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psnet.ahrq.gov/perspective/are-we-getting-better-measuring-patient-safety
November 10, 2015 - A computerized method for identifying incidents associated with adverse drug events in outpatients.
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psnet.ahrq.gov/web-mm/unfamiliar-catheter
November 01, 2006 - Managing the aftermath of critical incidents: meeting the needs of health-care providers and patients
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/d4i_pdi11-dehiscence-bestpractices.pdf
May 17, 2016 - Selected Best Practices and Suggestions for Improvement
Pediatric Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
1 Tool D.4i
Selected Best Practices and Suggestions for Improvement
PDI 11: Postoperative Wound Dehiscence
Why focus on postoperative wound dehiscence in…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4w_combo_pdi11-dehiscence-bestpractices.pdf
May 17, 2016 - Selected Best Practices and Suggestions for Improvement
Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
1 Tool D.4w
Selected Best Practices and Suggestions for Improvement
PDI 11: Postoperative Wound Dehiscence
Why focus on postoperative wound dehiscence in children?…
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psnet.ahrq.gov/node/33625/psn-pdf
January 01, 2006 - Pilots report incidents (any occurrence that could affect safety), and ASRS staff analyze them,
may
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Mohr.pdf
February 01, 2004 - the method used to analyze the error reports.16–18 It is a method
for organizing reports of critical incidents … The physician reports provided the incidents for analysis.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Harris.pdf
June 30, 2004 - develop a four-step analysis protocol to identify and analyze relevant reports of
aviation safety incidents … the many details they contain can
overwhelm analysts…As a result, critically important patterns of incidents
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www.uspreventiveservicestaskforce.org/uspstf/document/RecommendationStatementFinal/breast-cancer-screening
April 30, 2024 - Share to Facebook
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Final Recommendation Statement
Breast Cancer: Screening
April 30, 2024
Recommendations made by the USPSTF are independent of the U.S. government. They should not be constru…
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www.ahrq.gov/sites/default/files/2024-02/taber-report.pdf
January 01, 2024 - Final Progress Report: Improving Transplant Med Safety through a Pharmacist-Led, mHealth-Based Program
Improving Transplant Med Safety through a Pharmacist-Led, mHealth-Based Program
Principal Investigator: David J. Taber, PharmD, MS, BCPS
Professor
Medical University of South Carolina
Department of Surgery
96 J…
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www.ahrq.gov/sites/default/files/2025-03/tanner-report.pdf
January 01, 2025 - Final Progress Report: Diagnostic Error in Dystonia
5R01HS018413-02 REVISED Tanner CM
I
FINAL PROGRESS REPORT
Project Title:
Principal Investigator:
Team Members:
Project Dates:
Federal Project Officer:
Acknowledgment of Agency Support
and Grant Number:
DIAGNOSTIC ERROR IN DYSTONIA
Tanner, Caroline M., MD, …
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www.ahrq.gov/sites/default/files/2025-05/mello-thoms-report.pdf
January 01, 2025 - Final Progress Report: MammoTutor: An Internet-Based Computer Tutoring System to Teach General Radiologists the Early Signs of Breast Cancer
Title of Project:
MammoTutor: An Internet-Based Computer Tutoring System to Teach General
Radiologists the Early Signs of Breast Cancer
Principal Investigator and Team Member…
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psnet.ahrq.gov/node/33729/psn-pdf
May 01, 2012 - The Emergence of the Trigger Tool as the Premier
Measurement Strategy for Patient Safety
May 1, 2012
Sharek PJ. The Emergence of the Trigger Tool as the Premier Measurement Strategy for Patient Safety.
PSNet [internet]. 2012.
https://psnet.ahrq.gov/perspective/emergence-trigger-tool-premier-measurement-strategy-pa…
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psnet.ahrq.gov/curated-library/diagnostic-error
November 10, 2025 - Breadcrumb
Home
The PSNet Collection
Curated Libraries
Subscribed
Diagnostic Error
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Created By: Karen Cosby, AHRQ
Date Created: May 8, …
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psnet.ahrq.gov/issue/shift-safety
May 22, 2019 - Multi-use Website
Shift to Safety.
Citation Text:
Shift to Safety. Canadian Patient Safety Institute.
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Septem…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/nicu_toolkit/nicupacket-apb-vision.pdf
June 02, 2025 - NICU Family Information Packet, Appendix B, Vision Screening and Retinopathy
Vision Screening and Retinopathy of
Prematurity
Visual Deficits Seen in Preterm Infants
■ High-risk infants are more likely to have permanent visual deficits and/or show a delay in
visual development that persists until adolescence.
■ …
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psnet.ahrq.gov/issue/patient-safety-reporting-initiative
September 12, 2016 - Multi-use Website
Patient Safety Reporting System.
Citation Text:
Patient Safety Reporting System. New Jersey Department of Health and Senior Services.
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/eUBUXRUJHua5Q44j_THFn2
Medications for Risk Reduction of Primary Breast Cancer in Women: Clinical Summary of USPSTF Recommendation
MEDICATIONS FOR RISK REDUCTION OF PRIMARY BREAST CANCER IN WOMEN
CLINICAL SUMMARY OF U.S. PREVENTIVE SERVICES TASK FORCE RECOMMENDATION
Population Asymptomatic women aged ≥35 years without a prior diagn…
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psnet.ahrq.gov/issue/canadian-patient-safety-institute-announces-recipients-first-research-funding-competition
July 05, 2013 - Press Release/Announcement
Canadian Patient Safety Institute announces recipients of first research funding competition.
Citation Text:
Canadian Patient Safety Institute announces recipients of first research funding competition. Canadian Patient Safety Institute; CPSI.
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/VN82XmdDhcK74WtHxWBTqm
May 01, 2004 - ahrq37a_LungCancer_Sum.qxd
Screening for lung cancer is not currently
recommended by any major medical professional
organization. The U.S. Preventive Services Task
Force (USPSTF) gave lung cancer screening a “D”
recommendation in both 1985 and 1996, meaning
that there were fair-quality data to recommend
against scree…
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/nfQJhay7BJKbhy35DV37xK
January 01, 2001 - Screening for Skin Cancer: Evidence Summary
Screening for Skin Cancer
Mark Helfand, MD, MS, Susan M. Mahon, MPH, Karen B. Eden, PhD, Paul S. Frame, MD,
C. Tracy Orleans, PhD
Context: Malignant melanoma is often lethal, and its incidence in the United States has increased
rapidly over the past 2 decades. Nonmelanoma…