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psnet.ahrq.gov/issue/using-human-factors-and-ergonomics-principles-prevent-inpatient-falls
November 09, 2022 - Study
Using human factors and ergonomics principles to prevent inpatient falls.
Citation Text:
Kwok Y-ting, Lam M-sang. Using human factors and ergonomics principles to prevent inpatient falls. BMJ Open Qual. 2022;11(1):e001696. doi:10.1136/bmjoq-2021-001696.
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psnet.ahrq.gov/issue/association-adverse-effects-medical-treatment-mortality-united-states-secondary-analysis
November 11, 2020 - Study
Association of adverse effects of medical treatment with mortality in the United States: a secondary analysis of the Global Burden of Diseases, Injuries, and Risk Factors study.
Citation Text:
Sunshine JE, Meo N, Kassebaum NJ, et al. Association of Adverse Effects of Medical Treatm…
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psnet.ahrq.gov/issue/closing-gap-infection-prevention-staffing-recommendations-results-beta-version-apic-staffing
December 20, 2023 - Study
Closing the gap on infection prevention staffing recommendations: results from the beta version of the APIC staffing calculator.
Citation Text:
Bartles R, Reese S, Gumbar A. Closing the gap on infection prevention staffing recommendations: results from the beta version of the APIC …
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/heart-health/smoking-cessation-pcor.pdf
November 01, 2016 - Evidence Now Fact Sheets- Smoking Cessation
Smoking Cessation
Rationale for Smoking Cessation
About 42 million people in the United States (nearly 18 percent of the
population) currently smoke.1 Tobacco use is a leading cause of illness,
disa…
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psnet.ahrq.gov/issue/assessing-patient-work-system-factors-medication-management-during-transition-care-among
July 20, 2022 - Study
Assessing patient work system factors for medication management during transition of care among older adults: an observational study.
Citation Text:
Xiao Y, Hsu Y-J, Hannum SM, et al. Assessing patient work system factors for medication management during transition of care among ol…
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www.ahrq.gov/news/blog/ahrqviews/teamstepps-30.html
September 01, 2023 - AHRQ Views: Blog posts from AHRQ leaders
With TeamSTEPPS 3.0, AHRQ Refreshes a Landmark Patient Safety Training Curriculum
SEP
12
2023
By
Craig Umscheid, M.D., M.S., and
Monika Haugstetter, M.H.A., M.S.N., R.N.
It has been 17 years since AHRQ launched TeamSTEPPS, a patient s…
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psnet.ahrq.gov/issue/root-cause-analysis-using-prevention-and-recovery-information-system-monitoring-and-analysis
May 18, 2022 - Review
Root cause analysis using the prevention and recovery information system for monitoring and analysis method in healthcare facilities: a systematic literature review.
Citation Text:
Driesen BEJM, Baartmans M, Merten H, et al. Root cause analysis using the prevention and recovery in…
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www.uspreventiveservicestaskforce.org/uspstf/sites/default/files/file/supporting_documents/skin-cancer-screening-final-rec-bulletin.pdf
April 18, 2023 - U.S. Preventive Services Task Force Issues Final Recommendation on Screening for Skin Cancer: More Research is Needed to Recommend For or Against Screening Adolescents and Adults without Symptoms
www.uspreventiveservicestaskforce.org 1
U.S. Preventive Services Task Force Issues Final Recommendation on
Screen…
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www.uspreventiveservicestaskforce.org/uspstf/sites/default/files/file/supporting_documents/skin-cancer-screening-bulletin.pdf
November 21, 2022 - U.S. Preventive Services Task Force Issues Draft Recommendation on Screening for Skin Cancer
www.uspreventiveservicestaskforce.org 1
U.S. Preventive Services Task Force Issues Draft Recommendation
on Screening for Skin Cancer
More research is needed to recommend for or against screening
adolescents and …
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psnet.ahrq.gov/issue/long-term-care-healthcare-associated-infections-2021-analysis-17971-reports
July 06, 2022 - Study
Long-term care healthcare-associated infections in 2021: an analysis of 17,971 reports.
Citation Text:
Kepner S, Adkins JA, Jones RM. Long-term care healthcare-associated infections in 2021: an analysis of 17,971 reports. Patient Saf. 2022;4(2):6-17. doi:10.33940/data/2022.6.1.
