnostic error in the critically ill: defining the problem
and exploring next steps to advance intensive care unit
safety.
October 24, 2018
Bergl PA, Nanchal RS, Singh H. Diagnostic Error in the Critically III: Defining the Problem and Exploring
Next Steps to Advance Intensive Care Unit Safety. Ann Am Thorac Soc…
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psnet.ahrq.gov/node/36667/psn-pdf
April 14, 2011 - Effective healthcare teams require effective team
members: defining teamwork competencies.
April 14, 2011
Leggat SG. Effective healthcare teams require effective team members: defining teamwork competencies.
BMC Health Serv Res. 2007;7:17.
https://psnet.ahrq.gov/issue/effective-healthcare-teams-require-effective-t…
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psnet.ahrq.gov/node/39246/psn-pdf
April 11, 2018 - How perioperative nurses define, attribute causes of, and
react to intraoperative nursing errors.
April 11, 2018
Chard R. How perioperative nurses define, attribute causes of, and react to intraoperative nursing errors.
AORN J. 2010;91(1):132-45. doi:10.1016/j.aorn.2009.06.028.
https://psnet.ahrq.gov/issue/how-per…
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psnet.ahrq.gov/node/47309/psn-pdf
August 22, 2018 - Defining patient safety events in inpatient psychiatry.
August 22, 2018
Marcus SC, Hermann R, Cullen SW. Defining Patient Safety Events in Inpatient Psychiatry. J Patient Saf.
2018;17(8):e1452-e1457. doi:10.1097/PTS.0000000000000520.
https://psnet.ahrq.gov/issue/defining-patient-safety-events-inpatient-psychiatry
…
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psnet.ahrq.gov/node/36622/psn-pdf
January 14, 2011 - Measuring errors in surgical pathology in real-life
practice: defining what does and does not matter.
January 14, 2011
Renshaw AA, Gould EW. Measuring errors in surgical pathology in real-life practice: defining what does
and does not matter. Am J Clin Pathol. 2007;127(1):144-52.
https://psnet.ahrq.gov/issue/measu…
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psnet.ahrq.gov/node/41727/psn-pdf
October 10, 2012 - Transferring responsibility and accountability in maternity
care: clinicians defining their boundaries of practice in
relation to clinical handover.
October 10, 2012
Chin GSM, Warren N, Kornman L, et al. Transferring responsibility and accountability in maternity care:
clinicians defining their boundaries of pract…
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psnet.ahrq.gov/node/44262/psn-pdf
November 17, 2016 - The challenges in defining and measuring diagnostic
error.
November 17, 2016
Zwaan L, Singh H. The challenges in defining and measuring diagnostic error. Diagnosis (Berl).
2015;2(2):97-103. doi:10.1515/dx-2014-0069.
https://psnet.ahrq.gov/issue/challenges-defining-and-measuring-diagnostic-error
Although diagnosti…
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psnet.ahrq.gov/node/41489/psn-pdf
October 12, 2012 - Defining patient safety in hospice: principles to guide
measurement and public reporting.
October 12, 2012
Casarett D, Spence C, Clark MA, et al. Defining patient safety in hospice: principles to guide measurement
and public reporting. J Palliat Med. 2012;15(10):1120-3. doi:10.1089/jpm.2011.0530.
https://psnet.ahr…