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psnet.ahrq.gov/issue/cognitive-task-analysis-information-management-strategies-computerized-provider-order-entry
May 27, 2011 - Study
A cognitive task analysis of information management strategies in a computerized provider order entry environment.
Citation Text:
Weir C, Nebeker JJR, Hicken BL, et al. A cognitive task analysis of information management strategies in a computerized provider order entry environme…
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psnet.ahrq.gov/issue/preserving-organizational-resilience-patient-safety-and-staff-retention-during-covid-19
May 08, 2019 - Commentary
Classic
Preserving organizational resilience, patient safety, and staff retention during COVID-19 requires a holistic consideration of the psychological safety of healthcare workers
Citation Text:
Rangachari P, L. Woods J. Preserving organizational re…
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psnet.ahrq.gov/issue/crossing-academic-boundaries-diagnostic-safety-10-complex-challenges-and-potential-solutions
November 30, 2022 - Commentary
Crossing academic boundaries for diagnostic safety: 10 complex challenges and potential solutions from clinical perspectives and high-reliability organizing principles.
Citation Text:
Yousef EA, Sutcliffe KM, McDonald KM, et al. Crossing academic boundaries for diagnostic safe…
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psnet.ahrq.gov/issue/errors-breast-imaging-how-reduce-errors-and-promote-safety-environment
July 22, 2020 - Commentary
Errors in breast imaging: how to reduce errors and promote a safety environment.
Citation Text:
Sivarajah R, Dinh ML, Chetlen A. Errors in breast imaging: how to reduce errors and promote a safety environment. J Breast Imaging. 2021;3(2):221-230. doi:10.1093/jbi/wbaa118.
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psnet.ahrq.gov/issue/hospital-acquired-sars-cov-2-infection-lessons-public-health
November 25, 2020 - Commentary
Hospital-acquired SARS-CoV-2 infection: lessons for public health.
Citation Text:
Richterman A, Meyerowitz EA, Cevik M. Hospital-acquired SARS-CoV-2 infection: lessons for public health. JAMA. 2020;324(21):2155. doi:10.1001/jama.2020.21399.
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www.uspreventiveservicestaskforce.org/uspstf/sites/default/files/file/supporting_documents/high-bmi-children-adolescents-final-rec-bulletin.pdf
June 18, 2024 - Task Force Issues Final Recommendation Statement on Interventions for High Body Mass Index in Children and Adolescents
1
www.uspreventiveservicestaskforce.org
Task Force Issues Final Recommendation Statement on Interventions
for High Body Mass Index in Children and Adolescents
Healthcare professionals s…
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www.ahrq.gov/patient-safety/index.html
January 01, 2024 - Patient Safety and Quality Improvement
AHRQ Safety Program for Perinatal Care, Phase 2
Resources to help labor and delivery units reduce obstetric hemorrhage and severe hypertension in pregnancy
…
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www.uspreventiveservicestaskforce.org/uspstf/sites/default/files/file/supporting_documents/hivprep-bulletin.pdf
August 22, 2023 - Task Force Issues Final Recommendation Statement on PrEP for HIV Prevention
1
www.uspreventiveservicestaskforce.org
Task Force Issues Final Recommendation Statement on
PrEP for HIV Prevention
Healthcare professionals should prescribe pre-exposure prophylaxis (PrEP)
to people at increased risk for HIV
…
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psnet.ahrq.gov/issue/time-take-hearing-loss-seriously
September 23, 2020 - Commentary
Time to take hearing loss seriously.
Citation Text:
Blustein J, Wallhagen MI, Weinstein BE, et al. Time to take hearing loss seriously. Jt Comm J Qual Patient Saf. 2019;46(1):53-58. doi:10.1016/j.jcjq.2019.10.003.
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DOI Google Scholar BibTeX E…
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psnet.ahrq.gov/issue/complexity-and-challenges-clinical-diagnosis-and-management-long-covid
January 12, 2022 - Study
Complexity and challenges of the clinical diagnosis and management of Long COVID.
Citation Text:
O’Hare AM, Vig EK, Iwashyna TJ, et al. Complexity and challenges of the clinical diagnosis and management of Long COVID. JAMA Netw Open. 2022;5(11):e2240332. doi:10.1001/jamanetworkopen…
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psnet.ahrq.gov/issue/hospital-testing-effectiveness-co-designed-educational-materials-improve-patient-and-visitor
February 28, 2024 - Study
Hospital testing of the effectiveness of co-designed educational materials to improve patient and visitor knowledge and confidence in reporting patient deterioration.
