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www.uspreventiveservicestaskforce.org/home/getfilebytoken/jhFZhsK8x-mHaN9wU9zhaF
Screening for Chronic Obstructive Pulmonary Disease: Clinical Summary
Figure. Screening for Chronic Obstructive Pulmonary Disease: Clinical Summary
Population Asymptomatic adults who do not present with respiratory symptoms
Recommendation
Do not screen for chronic obstructive pulmonary disease (COPD). …
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/resources.html
December 01, 2017 - AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention
Additional Resources
On-Time Prevention Program for Long Term Care: Clinical Decision Support .
Case Studies : Illustrates use and benefits of the program.
Publications:
Olsho LEW, Spector WD, Williams CS, et al. Evaluation o…
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psnet.ahrq.gov/node/73370/psn-pdf
June 09, 2021 - Burnout and its relationship to self-reported quality of
patient care and adverse events during COVID-19: a
cross-sectional online survey among nurses.
June 9, 2021
Kakemam E, Chegini Z, Rouhi A, et al. Burnout and its relationship to self?reported quality of patient care
and adverse events during COVID?19: a cros…
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digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/tabular-task-analysis
January 01, 2023 - Tabular Task Analysis
Acronym
TTA
Description
A tabular task analysis (TTA) is conducted to evaluate a task or scenario with regard to the necessary task steps and the interface used. The analysis evaluates specific elements of the bottom-level task steps within a hierarchical task analysis …
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psnet.ahrq.gov/node/40325/psn-pdf
December 18, 2014 - Statewide NICU central-line–associated bloodstream
infection rates decline after bundles and checklists.
December 18, 2014
Schulman J, Stricof R, Stevens TP, et al. Statewide NICU central-line-associated bloodstream infection
rates decline after bundles and checklists. Pediatrics. 2011;127(3):436-444. doi:10.1542/p…
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digital.ahrq.gov/organization/university-texas-health-science-center-houston
January 01, 2023 - University of Texas Health Science Center - Houston
Opportunistic Decision Making Information Needs and Workflow in Emergency Care - 2012
Principal Investigator
Zhang, Jiajie
Project Name
Opportunistic Decision Making Information Needs and Workflow in Emergency C…
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psnet.ahrq.gov/node/41876/psn-pdf
December 04, 2016 - Errors in palliative care: kinds, causes, and
consequences: a pilot survey of experiences and
attitudes of palliative care professionals.
December 4, 2016
Dietz I, Borasio GD, Molnar C, et al. Errors in palliative care: kinds, causes, and consequences: a pilot
survey of experiences and attitudes of palliative care…
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psnet.ahrq.gov/node/837424/psn-pdf
June 15, 2022 - Allergy safety events in healthcare: development and
application of a classification schema based on
retrospective review.
June 15, 2022
Phadke NA, Wickner PG, Wang L, et al. Allergy safety events in healthcare: development and application
of a classification schema based on retrospective review. J Allergy Clin Im…
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psnet.ahrq.gov/node/73206/psn-pdf
May 05, 2021 - Treatment patterns and clinical outcomes after the
introduction of the Medicare Sepsis Performance Measure
(SEP-1).
May 5, 2021
Barbash IJ, Davis BS, Yabes JG, et al. Treatment patterns and clinical outcomes after the introduction of
the Medicare Sepsis Performance Measure (SEP-1). Ann Intern Med. 2021;174(7):927-…
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psnet.ahrq.gov/node/842760/psn-pdf
January 18, 2023 - Self-reported gaps in care coordination and preventable
adverse outcomes among older adults receiving home
health care.
January 18, 2023
Sterling MR, Lau J, Rajan M, et al. Self?reported gaps in care coordination and preventable adverse
outcomes among older adults receiving home health care. J Am Geriatr Soc. 2023…
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psnet.ahrq.gov/node/60933/psn-pdf
September 23, 2020 - Seroprevalence of SARS-CoV-2 among frontline health
care personnel in a multistate hospital network--13
academic medical centers, April-June 2020.
