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psnet.ahrq.gov/node/838027/psn-pdf
September 07, 2022 - Advancing Anticoagulation Stewardship: A Playbook.
September 7, 2022
Washington DC; National Quality Forum and Anticoagulation Forum; 2022.
https://psnet.ahrq.gov/issue/advancing-anticoagulation-stewardship-playbook
Warfarin and other anticoagulants are high-alert medications that, if errors occur in their use, can…
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psnet.ahrq.gov/node/44623/psn-pdf
November 11, 2015 - Quality, Safety, and Noninterpretive Skills.
November 11, 2015
Kruskal JB, Kung JW, eds. Radiographics. 2015;35(6):1627-1848.
https://psnet.ahrq.gov/issue/quality-safety-and-noninterpretive-skills
Increased radiation exposure has emerged as a patient safety problem, with the potential to result in harm
for provide…
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psnet.ahrq.gov/node/33683/psn-pdf
April 01, 2009 - Accreditation and Regulation: Can They Help Improve
Patient Safety?
April 1, 2009
Warburton RN. Accreditation and Regulation: Can They Help Improve Patient Safety? PSNet [internet].
2009.
https://psnet.ahrq.gov/perspective/accreditation-and-regulation-can-they-help-improve-patient-safety
Perspective
My grandfath…
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www.ahrq.gov/sops/international/nursing-home/translators.html
October 01, 2014 - Nursing Home SOPS Translation Information
This document provides information about the Agency for Healthcare Research and Quality (AHRQ) Nursing Home Survey on Patient Safety Culture to help translation team members develop a translation that conveys the same meaning as the original U.S. English version.
Back…
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psnet.ahrq.gov/web-mm/diffusion-responsibility-leads-danger
November 08, 2013 - Diffusion of Responsibility Leads to Danger
Citation Text:
Balcezak TJ, Deshpande O. Diffusion of Responsibility Leads to Danger. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2018.
Copy Citation
Format:
Google Scholar…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/nursing-home/resources/infotransNHSOPS.pdf
January 01, 2010 - Nursing Home Survey on Patient Safety Culture: Background and Information for Translators
Agency for Healthcare Research and Quality (AHRQ)
Nursing Home Survey on Patient Safety Culture
Background and Information for Translators
January 2010
Purpose and Use of This Document
In this docum…
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psnet.ahrq.gov/perspective/conversation-withdonald-m-berwick-md-mpp
November 01, 2005 - In Conversation with Eric Thomas about Zero Harm: Striving to Reduce Preventable Harms … In Conversation with Carole Stockmeier about Zero Harm: Striving to Reduce Preventable Harms
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effectivehealthcare.ahrq.gov/products/ptsd-adult-treatment-update/research-2018
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effectivehealthcare.ahrq.gov/products/kidney-stones/protocol
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/cer-194-evidence-summary-corticosteroids-asthma.pdf
October 01, 2017 - Although effectiveness is an important part of decision-
making, this report did not include harms associated
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psnet.ahrq.gov/node/865570/psn-pdf
April 10, 2024 - experts
believe that cognitive biases involved in clinical decisions can lead to errors and patient harms
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psnet.ahrq.gov/web-mm/not-miscarriage
June 01, 2005 - In Conversation with Carole Stockmeier about Zero Harm: Striving to Reduce Preventable Harms
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effectivehealthcare.ahrq.gov/sites/default/files/communicating_risk_media_wilkes.ppt
April 01, 2006 - Communicating the Harms and Benefits of Medical Treatments: a look from both sides of the aisle…
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/prostate-cancer-therapies-update_clinician.pdf
January 01, 2016 - systematic review update evaluating the current evidence regarding the comparative effectiveness
and harms
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effectivehealthcare.ahrq.gov/sites/default/files/nonopioid-chronic-pain-apg.xlsx
January 01, 2019 - Yes Yes Yes Yes No (27%); Yes Yes Fair
Schnitzer 2004 Yes Yes Yes Yes Yes No for efficacy, yes for harms
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/hnhc-disposition-comments.pdf
October 29, 2021 - intervention studies, we
added the concern that these studies were generally not designed to assess harms
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/patient-safety-practices_research-protocol.pdf
November 09, 2011 - details of the implementation process, and an adequate assessment
of the potential for unexpected harms
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effectivehealthcare.ahrq.gov/sites/default/files/llewellyn-thomas.pdf
January 01, 2011 - of each option’s
specific attributes:
o its protocol;
its possible benefits;
its potential harms
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psnet.ahrq.gov/web-mm/picture-speaks-1000-words
July 16, 2015 - In the case of a near miss, an existing vulnerability in the system almost harms a patient but is prevented
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psnet.ahrq.gov/node/49836/psn-pdf
July 01, 2018 - Here, it is useful
to consider strategies to mitigate secondary harms.