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psnet.ahrq.gov/node/49802/psn-pdf
August 01, 2017 - Add-on Case and the Missing Checklist
August 1, 2017
Catchpole K. Add-on Case and the Missing Checklist. PSNet [internet]. 2017.
https://psnet.ahrq.gov/web-mm/add-case-and-missing-checklist
The Case
A 65-year-old woman was admitted for evaluation of abdominal pain and weight loss. Based on diagnostic
data and ima…
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digital.ahrq.gov/sites/default/files/docs/transforming-guidelines-action-qas-06152023.pdf
June 15, 2023 - We are also working within
our innovation’s lab group, as well as some of the key informatics components
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/130-ss-swiss-cheese-fg.docx
April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI
Learning From Defects: Applying the “Swiss cheese model” of System Failure
Surgical Services
For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries
Slide Title and Commentary
Slide Number and Slide
Learning From Defects: Applying the “Swiss C…
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cds.ahrq.gov/sites/default/files/cds/artifact/71/Implementation_Guide_CMS_Million_Hearts_ASCVD_Risk_Assessment.pdf
September 01, 2021 - includes parameters for several values (e.g., minimum and maximum
systolic blood pressure [SBP] and lab … Verify
completeness of
logic
MOST RECENT for
lab and SBP values
and smoking status to
ensure … Decision
Category
Concept Rationale
Verify
completeness of
logic
Lookback of 6 years
for lab
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cds.ahrq.gov/sites/default/files/cds/artifact/71/Implementation%20Guide_CMS%20Million%20Hearts_ASCVD%20Risk%20Assessment_Level3_Final.pdf
February 01, 2018 - includes parameters for several values (e.g., minimum and maximum
systolic blood pressure [SBP] and lab … Verify
completeness of
logic
MOST RECENT for
lab and SBP values
and smoking status to
ensure clinical … Verify
completeness of
logic
Lookback of 6 years
for lab values and
SBP value and a
lookback of
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www.ahrq.gov/sites/default/files/2024-01/mosaly-report.pdf
January 01, 2024 - The lab is equipped with an
Elekta Emulator© that allowed for the simulation of the RTTs’ workflows … The RTTs indicated that the lab setting was more comfortable than their real
workstations, because their … Methods: Eight RTTs participated in a simulated RT pretreatment QA task in the lab environment.
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digital.ahrq.gov/sites/default/files/docs/publication/k08hs017948-koopman-final-report-2014.pdf
January 01, 2014 - Direct observation of predicted patient users in the Information Experience Lab, an
on-campus usability … lab that is equipped with Morae software to examine how users
interact with software systems. … Morae software to record and analyze the sessions,15 which took place in the
Information Experience Lab
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/prevhosp/ereport-slides.html
September 01, 2017 - Visits or Hospital Visits
Total Counts
Fall-Related Injury
Non-Fall-Related Injury
Abnormal Lab
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psnet.ahrq.gov/perspective/conversation-withjoseph-britto-md
February 01, 2007 - envision as we all get wired, somehow in the future, I put in a certain set of signs and symptoms and lab … actually looking at huge databases of patients who have had or have not had those signs and symptoms and lab
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Michel_92.pdf
April 30, 2008 - Improving Patient Safety Using ATHENA-Decision Support System Technology: The Opioid Therapy for Chronic Pain Experience
Improving Patient Safety Using ATHENA-Decision
Support System Technology: The Opioid Therapy for
Chronic Pain Experience
Martha Michel, PhD; Jodie Trafton, PhD; Susana Martins, MD, MSc; Dan Wang…
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www.ahrq.gov/sites/default/files/2025-03/lacson2-report.pdf
January 01, 2025 - Final Progress Report: Deployment of Enhanced Critical Imaging Result Notification (DECIRN)
Title: Deployment of Enhanced Critical Imaging Result Notification (DECIRN)
Principal Investigator: Ronilda Lacson, MD, PhD
Team Members: Ramin Khorasani, MD, MPH
Katherine Andriole, PhD
Luciano Prevedello, MD, MPH
Tejal …
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/012-blood-culture-practices-webinar.docx
October 01, 2024 - It has been reported that up to 80 percent of blood culture bottles received in the microbiology lab
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www.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4.html
August 01, 2022 - System-Focused Event Investigation and Analysis Guide
AHRQ Communication and Optimal Resolution Toolkit
Purpose : To help teams adopt a system-focused approached to event investigation and analysis.
Who should use this tool? Event Reporting, Investigation, and Analysis Team.
How to use this tool : Review…
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www.ahrq.gov/es/patient-safety/settings/hospital/vtguide/guide6.html
May 01, 2016 - anticoagulant (if present), absence or presence of sequential compression devices (SCD), and several lab … The orange color represents patients with a lab contraindication within the last 2 days who are on mechanical
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www.ahrq.gov/patient-safety/settings/hospital/vtguide/guide6.html
May 01, 2016 - anticoagulant (if present), absence or presence of sequential compression devices (SCD), and several lab … The orange color represents patients with a lab contraindication within the last 2 days who are on mechanical
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www.uspreventiveservicestaskforce.org/uspstf/document/final-evidence-summary/latent-tuberculosis-infection-screening
May 02, 2023 - Clin Diagn Lab Immunol . 2004;11(6):1089-1093. doi:10.1128/CDLI.11.6.1089-1093.2004 28. … Clin Lab . 2019;65(8). doi:10.7754/Clin.Lab.2019.181109 47. Yu L, Mo P, Wei Z, et al. … J Clin Lab Anal . 2018;32(2):e22273. doi:10.1002/jcla.2227jc 67. Bae W, Park KU, Song EY, et al. … Clin Lab . 2017;63(4):773-779. doi:10.7754/Clin.Lab.2016.161007 79. … Lab Med . 2017;48(3):214-219. doi:10.1093/labmed/lmx022 109. Kiazyk S, Larcombe L, Lopez C, et al.
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digital.ahrq.gov/sites/default/files/docs/citation/r01hs021236-franklin-final-report-2017.pdf
January 01, 2017 - rather than seeking out their next patient based
on their extended length of stay or availability of lab … trigger
alternative workflows, redirect resources such as adding a nurse to help clear a backlog for lab
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psnet.ahrq.gov/perspective/conversation-jack-westfall-md-mph
September 28, 2022 - Part of it became some of the work that AHRQ continued, specifically the lab safety component of the … Lab safety was one of the conditions for which we found a larger number of patient safety events like
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www.ahrq.gov/sites/default/files/2024-04/anderson-report.pdf
January 01, 2024 - Results: The undertaken studies link training and assessment in the skills lab to performance in the … Accuracy
Location
Tip Error
(mm)
Angle
Error (°)
Computation
Time (sec)
Desktop 1.53 1.15 1.12
Dry Lab … 1.59 1.31 1.03
Conference Room 1.61 1.12 1.01
Wet Lab 1.97 1.18 1.08
Library 1.81 1.31 .99
Average
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/medical-test-reviews-genetic.ppt
June 01, 2012 - proficiency testing program
Useful when no published data on analytic validity exist
Gives degree of lab-to-lab … methods being used, et cetera
Postanalytic Factors
Complexity of interpreting the genetic test result, lab-to-lab … of collection
Storage technique (e.g., fresh, frozen, paraffin, formalin)
Complexity of test method, lab-to-lab