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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruprev/functspecs.pdf
March 22, 2014 - If the number of urinary incontinence episodes increases by
12 or more (Current − Previous≥12), … If the number of bowel incontinence episodes increases by 2
or more (Current − Previous≥2), then
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/cancer-decision-support-tools_disposition-comments.pdf
December 23, 2014 - Disposition of Comments Report for Decision Aids for Cancer Screening and Treatment
Research Review Disposition of Comments Report
Research Review Title: Decision Aids for Cancer Screening and Treatment
Draft review available for public comment from July 10, 2014 to August 7, 2014.
Research Review Citation: Tr…
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www.ahrq.gov/sites/default/files/2024-10/barnes-report.pdf
January 01, 2024 - Final Progress Report: Improving Safe Use of Direct Oral Anticoagulants: A Population Health Approach
TITLE PAGE
Project Title: Improving Safe Use of Direct Oral Anticoagulants: A Population Health Approach
Principal Investigator: Geoffrey Douglas Barnes, BS, MD, MS
Team members:
Michael Dorsch, PharmD, MS, Co-In…
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2014chartbooks/hispanichealth/2014nhqdr-hispanichealth-pt2.pdf
July 01, 2015 - Early detection increases treatment options and the chances for cure. … Having these conditions in combination with
diagnosed diabetes increases the likelihood of complications
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psnet.ahrq.gov/node/73370/psn-pdf
June 09, 2021 - Burnout and its relationship to self-reported quality of
patient care and adverse events during COVID-19: a
cross-sectional online survey among nurses.
June 9, 2021
Kakemam E, Chegini Z, Rouhi A, et al. Burnout and its relationship to self?reported quality of patient care
and adverse events during COVID?19: a cros…
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psnet.ahrq.gov/node/44247/psn-pdf
November 03, 2015 - Effects of interdisciplinary team care interventions on
general medical wards: a systematic review.
November 3, 2015
Pannick S, Davis R, Ashrafian H, et al. Effects of Interdisciplinary Team Care Interventions on General
Medical Wards: A Systematic Review. JAMA Intern Med. 2015;175(8):1288-98.
doi:10.1001/jamainte…
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psnet.ahrq.gov/node/867599/psn-pdf
January 22, 2025 - Assessing patient work system factors for medication
management during transition of care among older
adults: an observational study.
January 22, 2025
Xiao Y, Hsu Y-J, Hannum SM, et al. Assessing patient work system factors for medication management
during transition of care among older adults: an observational st…
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psnet.ahrq.gov/node/60057/psn-pdf
March 18, 2020 - How does the WHO Surgical Safety Checklist fit with
existing perioperative risk management strategies? An
ethnographic study across surgical specialties.
March 18, 2020
Wæhle HV, Haugen AS, Wiig S, et al. How does the WHO Surgical Safety Checklist fit with existing
perioperative risk management strategies? An ethn…
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/YMe6Ff-Esj5uaLmsZECM4b
Screening for Asymptomatic Carotid Artery Stenosis: Clinical Summary of USPSTF Task Force Recommendation
SCREENING FOR ASYMPTOMATIC CAROTID ARTERY STENOSIS
CLINICAL SUMMARY OF U.S. PREVENTIVE SERVICES TASK FORCE RECOMMENDATION
Population Adults without a history of transient ischemic attack, stroke, or other ne…
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psnet.ahrq.gov/node/45117/psn-pdf
August 03, 2016 - Using computerized prescriber order entry to limit
overrides from automated dispensing cabinets.
August 3, 2016
Drake E, Srinivas P, Trujillo T. Using computerized prescriber order entry to limit overrides from automated
dispensing cabinets. Am J Health-Syst Pharm. 2016;73(14):1033-1035. doi:10.2146/ajhp150564.
ht…
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psnet.ahrq.gov/node/72498/psn-pdf
January 01, 2021 - Changes in weekend and weekday care quality of
emergency medical admissions to 20 hospitals in
England during implementation of the 7-day services
national health policy.
November 25, 2020
Bion J, Aldridge CP, Girling AJ, et al. Changes in weekend and weekday care quality of emergency
medical admissions to 20 hos…
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psnet.ahrq.gov/node/60323/psn-pdf
May 13, 2020 - Artificial intelligence versus clinicians: systematic review
of design, reporting standards, and claims of deep
learning studies.
May 13, 2020
Nagendran M, Chen Y, Lovejoy CA, et al. Artificial intelligence versus clinicians: systematic review of
design, reporting standards, and claims of deep learning studies. BM…
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psnet.ahrq.gov/node/838176/psn-pdf
September 28, 2022 - Challenges and strategies for patient safety in primary
care: a qualitative study.
September 28, 2022
Yuan CT, Dy SM, Yuanhong Lai A, et al. Challenges and strategies for patient safety in primary care: a
qualitative study. Am J Med Qual. 2022;37(5):379-387. doi:10.1097/jmq.0000000000000054.
https://psnet.ahrq.gov…
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psnet.ahrq.gov/node/41876/psn-pdf
December 04, 2016 - Errors in palliative care: kinds, causes, and
consequences: a pilot survey of experiences and
attitudes of palliative care professionals.
December 4, 2016
Dietz I, Borasio GD, Molnar C, et al. Errors in palliative care: kinds, causes, and consequences: a pilot
survey of experiences and attitudes of palliative care…
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psnet.ahrq.gov/node/36886/psn-pdf
May 27, 2011 - The extent and importance of unintended consequences
related to computerized provider order entry.
May 27, 2011
Ash JS, Sittig DF, Poon EG, et al. The extent and importance of unintended consequences related to
computerized provider order entry. J Am Med Inform Assoc. 2007;14(4):415-23.
https://psnet.ahrq.gov/issu…
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psnet.ahrq.gov/node/73064/psn-pdf
March 24, 2021 - Outpatient insulin-related adverse events due to mix-up
errors: findings from two national surveillance systems,
United States, 2012-2017.
March 24, 2021
Geller AI, Conrad AO, Weidle NJ, et al. Outpatient insulin?related adverse events due to mix?up errors:
Findings from two national surveillance systems, United S…
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psnet.ahrq.gov/node/41370/psn-pdf
September 01, 2016 - Evaluating alert fatigue over time to EHR-based clinical
trial alerts: findings from a randomized controlled study.
September 1, 2016
Embi P, Leonard AC. Evaluating alert fatigue over time to EHR-based clinical trial alerts: findings from a
randomized controlled study. J Am Med Inform Assoc. 2012;19(e1):e145-8.
ht…
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psnet.ahrq.gov/node/34758/psn-pdf
January 29, 2019 - Normal Accidents: Living with High-Risk Technologies.
January 29, 2019
Perrow C. Princeton NJ: Princeton University Press; 1999.
https://psnet.ahrq.gov/issue/normal-accidents-living-high-risk-technologies
Though less often cited than high-reliability theory in the health care literature, normal accidents theor…
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psnet.ahrq.gov/node/50793/psn-pdf
January 15, 2020 - Association between mobile telephone interruptions and
medication administration errors in a pediatric intensive
care unit.
January 15, 2020
Bonafide CP, Miller JM, Localio AR, et al. Association between mobile telephone interruptions and
medication administration errors in a pediatric intensive care unit. JAMA Pe…
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psnet.ahrq.gov/node/856583/psn-pdf
January 01, 2024 - Prescription opioid dose reductions and potential adverse
events: a multi-site observational cohort study in diverse
US health systems.
November 29, 2023
Metz VE, Ray GT, Palzes V, et al. Prescription opioid dose reductions and potential adverse events: a
multi-site observational cohort study in diverse US health …