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  1. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/training-tools/training-tools-slideset.pptx
    May 01, 2017 - to other team members or team leaders Speak up when a potential break in patient safety protocol may occur
  2. www.ahrq.gov/hai/cauti-tools/archived-webinars/connecting-dots-slides.html
    December 01, 2017 - Problems often occur in the exchange of information across hospital departments... 50% 4.
  3. www.ahrq.gov/hai/tools/surgery/modules/on-boarding/overview-slides.html
    December 01, 2017 - Exercise is used to identify potential barriers and vulnerabilities to project success before they occur
  4. www.ahrq.gov/hai/tools/surgery/tools/applying-cusp/learn-from-defects.html
    December 01, 2017 - blaming each other, but about identifying flaws in the system that made it possible for hypothermia to occur
  5. psnet.ahrq.gov/web-mm/delayed-breast-cancer-diagnosis-false-sense-security
    May 01, 2005 - Delayed Breast Cancer Diagnosis: A False Sense of Security. Citation Text: Weingart SN, James TA, Schiff G. Delayed Breast Cancer Diagnosis: A False Sense of Security.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2020. Copy Cita…
  6. www.uspreventiveservicestaskforce.org/uspstf/about-uspstf/methods-and-processes/reconsidering-approach-prevention-recommendations-older-adults
    February 01, 2014 - This complexity in risk identification complicates evidence synthesis and is likely to occur with other
  7. psnet.ahrq.gov/perspective/improving-diagnostic-safety-and-quality
    January 31, 2024 - Expert opinion suggests that misdiagnosis may occur in 10–15% of all diagnoses, but literature reviews
  8. effectivehealthcare.ahrq.gov/sites/default/files/pdf/adhd_research-protocol.pdf
    August 10, 2010 - Evidence-based Practice Center Systematic Review Protocol Source: www.effectivehealthcare.ahrq.gov Published Online: August 10, 2010 Evidence-based Practice Center Systematic Review Protocol Project Title: Attention Deficit Hyperactivity Disorder: Effectiveness of Treatment in At-risk Preschoolers; Long…
  9. psnet.ahrq.gov/web-mm/missing-large-vessel-occlusion-stroke-patient-history-seizures
    August 31, 2022 - SPOTLIGHT CASE Missing a Large Vessel Occlusion Stroke in a Patient with a History of Seizures. Citation Text: Keenan KJ, Nishijima DK. Missing a Large Vessel Occlusion Stroke in a Patient with a History of Seizures.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, U…
  10. digital.ahrq.gov/sites/default/files/docs/citation/r21hs023960-rudin-final-report-2018.pdf
    January 01, 2018 - to adjust treatment based on serial monitoring of patients’ symptoms, but such monitoring does not occur
  11. psnet.ahrq.gov/web-mm/challenges-diabetes-management-and-medication-reconciliation
    March 15, 2023 - Challenges of Diabetes Management and Medication Reconciliation Citation Text: Lee S, Molla M. Challenges of Diabetes Management and Medication Reconciliation . PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2022. Copy Citation …
  12. effectivehealthcare.ahrq.gov/sites/default/files/related_files/cer-247-interventional-treatments-acute-chronic-pain-evidence-summary_0.pdf
    September 01, 2021 - Evidence Summary_Comparative Effectiveness Review No. 247_Interventional Treatments for Acute and Chronic Pain: Systematic Review Comparative Effectiveness Review Number 247 Interventional Treatments for Acute and Chronic Pain: Systematic Review Evidence Summary Main Points • Vertebroplasty …
  13. psnet.ahrq.gov/web-mm/unintended-consequences-cpoe
    September 01, 2004 - typically found in procedure manuals or articulated in committee, task force, and focus group meetings that occur
  14. psnet.ahrq.gov/web-mm/contaminated-or-not-guidelines-interpretation-positive-blood-cultures
    November 16, 2022 - Contaminated or Not? Guidelines for Interpretation of Positive Blood Cultures Citation Text: Weinstein MP. Contaminated or Not? Guidelines for Interpretation of Positive Blood Cultures. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. …
  15. www.uspreventiveservicestaskforce.org/uspstf/recommendation/ovarian-cancer-screening-2012
    September 15, 2012 - Share to Facebook Share to X Share to WhatsApp Share to Email Print archived Final Recommendation Statement Ovarian Cancer: Screening September 15, 2012 Recommendations made by the USPSTF are independent of the U.S. government. They shoul…
  16. psnet.ahrq.gov/web-mm/nurse-staffing-ratios-crucible-money-policy-research-and-patient-care
    June 01, 2003 - If unpredictable events occur, staff nurses must feel empowered to voice concerns and collaborate with
  17. psnet.ahrq.gov/web-mm/dissecting-presentation
    May 05, 2021 - Misdiagnosis can occur when patients present with mild illness, when symptoms are suggestive of another
  18. psnet.ahrq.gov/web-mm/chest-pain-rural-hospital
    June 02, 2021 - ( Table 1 ).( 2 ) However, because of the large number of rural EDs, 42% of all ED visits in the US occur
  19. hcup-us.ahrq.gov/reports/statbriefs/sb38.pdf
    October 01, 2007 - HCUP Statistical Brief #38: Trends in Hospital Risk-Adjusted Mortality for Select Diagnoses and Procedures, 1994-2004 HEALTHCARE COST AND UTILIZATION PROJECT Agen Res October 2007 Betwe adjuste for six six sur decrea Acute (heart reduct 1,000 diagno examin hospita admiss with 19 d…
  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…