Citation Text:
King L, Belan I, Clark RA, et al. Hospital testing of the effectiveness of co-designed educational m…
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psnet.ahrq.gov/issue/randomized-controlled-evaluation-insulin-pen-storage-policy
January 23, 2017 - Study
Randomized controlled evaluation of an insulin pen storage policy.
Citation Text:
Gibbs HG, McLernon T, Call R, et al. Randomized controlled evaluation of an insulin pen storage policy. Am J Health Syst Pharm. 2017;74(24):2054-2059. doi:10.2146/ajhp160348.
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Forma…
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psnet.ahrq.gov/issue/identification-latent-safety-threats-using-high-fidelity-simulation-based-training
June 26, 2019 - Study
Identification of latent safety threats using high-fidelity simulation-based training with multidisciplinary neonatology teams.
Citation Text:
Wetzel EA, Lang TR, Pendergrass TL, et al. Identification of Latent Safety Threats Using High-Fidelity Simulation-Based Training with Mult…
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-culture-survey-brazil-summary.html
August 01, 2024 - Learning from AHRQ's Diagnostic Safety Culture Survey at a Tertiary Care Health System in Brazil: A Case Study
Summary of Survey Findings
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Table of Contents
Learning from AHRQ's Diagnostic Safety Culture Survey at a Tertiary Care Health System in Brazil: A Case Study
Introdu…
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psnet.ahrq.gov/issue/effect-hospital-acquired-clostridium-difficile-infection-hospital-mortality
April 22, 2011 - Study
The effect of hospital-acquired Clostridium difficile infection on in-hospital mortality.
Citation Text:
Oake N, Taljaard M, van Walraven C, et al. The effect of hospital-acquired Clostridium difficile infection on in-hospital mortality. Arch Intern Med. 2010;170(20):1804-10. doi:1…
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psnet.ahrq.gov/issue/methodological-variability-detecting-prescribing-errors-and-consequences-evaluation
March 05, 2010 - Study
Methodological variability in detecting prescribing errors and consequences for the evaluation of interventions.
Citation Text:
Franklin BD, Birch S, Savage I, et al. Methodological variability in detecting prescribing errors and consequences for the evaluation of interventions. …
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psnet.ahrq.gov/issue/patient-mediated-interventions-improve-professional-practice
April 25, 2016 - Review
Emerging Classic
Patient-mediated interventions to improve professional practice.
Citation Text:
Fønhus MS, Dalsbø TK, Johansen M, et al. Patient-mediated interventions to improve professional practice. Cochrane Database Syst Rev. 2018;9:CD012472. doi:10.…
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psnet.ahrq.gov/issue/must-we-bust-trust-understanding-how-clinician-patient-relationship-influences-patient
January 11, 2023 - Study
Must we bust the trust?: Understanding how the clinician–patient relationship influences patient engagement in safety.
Citation Text:
Mishra SR, Haldar S, Khelifi M, et al. Must we bust the trust?: Understanding how the clinician–patient relationship influences patient engagement i…
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psnet.ahrq.gov/issue/listen-whispers-they-become-screams-addressing-black-maternal-morbidity-and-mortality-united
December 05, 2012 - Commentary
Listen to the whispers before they become screams: addressing Black maternal morbidity and mortality in the United States.
Citation Text:
Njoku A, Evans M, Nimo-Sefah L, et al. Listen to the whispers before they become screams: addressing Black maternal morbidity and mortality…
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qualityindicators.ahrq.gov/Downloads/Modules/PSI/V2022/TechSpecs/PSI_19_Obstetric_Trauma_Rate-Vaginal_Delivery_Without_Instrument.pdf
July 01, 2022 - AHRQ Quality Indicators™ (AHRQ QI™) ICD-10-CM/PCS Specification v2022
Prepared by:
Agency for Healthcare Research and Quality
U.S. Department of Health and Human Services
qualityindicators.ahrq.gov
NUMERATOR
DENOMINATOR
*See below for code list
DENOMINATOR EXCLUSIONS
Exclude discharges:
• with any listed …