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  1. psnet.ahrq.gov/issue/advancing-science-measurement-diagnostic-errors-healthcare-safer-dx-framework
    December 06, 2023 - Commentary Advancing the science of measurement of diagnostic errors in healthcare: the Safer Dx framework. Citation Text: Singh H, Sittig DF. Advancing the science of measurement of diagnostic errors in healthcare: the Safer Dx framework. BMJ Qual Saf. 2015;24(2):103-110. doi:10.1136/bm…
  2. psnet.ahrq.gov/issue/cognitive-errors-diagnosis-instantiation-classification-and-consequences
    June 21, 2016 - Study Classic Cognitive errors in diagnosis: instantiation, classification, and consequences. Citation Text: Kassirer JP, Kopelman RI. Cognitive errors in diagnosis: instantiation, classification, and consequences. Am J Med. 1989;86(4):433-41. Copy Citation …
  3. www.uspreventiveservicestaskforce.org/home/getfilebytoken/jaK5cMrYT_E3QkSzf93qbo
    January 01, 2015 - that will progress to cause illness or death from those that will not, overdiagnosis almost always leads
  4. www.uspreventiveservicestaskforce.org/home/getfilebytoken/dL4dSze-jDjCPgDAzQ_Byj
    January 01, 2015 - that will progress to cause illness or death from those that will not, overdiagnosis almost always leads
  5. www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/getting-started-implementation-guide.pdf
    March 01, 2023 - Getting Started: Laying the Groundwork for Implementing Automatic Referral and Effective Care Coordination Implementation Guide for Getting Started Getting Started: Laying the Groundwork for Implementing Automatic Referral and Effective Care Coordination Acronym List Term Abbreviation AACVPR American Assoc…
  6. psnet.ahrq.gov/web-mm/which-line-ordering-provider-or-proceduralist
    September 16, 2015 - SPOTLIGHT CASE Which Line: Ordering Provider or Proceduralist? Citation Text: Blackmore CC. Which Line: Ordering Provider or Proceduralist?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. Copy Citation Format: …
  7. www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/resources/diagnostic-toolkit/09-diagnostic-safety-practice-orientation.pptx
    November 24, 2020 - Co-producing a Diagnosis Engaging Patients To Improve Diagnostic Safety Practice Orientation AHRQ Publication No. 21-0047-8-EF August 2021 1 Diagnostic Errors Are a Big Challenge Nearly every person will experience a diagnostic error in their lifetime. Diagnostic error is the leading patient safety challenge…
  8. www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/high-reliability-journey-slides.pptx
    September 26, 2023 - VHA's Journey to High Reliability: Advancing Toward Zero Harm and Becoming a Learning Health System September 26, 2023 Pre-Decisional Deliberative Document Internal VA Use Only Advancing Toward Zero Harm and Becoming a Learning Health System Gerard R. Cox, MD, MHA  Assistant Under Secretary for Health for Quality & …
  9. digital.ahrq.gov/sites/default/files/docs/survey/use-web-based-health-information-patient-practice-portal-non-users.pdf
    June 16, 2021 - Use of Web-based Health Information – for Patient Practice Portal Non-Users Use of web-based health information – for patient practice portal non-users Virginia Commonwealth University; Richmond, VA This is a questionnaire designed to be completed by adult patients in their home. The to…
  10. www.ahrq.gov/research/findings/final-reports/haidesign/haidesign-summary.html
    April 01, 2018 - Understanding the Role of Health Care Facility Design in the Acquisition and Prevention of HAIs This report summarizes the role of the built environment in the transmission of pathogens and discusses the impact that design features could have in mitigating transmission in health care facilities. …
  11. psnet.ahrq.gov/sites/default/files/2020-09/final_slides_sept_spotlight_case_when_the_lytes_go_out_slides_08.25.2020-revised.pdf
    January 01, 2020 - Microsoft PowerPoint - FINAL SLIDES Sept_Spotlight Case_When the Lytes Go Out_SLIDES_08.25.2020-revised.pptx Spotlight When the Lytes Go Out: A Case of Inpatient Cardiac Arrest Source and Credits • This presentation is based on the September 2020 AHRQ WebM&M Spotlight Case o See the full article at https://psne…
  12. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/162-example-completed-learning-defects-tool.docx
    October 01, 2024 - AHRQ Safety Program for MRSA Prevention Learning From Defects Tool - Example ICU & Non-ICU Problem statement: Healthcare organizations can increase the extent to which they learn from defects. We define this learning as reducing the probability that future patients will be harmed. What is a defect? A defect is any cli…
  13. www.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide6.html
    August 01, 2022 - Care for the Caregiver Program Implementation Guide AHRQ Communication and Optimal Resolution Toolkit Purpose: To guide an organization in developing and implementing a Care for the Caregiver program. Who should use this tool? The Care for the Caregiver Program Lead How to use this tool: Use this guide…
  14. www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module6/mod6-slides.html
    March 01, 2017 - Module 6: Sustainability AHRQ Safety Program for Long-Term Care: HAIs/CAUTI Slide 1: Module 6: Sustainability Slide 2: Objectives Define sustainability and understand the importance of maintaining positive change. Describe the link between sustainability and spread. Develop a plan for sustainabi…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49845/psn-pdf
    October 01, 2018 - Coming Up Short: Maintaining Safety in the Face of Drug Shortages October 1, 2018 Plogsted S. Coming Up Short: Maintaining Safety in the Face of Drug Shortages. PSNet [internet]. 2018. https://psnet.ahrq.gov/web-mm/coming-short-maintaining-safety-face-drug-shortages The Case A 1-month-old preterm infant in the ne…
  16. www.ahrq.gov/sites/default/files/publications/files/haidesign-summary.pdf
    September 01, 2013 - Understanding the Role of Health Care Facility Design in the Acquisition and Prevention of HAIs: Summary 1 Contract Final Report Understanding the Role of Health Care Facility Design in the Acquisition and Prevention of HAIs Executive Summary Prepared for: Agency for Healthcare Research…
  17. Obesity (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/10_obesity_potential_high_impact_2012-12-11.pdf
    January 01, 2012 - AHRQ did not directly participate in horizon scanning, assessing the leads for topics, or providing … Since that implementation, review of more than 15,000 leads about potential topics has resulted in … From a broader perspective, multiple experts noted that if EndoBarrier leads to patients undergoing
  18. www.ahrq.gov/sites/default/files/2024-04/anderson-report.pdf
    January 01, 2024 - We have demonstrated that the wire navigation simulator leads to faster and more precise placement of … Simulator training leads to improved wire navigation in first year orthopaedic residents. 41st Annual … Simulator training leads to improved wire navigation in first year residents. 64th Annual Meeting of
  19. www.uspreventiveservicestaskforce.org/home/getfilebytoken/wyAJqjxBX_dHMF3WdA7WNt
    September 05, 2017 - found adequate evidence that treatment of amblyo­ pia or its risk factors in children aged 3 to 5 years leads … inadequate evi­ dence that treatment of amblyopia or its risk factors in children younger than 3 years leads … ­ equate evidence that treatment of amblyopia or its risk factors in children younger than 3 years leads
  20. www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/ambulatory/6bb-toolkit-fasttrack-complete.pdf
    October 01, 2021 - The Fast Track Approach Guide leads you through an assessment of your organization’s support systems … This guide leads you through an assessment of your organization’s chronic pain and opioid management … include clinicians, medical assistants, nurses, care coordinators, information technology (IT)/data leads