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www.ahrq.gov/sites/default/files/publications/files/advancing-patient-safety.pdf
January 01, 2010 - Advancing Patient Safety: A Decade of Evidence, Design, and Implementation
Evidence
Design and
Implementation
Advancing Excellence in Health Care •www.ahrq.gov
Agency for Healthcare Research and Quality
Advancing Patient Safety:
A Decade of
1999
1
Introduction
Patient safety was a fairly new
field when the …
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digital.ahrq.gov/sites/default/files/docs/publication/uc1hs016128-deluca-final-report-2009.pdf
January 01, 2009 - Implementing an Ambulatory Electronic Medical Record and Improving Shared Access - FInal Report
Grant Final Report
Grant ID: UC1 HS016128
Implementing an Ambulatory Electronic
Medical Record and Improving Shared
Access
Inclusive dates: 09/30/05 - 09/30/09
Principal Investigator:
Michael A. DeLuca
…
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psnet.ahrq.gov/primer/retained-surgical-items-causation-and-prevention
January 04, 2024 - Retained Surgical Items: Causation and Prevention
Citation Text:
Gibbs V, Romano P. Retained Surgical Items: Causation and Prevention. PSNet [internet]. Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2025.
Copy Citation
Format:
Google Scholar BibTeX End…
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psnet.ahrq.gov/web-mm/missed-compartment-syndrome-after-steep-lithotomy-position-laparoscopic-gynecological
January 29, 2021 - Missed Compartment Syndrome after Steep Lithotomy Position for Laparoscopic Gynecological Surgery
Citation Text:
Bohringer C, Chavez G. Missed Compartment Syndrome after Steep Lithotomy Position for Laparoscopic Gynecological Surgery. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Qual…
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www.ahrq.gov/research/findings/final-reports/iomracereport/reldata6.html
May 01, 2018 - Race, Ethnicity, and Language Data: Standardization for Health Care Quality Improvement
6. Implementation
Previous Page Next Page
Table of Contents
Race, Ethnicity, and Language Data: Standardization for Health Care Quality Improvement
Summary
Reviewers
1. Introduction
2. Evidence of Dispari…
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psnet.ahrq.gov/webmm-case-studies
March 25, 2025 - WebM&M: Case Studies
WebM&M (Morbidity & Mortality Rounds on the Web) features expert analysis of medical errors reported anonymously by our readers. Spotlight Cases include interactive learning modules available for CME/CPE . Commentaries are written by patient safety experts and published monthly. Have you encou…
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cds.ahrq.gov/sites/default/files/cds/artifact/106/Poster_AMIA_mid_atlantic_HWI_jm.pptx
February 09, 2018 - Background
Methods
Preparing for a Childhood Obesity Clinical Decision Support Intervention … Using EHR Data and Clinician Feedback to Determine the Intervention Targets
Center for Biomedical Informatics … Using our EHR data and clinician feedback we have identified targets for our future CDS intervention … Based on the EHR data and survey responses, we have identified several targets for the future CDS intervention … educational materials
9.4% had interest in better documentation templates
2.8% did not wish for any intervention
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/nursing-home-workplace-safety-resources.pdf
January 01, 2023 - • Reduce workplace violence with early intervention methods for de-escalation.
