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www.ahrq.gov/teamstepps-program/curriculum/communication/teach/two-day.html
December 01, 2023 - handoff tool in many organizations because it is linked to proven reductions in errors and patient harms
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www.uspreventiveservicestaskforce.org/uspstf/recommendation/lung-cancer-screening-1996
January 01, 1996 - Unless ongoing trials find a benefit of periodic chest x-rays, the cost, inconvenience, and potential harms
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www.uspreventiveservicestaskforce.org/uspstf/about-uspstf/methods-and-processes/procedure-manual/procedure-manual-appendix-v-work-planresearch-plan-template
July 01, 2017 - with section subtitles of "Overarching (Direct) Evidence," "Screening," "Treatment/Intervention," "Harms
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psnet.ahrq.gov/node/49646/psn-pdf
February 01, 2012 - As the
use of CPR was expanded to all hospitalized patients, it became clear that the harms associated
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psnet.ahrq.gov/node/49763/psn-pdf
June 01, 2016 - interventions such as those discussed above will require better information about
causes and magnitudes of harms
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-patient-role-references.html
September 01, 2024 - Burden of serious harms from diagnostic error in the USA.
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effectivehealthcare.ahrq.gov/sites/default/files/lessons-presentation.pdf
January 01, 2013 - and PCOR
Definition of CER
The generation and synthesis of evidence that compares the benefits and harms
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/gout_clinician.pdf
January 01, 2017 - January 2017
www.ahrq.gov
Additional Issues
��When initiating ULT, comorbidities and the benefits and
harms
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psnet.ahrq.gov/web-mm/hip-fractures-older-patients-case-geriatrics-comanagement
July 01, 2004 - Home Insulin Pump
October 28, 2020
Identifying and measuring administrative harms
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effectivehealthcare.ahrq.gov/products/kidney-stones/protocol
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effectivehealthcare.ahrq.gov/products/ptsd-adult-treatment-update/research-2018
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cds.ahrq.gov/sites/default/files/cds/artifact/171/Occupational%20Factors%20which%20Impact%20Diabetes,%20%20A%20Final%20Knowledge%20Resource%20Report%20(2015).pdf
January 01, 2015 - Benefits and Harms
The benefits of this recommendation are the identification of workplace factors … As noted by reviewers, the harms to using the
recommendation are the possibility of causing uncertainty
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www.ahrq.gov/patient-safety/reports/hotline/design2.html
May 01, 2016 - Developing and Testing the Health Care Safety Hotline: A Prototype Consumer Reporting System for Patient Safety Events
II. Hotline Design and Development
Previous Page Next Page
Table of Contents
Developing and Testing the Health Care Safety Hotline: A Prototype Consumer Reporting System for Patient…
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www.ahrq.gov/sites/default/files/2025-03/wears-perry-report.pdf
January 01, 2025 - Final Progress Report: Proactive Risk Assessment in the ED: Building the Safety Case
Proactive Risk Assessment in the ED: Building the Safety Case
Principal Investigator: Robert L. Wears, MD, MS
Co-investigator Shawna J. Perry, MD
Team Members:
John Wreathall
Rollin (Terry) Fairba…
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www.ahrq.gov/sites/default/files/2024-12/thorpe-rask-report.pdf
January 01, 2024 - Final Progress Report: Accountability and Health Safety – A Statewide Approach
Revised
FINAL PROGRESS REPORT
5U18HS011918-03
TITLE: Accountability and Health Safety – A Statewide Approach
PRINCIPAL INVESTIGATOR: Ke…
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psnet.ahrq.gov/node/46873/psn-pdf
June 27, 2018 - Diagnostic errors and the bedside clinical examination.
June 27, 2018
Clark BW, Derakhshan A, Desai S. Diagnostic Errors and the Bedside Clinical Examination. Med Clin North
Am. 2018;102(3):453-464. doi:10.1016/j.mcna.2017.12.007.
https://psnet.ahrq.gov/issue/diagnostic-errors-and-bedside-clinical-examination
Diag…
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psnet.ahrq.gov/node/847531/psn-pdf
April 12, 2023 - Strengthening open disclosure after incidents in
maternity care: a realist synthesis of international
research evidence.
April 12, 2023
Adams M, Hartley J, Sanford N, et al. Strengthening open disclosure after incidents in maternity care: a
realist synthesis of international research evidence. BMC Health Serv Res.…
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psnet.ahrq.gov/node/36280/psn-pdf
May 27, 2011 - Types of unintended consequences related to
computerized provider order entry.
May 27, 2011
Campbell EM, Sittig DF, Ash JS, et al. Types of unintended consequences related to computerized
provider order entry. J Am Med Inform Assoc. 2006;13(5):547-56.
https://psnet.ahrq.gov/issue/types-unintended-consequences-rela…
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psnet.ahrq.gov/node/38026/psn-pdf
March 21, 2017 - Does error and adverse event reporting by physicians and
nurses differ?
March 21, 2017
Rowin EJ, Lucier D, Pauker SG, et al. Does error and adverse event reporting by physicians and nurses
differ? Jt Comm J Qual Patient Saf. 2008;34(9):537-545.
https://psnet.ahrq.gov/issue/does-error-and-adverse-event-reporting-ph…
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psnet.ahrq.gov/node/841150/psn-pdf
December 07, 2022 - Quality improvement as a primary approach to change in
healthcare: a precarious, self-limiting choice?
December 7, 2022
Mandel KE, Cady SH. Quality improvement as a primary approach to change in healthcare: a precarious,
self-limiting choice? BMJ Qual Saf. 2022;31(12):860-866. doi:10.1136/bmjqs-2021-014447.
https:…