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4121. Comparative Effectiveness Review No. 258_Diagnostic Errors in the Emergency Department: A Systematic Review (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/diagnostic-error-executive-summary.pdf
      August 01, 2023 - Comparative Effectiveness Review No. 258_Diagnostic Errors in the Emergency Department: A Systematic Review Comparative Effectiveness Review Number 258 Diagnostic Errors in the Emergency Department: A Systematic Review Evidence Summary Main Points • Overall diagnostic accuracy in the emergen…

4122. The Evolution of Root Cause Analysis | PSNet
      psnet.ahrq.gov/perspective/evolution-root-cause-analysis
      February 26, 2025 - Root Cause Analysis and Medical Error Prevention. StatPearls Publishing; 2024.

4123. In Conversation with Jessica Behrhorst about The Evolution of Root Cause Analysis | PSNet
      psnet.ahrq.gov/perspective/conversation-jessica-behrhorst-about-evolution-root-cause-analysis
      February 26, 2025 - Root Cause Analysis and Medical Error Prevention. StatPearls Publishing; 2024.

4124. Technical Expert Panel | PSNet
      psnet.ahrq.gov/Information/Panel
      January 01, 2012 - morbidity to better identify their support needs and research priorities and to identify community-driven prevention … Influential research products include over 100 evidence-based national quality, prevention, and safety … substances, reduction of hospital-acquired conditions, voluntary events reporting, and loss control/prevention … safety, infusion safety, clinical alarms safety, unit-based safety improvement, venous thromboembolism prevention

4125. First Annual Report to Congress on High-Priority Evidence Gaps for Clinical Preventive Services (pdf file)
      www.uspreventiveservicestaskforce.org/uspstf/sites/default/files/inline-files/tfannrpt2011.pdf
      January 01, 2012 - Role of the USPSTF in Clinical Prevention ........................................................... … Established in 1984 by Congress, the USPSTF is an independent panel of nonfederal experts in prevention … The work of the CPSTF is supported by the Centers for Disease Control and Prevention. … Randomized trials of primary clinical fracture prevention in men who have osteoporosis are needed. … I Prevention of Motor Vehicle Occupant Injuries: Counseling in a Primary Care Setting for Proper Use

4126. Hospital at Home℠ Care Reduces Costs, Readmissions, and Complications and Enhances Satisfaction for Elderly Patients. | PSNet
      psnet.ahrq.gov/innovation/hospital-homesm-care-reduces-costs-readmissions-and-complications-and-enhances
      November 15, 2023 - Appropriate Medication Use March 31, 2021 Home health staff perspectives on infection prevention

4127. A Picture Speaks 1000 Words | PSNet
      psnet.ahrq.gov/web-mm/picture-speaks-1000-words
      July 16, 2015 - A Picture Speaks 1000 Words Citation Text: Hemphill RR. A Picture Speaks 1000 Words. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2013. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote …

4128. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33856/psn-pdf
      April 01, 2018 - Patient Safety During Hospital Discharge April 1, 2018 Liang K, Alper E. Patient Safety During Hospital Discharge. PSNet [internet]. 2018. https://psnet.ahrq.gov/perspective/patient-safety-during-hospital-discharge Perspective Patients are admitted to the hospital in the United States 35 million times per year.(1)…

4129. Microsoft PowerPoint - FINAL June-Spotlight Case Slides_06.12.2020.pptx (pdf file)
      psnet.ahrq.gov/sites/default/files/2020-06/final_june-spotlight_case_slides_06.12.2020.pdf
      January 01, 2020 - Microsoft PowerPoint - FINAL June-Spotlight Case Slides_06.12.2020.pptx Spotlight When the Indications for Drug Administration Blur Source and Credits • This presentation is based on the June 2020 AHRQ WebM&M Spotlight Case o See the full article at https://psnet.ahrq.gov/webmm • Commentary by: Julia Munsch,…

4130. Misidentifying the Unidentified – John Doe and the EHR | PSNet
      psnet.ahrq.gov/web-mm/misidentifying-unidentified-john-doe-and-ehr
      September 27, 2017 - Misidentifying the Unidentified – John Doe and the EHR Citation Text: Janowak CF, Janowak LM. Misidentifying the Unidentified – John Doe and the EHR. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. Copy Citation Format: …

4131. Screening and Behavioral Counseling Interventions to Reduce Unhealthy Alcohol Use in Adolescents and Adults: USPSTF Recommendation Statement (pdf file)
      www.uspreventiveservicestaskforce.org/home/getfilebytoken/RwHjq3L5fN5gdWsp_sSwA3
      August 02, 2018 - Screening, diagnosing and prevention of fetal alcohol syndrome: is this syndrome treatable? … Centers for Disease Control and Prevention (CDC). Fact sheets—underage drinking. … Centers for Disease Control and Prevention (CDC). Teen drinking and driving: a dangerous mix. … Centers for Disease Control and Prevention (CDC). … Committee on Substance Use and Prevention.

