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  1. www.ahrq.gov/sites/default/files/2024-07/liebman-hyman-report.pdf
    January 01, 2024 - Final Progress Report: Conference on Medical Error Communication and Dispute Resolution g/o/cbl/pew/conference/AHRQFinalReport11/19 Conference on Medical Error Communication and Dispute Resolution Carol B. Liebman, Principal Investigator Chris Stern Hyman, Co-Principal Investigator William Sage, Consultant/Adviso…
  2. www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/implementation-guides/implementation-guide2/implguide2pt1.html
    September 01, 2014 - Designing Care Management Entities for Youth with Complex Behavioral Health Needs Part 1: An Introduction to Care Management Entities (CMEs) Previous Page Next Page Table of Contents Designing Care Management Entities for Youth with Complex Behavioral Health Needs Part 1: An Introduction to Care M…
  3. www.ahrq.gov/research/findings/nhqrdr/2014chartbooks/hispanichealth/part3-nqs.html
    May 01, 2018 - Chartbook for Hispanic Health Care Part 3: Trends in Access and Priorities of the National Quality Strategy—National Quality Strategy Priorities Previous Page Next Page Table of Contents Chartbook for Hispanic Health Care Acknowledgments Health Care For Hispanics National Quality Strategy Prio…
  4. www.ahrq.gov/hai/cusp/toolkit/learn-defects.html
    December 01, 2012 - Learn from Defects Tool CUSP Toolkit Health care organizations can increase the extent to which they learn from defects. Problem statement: Health care organizations can increase the extent to which they learn from defects. We define this learning as reducing the probability that a future patient will be h…
  5. www.ahrq.gov/healthsystemsresearch/hspc-research-study/introduction.html
    June 01, 2020 - 1. Introduction Health Services and Primary Care Research Study: Comprehensive Report Congressional Mandate On March 23, 2018, when H.R. 1625, the Consolidated Appropriations Act of 2018, became law ( Frelinghuysen, 2018 ), Congress directed and authorized the Agency for Healthcare Research and Quality (AHR…
  6. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-196-section-2.pdf
    January 01, 2016 - Measure 6: Ratio of Magnetic Resonance Imaging Scans to Computed Tomography Scans for the Evaluation of Children with Atraumatic Headache Q-METRIC Imaging Measure 6, Overuse of Imaging for Atraumatic Headache U18HS020516 Page 51 Submitted January 2016 This measure assesses the ratio of the number…
  7. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-213-section-5-table-4.pdf
    January 01, 2012 - CHIPRA 213: Section 5, Table 4 Table 4: Evidence Supporting Hydroxyurea Treatment for Children with Sickle Cell Disease TYPE OF EVIDENCE KEY FINDINGS LEVEL OF EVIDENCE (USPSTF RANKING*) CITATIONS Randomized controlled trial The Multicenter Study of Hydroxyurea in Sickle Cell Anemia (MSH), a ra…
  8. www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/bronchitis-guide.docx
    September 01, 2022 - The “Never Antibiotic” Diagnoses: Acute Bronchitis – Facilitator Guide AHRQ Safety Program for Improving Antibiotic Use 1 The “Never Antibiotics” Diagnoses: Acute Bronchitis Ambulatory Care Slide Title and Commentary Slide Number and Slide The “Never Antibiotics” Diagnoses: Acute Bronchitis Ambulatory Care SAY…
  9. Learndefects (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/learndefects.doc
    June 02, 2025 - Learn From Defects Tool Problem statement: Health care organizations can increase the extent to which they learn from defects. We define this learning as reducing the probability that a future patient will be harmed. Most often clinicians recover from mistakes by reducing risks to the patient who suffered a defect. Wh…
  10. effectivehealthcare.ahrq.gov/sites/default/files/pdf/traumatic-brain-injury-rehabilitation_research-protocol.pdf
    October 25, 2010 - Finally, once the patient is medically stable, postacute rehabilitation may occur. … primary studies identified in the bibliographic database searches against the inclusion criteria will occur
  11. digital.ahrq.gov/sites/default/files/docs/publication/r18hs017820-singh-final-report-2013.pdf
    January 01, 2013 - Scope: Delays in cancer diagnosis continue to occur despite improved availability of diagnostic information … large number of patients who receive diagnostic testing, as well as the paucity of adverse events that occur
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60980/psn-pdf
    January 01, 2022 - Analysis of risk factors for patient safety events occurring in the emergency department. October 7, 2020 Alsabri M, Boudi Z, Zoubeidi T, et al. Analysis of risk factors for patient safety events occurring in the emergency department. J Patient Saf. 2022;18(1):e124-e135. doi:10.1097/pts.0000000000000715. https://p…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35876/psn-pdf
    June 18, 2013 - External Inquiry into the adverse incident that occurred at Queen's Medical Centre, Nottingham, 4th January 2001. June 18, 2013 Toft B. London, UK; Crown Copyright: 2001. https://psnet.ahrq.gov/issue/external-inquiry-adverse-incident-occurred-queens-medical-centre-nottingham- 4th-january-2001 This UK Department o…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42993/psn-pdf
    March 19, 2014 - Baccalaureate nursing students' accounts of medical mistakes occurring in the clinical setting: implications for curricula. March 19, 2014 Noland CM. Baccalaureate nursing students' accounts of medical mistakes occurring in the clinical setting: implications for curricula. J Nurs Educ. 2014;53(3):S34-7. doi:10.392…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37156/psn-pdf
    October 06, 2011 - Preventable harm occurring to critically ill children. October 6, 2011 Larsen G, Donaldson AE, Parker HB, et al. Preventable harm occurring to critically ill children. Pediatr Crit Care Med. 2007;8(4):331-336. https://psnet.ahrq.gov/issue/preventable-harm-occurring-critically-ill-children This retrospective cohort…
  16. Psn-Pdf (pdf file)

    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…
  17. Psn-Pdf (pdf file)

    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…
  18. Ff 2009 Exhibit5 2 (pdf file)

    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.…
  19. Psn-Pdf (pdf file)

    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…
  20. 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…