C…
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psnet.ahrq.gov/issue/association-dose-tapering-overdose-or-mental-health-crisis-among-patients-prescribed-long
July 13, 2022 - Study
Association of dose tapering with overdose or mental health crisis among patients prescribed long-term opioids.
Citation Text:
Agnoli A, Xing G, Tancredi DJ, et al. Association of dose tapering with overdose or mental health crisis among patients prescribed long-term opioids. JAMA.…
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psnet.ahrq.gov/issue/disclosing-medical-errors-patients-its-not-what-you-say-its-what-they-hear
October 26, 2010 - Study
Classic
Disclosing medical errors to patients: it's not what you say, it's what they hear.
Citation Text:
Wu AW, Huang I-C, Stokes S, et al. Disclosing medical errors to patients: it's not what you say, it's what they hear. J Gen Intern Med. 2009;24(9):1…
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psnet.ahrq.gov/issue/clinical-diagnoses-and-autopsy-findings-discrepancies-critically-ill-patients
March 09, 2022 - Study
Clinical diagnoses and autopsy findings: discrepancies in critically ill patients.
Citation Text:
Tejerina E, Esteban A, Fernández-Segoviano P, et al. Clinical diagnoses and autopsy findings: discrepancies in critically ill patients*. Crit Care Med. 2012;40(3):842-6. doi:10.1097/…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/impl-guide/implementation-guide-appendix-l.pdf
September 01, 2015 - AHRQ Safety Program for Reducing CAUTI in Hospitals - Appendix L. Intensive Care Unit Infographic Poster
AHRQ Safety Program for Reducing CAUTI in Hospitals
Appendix L. Intensive Care Unit Infographic Poster
…
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psnet.ahrq.gov/issue/factors-associated-potentially-missed-acute-deterioration-primary-care-cohort-study-uk
February 02, 2022 - Study
Factors associated with potentially missed acute deterioration in primary care: cohort study of UK general practices.
Citation Text:
Cecil E, Bottle A, Majeed A, et al. Factors associated with potentially missed acute deterioration in primary care: cohort study of UK general practi…
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-228-tables-1-2.pdf
June 02, 2025 - Section 1, Tables 1 and 2
Table 1: Definition of Sepsis Syndrome
Term Definition
Sepsis syndrome Sepsis, severe sepsis or septic shock
Sepsis Systemic Inflammatory Response Syndrome (SIRS) in the presence of, or as a result
of, suspected or proven infection
SIRS The presence of at least two of the following f…
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www.ahrq.gov/sites/default/files/wysiwyg/nursing-home/promoting-emotional-wellbeing.pdf
March 01, 2022 - Best Practices for Promoting Emotional Well-Being in Nursing Home Residents
Best Practices for Promoting Emotional Well-Being
in Nursing Home Residents
Efforts to slow the spread of COVID-19 in nursing homes have left many residents socially isolated. Isolation can contribute to anxiety,
…
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-ai-wave1.html
July 01, 2025 - Understanding the AI Wave: Foundational Knowledge for Improving Diagnosis and Beyond
Introduction
Previous Page Next Page
Table of Contents
Understanding the AI Wave: Foundational Knowledge for Improving Diagnosis and Beyond
Introduction
Understanding the AI Wave—What Is AI?
Understanding AI’s…
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-0231-section-1-tables-1-2.pdf
June 02, 2025 - Section 1, Tables 1 and 2
Table 1: Definition of Severe Sepsis and Septic Shock
Term Definition
Severe sepsis Sepsis plus one of the following: cardiovascular organ dysfunction OR acute respiratory distress
syndrome OR two or more other organ dysfunctions.
Sepsis Systemic Inflammatory Response Syndrome (SIRS) i…
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-229-section-1-tables-1-2.pdf
June 02, 2025 - Section 1, Tables 1 and 2
Table 1: Definition of Sepsis Syndrome
Term Definition
Sepsis
syndrome
Sepsis, severe sepsis or septic shock
Sepsis Systemic Inflammatory Response Syndrome (SIRS) in the presence of, or as a result of,
suspected or proven infection
SIRS The presence of at least two of the followi…