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psnet.ahrq.gov/node/38411/psn-pdf
December 16, 2014 - A reengineered hospital discharge program to decrease
rehospitalization: a randomized trial.
December 16, 2014
Jack BW, Chetty VK, Anthony D, et al. A reengineered hospital discharge program to decrease
rehospitalization: a randomized trial. Ann Intern Med. 2009;150(3):178-87.
https://psnet.ahrq.gov/issue/reengine…
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psnet.ahrq.gov/node/41568/psn-pdf
April 05, 2013 - Preventable deaths due to problems in care in English
acute hospitals: a retrospective case record review study.
April 5, 2013
Hogan H, Healey F, Neale G, et al. Preventable deaths due to problems in care in English acute hospitals:
a retrospective case record review study. BMJ Qual Saf. 2012;21(9):737-745. doi:10.…
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psnet.ahrq.gov/node/46537/psn-pdf
January 24, 2019 - Antibiotic-resistant infection treatment costs have
doubled since 2002, now exceeding $2 billion annually.
January 24, 2019
Thorpe KE, Joski P, Johnston KJ. Antibiotic-Resistant Infection Treatment Costs Have Doubled Since
2002, Now Exceeding $2 Billion Annually. Health Aff (Millwood). 2018;37(4):662-669.
doi:10.1…
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psnet.ahrq.gov/node/38331/psn-pdf
October 20, 2010 - Assessment of the implementation of a national patient
safety alert to reduce wrong site surgery.
October 20, 2010
Rhodes P, Giles SJ, Cook GA, et al. Assessment of the implementation of a national patient safety alert to
reduce wrong site surgery. Qual Saf Health Care. 2008;17(6):409-15. doi:10.1136/qshc.2007.0230…
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psnet.ahrq.gov/node/34053/psn-pdf
March 02, 2011 - Prevention of ventilator-associated pneumonia: an
evidence-based systematic review.
March 2, 2011
Collard HR, Saint S, Matthay MA. Prevention of ventilator-associated pneumonia: an evidence-based
systematic review. Ann Intern Med. 2003;138(6):494-501.
https://psnet.ahrq.gov/issue/prevention-ventilator-associated-p…
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psnet.ahrq.gov/node/44635/psn-pdf
June 21, 2016 - Evaluation of perioperative medication errors and adverse
drug events.
June 21, 2016
Nanji KC, Patel A, Shaikh S, et al. Evaluation of Perioperative Medication Errors and Adverse Drug Events.
Anesthesiology. 2016;124(1):25-34. doi:10.1097/ALN.0000000000000904.
https://psnet.ahrq.gov/issue/evaluation-perioperative-…
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psnet.ahrq.gov/node/46404/psn-pdf
December 07, 2017 - Preventable and mitigable adverse events in cancer care:
measuring risk and harm across the continuum.
December 7, 2017
Lipitz-Snyderman A, Pfister D, Classen D, et al. Preventable and mitigable adverse events in cancer care:
measuring risk and harm across the continuum. Cancer. 2017;123(23):4728-4736. doi:10.1002/…
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psnet.ahrq.gov/node/43969/psn-pdf
November 17, 2017 - Transparency when things go wrong: physician attitudes
about reporting medical errors to patients, peers, and
institutions.
November 17, 2017
Bell SK, White AA, Yi JC, et al. Transparency When Things Go Wrong. J Patient Saf. 2015;13(4):243-248.
doi:10.1097/pts.0000000000000153.
https://psnet.ahrq.gov/issue/transp…
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psnet.ahrq.gov/node/867379/psn-pdf
January 01, 2025 - Implementation of electronic triggers to identify
diagnostic errors in emergency departments.
December 18, 2024
Vaghani V, Gupta A, Mir U, et al. Implementation of electronic triggers to identify diagnostic errors in
emergency departments. JAMA Intern Med. 2025;185(2):143-151. doi:10.1001/jamainternmed.2024.6214.
