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psnet.ahrq.gov/node/39662/psn-pdf
April 30, 2014 - Patient record review of the incidence, consequences,
and causes of diagnostic adverse events.
April 30, 2014
Zwaan L, de Bruijne M, Wagner C, et al. Patient record review of the incidence, consequences, and causes
of diagnostic adverse events. Arch Intern Med. 2010;170(12):1015-21.
doi:10.1001/archinternmed.2010.…
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psnet.ahrq.gov/node/39641/psn-pdf
September 20, 2011 - Adherence to Surgical Care Improvement Project
measures and the association with postoperative
infections.
September 20, 2011
Stulberg JJ, Delaney CP, Neuhauser D, et al. Adherence to surgical care improvement project measures
and the association with postoperative infections. JAMA. 2010;303(24):2479-85.
doi:10.1…
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psnet.ahrq.gov/node/46343/psn-pdf
March 21, 2018 - Outpatient CPOE orders discontinued due to 'erroneous
entry': prospective survey of prescribers' explanations for
errors.
March 21, 2018
Hickman T-TT, Quist AJL, Salazar A, et al. Outpatient CPOE orders discontinued due to 'erroneous entry':
prospective survey of prescribers' explanations for errors. BMJ Qual Saf.…
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psnet.ahrq.gov/node/44056/psn-pdf
May 19, 2018 - Impact of inpatient harms on hospital finances and
patient clinical outcomes.
May 19, 2018
Adler L, Yi D, Li M, et al. Impact of Inpatient Harms on Hospital Finances and Patient Clinical Outcomes. J
Patient Saf. 2018;14(2):67-73. doi:10.1097/PTS.0000000000000171.
https://psnet.ahrq.gov/issue/impact-inpatient-harms…
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psnet.ahrq.gov/node/41283/psn-pdf
April 11, 2012 - Clinical diagnoses and autopsy findings: discrepancies in
critically ill patients.
April 11, 2012
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/CCM.0b013e318236f64f.
https://psne…
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psnet.ahrq.gov/node/45555/psn-pdf
June 15, 2017 - Variations in GPs' decisions to investigate suspected
lung cancer: a factorial experiment using multimedia
vignettes.
June 15, 2017
Sheringham J, Sequeira R, Myles J, et al. Variations in GPs' decisions to investigate suspected lung
cancer: a factorial experiment using multimedia vignettes. BMJ Qual Saf. 2017;26(6…
-
psnet.ahrq.gov/node/47671/psn-pdf
January 01, 2019 - Racial, ethnic, and socioeconomic disparities in patient
safety events for hospitalized children.
December 19, 2018
Stockwell DC, Landrigan CP, Toomey SL, et al. Racial, Ethnic, and Socioeconomic Disparities in Patient
Safety Events for Hospitalized Children. Hosp Pediatr. 2019;9(1):1-5. doi:10.1542/hpeds.2018-0131…
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psnet.ahrq.gov/glossary/failure-mode-and-effect-analysis-fmea
September 13, 2021 - Failure Mode and Effect Analysis (FMEA)
September 13, 2021
Anonymous (not verified)
A common process used to prospectively identify error risk within a particular process. FMEA begins with a complete process mapping that identifies all the steps that must occur for a given process to occur (e.g., programming an…
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www.ahrq.gov/research/findings/nhqrdr/nhqdr21/index.html
June 01, 2025 - 2021 National Healthcare Quality and Disparities Report
For the 19th year, AHRQ is reporting on healthcare quality and disparities. The annual National Healthcare Quality and Disparities Report is mandated by Congress to provide a comprehensive overview of the quality of healthcare received by the general U.S. …
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/major-depressive-disorder_executive.pdf
December 01, 2015 - Evidence from meta-analyses of placebo-
controlled trials, however, indicated lower overall adverse … Network meta-analysis indicated a
response rate that was twice as high for patients treated
with SGAs … Network meta-analysis indicated response rates that did
not differ statistically for patients on SGAs … Meta-analysis
of nine trials (1,513 participants) indicated similar
response rates between SGAs and … Estimates based on network meta-analysis indicated no
significant difference in response for patients
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digital.ahrq.gov/sites/default/files/docs/publication/r18hs017188-mold-final-report-2010.pdf
January 01, 2010 - Preliminary survey feedback indicated that participants were generally satisfied with the
Portal (e.g … A difference-in-differences
analysis indicated that in the intervention group there was a 0.32 point … However, PAM scores (that range typically from 38.6 to 53.0)
indicated a modest, but significant increase … A difference-in-differences
analysis indicated that in the intervention group there was a 0.32 point … • All indicated that they liked entering the information for the purpose of record
keeping.
