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www.ahrq.gov/patient-safety/reports/hotline/design2.html
May 01, 2016 - Developing and Testing the Health Care Safety Hotline: A Prototype Consumer Reporting System for Patient Safety Events
II. Hotline Design and Development
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Table of Contents
Developing and Testing the Health Care Safety Hotline: A Prototype Consumer Reporting System for Patient…
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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-Alexander_10.pdf
January 20, 2008 - Measuring IT Sophistication in Nursing Homes
Measuring IT Sophistication in Nursing Homes
Gregory L. Alexander, PhD, RN; Dick Madsen, PhD; Stephanie Herrick; Brady Russell
Abstract
Objective: Little activity has occurred in nursing home (information technology) IT adoption.
The purpose of this study was to de…
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psnet.ahrq.gov/node/60722/psn-pdf
February 06, 2023 - If the test sensitivity is only 70%, as may occur with inadequate specimen collection
or early infection
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www.ahrq.gov/sites/default/files/2024-03/tzeng-report.pdf
January 01, 2024 - Final Progress Report: Call Light Responsiveness and Effect on Inpatient Falls and Patient Perceptions
1
Final report-2011/11/29 (limited to 20 pages)
AHRQ R03 Project Title: Call Light Responsiveness and Effect on Inpatient Falls and Patient Perceptions
Principal Investigator (PI): Huey-Ming Tzeng, PhD, RN, FAAN,…
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www.ahrq.gov/sites/default/files/2024-02/miller-birkmeyer-report.pdf
January 01, 2024 - Final Progress Report: Physician Organization and the Efficiency of Surgical Specialty Care
1
Title of Project
Physician Organization and the Efficiency of Surgical Specialty Care
Principal Investigator and Team Members
Dr. David C. Miller
Dr. John D. Birkmeyer
Organization
The Regents of the University of Mi…
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www.ahrq.gov/sites/default/files/2024-01/guise2-report.pdf
January 01, 2024 - Final Grant Report: Using Military & Aviation Simulation Experience to Improve Rural Obstetric Safety
PI: Guise, J-M
FINAL GRANT REPORT
Title: Using Military & Aviation Simulation Experience to Improve Rural Obstetric Safety
Grant Award #: 5U18HS015800-02
Grantee Institution: Oregon Health & Science University…
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/YFZy6kszQPq5tNGdZC25XC
July 26, 2016 - Screening for Skin Cancer: U.S. Preventive Services Task Force Recommendation Statement
Copyright 2016 American Medical Association. All rights reserved.
Screening for Skin Cancer
US Preventive Services Task Force
Recommendation Statement
US Preventive Services Task Force
T he US Preventive Services Task Force (USP…
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www.ahrq.gov/sites/default/files/2025-03/joo-report.pdf
January 01, 2025 - Final Progress Report: Reducing Diagnostic Error to Improve Patient Safety in COPD and Asthma (REDEFINE Study)
1. Reducing Diagnostic Error to Improve Patient Safety in COPD and Asthma
(REDEFINE Study)
Principal Investigator and Team Members/Organization:
Min J. Joo, MD, MPH, Department of Medicine, College of Medi…
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psnet.ahrq.gov/node/60159/psn-pdf
March 25, 2020 - Root cause analyses of reported adverse events
occurring during gastrointestinal scope and tube
placement procedures in the Veterans Health Association.
March 25, 2020
Soncrant C, Mills PD, Neily J, et al. Root cause analyses of reported adverse events occurring during
gastrointestinal scope and tube placement pro…
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psnet.ahrq.gov/node/74086/psn-pdf
November 17, 2021 - Review of reported adverse events occurring among the
homeless veteran population in the Veterans Health
Administration.
November 17, 2021
Soncrant C, Mills PD, Pendley Louis RP, et al. Review of reported adverse events occurring among the
homeless veteran population in the Veterans Health Administration. J Patien…
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psnet.ahrq.gov/node/838307/psn-pdf
October 12, 2022 - Misdiagnosis of thoracic aortic emergencies occurs
frequently among transfers to aortic referral centers: an
analysis of over 3700 patients.
October 12, 2022
Arnaoutakis GJ, Ogami T, Aranda?Michel E, et al. Misdiagnosis of thoracic aortic emergencies occurs
frequently among transfers to aortic referral centers: an…
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psnet.ahrq.gov/node/47711/psn-pdf
June 14, 2019 - Type 1 diabetes defined by severe insulin deficiency
occurs after 30 years of age and is commonly treated as
type 2 diabetes.
June 14, 2019
Thomas NJ, Lynam AL, Hill A, et al. Type 1 diabetes defined by severe insulin deficiency occurs after
30 years of age and is commonly treated as type 2 diabetes. Diabetologia.…
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psnet.ahrq.gov/node/38649/psn-pdf
May 20, 2009 - Managing the adverse event occurring during elective,
ambulatory pediatric surgery.
May 20, 2009
Skarsgard ED. Managing the adverse event occurring during elective, ambulatory pediatric surgery. Semin
Pediatr Surg. 2009;18(2):122-4. doi:10.1053/j.sempedsurg.2009.02.013.
https://psnet.ahrq.gov/issue/managing-advers…
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psnet.ahrq.gov/node/37533/psn-pdf
April 22, 2011 - Systematic evaluation of errors occurring during the
preparation of intravenous medication.
April 22, 2011
Parshuram CS, To T, Seto W, et al. Systematic evaluation of errors occurring during the preparation of
intravenous medication. CMAJ. 2008;178(1):42-8. doi:10.1503/cmaj.061743.
https://psnet.ahrq.gov/issue/sys…
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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…
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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…
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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…
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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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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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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.…