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/KT7vaWK_JSDNNvEmUAjN8d
May 01, 2018 - Cancer Intervention and Surveillance Modeling Network (CISNET)
Prostate Cancer Models
CISNET is a … Cancer Intervention and Surveillance Modeling Network. Prostate Cancer Modeling. … Methods
Analysis of Modeling Studies That Addressed Overdiagnosis in Prostate Cancer Screening
Cancer Intervention
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www.uspreventiveservicestaskforce.org/Home/GetFile/1/16812/prostate-models-overdiagnosis/pdf
May 01, 2018 - Cancer Intervention and Surveillance Modeling Network (CISNET)
Prostate Cancer Models
CISNET is a … Cancer Intervention and Surveillance Modeling Network. Prostate Cancer Modeling. … Methods
Analysis of Modeling Studies That Addressed Overdiagnosis in Prostate Cancer Screening
Cancer Intervention
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www.uspreventiveservicestaskforce.org/uspstf/recommendation/breast-cancer-screening
April 30, 2024 - cancer deaths averted per false-positive result) compared with annual screening. 12
Treatment or Intervention … systematic evidence review, the USPSTF commissioned collaborative modeling studies from 6 CISNET (Cancer Intervention … the USPSTF breast cancer screening models for the Annals of Internal Medicine in 2016 and of Cancer Intervention
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/hDZUZdx4qLNc2PjbkfWQuw
April 01, 2016 - Intervention: Eight strategies differing by age at which screen-
ing starts (40, 45, or 50 years) and … Descriptions
The models used to evaluate the screening strate-
gies were developed within the Cancer Intervention … Berry DA, Cronin KA, Plevritis SK, Fryback DG, Clarke L, Zelen M,
et al; Cancer Intervention and Surveillance
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/zmvjborz6pkcGVzgcP5nCw
September 30, 2024 - breast
cancer deaths averted per false-positive result) compared with
annual screening.12
Treatment or Intervention … systematic evidence review, the USPSTF
commissioned collaborative modeling studies from 6 CISNET
(Cancer Intervention … the USPSTF
breast cancer screening models for the Annals of
Internal Medicine in 2016 and of Cancer
Intervention
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digital.ahrq.gov/sites/default/files/docs/page/SuccessStory_Krist_7312012.pdf
July 01, 2011 - Patients Take a Bite of Prevention Apple with Web-based Interactive Personal Health Record
9HRQ HE9LTH INFORM9TION TECHNOLOGY 1
9MBUL9TORY S9FETY 9ND QU9LITY • PCC
Patients Take a Bite of Prevention Apple with Web!based …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4j_combo_psi13-sepsis-bestpractices.pdf
May 20, 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.4j
Selected Best Practices and Suggestions for Improvement
PSI 13: Postoperative Sepsis
Why Focus on Sepsis?
• More than 750,000 cases of sepsis are…
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psnet.ahrq.gov/node/33593/psn-pdf
June 15, 2024 - Measurement of Patient Safety
June 15, 2024
Measurement of Patient Safety. PSNet [internet]. 2019.
https://psnet.ahrq.gov/primer/measurement-patient-safety
PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that
they reflect current research and practice in the patient …
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www.uspreventiveservicestaskforce.org/uspstf/document/final-research-plan105/latent-tuberculosis-infection-screening-september-2016
September 25, 2014 - Share to Facebook
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Print
archived
Final Research Plan
Latent Tuberculosis Infection: Screening
September 25, 2014
Recommendations made by the USPSTF are independent of the U.S. government. They should …
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-cognitive-load4.html
May 01, 2024 - Cognitive Load Theory and Its Impact on Diagnostic Accuracy
Measures of Cognitive Load
Previous Page Next Page
Table of Contents
Cognitive Load Theory and Its Impact on Diagnostic Accuracy
Introduction to Diagnostic Errors
Fundamental Concepts for Understanding Cognitive Load
Interplay Between…
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www.ahrq.gov/cpi/about/impact/index.html
April 01, 2017 - AHRQ Works: Building Bridges Between Research and Practice
Accelerating learning and innovation in health care delivery is what AHRQ does—every day. AHRQ tools take the "what" and translate it into the “how” by providing research-backed, practical tools that doctors and nurses can use to improve care.
Thi…
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psnet.ahrq.gov/node/49503/psn-pdf
February 01, 2006 - Workaround Error
February 1, 2006
Pape T. Workaround Error. PSNet [internet]. 2006.
https://psnet.ahrq.gov/web-mm/workaround-error
The Case
A retired 81-year-old physician with metastatic colon cancer was admitted to an acute care hospital with
pneumonia and congestive heart failure (CHF). After his acute hospita…