…
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/7Rk5oKeK_cSwtrdnkHC7Vc
August 18, 2014 - Behavioral Counseling to Promote a Healthful Diet and Physical Activity for Cardiovascular Disease Prevention in Adults With Cardiovascular Risk Factors: Clinical Summary of USPSTF Recommendation
BEHAVIORAL COUNSELING TO PROMOTE A HEALTHFUL DIET AND PHYSICAL ACTIVITY FOR CARDIOVASCULAR
DISEASE PREVENTION IN ADULT…
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digital.ahrq.gov/location/usa-mo-st-louis
January 01, 2023 - USA, MO, St. Louis
EnhanCed HandOffs (ECHO)
Description
This research will develop and evaluate a machine learning-augmented and telemedicine-augmented sociotechnical intervention for postoperative handoffs to reduce the risks of patient complications and improve patient-cen…
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psnet.ahrq.gov/node/45319/psn-pdf
September 01, 2018 - Special Issue: Progress at the Intersection of Patient
Safety and Medical Liability.
September 1, 2018
Ridgely MS, Greenberg MD, Clancy CM, eds. Health Serv Res. 2016;51(suppl 3):2395-2648.
https://psnet.ahrq.gov/issue/special-issue-progress-intersection-patient-safety-and-medical-liability
Medical liability refor…
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psnet.ahrq.gov/node/38628/psn-pdf
May 13, 2009 - Fast forward rounds: an effective method for teaching
medical students to transition patients safely across care
settings.
May 13, 2009
Ouchida K, LoFaso VM, Capello CF, et al. Fast forward rounds: an effective method for teaching medical
students to transition patients safely across care settings. J Am Geriatr So…
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/g_tdsCgkwBncHfpjSj-FNg
July 31, 2020 - Screening for Colorectal Cancer: US Preventive Services Task Force Recommendation Statement
Screening for Colorectal Cancer
US Preventive Services Task Force Recommendation Statement
US Preventive Services Task Force
IMPORTANCE Colorectal cancer is the third leading cause of cancer death for both men and
women, with…
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/2Wc3FRHpVDPX2jT_WzjEXX
July 31, 2020 - Screening for Colorectal Cancer: US Preventive Services Task Force Recommendation
Screening for Colorectal Cancer
US Preventive Services Task Force Recommendation Statement
US Preventive Services Task Force
IMPORTANCE Colorectal cancer is the third leading cause of cancer death for both men and
women, with an estima…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/databases/nursing-home/2025-nursing-home-database-report-appendix.pdf
January 01, 2025 - Surveys on Patient Safety Culture (SOPS) Nursing Home Survey: 2025 User Database Report Part II
Surveys on Patient Safety Culture® (SOPS®)
Nursing Home Survey:
2025 User Database Report
Part II:
Appendix A—Results by Nursing Home Characteristics
Appendix B—Results by Respondent Characteristics
Prepared for…
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/asc/resources/asc_pilotstudy.pdf
April 01, 2015 - When something happens that could harm the patient, but does not, how often is it documented in an
incident … When something happens that could harm the patient, but does not, how often is it documented in an
incident … When something happens that could harm the patient, but does not, how often is it documented in an
incident … When something happens that could harm the patient, but does not, how
often is it documented in an incident … When something happens that could harm the
patient, but does not, how often is it documented
in an incident
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www.uspreventiveservicestaskforce.org/uspstf/document/final-evidence-summary/skin-cancer-screening
April 18, 2023 - Keratinocyte carcinomas comprise the vast majority of all incident skin cancers, with basal cell carcinoma … making up about 80% of all incident cases and squamous cell carcinoma making up about 20%. 1 Approximately … The study team analyzed data from persons with incident melanoma diagnosed during 2013-2016 with no history … patients. 32 Last, a case-control study conducted in Australia identified cases among people with incident … 742,619 (51.9)
13.3% (NR)
0.37 (0.30-0.46) e
0.50 (NR) e
0.62 (0.48-0.80) e
0.75 (NR)
Incident
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/asc/resources/asc_pilotstudy.pdf
April 01, 2015 - When something happens that could harm the patient, but does not, how often is it documented in an
incident … When something happens that could harm the patient, but does not, how often is it documented in an
incident … When something happens that could harm the patient, but does not, how often is it documented in an
incident … When something happens that could harm the patient, but does not, how
often is it documented in an incident … When something happens that could harm the
patient, but does not, how often is it documented
in an incident
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srdr.ahrq.gov/projects/1520/studies/186827
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Study Title and Description
Routine Colonoscopy after Acute Uncomplicated Diverticulitis - Challenging a Putative Indication.
Key Questions Add…