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www.ahrq.gov/es/nursing-home/resources/search.html
January 01, 2022 - COVID-19 Resources Catalog for Nursing Homes
AHRQ provided free training and mentorship to nursing homes across the country through the National Nursing Home COVID-19 Action Network . The Network supported the implementation of evidence-based prevention and safety practices within nursing homes to protect residents…
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www.uspreventiveservicestaskforce.org/uspstf/about-uspstf/methods-and-processes/procedure-manual/procedure-manual-appendix-ii-uspstf-conflict-interest-disclosure-form
July 01, 2017 - Procedure Manual Appendix II: USPSTF Conflict of Interest Disclosure Form
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Thank you for taking the time to complete the USPSTF Conflict of Interest Disclosure Form. In your r…
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www.ahrq.gov/nursing-home/resources/search.html
January 01, 2022 - COVID-19 Resources Catalog for Nursing Homes
AHRQ provided free training and mentorship to nursing homes across the country through the National Nursing Home COVID-19 Action Network . The Network supported the implementation of evidence-based prevention and safety practices within nursing homes to protect residents…
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/alcohol-misuse-drug-therapy_clinician.pdf
February 01, 2016 - be used to treat AUD in primary care settings, but rather only
that evidence regarding benefits and harms
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www.ahrq.gov/sites/default/files/2024-07/domino-report.pdf
January 01, 2024 - Final Progress Report: Shared Decision Making in Surgery To Improve Patient Safety and Reduce Liability
Shared Decision Making in Surgery to Improve Patient Safety and Reduce Liability
Karen B. Domino, MD, MPH, PI
Karen L. Posner, PhD, Project Manager
Lynne Robbins, PhD, Co-Investigator
Richard J. Bran…
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/state-of-science-brief1.pdf
April 02, 2020 - Error (SPADE):
a conceptual framework and methodological approach for unearthing misdiagnosis-related harms
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/state-of-science.pdf
April 02, 2020 - Error (SPADE):
a conceptual framework and methodological approach for unearthing misdiagnosis-related harms
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/asthma-treatment-future_research.pdf
September 01, 2012 - cardiovascular outcomes (e.g., heart rate); quality of life (e.g., stress, anxiety); medication
use; harms … There was no evidence of
harms associated with the use of hyperventilation reduction breathing techniques … s certification and/or
training influenced the treatment effects or if the patient experienced any harms … emerging breathing techniques and technologies
• Studies of strategies to optimize benefits and minimize harms … cardiovascular outcomes (e.g., heart rate); quality of life (e.g., stress, anxiety); medication
use; harms
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psnet.ahrq.gov/web-mm/miscommunication-during-interhospital-transport-critically-ill-child
March 27, 2024 - The child and parents described in this case experienced preventable harms due to poor provider-provider
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www.ahrq.gov/patient-safety/reports/liability/crane.html
August 01, 2017 - Advances in Patient Safety and Medical Liability
Implementing Near-Miss Reporting and Improvement Tracking in Primary Care Practices: Lessons Learned
Previous Page Next Page
Table of Contents
Advances in Patient Safety and Medical Liability
Preface
Acknowledgments
Prologue
Silence A Commenta…
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psnet.ahrq.gov/node/42269/psn-pdf
July 02, 2014 - Enculturation of unsafe attitudes and behaviors: student
perceptions of safety culture.
July 2, 2014
Bowman C, Neeman N, Sehgal NL. Enculturation of unsafe attitudes and behaviors: student perceptions of
safety culture. Acad Med. 2013;88(6):802-10. doi:10.1097/ACM.0b013e31828fd4f4.
https://psnet.ahrq.gov/issue/enc…
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psnet.ahrq.gov/node/45083/psn-pdf
July 18, 2016 - Toward a safer health care system: the critical need to
improve measurement.
July 18, 2016
Jha AK, Pronovost P. Toward a Safer Health Care System: The Critical Need to Improve Measurement.
JAMA. 2016;315(17):1831-2. doi:10.1001/jama.2016.3448.
https://psnet.ahrq.gov/issue/toward-safer-health-care-system-critical-n…
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psnet.ahrq.gov/node/47760/psn-pdf
February 06, 2019 - AHRQ National Scorecard on Hospital-Acquired
Conditions Updated Baseline Rates and Preliminary
Results 2014–2017.
February 6, 2019
Rockville, MD: Agency for Healthcare Research and Quality; January 2019.
https://psnet.ahrq.gov/issue/ahrq-national-scorecard-hospital-acquired-conditions-updated-baseline-rates-
and-…
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psnet.ahrq.gov/node/867526/psn-pdf
January 15, 2025 - Older adult misuse of over-the-counter medications:
effectiveness of a novel pharmacy-based intervention to
improve patient safety.
January 15, 2025
Gilson AM, Chladek JS, Stone JA, et al. Older adult misuse of over-the-counter medications: effectiveness
of a novel pharmacy-based intervention to improve patient sa…
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psnet.ahrq.gov/node/43140/psn-pdf
October 31, 2014 - The frequency of diagnostic errors in outpatient care:
estimations from three large observational studies
involving US adult populations.
October 31, 2014
Singh H, Meyer AND, Thomas EJ. The frequency of diagnostic errors in outpatient care: estimations from
three large observational studies involving US adult popu…
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psnet.ahrq.gov/node/73397/psn-pdf
June 16, 2021 - Safe opioid prescribing: a prognostic machine learning
approach to predicting 30-day risk after an opioid
dispensation in Alberta, Canada.
June 16, 2021
Sharma V, Kulkarni V, Eurich DT, et al. Safe opioid prescribing: a prognostic machine learning approach to
predicting 30-day risk after an opioid dispensation in …
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psnet.ahrq.gov/node/47705/psn-pdf
June 19, 2019 - Decisions and repercussions of second victim
experiences for mothers in medicine (SAVE DR MoM).
June 19, 2019
Gupta K, Lisker S, Rivadeneira NA, et al. Decisions and repercussions of second victim experiences for
mothers in medicine (SAVE DR MoM). BMJ Qual Saf. 2019;28(7):564-573. doi:10.1136/bmjqs-2018-
008372.
…
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psnet.ahrq.gov/node/47723/psn-pdf
January 01, 2020 - Psychological and psychosomatic symptoms of second
victims of adverse events: a systematic review and meta-
analysis.
May 1, 2019
Busch IM, Moretti F, Purgato M, et al. Psychological and Psychosomatic Symptoms of Second Victims of
Adverse Events. J Patient Saf. 2020;16(2):e61-e74. doi:10.1097/pts.0000000000000589.…
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psnet.ahrq.gov/node/44847/psn-pdf
May 09, 2017 - Preventability and causes of readmissions in a national
cohort of general medicine patients.
May 9, 2017
Auerbach AD, Kripalani S, Vasilevskis EE, et al. Preventability and Causes of Readmissions in a National
Cohort of General Medicine Patients. JAMA Intern Med. 2016;176(4):484-93.
doi:10.1001/jamainternmed.2015.…
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psnet.ahrq.gov/node/46361/psn-pdf
May 23, 2018 - Inadequate hand-off communication.
May 23, 2018
Inadequate hand-off communication. Sentinel event alert. 2017;58(58):1-6.
https://psnet.ahrq.gov/issue/inadequate-hand-communication
The Joint Commission publishes sentinel event alerts to draw attention to pressing or emerging safety
issues and provide guidelines fo…