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psnet.ahrq.gov/issue/suffering-silence-qualitative-study-second-victims-adverse-events
February 03, 2021 - Study
Suffering in silence: a qualitative study of second victims of adverse events.
Citation Text:
Ullström S, Sachs MA, Hansson J, et al. Suffering in silence: a qualitative study of second victims of adverse events. BMJ Qual Saf. 2014;23(4):325-331. doi:10.1136/bmjqs-2013-002035.
Co…
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psnet.ahrq.gov/issue/predictors-response-rates-safety-culture-questionnaires-healthcare-systematic-review-and
September 01, 2021 - Review
Predictors of response rates of safety culture questionnaires in healthcare: a systematic review and analysis.
Citation Text:
Ellis LA, Pomare C, Churruca K, et al. Predictors of response rates of safety culture questionnaires in healthcare: a systematic review and analysis. BMJ …
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psnet.ahrq.gov/issue/patient-characteristics-and-occurrence-never-events
February 15, 2011 - Study
Patient characteristics and the occurrence of never events.
Citation Text:
Fry DE, Pine M, Jones BL, et al. Patient characteristics and the occurrence of never events. Arch Surg. 2010;145(2):148-51. doi:10.1001/archsurg.2009.277.
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Format:
DOI Google Schol…
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psnet.ahrq.gov/node/49421/psn-pdf
October 01, 2003 - Urine a Tough Position
October 1, 2003
Gandhi TK. Urine a Tough Position. PSNet [internet]. 2003.
https://psnet.ahrq.gov/web-mm/urine-tough-position
The Case
A 22-year-old unmarried woman came to her doctor’s office worried that she might be pregnant. Although
she did not want to have a baby at that time, she sta…
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www.ahrq.gov/hai/pfp/interimhac2014-ap1.html
November 01, 2015 - Saving Lives and Saving Money: Hospital-Acquired Conditions Update
Appendix: Incidence of Hospital-Acquired Conditions in the Partnership for Patients: Estimates and Projected and Measured Impact
Previous Page
Table of Contents
Saving Lives and Saving Money: Hospital-Acquired Conditions Update
…
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www.uspreventiveservicestaskforce.org/uspstf/document/final-evidence-review46/hepatitis-b-virus-infection-screening-2004
February 15, 2004 - Share to Facebook
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archived
Final Evidence Review
Hepatitis B Virus Infection: Screening
February 15, 2004
Recommendations made by the USPSTF are independent of the U.S. government. They shoul…
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effectivehealthcare.ahrq.gov/sites/default/files/product/pdf/ems-911-workforce-protocol.pdf
January 01, 2015 - Emergency Medical Service/911 Workforce Infection Control and Prevention Issues
Evidence-based Practice Center Technical Brief Protocol
Project Title: Emergency Medical Service/911 Workforce Infection Control and
Prevention Issues
I. Background and Objectives for the Technical Brief
Standard infectio…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/tools/applying-cusp/learn_from_defects.docx
December 01, 2017 - Learn From Defects Tool
AHRQ Safety Program for Surgery
Learn From Defects Tool – Perioperative Setting
What is a defect? A defect is any event or situation that you don’t want to repeat. This could include an incident that caused patient harm or put patients at risk for harm, such as a patient fall.
Problem statem…
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www.uspreventiveservicestaskforce.org/uspstf/recommendation/rhd-incompatibility-screening-1996
January 01, 1996 - Share to Facebook
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archived
Final Recommendation Statement
Rh(D) Incompatibility: Screening, 1996
January 01, 1996
Recommendations made by the USPSTF are independent of the U.S. governmen…
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www.uspreventiveservicestaskforce.org/uspstf/document/final-modeling-study/aspirin-to-prevent-cardiovascular-disease-preventive-medication
April 26, 2022 - Share to Facebook
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Modeling Study
Aspirin Use to Prevent Cardiovascular Disease: Preventive Medication
April 26, 2022
Recommendations made by the USPSTF are independent of the U.S. government. …
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/c-diff-infections_executive.pdf
December 01, 2011 - Layout 1
Introduction
Clostridium difficile infection (CDI) is a
serious healthcare-associated infection and
a growing health care problem. C. difficile
is a Gram-positive, spore-forming,
anaerobic bacterium that, when ingested,
can cause CDI if it is a toxigenic strain.
