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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-143-fullreport.pdf
April 01, 2018 - Denominator Exclusions
We exclude patients who meet the above inclusion criteria but fall into the following … This policy raised awareness and increased resources for quality
improvement and harm prevention activities … Prevention of adverse drug events through
computerized surveillance. … The direct medical costs of healthcare-associated infections in U.S. hospitals and the
benefits of prevention … Atlanta, GA: Centers for Disease Control and Prevention; 2009.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Mokkarala_103.pdf
June 16, 2008 - Outcomes
• Sources for
identification
• Method of response
• Impact
• Type
• Domain
• Cause
• Prevention … Inappropriate
judgment
• Medication errors
• Lack of intervention
on the patient’s behalf
• Lack of prevention … National Coordinating Council on Medication Error
Reporting and Prevention. … Proc AMIA Annu
Fall Symp 1997: 605-609.
39. Bernauer J.
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cds.ahrq.gov/sites/default/files/cds/artifact/76/CMSs%20Million%20Hearts%20Model%20Longitudinal%20ASCVD%20Risk%20Assessment%20Tool%20for%20Shared%20Decision%20Making.pdf
April 01, 2021 - risk score for an individual to help when considering initiating or optimizing
therapy for primary prevention … If patients fall
https://cds.ahrq.gov/cdsconnect/authoring
https://github.com/AHRQ-CDS/CQL-Testing-Framework
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psnet.ahrq.gov/node/867653/psn-pdf
February 26, 2025 - In Conversation with Jessica Behrhorst about The
Evolution of Root Cause Analysis
February 26, 2025
Behrhorst J, Gale B, Van CM. In Conversation with Jessica Behrhorst about The Evolution of Root Cause
Analysis. PSNet [internet]. 2025.
https://psnet.ahrq.gov/perspective/conversation-jessica-behrhorst-about-evoluti…
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www.ahrq.gov/sites/default/files/2024-07/sohn-report.pdf
January 01, 2024 - These misidentifications can lead to a medical misadministration and fall
under the category of a ‘ … These misidentifications can lead to a medical misadministration and fall under
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effectivehealthcare.ahrq.gov/sites/default/files/mental-illness-disparities_disposition-comments.pdf
May 26, 2016 - Disposition of Comments for Technical Brief 25 Disparities within Serious Mental Illness
Source: https://effectivehealthcare.ahrq.gov/search-for-guides-reviews-and-
reports/?pageaction=displayproduct&productID=2236
Published Online: May 26, 2016
Technical Brief Disposition of Comments Report
Research Review Titl…
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/bF_Y9vcT3eNPdHjTxPZsUZ
April 17, 2023 - Centers for Disease Control and Prevention. Updated
April 17, 2023. … Centers for Disease Control and Prevention. … Centers for Disease Control and Prevention; 2019.
18. … Centers for Disease
Control and Prevention. Published 2017. … Centers for Disease Control
and Prevention. Published 2019.
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www.uspreventiveservicestaskforce.org/uspstf/recommendation/obstructive-sleep-apnea-in-adults-screening
November 15, 2022 - Share to Facebook
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Final Recommendation Statement
Obstructive Sleep Apnea in Adults: Screening
November 15, 2022
Recommendations made by the USPSTF are independent of the U.S. government. They…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Dickerman_84.pdf
June 04, 2008 - Designing the Built Environment for A Culture and System of Patient Safety – A Conceptual, New Design Process
Designing the Built Environment for A
Culture and System of Patient Safety –
A Conceptual, New Design Process
Kenneth N. Dickerman, ACHA, AIA, FHFI; Paul Barach, BSc, MD, MPH
Abstract
There is growi…
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www.ahrq.gov/sites/default/files/2024-10/james-report.pdf
January 01, 2024 - simulation, participants know they are not in real danger, so they might not be as
motivated to not fall
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www.ahrq.gov/sites/default/files/wysiwyg/chsp/compendium/2018-compendium-techdoc.pdf
January 01, 2018 - Primary care: is there enough time for prevention? Am J Public Health
2003;93(4):635–41. … 4101 Mainehealth 110 FREE STREET, Portland,
ME, 4101
HSI00000624 Mary Washington Healthcare 2300 FALL
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psnet.ahrq.gov/perspective/conversation-david-juurlink-md-phd
