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psnet.ahrq.gov/node/44965/psn-pdf
February 15, 2017 - Identification and Prioritization of Health IT Patient Safety
Measures.
February 15, 2017
Washington, DC: National Quality Forum; February 2016.
https://psnet.ahrq.gov/issue/identification-and-prioritization-health-it-patient-safety-measures
Health information technology (IT) has transformed health care and improv…
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psnet.ahrq.gov/node/38295/psn-pdf
May 27, 2010 - Narrative review: do state laws make it easier to say "I'm
sorry"?
May 27, 2010
McDonnell WM, Guenther E. Narrative review: do state laws make it easier to say "I'm sorry?". Ann Intern
Med. 2008;149(11):811-816.
https://psnet.ahrq.gov/issue/narrative-review-do-state-laws-make-it-easier-say-im-sorry
Multiple studi…
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psnet.ahrq.gov/node/36006/psn-pdf
November 15, 2011 - Disclosure of medical errors: what factors influence how
patients respond?
November 15, 2011
Mazor KM, Reed G, Yood RA, et al. Disclosure of medical errors: what factors influence how patients
respond? J Gen Intern Med. 2006;21(7):704-10.
https://psnet.ahrq.gov/issue/disclosure-medical-errors-what-factors-influenc…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapb22.html
December 01, 2017 - The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities
Appendix B22: Suggestions for Further Assessment and/or Interventions
Previous Page Next Page
Table of Contents
The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities
Chapter 1. Int…
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psnet.ahrq.gov/node/45872/psn-pdf
April 13, 2017 - Finding diagnostic errors in children admitted to the
PICU.
April 13, 2017
Davalos MC, Samuels K, Meyer AND, et al. Finding diagnostic errors in children admitted to the PICU.
Pediatr Crit Care Med. 2017;18(3):265-271. doi:10.1097/PCC.0000000000001059.
https://psnet.ahrq.gov/issue/finding-diagnostic-errors-childre…
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www.ahrq.gov/practiceimprovement/initiatives.html
September 01, 2019 - Practice Improvement Initiatives
The list below provides examples of major AHRQ practice improvement projects.
EvidenceNOW
EvidenceNOW, one of AHRQ's largest primary care projects to date, helped practices implement evidence to improve healthcare with a focus on heart health and enriched their capacity to f…
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digital.ahrq.gov/funding-mechanism/developing-new-clinical-decision-support-disseminate-and-implement-evidence-based
January 01, 2023 - Developing New Clinical Decision Support to Disseminate and Implement Evidence-Based Research Findings (R18)
Scalable Decision Support and Shared Decision Making for Lung Cancer Screening
Description
Researchers successfully developed Decision Precision+, a shared decision mak…
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psnet.ahrq.gov/node/839314/psn-pdf
November 02, 2022 - Correlation between the number of patient-reported
adverse events, adverse drug events, and quality of life in
older patients: an observational study.
November 2, 2022
Beerlage-Davids CJ, Ponjee GHM, Vanhommerig JW, et al. Correlation between the number of patient-
reported adverse events, adverse drug events, and…
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psnet.ahrq.gov/node/34763/psn-pdf
March 07, 2005 - The Limits of Safety: Organizations, Accidents and
Nuclear Weapons.
March 7, 2005
Sagan SD. Princeton NJ: Princeton University Press; 1993. ISBN: 9780691032214.
https://psnet.ahrq.gov/issue/limits-safety-organizations-accidents-and-nuclear-weapons
Two competing paradigms dominate the study of the hazards associate…
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www.ahrq.gov/patient-safety/quality-resources/tools/chtoolbx/uses/fbba97.html
December 01, 2017 - Federal Balance Budget Act of 1997: Excerpts
Child Health Care Quality Toolbox
The Child Health Toolbox contains concepts, tips, and tools for evaluating the quality of health care for children.
The Federal Balanced Budget Act of 1997, Public Law 105-33, increased the attention given to performance monito…
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psnet.ahrq.gov/node/61041/psn-pdf
October 21, 2020 - Improving accuracy of handoff by implementing an
electronic health record-generated tool: an improvement
project in an academic neonatal intensive care unit.
October 21, 2020
Koo JK, Moyer L, Castello MA, et al. Improving accuracy of handoff by implementing an electronic health
record-generated tool: an improvemen…
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psnet.ahrq.gov/node/866431/psn-pdf
August 07, 2024 - Enhancing patient safety in prehospital environment:
analyzing patient perspectives on non-transport
decisions with natural language processing and machine
learning.
August 7, 2024
Farhat H, Alinier G, Tluli R, et al. Enhancing patient safety in prehospital environment: analyzing patient
perspectives on non-trans…
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www.ahrq.gov/sites/default/files/wysiwyg/data/infographics/statin-use.pdf
June 03, 2015 - Statin Use in U.S. Adults Doubles in 10 Years
Source: MEPS Statistical Brief #458: Trends in Statin Therapy among Adults (Age ≥ 18), United States, 2000 to 2011
(http://meps.ahrq.gov/mepsweb/data_�les/publications/st458/stat458.shtml); MEPS Statistical Brief #459: Changes in Statin Therapy among Adults (Age ≥ 18) b…
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/liver-cancer-therapy_executive.pdf
May 01, 2013 - 1
Local Therapies for Unresectable Primary
Hepatocellular Carcinoma
Executive Summary
Introduction
Background
This comparative effectiveness review
evaluates local hepatic therapies for
patients with unresectable primary
hepatocellular carcinoma (HCC) who are
not candidates for surgical resection or
liver tr…
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www.uspreventiveservicestaskforce.org/uspstf/document/evidence-summary-harms-of-screening-for-breast-cancer/breast-cancer-screening-january-2016
January 11, 2016 - Share to Facebook
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archived
Evidence Summary: Harms of Screening for Breast Cancer
Breast Cancer: Screening
January 11, 2016
Recommendations made by the USPSTF are independent of the U.S. gov…
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cdsic.ahrq.gov/sites/default/files/2025-09/For%20508%20Approval_MO%20Level%203%20Respondent%20Burden%20Report%208.21.25.pdf
January 01, 2025 - Mitigation strategies to address these contributors include increasing readability and
accessibility … time.18,21
To mitigate the burden related to effort expectancy, PC CDS developers can consider
increasing
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/CHIPRA0087-NCINQSexualActivityStatusForm.pdf
February 06, 2012 - Incorporating data fields addressing sexual activity status into EHR
technical standards, increasing
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-118-fullreport.pdf
October 01, 2016 - Considering temperature as a continuous variable reveals that increasing the
temperature from 34.0° … the data in the literature and our own data described above, we believe that
temperature provides increasing
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2014chartbooks/hispanichealth/2014nhqdr-hispanichealth-pt2.pptx
July 01, 2015 - With the rapidly increasing diversity of the Nation and persistence of health disparities, the Heckler … Narrowing
Trends: No measure of mental health care for Hispanics was improving; suicide deaths were increasing
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www.uspreventiveservicestaskforce.org/uspstf/recommendation/abdominal-aortic-aneurysm-screening-2014
June 23, 2014 - Share to Facebook
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archived
Final Recommendation Statement
Abdominal Aortic Aneurysm: Screening
June 23, 2014
Recommendations made by the USPSTF are independent of the U.S. government.…