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psnet.ahrq.gov/issue/improving-diagnostic-performance-through-feedback-diagnosis-learning-cycle December 16, 2020 - Commentary 
 
 
 
 
 
 
 
 
 
 Improving diagnostic performance through feedback: the Diagnosis Learning Cycle. 
 
 
 
 
 Citation Text: 
 Fernandez Branson C, Williams M, Chan TM, et al. Improving diagnostic performance through feedback: the Diagnosis Learning Cycle. BMJ Qual Saf. 2021;30(12):1002-1009. doi:10.1136/bm…  
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psnet.ahrq.gov/issue/dashboards-visual-display-patient-safety-data-systematic-review November 11, 2020 - Review 
 
 
 
 
 
 
 
 
 
 Dashboards for visual display of patient safety data: a systematic review. 
 
 
 
 
 Citation Text: 
 Murphy DR, Savoy A, Satterly T, et al. Dashboards for visual display of patient safety data: a systematic review. BMJ Health Care Inform. 2021;28(1):e100437. doi:10.1136/bmjhci-2021-100437. 
…  
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/osteoporosis-bone-fracture_executive.pdf March 01, 2012 - to 
fractures alone have been nearly $20 
billion.2 A recent projection of the burden 
and costs of incident … another post hoc analysis of data from the same 
trial found that alendronate reduced the risk of 
incident 
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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/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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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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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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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/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/guideref.html July 01, 2018 - Preventing Hospital-Associated Venous Thromboembolism 
 References 
 
 
 
 
 Previous Page Next Page 
 
 Table of Contents 
 
 Preventing Hospital-Associated Venous Thromboembolism 
 Preface 
 Executive Summary 
 Chapter 1. The Framework for Improvement 
 Chapter 2. Analyze Care Delivery 
 Chapter 3. Outline the Eviden…  
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/ltvv-litreview.docx January 01, 2017 - References
Low Tidal Volume (Lung Protective) Ventilation Literature Review
Low tidal volume (lung-protective) ventilation (LTVV) is associated with decreased acute lung injury (ALI) and acute respiratory distress syndrome (ARDS) progression as well as a shorter length of stay (LOS). The Society for Healthcare Epide…  
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www.ahrq.gov/hai/tools/mvp/modules/technical/ltvv-lit-review.html January 01, 2017 - Low Tidal Volume (Lung Protective) Ventilation Literature Review 
 
 
 
 
 
 
 
 
 
 AHRQ Safety Program for Mechanically Ventilated Patients 
 
 Low tidal volume (lung-protective) ventilation (LTVV) is associated with decreased acute lung injury (ALI) and acute respiratory distress syndrome (ARDS) progression as well …  
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www.ahrq.gov/es/patient-safety/settings/hospital/vtguide/guideref.html July 01, 2018 - Preventing Hospital-Associated Venous Thromboembolism 
 References 
 
 
 
 
 Previous Page Next Page 
 
 Table of Contents 
 
 Preventing Hospital-Associated Venous Thromboembolism 
 Preface 
 Executive Summary 
 Chapter 1. The Framework for Improvement 
 Chapter 2. Analyze Care Delivery 
 Chapter 3. Outline the Eviden…  
- 
                                        
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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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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www.ahrq.gov/sites/default/files/2025-02/pickering-report.pdf January 01, 2025 - Final Progress Report: Acute Care Learning Laboratory - Reducing Threats to Diagnostic Fidelity in Critical Illness
Title of Project:  
Acute Care Learning Laboratory  - Reducing Threats to Diagnostic Fidelity in Critical  
Illness
Principal Investigator and Team Members:
Principal Investigator: Brian Pickering, MB,…  
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/app-d-opioid-chronic-pain-surveillance-report-2.xlsx September 30, 2015 - Appendix Table D-1. RCTs
	Table D-1. Randomized controlled trials
	Author, Year	Study Design
Duration	Setting
Country	Eligibility Criteria	Interventions	Sample Characteristics	Screened
Eligible
Randomized
Analyzed	Results	Adverse Events and Withdrawals Due to Adverse Events	Sponsor	Quality
	Hruschak, 2021	RCT
Duration:…  
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psnet.ahrq.gov/web-mm/missed-compartment-syndrome-after-steep-lithotomy-position-laparoscopic-gynecological January 29, 2021 - Missed Compartment Syndrome after Steep Lithotomy Position for Laparoscopic Gynecological Surgery 
 
 
 
 
 Citation Text: 
 Bohringer C, Chavez G. Missed Compartment Syndrome after Steep Lithotomy Position for Laparoscopic Gynecological Surgery. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Qual…  
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www.ahrq.gov/research/findings/final-reports/ssi/ssi2a.html April 01, 2018 - Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection 
 Chapter 2. Determine Surgical Site Infection Rates (continued) 
 
 
 
 
 Previous Page Next Page 
 
 Table of Contents 
 
 Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection 
 Executive S…