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www.ahrq.gov/es/patient-safety/settings/hospital/resource/pressureulcer/tool/pu7b.html
October 01, 2014 - The booklet was developed by the New Jersey Collaborative to Reduce the Incidence of Pressure Ulcers. … treatments
Works with all members to educate patient/family about care
Coordinates prevalence and incidence
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psnet.ahrq.gov/node/33793/psn-pdf
November 01, 2015 - adverse-events-among-children-canadian-hospitals-canadian-paediatric-adverse-events-study
https://psnet.ahrq.gov/issue/incidence-adverse-events-and-negligence-hospitalized-patients-results-harvard-medical … https://psnet.ahrq.gov/issue/incidence-adverse-events-and-negligence-hospitalized-patients-results-harvard-medical
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/MnkNvteY4Yg_8Jut4SayVN
July 02, 2002 - thromboembolic events occurred among
women younger than 50, and the trial found no
significant difference in incidence … Interim analysis of
the incidence of breast cancer in the Royal Marsden
Hospital tamoxifen randomised
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psnet.ahrq.gov/perspective/improving-diagnostic-safety-and-quality
January 31, 2024 - includes an identification of systemic problems with policy, procedures, and inefficient processes. 3 The incidence … serious misdiagnosis-related harms for major vascular events, infections, and cancers: toward a national incidence
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www.ahrq.gov/sites/default/files/wysiwyg/hai/clabsi-tools/clabsi-tools-revised.pdf
January 01, 2013 - Numerous
interventions have reduced the incidence of CLABSI and the ensuing morbidity, mortality, and … Put the
incidence of CLABSI in clear, real terms and present the actual number of infections over a
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psnet.ahrq.gov/node/848107/psn-pdf
April 26, 2023 - includes an identification of
systemic problems with policy, procedures, and inefficient processes.3 The incidence … serious misdiagnosis-related
harms for major vascular events, infections, and cancers: toward a national incidence
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www.ahrq.gov/research/findings/final-reports/index.html?page=14
January 01, 2024 - Grantee Final Reports: Patient Safety
Final reports from research grants administered since 2000 on a variety of patient safety topics, such as measure development, medication safety, and diagnostic safety.
The Agency for Healthcare Research and Quality Center for Quality Improvement and Patient Safety subdivis…
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/changing-system-slides.pptx
June 01, 2021 - PowerPoint Presentation
Changing the System To Improve Patient Safety
Long-Term Care
AHRQ Safety Program for Improving Antibiotic Use
AHRQ Pub. No. 17(21)-0029
June 2021
Changing the System
1
Objectives
Use barriers as opportunities to improve systems and prevent problems from recurring.
List factors that may comp…
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www.ahrq.gov/news/newsletters/e-newsletter/922.html
July 01, 2024 - Artificial Intelligence Tool Shows Strong Performance in Predicting Patient Deterioration During Pandemic
Issue Number
922
AHRQ News Now is a weekly newsletter that highlights agency research and program activities.
July 23, 2024
AHRQ Stats: Disorders Commonly Associated With Readmission Sepsis, heart f…
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www.uspreventiveservicestaskforce.org/uspstf/document/final-evidence-summary/statin-use-in-adults-preventive-medication
August 23, 2022 - What are the benefits of statins in reducing the incidence of CVD-related morbidity or mortality or all-cause
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psnet.ahrq.gov/node/46902/psn-pdf
August 20, 2018 - Making soft intelligence hard: a multi-site qualitative
study of challenges relating to voice about safety
concerns.
August 20, 2018
Martin G, Aveling E-L, Campbell A, et al. Making soft intelligence hard: a multi-site qualitative study of
challenges relating to voice about safety concerns. BMJ Qual Saf. 2018;27(9…
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psnet.ahrq.gov/node/43869/psn-pdf
November 03, 2015 - Clinical safety of England's national programme for IT: a
retrospective analysis of all reported safety events 2005
to 2011.
