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www.uspreventiveservicestaskforce.org/uspstf/sites/default/files/inline-files/decision-modeling-for-uspstf_0.pdf
July 01, 2016 - studies;
important flaws in study design or methods;
inconsistency of findings across individual studies;
gaps
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psnet.ahrq.gov/perspective/artificial-intelligence-and-patient-safety-promise-and-challenges
March 27, 2024 - From a safety perspective, especially in Safety II , humans also help “mind the gaps” in complex systems
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/KdQef_VDT2kmHDX4ddNWmR
August 01, 2022 - Research Needs and Gaps
More research is needed on the following.
• Although risk factors for active
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www.uspreventiveservicestaskforce.org/uspstf/recommendation/colorectal-cancer-screening-2008
October 15, 2008 - Other Considerations
Research Needs and Gaps
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Dingley_14.pdf
February 06, 2008 - care at various times throughout the day, often dispersed over several
locations, creating spatial gaps
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/2024-virtual-research-meeting-summary-prems-proms.pdf
January 01, 2024 - Changing care processes, rather
than blaming patients, can close gaps in care and promote equitable
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Jack_28.pdf
February 21, 2008 - of low health literacy; lack of coordination in
the “hand-off” from the hospital to community care, gaps
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digital.ahrq.gov/sites/default/files/docs/publication/r18hs018648-atlas-final-report-2014.pdf
January 01, 2014 - Persisting gaps in goal attainment for managing chronic disease support the role of non-
‐visit based
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_learn_from_defects_facnotes.docx
December 01, 2017 - actions will plug those holes, reengineer the system to catch holes before they line up, and end system gaps
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www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/guide.html
March 01, 2017 - Once a facility identifies the gaps in care, then it can identify evidence-based practices to implement
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digital.ahrq.gov/sites/default/files/docs/publication/uc1hs015447-gunter-final-report-2008.pdf
January 01, 2008 - technical assessment was to obtain a realistic understanding of the
capabilities, limitations and gaps
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www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/implementing-automatic-referral-implementation-guide.pdf
March 01, 2023 - .
• Failure to do a full walk-through to identify gaps, bottlenecks, and optimal
location of devices
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20140115_DB/Final_Using_the_CAHPS_Database_Webcast_Transcript.pdf
January 01, 2014 - Using the CAHPS Database to Compare, Report, and Improve Organizational Performance
Using the CAHPS Database to Compare, Report, and Improve Organizational
Performance
January 2014 Webcast
Speakers
Janice Ricketts, Senior Study Director, CAHPS Database, Westat, Rockville, MD
Deborah Kilstein, BSN, MBA, Vice…
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digital.ahrq.gov/sites/default/files/docs/publication/r18hs020846-fricton-final-report-2016.pdf
January 01, 2016 - Decision Support to Improve Dental Care for Medically Compromised Patients - Final Report
AHRQ Final Report
1. TITLE PAGE
Project Title: Decision Support to Improve Dental Care for Medically
Compromised Patients
Principal Investigator: James Fricton DDS, MS
Team Members: Neil …
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digital.ahrq.gov/sites/default/files/docs/publication/r18hs017261-schillinger-final-report-2011.pdf
January 01, 2011 - Harnessing Health IT for Self-Management and Medication Activation in a Medicaid Plan
Grant Final Report
Grant ID: 1 R18 HS17261
Harnessing Health IT for Self-Management and
Medication Activation in a Medicaid Plan
Inclusive project dates: 09/01/07 - 08/31/11
Principal Investigator:
D…
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www.ahrq.gov/news/events/ahrq-research-summit-diagnostic-safety-biosketches.html
September 01, 2016 - Biosketches
Jason Adelman, MD, MS
Chief Patient Safety Officer and Associate Chief Quality Officer
Columbia University Medical Center/New York-Presbyterian Hospital
Dr. Adelman is the Chief Patient Safety Officer and Associate Chief Quality Officer at Columbia University Medical Center/NewYork-Presbyter…
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psnet.ahrq.gov/node/867986/psn-pdf
March 24, 2025 - In Conversation with Edwin Boudreaux about Suicide
Prevention
March 24, 2025
Boudreaux E, Gale B, Mossburg SE. In Conversation with Edwin Boudreaux about Suicide Prevention.
PSNet [internet]. 2025.
https://psnet.ahrq.gov/perspective/conversation-edwin-boudreaux-about-suicide-prevention
Editor’s note: Edwin Boudre…
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digital.ahrq.gov/sites/default/files/docs/citation/r18hs026704-ahmad-final-report-2023.pdf
January 01, 2023 - Implementation of Electronic Health Screening in Primary Care to Improve STI Testing - Final Report
AHRQ Grant Final Progress Report
Title of Project:
Implementation of Electronic Health Screening in Primary Care to Improve STI Testing
Principal Investigator
Fahd Ahmad, MD, MSCI
Team Members
Viani…
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digital.ahrq.gov/sites/default/files/docs/citation/r18hs026172-obrien-final-report-2022.pdf
January 01, 2022 - Prevent Diabetes Mellitus (PreDM) Clinical Decision Support Intervention in Community Health Centers – Final Report
TITLE: Prevent Diabetes Mellitus (PreDM) Clinical Decision Support Intervention in Community
Health Centers
PRINCIPAL INVESTIGATOR AND TEAM MEMBERS: Matthew J. O’Brien1,2; Maria C.
Vargas1,2; Rona…
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/resources/simulation/simulation-issue-brief.pdf
July 01, 2024 - Issue Brief: Simulation To Improve Patient Safety: Getting Started
Issue Brief
Simulation To Improve Patient Safety:
Getting Started
e PATIENT
SAFETY
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e
Issue Brief
Simulation To Improve Patient Safety:
Getting Started
Prepared for:
Agency for Healthcare Research …