4132. Developmental Screening and Follow-Up: Follow-Up Referral Tracking (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/preventive/chipra-205-fullreport.pdf
      January 01, 2014 - effect of widespread screening on delays in young children, as children may not receive services or may fall … In addition, the prevention guidelines for children (Bright Futures and the Periodicity Schedule) as … References Centers for Disease Control and Prevention. … Public Comment In fall of 2013, the three Developmental Screening Follow-up measures went through an … of widespread screening on delays in young children, as children may not receive services or may fall

4133. How are CHIPRA quality demonstration States improving perinatal care? | Agency for Healthcare Research and Quality
      www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/highlight12.html
      May 01, 2015 - this Highlight comes from semi-structured interviews conducted during spring and summer 2012 and fall … demonstration, such as the March of Dimes, Illinois Hospital Association, and Centers for Disease Control and Prevention … In: Preterm Birth: Causes, Consequences, and Prevention.

4134. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60611/psn-pdf
      June 24, 2020 - In comparison, the recommended dose of rivaroxaban for the prevention of stroke in patients with atrial … dose depends on several factors including the indication (atrial fibrillation, VTE treatment, or VTE prevention … (4) assist with cost issues, especially for Medicare patients whose insurance may change yearly or fall

4135. Final Progress Report: Further Psychometric Testing and Validation of the Errors of Care Omission Survey (ECOS) (pdf file)
      www.ahrq.gov/sites/default/files/2025-02/poghosyan-report.pdf
      January 01, 2025 - and then a second mail survey was sent to non-respondents.41 The data collection took place Summer-Fall … Missed opportunities in prevention of cardiovascular disease in primary care: a cross-sectional study … AHRQ quality indicators - guide to prevention quality indicators: hospital admission for ambulatory

4136. Section 4: Selecting Care Management Interventions | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/medicaidmgmt/mm4.html
      October 01, 2014 - Provider, Member, and System Interventions Most often, care management interventions tend to fall into … disease-specific organizations (e.g., local chapter of the American Heart Association, State diabetes prevention … conducted, from which the State will begin identifying potential peer leaders for leadership training in Fall

4137. Communication and Optimal Resolution (CANDOR) Toolkit Module 3: Preparing for Implementation: Change Readiness and Gap Analysis
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module3/module3-assessment-change-readiness-gap-analysis.pptx
      August 25, 2015 - Establish shared mental model of the importance of safety and prevention measures. … of safety includes a focus on mutual trust and a shared mental model of the importance of safety and prevention

4138. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49708/psn-pdf
      May 01, 2014 - across different points of care.(23) Pharmacists, who have been shown to play an important role in the prevention … To date, such cost- benefit studies have tended to fall on the side of benefit.(29,30) This case illustrates

4139. Environmental Scan of Patient Safety Education and Training Programs (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/environmental-scan-programs/envptscan.pdf
      June 01, 2013 - Agency for Healthcare Research and Quality (AHRQ, via https://psnet.ahrq.gov/glossary) The prevention … The prevention of harm to patients. … This criterion was intended to eliminate programs that did not fall within the patient safety spectrum … Specific patient care issues—programs that focus on one specific area of patient safety, such as fall … prevention, medication safety, or surgical infection

4140. CHIPRA 119 Section 5, Literature Review and Discussion (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-119-section-5-lit-review.pdf
      March 19, 2012 - Health loss prevention in neonates. Journal of Perinatology, 28, 857-859. … Temperature up/sepsis and morbidity down Fall in body temperature impairs circulatory pathways, and … Health loss prevention in neonates. Journal of Perinatology, 28, 857-859. … Heat Loss Prevention (HeLP) Trial. … Health loss prevention: A systematic review of occlusive skin wrap for premature neonates.