May 22, 2017 - treatment of chronic pain in primary care, such as those developed by the Centers for Disease Control and Prevention … Atlanta, GA: Centers for Disease Control and Prevention, National Center for Health Statistics, National … Atlanta, GA: Centers for Disease Control and Prevention. Available at [ Available at ] 8. … opioid therapy for chronic pain: a systematic review for a National Institutes of Health Pathways to Prevention … opioid therapy for chronic pain: a systematic review for a National Institutes of Health Pathways to Prevention
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psnet.ahrq.gov/perspective/opioid-overdose-patient-safety-problem
May 01, 2017 - treatment of chronic pain in primary care, such as those developed by the Centers for Disease Control and Prevention … Atlanta, GA: Centers for Disease Control and Prevention, National Center for Health Statistics, National … Atlanta, GA: Centers for Disease Control and Prevention. Available at [ Available at ] 8. … opioid therapy for chronic pain: a systematic review for a National Institutes of Health Pathways to Prevention … opioid therapy for chronic pain: a systematic review for a National Institutes of Health Pathways to Prevention
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/ptsd-adults-trauma-interventions_research-protocol.pdf
November 08, 2012 - Evidence-based Practice Center Systematic Review Protocol
Project Title: Interventions for the Prevention … Several drugs have been studied for PTSD prevention including propranolol, morphine,
glucocorticoids … Prevention Intervention Outcomes
One of the primary outcomes in the PTSD prevention intervention literature … Prevention of posttraumatic stress disorder.
Psychiatr Clin North Am. 2011 Mar;34(1):79-94. … Pilot study of secondary prevention of
posttraumatic stress disorder with propranolol.
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digital.ahrq.gov/sites/default/files/docs/citation/r18hs025654-lenert_final-report-2023.pdf.pdf
January 01, 2023 - In 36 encounters, reported counseling on injury prevention (Z71.89); and
26 cases of confirmed adult … T74.111 (Adult physical abuse, confirmed) 15 12.000 12.000 12.000
Z71.89 (Counseling on injury prevention … However, further work may be needed in optimizing the complex process of adding
counseling for IPV risk prevention … AMIA Fall Symposium 2022.
-
www.ahrq.gov/sites/default/files/2024-07/domino-report.pdf
January 01, 2024 - Medical or surgical mismanagement 4 (9%)
Risks of treatment 3 (6%)
Nature of treatment 1 (2%)
Patient fall … diagnosis errors (failure or delay, n=3), retained foreign body (n=2), wrong treatment (n=1),
patient fall
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www.ahrq.gov/sites/default/files/wysiwyg/chsp/compendium/techdocrpt-appe.pdf
January 01, 2019 - Comparative Health System Performance Initiative: Compendium of U.S. Health Systems, 2016, Technical Documentation-Appendix E
Comparative Health System Performance Initiative:
Compendium of U.S. Health Systems, 2016, Technical
Documentation
Prepared for:
Agency for Healthcare Research and Quality
U.S. Depar…
-
psnet.ahrq.gov/perspective/conversation-gregg-s-meyer-md-msc
June 01, 2016 - analysis, which provide a thorough, well-rounded review of patient safety concepts needed for harm prevention … Neonatal heparin overdose-a multidisciplinary team approach to medication error prevention. … Interview
In Conversation with Edwin Boudreaux about Suicide Prevention
-
hcup-us.ahrq.gov/reports/statbriefs/sb217-Burn-Hospital-Stays-ED-Visits-2013.jsp
December 01, 2016 - The Centers for Disease Control and Prevention reported that 486,000 patients received emergency medical … inflicted
2,598
0.6
4
Accident caused by domestic wiring and appliances
1,952
0.5
5
Fall … Accessed October 27, 2021.
3 Ibid.
4 Ibid.
5 Centers for Disease Control and Prevention. … Accessed September 13, 2016.
6 Centers for Disease Control and Prevention, National Center for Injury … Prevention and Control.
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hcup-us.ahrq.gov/reports/statbriefs/sb217-Burn-Hospital-Stays-ED-Visits-2013.pdf
January 01, 2013 - The Centers for
Disease Control and Prevention reported that 486,000 patients
received emergency medical … Accessed September 13, 2016.
3 Ibid.
4 Ibid.
5 Centers for Disease Control and Prevention. … Accessed September 13, 2016.
6 Centers for Disease Control and Prevention, National Center for Injury … Prevention
and Control. … or
purposely inflicted 2,598 0.6
4 Accident caused by domestic wiring and appliances 1,952 0.5
5 Fall