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integrationacademy.ahrq.gov/products/topic-briefs/stimulant-use-disorders-and-behavioral-health-integration
February 01, 2025 - An official website of the Department of Health & Human Services
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/cesarean-birth-2010_executive.pdf
January 01, 2010 - This is believed to occur because the scarred tissue from
prior cesarean has a less robust blood supply … Adverse
effects may occur at any point after the strategy has been
implemented.
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digital.ahrq.gov/sites/default/files/docs/publication/uc1hs014882-ferranti-final-report-2008.pdf
January 01, 2008 - surveillance,
to the scorecard, was based on that fact that narcotic/benzodiazepine related events occur
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www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/resources/guides/infection-prevent.html
March 01, 2017 - Basic Background
How Do Infections Occur? … Multidrug-Resistant Organisms
Key Messages
Multidrug-resistant organisms (MDROs) 3 occur when … outbreak occurs when there are more cases of an infectious disease in a designated population than usually occur
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www.ahrq.gov/research/findings/final-reports/ptfamilyscan/ptfamily3a.html
July 01, 2018 - environmental characteristics that create a "desire to make an effort toward a particular target." 80 They can occur … Changes in reimbursement that incorporate payment penalties for events or conditions that should not occur … that accrues to the same organization that makes the program investment). 105 The benefits must also occur
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Emanuel_19.pdf
February 20, 2008 - • If desired outcomes are to occur, new skills must be translated into behavior. … Changes in actual behaviors in the clinical setting must occur for the fourth step in the cascade of … These last three stages all occur outside the classroom.
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effectivehealthcare.ahrq.gov/sites/default/files/peptic-ulcer-horizon-scan-high-impact-1412.pdf
December 01, 2014 - Bowel Syndrome
Key Facts: SBS encompasses a group of health problems, related to malnutrition, that occur … Short bowel syndrome (SBS) encompasses a group of health problems, related to
malnutrition, that occur … Point of This Intervention
SBS encompasses a group of health problems, related to malnutrition, that occur
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www.uspreventiveservicestaskforce.org/uspstf/recommendation/human-immunodeficiency-virus-hiv-infection-screening-1996
January 01, 1996 - U.S. are infected with the human immunodeficiency virus (HIV-1) and that 40,000-80,000 new infections occur … Indeterminate WB results, due to antibody patterns that do not meet full criteria for positive test, occur … 105 , 106 and mortality is high (up to 30%). 107 Adverse reactions (rash, cytopenia) from TMP-SMX occur … compelling argument for early detection is the potential to prevent transmission of HIV, which may occur … A growing number of HIV infections occur in persons who are infected through heterosexual contact.
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www.uspreventiveservicestaskforce.org/uspstf/recommendation/prostate-cancer-screening
May 08, 2018 - The potential harms of screening, diagnostic procedures, and treatment occur soon after screening takes … Although the potential benefits may occur any time after screening, they generally occur years after … cancer to symptomatic, metastasized cancer or death (if it occurs at all) may take years or decades to occur … false-positive results, complications from transrectal prostate biopsies, overdiagnosis (which may occur
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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-Steele_100.pdf
March 18, 2008 - Efficiency Gains with Computerized Provider Order Entry
Efficiency Gains with Computerized
Provider Order Entry
Andrew M. Steele, MD, MPH, MSc; Mical DeBrow, PhD, RN
Abstract
Objective: The objective of this project was to measure efficiency gains in turnaround times
with the implementation of a computer…
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psnet.ahrq.gov/node/39743/psn-pdf
October 13, 2010 - Anatomy and pathophysiology of errors occurring in
clinical radiology practice.
October 13, 2010
Brook OR, O'Connell AM, Thornton E, et al. Quality initiatives: anatomy and pathophysiology of errors
occurring in clinical radiology practice. Radiographics. 2010;30(5):1401-10. doi:10.1148/rg.305105013.
https://psnet…
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digital.ahrq.gov/sites/default/files/docs/workflowtoolkit/WhatIsWorkflow.ppt
January 01, 2009 - It can occur at different and/or multiple levels (e.g., one person, between people, across organizations … )
It can occur sequentially and/or simultaneously
Work flows in different ways
Inter-organizational
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psnet.ahrq.gov/node/37155/psn-pdf
October 06, 2011 - Classification of adverse events occurring in a surgical
intensive care unit.
October 6, 2011
Frankel H, Sperry J, Kaplan L, et al. Classification of adverse events occurring in a surgical intensive care
unit. Am J Surg. 2007;194(3):328-32.
https://psnet.ahrq.gov/issue/classification-adverse-events-occurring-surgi…
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psnet.ahrq.gov/node/867137/psn-pdf
November 13, 2024 - Enteral nutrition: an underappreciated source of patient
safety events.
November 13, 2024
Citty SW, Chew M, Hiller LD, et al. Enteral nutrition: an underappreciated source of patient safety events.
Nutr Clin Prac. 2024;39(4):784-799. doi:10.1002/ncp.11153.
https://psnet.ahrq.gov/issue/enteral-nutrition-underapprec…
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hcup-us.ahrq.gov/reports/factsandfigures/2009/pdfs/FF_2009_exhibit5_2.pdf
January 01, 2009 - 5.2A
HCUP Facts and Figures: Statistics on Hospital-Based Care in the United States, 2009 65
EXHIBIT 5.2 Common Conditions During Hospital Stays for Females
5.3
6.4
1.1
1.21.4
1.91.5
1.91.9
2.13.1
2.7
2.2
2.1
4.6
0
5
10
15
20
25
Male Stays
16.4 Million Stays
(42% of All Stays)
Female Stays
22.…
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psnet.ahrq.gov/node/38360/psn-pdf
March 18, 2010 - Medication errors occurring with the use of bar-code
administration technology.
March 18, 2010
PA-PSRS Patient Saf Advis. December 2008;5:122-126.
https://psnet.ahrq.gov/issue/medication-errors-occurring-use-bar-code-administration-technology
This article describes errors associated with bar coded medication admin…
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psnet.ahrq.gov/node/73067/psn-pdf
March 24, 2021 - Changes in error patterns in unanticipated trauma deaths
during 20 years: in pursuit of zero preventable deaths.
March 24, 2021
LaGrone LN, McIntyre LK, Riggle A, et al. Changes in error patterns in unanticipated trauma deaths during
20 years: In pursuit of zero preventable deaths. J Trauma Acute Care Surg. 2020;89…
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www.uspreventiveservicestaskforce.org/uspstf/sites/default/files/file/supporting_documents/child-maltreatment-interventions-draft-rec-bulletin.pdf
September 25, 2023 - U.S. Preventive Services Task Force Issues Draft Recommendation Statement on Primary Care Interventions to Prevent Child Maltreatment
www.uspreventiveservicestaskforce.org 1
U.S. Preventive Services Task Force Issues Draft Recommendation
Statement on Primary Care Interventions to Prevent
Child Maltreatmen…
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/TND-0775-150722.pdf
May 12, 2015 - TND-0775-150722
Treatments for Adults with Schizophrenia
Nomination Summary Document
Results of Topic Selection Process & Next Steps
§ This topic will go forw…
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hcup-us.ahrq.gov/reports/factsandfigures/2009/exhibit5_2.jsp
January 01, 2009 - Facts and Figures Exhibit 5.2
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