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6801. Spotlight (pdf file)
      psnet.ahrq.gov/sites/default/files/2022-03/final_spotlight_case_mistaken_capacity.pdf
      January 01, 2022 - is often consulted when a patient is hospitalized; however, the vast majority of chronic illnesses occur

6802. Spotlight (pdf file)
      psnet.ahrq.gov/sites/default/files/2022-08/final_spotlight_latex_allergies-slides.pdf
      January 01, 2022 - Spotlight Spotlight Perioperative Anaphylaxis After Insertion of a Latex Drain in a Patient with Known Latex Allergy Source and Credits • This presentation is based on the August 2022 AHRQ WebM&M Spotlight Case o See the full article at https://psnet.ahrq.gov/webmm o CME credit is available o Commentary by K…

6803. Session 1 | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/mod2sess1.html
      October 01, 2014 - Team communication has to occur from the leader of the team to all team members and also among all team

6804. Measurement and Outcomes Workgroup: Charter – Option Year 2 (pdf file)
      cdsic.ahrq.gov/sites/default/files/2024-12/OY2_Final%20MO%20Workgroup%20Charter.pdf
      January 01, 2024 - determine the probability of its successful completion relative to the significance in change that would occur

6805. 099-Cusp-Guide-Why-Choose-Cusp-Approach (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/099-cusp-guide-why-choose-cusp-approach.docx
      October 01, 2024 - CUSP acknowledges that healthcare can be complicated and errors can occur, as all people are fallible

6806. Spreadnotes (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/spread/spreadnotes.docx
      June 02, 2025 - Knowledge transfer can occur through team presentations, hospital-wide newsletters, a marketing campaign

6807. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33611/psn-pdf
      July 01, 2005 - strategies on David Bates' work, where the major goal is to try to tabulate the frequency with which errors occur

6808. Measurement and Outcomes Workgroup: Charter – Option Year 2 (pdf file)
      digital.ahrq.gov/sites/default/files/OY2_Final%20MO%20Workgroup%20Charter.pdf
      November 01, 2024 - determine the probability of its successful completion relative to the significance in change that would occur

6809. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50768/psn-pdf
      December 27, 2019 - they have standards that relate to equity, communication, or any other areas in which disparities occur

6810. Evidence Summary: Aspirin Use to Prevent Cardiovascular Disease: Preventive Medication | United States Preventive Services Taskforce
      www.uspreventiveservicestaskforce.org/uspstf/document/final-evidence-summary/aspirin-to-prevent-cardiovascular-disease-preventive-medication
      April 26, 2022 - These analyses suggest that the potential effect of aspirin on CRC incidence may not occur until 10 years … of use. 6 , 7 , 45 , 53 Among the few trials with Kaplan-Meier curves, bleeding harms appeared to occur

6811. The Use of Aspirin for Primary Prevention of Colorectal Cancer: A Systematic Review (pdf file)
      www.uspreventiveservicestaskforce.org/home/getfilebytoken/pnyU5fxhdBUtCdvJ3GyqzR
      March 01, 2007 - revealed that regular aspirin use was associated with a statistically significant 28% RR reduction in the occur

6812. Environmental Scan of Patient Safety Education and Training Programs (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/environmental-scan-programs/envptscan.pdf
      June 01, 2013 - that minimize the likelihood of errors and maximize the likelihood of intercepting errors when they occur … to the fact that these outcomes are often low-base-rate events (i.e., because these events rarely occur

6813. Neonatal Intensive Care All-Condition Readmissions with Gestational Age Reported (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-207-fullreport.pdf
      June 01, 2019 - focus on the overall quality of care of the NICU, as some of the variation in readmission rates may occur … In pediatric medicine, there are groups of high-risk patients for whom hospital readmissions occur … In pediatric medicine, there are groups of high-risk patients for whom hospital readmissions occur

6814. Summary of Recommendations from Round 1 Cognitive Testing of the MEPS Cancer SAQ
      meps.ahrq.gov/survey_comp/hc_survey/2011/MEPS_Cancer_SAQ_R1_Results.shtml
      January 01, 2011 - Summary of Recommendations from Round 1 Cognitive Testing of the MEPS Cancer SAQ   Skip to main content An official website of the Department of Health & Human Services More Back …

6815. Screening for Colorectal Cancer: US Preventive Services Task Force Recommendation (pdf file)
      www.uspreventiveservicestaskforce.org/home/getfilebytoken/2Wc3FRHpVDPX2jT_WzjEXX
      July 31, 2020 - It is estimated that 10.5% of new colorectal cancer cases occur in persons younger than 50 years. … diagnosed among persons aged 65 to 74 years.2 It is estimated that 10.5% of new colorectal cancer cases occur … than 50 y • Modeling analyses suggest more life-years are gained and fewer colorectal cancer deaths occur … ies; n = 5 272 600).9,10 If sedation is used during colonoscopy, car- diopulmonary events may rarely occur

6816. CER 215 Adverse Effects of Pharmacologic Treatments of Major Depression in Older Adults (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/cer-215-depression-older-adults-comments.pdf
      March 28, 2019 - not clear that the authors of the observational study could fully control for channeling that can occur … clinically useful to patients or clinicians without knowing the likelihood that an adverse effect will occur … explicit that people that tolerate treatment were randomized, thus adverse events were less likely to occur

6817. CER 218 Evidence Summary: Long-Term Drug Therapy and Drug Holidays for Osteoporosis Fracture Prevention: A Systematic Review (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/cer-218-osteoporosis-fracture-prevention-evidence-summary.pdf
      April 01, 2019 - CER 218 Evidence Summary: Long-Term Drug Therapy and Drug Holidays for Osteoporosis Fracture Prevention: A Systematic Review Purpose of Review To summarize the effects of long-term osteoporosis drug treatment and of osteoporosis drug treatment discontinuation and holidays. Key Messages • Evidence on the effects …

6818. Screening Women and Elderly Adults for Family and Intimate Partner Violence: A Review of the Evidence (pdf file)
      www.uspreventiveservicestaskforce.org/home/getfilebytoken/SvB6EjoVaaQxQr4vpCRtWp
      March 01, 2004 - Fair: Studies will be graded “fair” if any or all of the following problems occur, without the important

6819. CDS Connect - Year 1 Final Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/citation/cds-connect-year1-final-report.pdf
      October 01, 2017 - CDS Connect - Year 1 Final Report CDS Connect Contract Year 1 CDS Connect Final Report Final Contract Report CDS Connect Prepared for: Agency for Healthcare Research and Quality 5600 Fishers Lane Rockville, MD 20857 www.ahrq.gov Contract No. HHSA290201600001U Prepared by: CMS Alliance to Moder…

6820. SureScripts - Final Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/page/SureScripts%20Final%20Report.pdf
      January 11, 2007 - Adverse drug events have been estimated to occur in 27.4% of community dwelling adults,4 and estimates … Our original design required follow-up surveys to occur four to six weeks post implementation to assure