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6501. HCUP Nationwide Data Use Agreement (pdf file)
      hcup-us.ahrq.gov/team/NationwideDUA.pdf
      May 31, 2025 - only for the purpose of enforcement of this Agreement and for notification in the event data errors occur

6502. Patient Safety 101 | PSNet
      psnet.ahrq.gov/primer/patient-safety-101
      January 16, 2025 - Key insights from work in other fields have shaped medicine's response to analyzing why errors occur

6503. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49710/psn-pdf
      May 01, 2014 - Consequently, automatic refills of discontinued medications may still occur.

6504. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49492/psn-pdf
      November 01, 2005 - More than half of all medication errors occur at the interfaces of care.(1) A review of 22 studies by

6505. OR Peeping | PSNet
      psnet.ahrq.gov/web-mm/or-peeping
      May 01, 2015 - this case—facial recognition of a patient in a community hospital undergoing a surgical procedure—can occur

6506. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/860049/psn-pdf
      January 04, 2024 - Communication failures are the most common cause of sentinel events, and up to half of communication failures occur

6507. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50842/psn-pdf
      January 29, 2020 - the Emergency Department (ED) and illustrate typical errors of patient misidentification that can occur

6508. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49776/psn-pdf
      November 01, 2016 - could be accomplished during weekly interprofessional team meetings designed to review errors as they occur

6509. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49459/psn-pdf
      September 01, 2004 - of the task determines to a large and generally unappreciated extent the kinds of failures that may occur

6510. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49646/psn-pdf
      February 01, 2012 - Though many providers worry about time constraints, effective discussions can occur in as little as

6511. Recommendation: Bladder Cancer in Adults: Screening | United States Preventive Services Taskforce
      www.uspreventiveservicestaskforce.org/uspstf/recommendation/bladder-cancer-in-adults-screening
      August 15, 2011 - Evidence on the harms associated with early treatment, which may occur more frequently with greater detection

6512. Program-Dev-Facilitator-Guide (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/program-dev-facilitator-guide.docx
      June 01, 2021 - the events prior to the antibiotic prescription, and “post-prescriptive” events, which are those that occur

6513. Compendium of U.S. Health Systems, 2022, Nursing Home Linkage File, Technical Documentation (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/chsp/compendium/2022-nh-linkage-techdoc.pdf
      January 01, 2022 - However, lags may occur in updating changes to systems and their nursing homes.

6514. Compendium of U.S. Health Systems, 2020, Nursing Home Linkage File, Technical Documentation (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/chsp/compendium/2020-nh-linkage-techdoc.pdf
      January 01, 2020 - However, lags may occur in updating changes to systems and their nursing homes.

6515. Monitoring Ventilator-Associated Events Module 2
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/vae/monitoring-vae-slides.pptx
      January 01, 2017 - Monitoring Ventilator-Associated Events Module 2 Monitoring Ventilator-Associated Events AHRQ Safety Program for Mechanically Ventilated Patients AHRQ Pub. No. 16(17)-0018-26-EF January 2017 Monitoring VAEs ‹#› AHRQ Safety Program for Mechanically Ventilated Patients 1 Learning Objectives After this sessio…

6516. Unique Challenges in Approaching Diagnostic Safety in Older Adults | Agency for Healthcare Research and Quality
      www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-older-adults2.html
      September 01, 2024 - These changes reflect cumulative disadvantages that occur throughout an individual’s life, requiring

6517. The Challenge and Potential for Assuring Quality Health Care for the 21st Century | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/quality-measures/21st-century/index.html
      June 01, 2018 - The Challenge and Potential for Assuring Quality Health Care for the 21st Century Next Page Table of Contents The Challenge and Potential for Assuring Quality Health Care for the 21st Century From Quality Measures to Quality Care: Examples of Quality Improvement at Work Private Sector Efforts in V…

6518. Final Progress Report: Development of an Education Intervention for Triage Interruption Management (pdf file)
      www.ahrq.gov/sites/default/files/2024-05/johnson-ying-report.pdf
      January 01, 2024 - Final Progress Report: Development of an Education Intervention for Triage Interruption Management Title Page Title of Project: Development of an Education Intervention for Triage Interruption Management Principal Investigator: Kimberly D. Johnson PhD, RN, CEN, FAEN Co-Investigator: Jun Ying, PhD Organization: …

6519. Final Progress Report: Effects of Physician Social Networks on Surgical Quality, Safety, and Costs (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/hollingsworth-report.pdf
      January 01, 2024 - It captures the degree to which ties occur between nodes with similar properties (i.e., physicians of

6520. U.S. Preventive Services Task Force Issues Draft Recommendation Statement on Primary Care Interventions to Prevent Child Maltreatment (pdf file)
      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…