CDI symptoms include varying levels of
diarrh…
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www.ahrq.gov/sites/default/files/publications2/files/measure-retirement-2013.pdf
January 01, 2013 - Summary Background Report on 2013 Retirement of Measures from the Child Core Set
Summary Report
Background Report on 2013 Retirement
of CHIPRA Measures from the Child
Core Set
Prepared for:
Agency for Healthcare Research and Quality
Rockville, MD
Prepared by:
RTI International
Resear…
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www.uspreventiveservicestaskforce.org/uspstf/document/evidence-summary-collaborative-modeling-of-us-breast-cancer-/breast-cancer-screening-january-2016
January 11, 2016 - Share to Facebook
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archived
Evidence Summary: Collaborative Modeling of U.S. Breast Cancer Screening Strategies
Breast Cancer: Screening
January 11, 2016
Recommendations made by the USPSTF ar…
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www.uspreventiveservicestaskforce.org/uspstf/recommendation/aspirin-to-prevent-cardiovascular-disease-and-cancer-april-2016
April 11, 2016 - Share to Facebook
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archived
Final Recommendation Statement
Aspirin Use to Prevent Cardiovascular Disease and Colorectal Cancer: Preventive Medication
April 11, 2016
Recommendations made b…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Siddharthan.pdf
January 10, 2005 - Cost Effectiveness of a Multifaceted Program for Safe Patient Handling
347
Cost Effectiveness of a Multifaceted
Program for Safe Patient Handling
Kris Siddharthan, Audrey Nelson, Hope Tiesman, FangFei Chen
Abstract
Objective: The Patient Safety Center in the Veterans Health Administration
(VHA) introduced …
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psnet.ahrq.gov/node/44369/psn-pdf
July 16, 2018 - The impact of a computerized physician order entry
system on medical errors with antineoplastic drugs 5
years after its implementation.
July 16, 2018
Cuervo S, Sanchis R, Lopez P, et al. The impact of a computerized physician order entry system on
medical errors with antineoplastic drugs 5 years after its implemen…
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psnet.ahrq.gov/node/47372/psn-pdf
January 01, 2019 - Patient safety culture, health information technology
implementation, and medical office problems that could
lead to diagnostic error.
October 3, 2018
Campione JR, Mardon RE, McDonald KM. Patient Safety Culture, Health Information Technology
Implementation, and Medical Office Problems That Could Lead to Diagnostic…
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psnet.ahrq.gov/node/38399/psn-pdf
February 11, 2009 - Effect of computerized provider order entry with clinical
decision support on adverse drug events in the long-term
care setting.
February 11, 2009
Gurwitz JH, Field T, Rochon P, et al. Effect of computerized provider order entry with clinical decision
support on adverse drug events in the long-term care setting. J…
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psnet.ahrq.gov/node/46338/psn-pdf
December 21, 2017 - Malpractice claims related to diagnostic errors in the
hospital.
December 21, 2017
Gupta A, Snyder A, Kachalia A, et al. Malpractice claims related to diagnostic errors in the hospital. BMJ
Qual Saf. 2017;27(1):53-60. doi:10.1136/bmjqs-2017-006774.
https://psnet.ahrq.gov/issue/malpractice-claims-related-diagnostic…
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psnet.ahrq.gov/node/38585/psn-pdf
April 30, 2014 - Development of an online morbidity, mortality, and near-
miss reporting system to identify patterns of adverse
events in surgical patients.
April 30, 2014
Bilimoria KY, Kmiecik TE, DaRosa DA, et al. Development of an online morbidity, mortality, and near-miss
reporting system to identify patterns of adverse events…