November 3, 2015
Magrabi F, Baker M, Sinha I, et al. Clinical safety of England's national programme for IT: a retrospective
analysis of all reported safety events 2005 to 2011. Int J Med In…
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psnet.ahrq.gov/node/43388/psn-pdf
July 30, 2014 - Exploration of an automated approach for receiving
patient feedback after outpatient acute care visits.
July 30, 2014
Berner ES, Ray MN, Panjamapirom A, et al. Exploration of an automated approach for receiving patient
feedback after outpatient acute care visits. J Gen Intern Med. 2014;29(8):1105-12. doi:10.1007/s1…
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psnet.ahrq.gov/node/47742/psn-pdf
February 20, 2019 - AHRQ Nursing Home Survey on Patient Safety Culture:
2019 User Comparative Database Report.
February 20, 2019
Famolaro T, Yount ND, Hare R, et al. Rockville, MD: Agency for Healthcare Research and Quality;
February 2019. AHRQ Publication No. 19-0027-EF.
https://psnet.ahrq.gov/issue/ahrq-nursing-home-survey-patient-…
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psnet.ahrq.gov/node/43553/psn-pdf
August 28, 2017 - Analysis of adverse events associated with adult
moderate procedural sedation outside the operating
room.
August 28, 2017
Karamnov S, Sarkisian N, Grammer R, et al. Analysis of Adverse Events Associated With Adult Moderate
Procedural Sedation Outside the Operating Room. J Patient Saf. 2014;13(3):111-121.
doi:10.1…
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psnet.ahrq.gov/node/47991/psn-pdf
July 12, 2019 - What quality and safety of care for patients admitted to
clinically inappropriate wards: a systematic review.
July 12, 2019
La Regina M, Guarneri F, Romano E, et al. What Quality and Safety of Care for Patients Admitted to
Clinically Inappropriate Wards: a Systematic Review. J Gen Intern Med. 2019;34(7):1314-1321.
…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/supporting/senior-leader-checklist.docx
May 01, 2017 - AHRQ Safety Program for Perinatal Care: CEO/Senior Leader Checklist
AHRQ Safety Program for Perinatal Care
CEO/Senior Leader Checklist
CEO/Senior Leader Checklist
Who should use this tool: Senior leaders
Checklist Items
Leader Responsible
Date Initiated
1. Ensure all current and new employees receive Science o…
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psnet.ahrq.gov/node/38805/psn-pdf
April 04, 2011 - Disclosing medical errors to patients: it's not what you
say, it's what they hear.
April 4, 2011
Wu AW, Huang I-C, Stokes S, et al. Disclosing medical errors to patients: it's not what you say, it's what
they hear. J Gen Intern Med. 2009;24(9):1012-7. doi:10.1007/s11606-009-1044-3.
https://psnet.ahrq.gov/issue/dis…
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psnet.ahrq.gov/node/46232/psn-pdf
February 10, 2018 - Implications of electronic health record downtime: an
analysis of patient safety event reports.
February 10, 2018
Larsen E, Fong A, Wernz C, et al. Implications of electronic health record downtime: an analysis of patient
safety event reports. J Am Med Inform Assoc. 2018;25(2):187-191. doi:10.1093/jamia/ocx057.
ht…
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effectivehealthcare.ahrq.gov/sites/default/files/product/pdf/ems-911-workforce-protocol.pdf
January 01, 2015 - What are the characteristics, incidence, prevalence, and severity of
occupationally-acquired exposures … How do the incidence, prevalence, and severity of exposures vary by
demographic characteristics (e.g … How do the incidence, prevalence, and severity of exposures vary by
workforce characteristics (e.g., … (Outcomes
of interest include but are not limited to, incidence, prevalence, duration,
severity, missed … (Outcomes of interest include but are not limited to, incidence, prevalence,
duration, severity, missed