September 23, 2020
Self WH, Tenforde MW, Stubblefield WB, et al. Seroprevalence of SARS-CoV-2 among frontline health
care personnel in a multistate hospital network - 1…
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psnet.ahrq.gov/node/45575/psn-pdf
November 09, 2016 - Developing a high value care programme from the bottom
up: a programme of faculty-resident improvement
projects targeting harmful or unnecessary care.
November 9, 2016
Stinnett-Donnelly JM, Stevens PG, Hood VL. Developing a high value care programme from the bottom up:
a programme of faculty-resident improvement p…
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www.ahrq.gov/funding/training-grants/grants/active/kawards/Kawdsumgurs.html
October 01, 2014 - Gurses, Ayse
Summaries of Independent Scientist (K) Awards
Summaries of recently funded projects for Independent Scientist and Mentored Clinical Scientist Development K Awards.
Institution: Johns Hopkins University, Baltimore
Grant Title: Improving the Safety of Care Transitions for Cardiac Surgery Pati…
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psnet.ahrq.gov/node/44527/psn-pdf
March 18, 2016 - Measuring and improving patient safety through health
information technology: the Health IT Safety Framework.
March 18, 2016
Singh H, Sittig DF. Measuring and improving patient safety through health information technology: The
Health IT Safety Framework. BMJ Qual Saf. 2016;25(4):226-32. doi:10.1136/bmjqs-2015-00448…
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psnet.ahrq.gov/node/73064/psn-pdf
March 24, 2021 - Outpatient insulin-related adverse events due to mix-up
errors: findings from two national surveillance systems,
United States, 2012-2017.
March 24, 2021
Geller AI, Conrad AO, Weidle NJ, et al. Outpatient insulin?related adverse events due to mix?up errors:
Findings from two national surveillance systems, United S…
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psnet.ahrq.gov/node/73445/psn-pdf
June 30, 2021 - Moving beyond the weekend effect: how can we best
target interventions to improve patient care?
June 30, 2021
Marang-van de Mheen PJ, Vincent CA. Moving beyond the weekend effect: how can we best target
interventions to improve patient care? BMJ Qual Saf. 2021;30(7):525-528. doi:10.1136/bmjqs-2020-
012620.
https:…
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psnet.ahrq.gov/node/860715/psn-pdf
January 17, 2024 - Development of prescribing indicators related to opioid-
related harm in patients with chronic pain in primary care-
a modified e-Delphi study.
January 17, 2024
Bansal N, Campbell SM, Lin C-Y, et al. Development of prescribing indicators related to opioid-related
harm in patients with chronic pain in primary care—…
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psnet.ahrq.gov/node/37531/psn-pdf
February 22, 2011 - Patient safety and telephone medicine: some lessons
from closed claim case review.
February 22, 2011
Katz HP, Kaltsounis D, Halloran L, et al. Patient safety and telephone medicine : some lessons from closed
claim case review. J Gen Intern Med. 2008;23(5):517-22. doi:10.1007/s11606-007-0491-y.
https://psnet.ahrq.g…
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psnet.ahrq.gov/node/38260/psn-pdf
April 22, 2011 - Information exchange among physicians caring for the
same patient in the community.
April 22, 2011
van Walraven C, Taljaard M, Bell CM, et al. Information exchange among physicians caring for the same
patient in the community. CMAJ. 2008;179(10):1013-8. doi:10.1503/cmaj.080430.
https://psnet.ahrq.gov/issue/informa…
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psnet.ahrq.gov/node/34758/psn-pdf
January 29, 2019 - Normal Accidents: Living with High-Risk Technologies.
January 29, 2019
Perrow C. Princeton NJ: Princeton University Press; 1999.
https://psnet.ahrq.gov/issue/normal-accidents-living-high-risk-technologies
Though less often cited than high-reliability theory in the health care literature, normal accidents theor…