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psnet.ahrq.gov/perspective/application-safety-ii-principles
August 28, 2024 - Learning teams may or may not be triggered by a safety incident; the goal is to examine processes from … For example, instead of incident, we’ll say event.
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psnet.ahrq.gov/perspective/conversation-chalapathy-venkatesan-and-kathy-helak-about-application-safety-ii
August 28, 2024 - For example, instead of incident, we’ll say event. … Learning teams may or may not be triggered by a safety incident; the goal is to examine processes from
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/c-diff-infections_research-protocol.pdf
May 24, 2010 - Consensus also exists for treatment of severe initial incident
CDAD with vancomycin.
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www.ahrq.gov/patient-safety/settings/hospital/vtguide/guide4.html
October 01, 2022 - Preventing Hospital-Associated Venous Thromboembolism
Chapter 4. Choose the Model To Assess VTE and Bleeding Risk
Previous Page Next Page
Table of Contents
Preventing Hospital-Associated Venous Thromboembolism
Preface
Executive Summary
Chapter 1. The Framework for Improvement
Chapter 2. Anal…
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www.ahrq.gov/es/patient-safety/settings/hospital/resource/pressureulcer/tool/pu2.html
October 01, 2014 - Preventing Pressure Ulcers in Hospitals
2. How will we manage change?
Previous Page Next Page
Table of Contents
Preventing Pressure Ulcers in Hospitals
Overview
Key Subject Area Index
1. Are we ready for this change?
2. How will we manage change?
3. What are the best practices in pressure …
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www.ahrq.gov/es/patient-safety/settings/hospital/vtguide/guide4.html
October 01, 2022 - Preventing Hospital-Associated Venous Thromboembolism
Chapter 4. Choose the Model To Assess VTE and Bleeding Risk
Previous Page Next Page
Table of Contents
Preventing Hospital-Associated Venous Thromboembolism
Preface
Executive Summary
Chapter 1. The Framework for Improvement
Chapter 2. Anal…
-
www.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/pu2.html
October 01, 2014 - Preventing Pressure Ulcers in Hospitals
2. How will we manage change?
Previous Page Next Page
Table of Contents
Preventing Pressure Ulcers in Hospitals
Overview
Key Subject Area Index
1. Are we ready for this change?
2. How will we manage change?
3. What are the best practices in pressure …
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www.ahrq.gov/patient-safety/reports/liability/neumiller.html
August 01, 2017 - Advances in Patient Safety and Medical Liability
Medication Discrepancies and Potential Adverse Drug Events During Transfer of Care from Hospital to Home
Previous Page
Table of Contents
Advances in Patient Safety and Medical Liability
Preface
Acknowledgments
Prologue
Silence A Commentary
…
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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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effectivehealthcare.ahrq.gov/sites/default/files/related_files/cystic-fibrosis-hgh_surveillance.pdf
August 01, 2012 - CER # 23:
Effectiveness of Recombinant Human Growth Hormone (rhGH)
in the Treatment of Patients with Cystic Fibrosis
Original release date:
October 2010
Surveillance Report 1st Assessment: November, 2011
Surveillance Report 2nd Assessment: August 2012
Key Findings 1st Assessment:
• All conclusions for KQ…
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/prostate-cancer-surveillance_disposition-comments.pdf
December 01, 2011 - An Evidence Review of Active Surveillance in Men with Localized Prostate Cancer
Source: http://www.effectivehealthcare.ahrq.gov/index.cfm/search-for-guides-reviews-and-
reports/?productid=859&pageaction=displayproduct
Published Online: December 2011
Comparative Effectiveness Research Review Disposition …
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/vte-prophyalaxis_research-protocol.pdf
March 01, 2011 - Estimated annual number of incident and recurrent, non-fatal and fatal venous
thromboembolism (VTE)
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressureulcertoolkit/putoolssect7.docx
February 16, 2011 - Section 7. Tools and Resources
0A: Introductory Executive Summary for Stakeholders
1A: Clinical Staff Attitudes Towards Pressure Ulcer Prevention
1B: Stakeholder Analysis
1C: Leadership Support Assessment
1D: Business Case Form
1E: Resource Needs Assessment
2A: Multidisciplinary Team
2B: Quality Improvement Process
2C…
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/k-btyK4W2-v9KnemTK8WDx
September 14, 2021 - Screening for Chlamydial and Gonococcal Infections: Updated Evidence Report and Systematic Review for the US Preventive Services Task Force
(Reprinted)
Clinical Review & Education
JAMA | US Preventive Services Task Force | EVIDENCE REPORT
Screening for Chlamydial and Gonococcal Infections
Updated Evidence Repor…
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/osteoporosis-bone-fracture_research-protocol.pdf
May 14, 2010 - due to fractures alone have been nearly $20 billion.2 A recent projection of the
burden and costs of incident
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psnet.ahrq.gov/node/33735/psn-pdf
August 01, 2012 - Medication Safety in Nursing Homes: What's Wrong and
How to Fix It
August 1, 2012
Gurwitz JH. Medication Safety in Nursing Homes: What's Wrong and How to Fix It. PSNet [internet]. 2012.
https://psnet.ahrq.gov/perspective/medication-safety-nursing-homes-whats-wrong-and-how-fix-it
Perspective
At any point in time, …
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psnet.ahrq.gov/node/49477/psn-pdf
April 01, 2005 - Hold the tPA
April 1, 2005
Fagan SC. Hold the tPA. PSNet [internet]. 2005.
https://psnet.ahrq.gov/web-mm/hold-tpa
The Case
A 74-year-old woman with a history of atrial fibrillation on warfarin therapy came to the emergency
department (ED) 1 hour after the sudden onset of aphasia and right-sided weakness. A non-co…
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psnet.ahrq.gov/web-mm/double-dose-transfer
November 01, 2012 - Double Dose at Transfer
Citation Text:
Hackman JL. Double Dose at Transfer. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2012.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged Pu…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.284_slideshow.ppt
November 01, 2012 - Spotlight Case July 2008
Spotlight Case
Transfusion Overload
1
2
Source and Credits
This presentation is based on the November 2012
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available
Commentary by: Manish S. Patel, MD, and Jeffrey L. Carson, MD, of UMDNJ−Robert Wood …
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psnet.ahrq.gov/node/49634/psn-pdf
September 01, 2011 - Situational (Un)Awareness
September 1, 2011
Abramson EL, Kaushal R. Situational (Un)Awareness. PSNet [internet]. 2011.
https://psnet.ahrq.gov/web-mm/situational-unawareness
The Case
A 75-year-old man was admitted on a Tuesday evening with abdominal pain, jaundice, and elevated liver
function tests, including a bi…