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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-cognitive-load-references.html
May 01, 2024 - Cognitive Load Theory and Its Impact on Diagnostic Accuracy
References
Previous Page
Table of Contents
Cognitive Load Theory and Its Impact on Diagnostic Accuracy
Introduction to Diagnostic Errors
Fundamental Concepts for Understanding Cognitive Load
Interplay Between Cognitive Load and Diag…
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www.ahrq.gov/hai/clabsi-tools/guide.html
January 01, 2020 - Guide: Purpose and Use of CLABSI Tools
Purpose of the Tools
These tools are designed to support your efforts to implement evidence-based practices and eliminate central line-associated blood stream infections (CLABSI) in your unit. When used with the Comprehensive Unit-based Safety Program (CUSP) Toolkit, the…
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-rural-healthcare3.html
September 01, 2024 - Diagnostic Excellence in U.S. Rural Healthcare: A Call to Action
Three Areas To Immediately Advance Diagnosis In Rural Healthcare
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Table of Contents
Diagnostic Excellence in U.S. Rural Healthcare: A Call to Action
A Path to Rural Diagnostic Excellence
Improving Diagnosis i…
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psnet.ahrq.gov/web-mm/recurrent-hypoglycemia-care-transition-failure
December 23, 2020 - SPOTLIGHT CASE
Recurrent Hypoglycemia: A Care Transition Failure?
Citation Text:
Eytan T. Recurrent Hypoglycemia: A Care Transition Failure?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2008.
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www.ahrq.gov/hai/pfp/2014-final.html
January 01, 2018 - Saving Lives and Saving Money: Hospital-Acquired Conditions Update
Final Data From National Efforts To Make Care Safer, 2010–2014
Summary
Final estimates for 2014 show a sustained 17 percent decline in hospital-acquired conditions (HACs) since 2010. A cumulative total of 2.1 million fewer HACs were experie…
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psnet.ahrq.gov/node/33594/psn-pdf
November 18, 2021 - Debriefing for Clinical Learning
November 18, 2021
Edwards JJ, Wexner S, Nichols A. Debriefing for Clinical Learning. PSNet [internet]. 2021.
https://psnet.ahrq.gov/primer/debriefing-clinical-learning
Updated in September 2021. Originally published in December 2011 by researchers at the University of
California, S…
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/updating-criteria-qdr-protocol-amendment.pdf
December 28, 2023 - Updating the Measurement Criteria for AHRQ’s National Healthcare Quality and Disparities Report (NHQDR)
Version 5 4/18/2019 1
Evidence-based Practice Center
Technical Brief Protocol
Project Title: Updating the Measurement Criteria for AHRQ’s
National Healthcare Quality and Disparities Report (NHQDR)
Init…
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/updating-criteria-qdr-protocol.pdf
September 06, 2023 - EHC Protocol: Updating the Measurement Criteria for AHRQ's National Healthcare Quality and Disparities Report
Evidence-based Practice Center Technical Brief Protocol
Project Title: Updating the Measurement Criteria for AHRQ’s National
Healthcare Quality and Disparities Report (NHQDR)
I. Background and Objectives…
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www.ahrq.gov/news/events/nac/2019-04-nac/nacmtg0419-minutes.html
July 01, 2019 - Meeting Minutes, April 2019
National Advisory Council
Minutes from the April 11, 2019, meeting of the Agency for Healthcare Research and Quality's National Advisory Council.
Contents
Summary
Call to Order and Approval of November 15, 2018, Meeting Summary
AHRQ Accomplishments
Budget Update
Directo…
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psnet.ahrq.gov/web-mm/missed-candor-implementation-opportunities
November 11, 2020 - Missed CANDOR Implementation Opportunities.
Citation Text:
Schweitzer L. Missed CANDOR Implementation Opportunities.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2022.
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www.uspreventiveservicestaskforce.org/uspstf/recommendation/skin-cancer-counseling-2003
October 06, 2003 - Share to Facebook
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archived
Final Recommendation Statement
Skin Cancer: Counseling, 2003
October 06, 2003
Recommendations made by the USPSTF are independent of the U.S. government. They s…
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www.ahrq.gov/patient-safety/settings/hospital/red/toolkit/redtool5.html
March 01, 2025 - Re-Engineered Discharge (RED) Toolkit
Tool 5: How To Conduct a Postdischarge Followup Phone Call
Previous Page Next Page
Table of Contents
Re-Engineered Discharge (RED) Toolkit
Tool 1: Overview
Tool 2: How To Begin the Re-engineered Discharge Implementation at Your Hospital
How CMS Measures th…
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psnet.ahrq.gov/web-mm/delayed-sepsis-management-due-ambiguous-allergy
January 13, 2021 - Delayed Sepsis Management Due to Ambiguous Allergy
Citation Text:
Blumenthal K. Delayed Sepsis Management Due to Ambiguous Allergy. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Ludwick.pdf
June 21, 2004 - Surgical Safety: Addressing the JCAHO Goals for Reducing Wrong-site, Wrong-patient, Wrong-procedure Events
483
Surgical Safety: Addressing the
JCAHO Goals for Reducing Wrong-site,
Wrong-patient, Wrong-procedure Events
Sandra Ludwick
Abstract
Under standards set forth by the Joint Commission on Accreditatio…
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psnet.ahrq.gov/web-mm/delay-malignancy-diagnosis-reflects-systemic-failures
September 25, 2019 - Delay in Malignancy Diagnosis Reflects Systemic Failures
Citation Text:
Mieu H, Olson KA. Delay in Malignancy Diagnosis Reflects Systemic Failures. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2023.
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psnet.ahrq.gov/web-mm/prolonged-dka-pregnancy-case-communication-breakdown
June 28, 2023 - SPOTLIGHT CASE
Prolonged DKA in Pregnancy: A Case of Communication Breakdown.
Citation Text:
Marshall S, Boe NM. Prolonged DKA in Pregnancy: A Case of Communication Breakdown.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services…
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psnet.ahrq.gov/node/866995/psn-pdf
October 30, 2024 - A Cognitive and Communication Blind Spot Contributes
to Permanent Paralysis
October 30, 2024
Utter GH. A Cognitive and Communication Blind Spot Contributes to Permanent Paralysis. PSNet
[internet]. 2024.
https://psnet.ahrq.gov/web-mm/cognitive-and-communication-blind-spot-contributes-permanent-paralysis
Disclosur…
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/mhs-IV-rapid-response-patient-family-engagement.pdf
October 01, 2023 - Making Healthcare Safer IV_Rapid Response: Patient and Family Engagement
Making Healthcare Safer IV
Patient and Family Engagement
Rapid Response
Main Points
• Patient and family engagement as a patient safety practice (PSP) is an emerging area with
few studies evaluating the effectiveness of such enga…
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/cad-women-diagnosis_disposition-comments.pdf
June 12, 2012 - Disposition of Comments Report for Noninvasive Technologies for the Diagnosis of Coronary Artery Disease in Women
Source: http://effectivehealthcare.ahrq.gov/search-for-guides-reviews-and-
reports/?pageaction=displayproduct&productID=1019
Published Online: June 12, 2012
Comparative Effectiveness Research Re…
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/hypofractionated-radiation-therapy-draft-appendix-d2.xlsx
January 01, 2024 - Intensity modulated RT was encouraged, although three-dimensional conformal RT
was permitted provided … Intensity modulated RT was encouraged, although three-dimensional conformal RT was permitted provided