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psnet.ahrq.gov/node/860720/psn-pdf
January 17, 2024 - do-patients-who-read-visit-notes-patient-portal-have-higher-rate-loop-closure-diagnostic
https://psnet.ahrq.gov/web-mm/costly-colonoscopy-leads-delay-diagnosis
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/methods-research-report-pilot-promote-entry-data-srdr_0.pdf
October 01, 2019 - Key Messages
• Using an online survey of nine Project Leads we determined that Microsoft Excel and … We conducted a survey
of EPC Project Leads that had recently uploaded to SRDR data from a systematic … The survey was completed by nine of nine eligible EPC Project Leads (100%). … Aim 1: Disposition of eligible systematic reviews, EPC Project Leads, and EPCs for
the survey ...... … Aim 1: Disposition of eligible systematic reviews, EPC Project Leads, and EPCs for the
survey
MS
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psnet.ahrq.gov/node/45709/psn-pdf
September 01, 2018 - integrated-approach-reduce-perinatal-adverse-events-standardized-processes-
interdisciplinary
Prior research has shown that reducing preventable perinatal harm leads
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psnet.ahrq.gov/node/46771/psn-pdf
January 30, 2018 - electronic-medical-record-alert-associated-reduced-opioid-and-
benzodiazepine-coprescribing
Opioid and benzodiazepine coprescribing leads
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psnet.ahrq.gov/node/45501/psn-pdf
October 28, 2016 - This systematic review determined that vital sign
monitoring leads to early identification of patient
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psnet.ahrq.gov/node/45699/psn-pdf
December 21, 2016 - interpretive-diagnostic-error-reduction-surgical-pathology-and-cytology-guideline-college
https://psnet.ahrq.gov/issue/when-diagnostic-testing-leads-harm-new-outcomes-based-approach-laboratory-medicine
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psnet.ahrq.gov/node/35328/psn-pdf
May 19, 2015 - The mapped-out process then leads to identification of potential failures and the development of
strategies
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psnet.ahrq.gov/node/47370/psn-pdf
October 10, 2018 - overdiagnosis-primary-care-framing-problem-and-finding-solutions
https://psnet.ahrq.gov/issue/when-medical-care-leads-harm-difficulty-finding-words-teachable-moment
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www.ahrq.gov/funding/training-grants/grants/active/kawards/Kawdsumjons.html
October 01, 2014 - The proposed research has six aims:
Quantify the degree to which doubly robust (DR) estimation leads
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psnet.ahrq.gov/node/47991/psn-pdf
July 12, 2019 - disclosure-hospital-adverse-events-and-its-association-patients-ratings-quality-care
https://psnet.ahrq.gov/web-mm/diffusion-responsibility-leads-danger
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psnet.ahrq.gov/node/47812/psn-pdf
April 17, 2019 - https://psnet.ahrq.gov/issue/overtreatment-united-states
https://psnet.ahrq.gov/issue/when-medical-care-leads-harm-difficulty-finding-words-teachable-moment
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psnet.ahrq.gov/node/73258/psn-pdf
May 12, 2021 - rate-sepsis-hospitalizations-after-misdiagnosis-adult-emergency-department-patients-look
https://psnet.ahrq.gov/web-mm/lack-sepsis-recognition-leads-delay-care-following-cesarean-delivery
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psnet.ahrq.gov/node/49844/psn-pdf
October 01, 2018 - Diffusion of Responsibility Leads to Danger
October 1, 2018
Balcezak TJ, Deshpande O. … Diffusion of Responsibility Leads to Danger. PSNet [internet]. 2018. … https://psnet.ahrq.gov/web-mm/diffusion-responsibility-leads-danger
The Case
A 70-year-old man was … https://psnet.ahrq.gov/web-mm/diffusion-responsibility-leads-danger
Fortunately, the patient was resuscitated
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www.uspreventiveservicestaskforce.org/Home/GetFileByToken/-BbKrbuLt9RAPvf3BQrUMW
Screening Recommendation
4
Another important harm is overdiagnosis, which happens
when screening leads … Thus, treatment of these men provides
them with no benefit and leads to harmful outcomes. … Overdiagnosis happens when screening leads to the diagnosis
of prostate cancer in men who would not … Thus, treatment of
these men provides them with no benefit and leads to harmful
outcomes.
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/fallspx/handout.html
November 01, 2017 - The nurse manager leads both of these and the nursing assistants attend a shift brief on each shift that … Multidisciplinary team
DON or ADON typically leads the meeting. … Rehab Department staff
Rehab director typically leads the meeting. … DON or ADON or rehab director leads the meeting. … Medical Director leads the meeting.
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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/05-SOPS_101_Webcast-GRAY-Resources.pdf
September 01, 2019 - Slides
www.ahrq.gov/sops/events
Recent Webcasts include:
• Implementation of an Event Reporting System Leads
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www.ahrq.gov/cpi/about/nac/pcortf-snac/bakken.html
November 01, 2022 - At Columbia Nursing, she leads the NINR-funded Precision in Symptom Self-Management (PriSSM) Center and
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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/unc-webcast-transcript.pdf
January 01, 2020 - Implementation of an Event Reporting and Learning System Leads to Improvements in Patient Safety Culture … https://www.ahrq.gov/sops/index.html 1
Implementation of an Event Reporting and Learning System Leads … Agency for Healthcare Research and Quality, Implementation of an
Event Reporting and Learning System Leads … westat.com
https://www.ahrq.gov/sops/index.html
Implementation of an Event Reporting and Learning System Leads
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www.ahrq.gov/talkingquality/plan/objectives.html
November 01, 2018 - Inform consumers about care that leads to the best outcomes.
-
psnet.ahrq.gov/node/49527/psn-pdf
December 01, 2006 - Mismatch of patient identifiers or failure to label the tube leads to test
cancellation and caregiver … Examples of Patient Harm Associated with Laboratory Errors
Error identifying an organism leads to incorrect … Data entry error of a troponin result leads to false diagnosis of myocardial infarction and
unnecessary … Mislabeled blood gas specimen leads to delay in results and mismanagement of a patient who is
coding … Miscommunication of a high INR result leads to near fatal bleeding in an outpatient who has
received