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.173_slideshow.ppt
April 01, 2008 - sinusitis than amoxicillin
Prescribing broad-spectrum agents when narrow-spectrum antibiotics are indicated … National and international efforts aimed
at reducing antibiotic prescription for conditions when not indicated
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psnet.ahrq.gov/node/49741/psn-pdf
September 01, 2015 - In these instances, a more thorough evaluation
is indicated.(4) Due to the enlarging uterus and fetal … An ultrasound was performed when the patient returned to the ED and indicated
a normal viable pregnancy … in the pregnant patient should begin with
ultrasound or MRI, but ionizing imaging that is clearly indicated
-
www.uspreventiveservicestaskforce.org/home/getfilebytoken/RkowkNFvCYh9hMnEBcCkGh
May 01, 2004 - Atropine had a slightly higher degree
of acceptability, as indicated by a parental
questionnaire, and … improvement, although the to-head comparison RCT, indicated that 79% of
literature is poor. … comparing intensive
programs identify screening programs have screening with usual care in the UK indicated … with usual care and
conflicting information. 1-time orthopic screening at age 37 months, in the
UK, indicated … The
various forms of strabismus are spoken of as
tropias, their direction being indicated by the
appropriate
-
www.uspreventiveservicestaskforce.org/uspstf/recommendation/preeclampsia-screening-april-2017
April 25, 2017 - Further diagnostic evaluation and clinical monitoring are indicated for patients with elevated blood … the definitive treatment of preeclampsia; as a result, preeclampsia is a leading cause of medically indicated … 21 Infants born to mothers with preeclampsia account for 6% of preterm births and 19% of medically indicated … Antihypertension medications, when indicated, and administration of magnesium sulfate reduce the risk … Indicated vs. routine prenatal urine chemical reagent strip testing.
-
effectivehealthcare.ahrq.gov/sites/default/files/substance-abuse-horizon-scan-high-impact-1312.pdf
December 01, 2013 - The majority of
experts indicated that this program has moderate to significant potential to improve … background acknowledged the preliminary nature of the overdose prevention efficacy data,
but the majority indicated … A clinical expert indicated that the data were impressive for a community-based
intervention intended … Overall, experts
felt that the positive data and program performance indicated strong acceptance and … could moderately disrupt health care delivery
infrastructure and patient management, several experts indicated
-
digital.ahrq.gov/sites/default/files/docs/citation/r21hs024350-wernz-final-report-2018.pdf
January 01, 2018 - Seventy percent of the hospitals indicated that they experienced an unplanned
downtime longer than 8 … operation, the flagging of critical results on tests are handled based
on preset tolerances, and tests are indicated … Of the 76
incidents, 46% (n=35) indicated that downtime procedures were either not followed or
were … Only 27.6% (n=21) of incidents indicated that downtime procedures
were successfully executed, and 26.3%
-
www.uspreventiveservicestaskforce.org/uspstf/document/evidence-summary-harms-of-screening-for-breast-cancer/breast-cancer-screening-january-2016
January 11, 2016 - Thirtynine observational studies indicated that some women reported pain during mammography (1% to 77% … Five observational studies of tomosynthesis and mammography indicated increased biopsies but reduced … Recently published long-term follow-up of the 2 Canadian trials (15 years after enrollment) indicated … Results of systematic reviews indicated that women who received clear communication of their negative … Possibly the least biased estimates were derived from 3 RCTs that indicated rates of 11% to 22%.
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digital.ahrq.gov/sites/default/files/docs/lesson/10-0010-ef-medication-adherence.pdf
November 01, 2009 - Grantees commented on the lack of consensus and standardization in the
industry today and indicated … • Lobach DF and colleagues are using the number of days prescribed as indicated in
Medicaid claims … In addition to therapeutic classes, he indicated that there are also differences
in acute versus chronic … For example, Lobach DF indicated
that the project waits 6 months to perform analysis on claims data … Many of the Open Forum participants indicated that they were still searching for
instruments.
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cds.ahrq.gov/sites/default/files/cds/artifact/18/Implementation%20Guide_USPSTF%20Statin%20Use%20for%20the%20Primary%20Prevention%20of%20CVD%20in%20Adults_Final.docx
October 01, 2017 - Verify completeness
Diagnosis of Active Pregnancy as an Exclusion
Statins are not indicated for pregnant … Verify completeness
Pregnancy Observation as an Exclusion
Statins are not indicated for pregnant women … Verify completeness
Diagnosis: Breastfeeding added as an Exclusion
Statins are not indicated for women … Verify completeness
Actively undergoing dialysis added as an Exclusion
Statins are not indicated for … Verify completeness
Diagnosis of Active Cirrhosis added as an Exclusion
Statins are not indicated for