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www.uspreventiveservicestaskforce.org/home/getfilebytoken/3SeKj9o-FNNwFokLKKzN3f
Grade: I (insufficient evidence)
Risk Assessment
Skin cancer occurs more commonly in men than
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psnet.ahrq.gov/issue/sailing-too-close-wind-how-harnessing-patient-voice-can-identify-drift-towards-boundaries
February 28, 2024 - Normalization of deviance occurs when poor practices are common throughout an organization despite
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hcup-us.ahrq.gov/datainnovations/clinicaldata/MPinepresentation.pdf
September 22, 2010 - should be coded as present on
admission if it is present at the time the order for
inpatient admission occurs … Rules for POA Coding (4)
For newborns, admission occurs at the time of
birth. … Therefore, POA=Y only when
injury occurs prior to admission.
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psnet.ahrq.gov/issue/when-theres-harm-hospital-can-transparency-replace-deny-and-defend
April 02, 2014 - report provides the insights from a panel exploring the need for transparency after a medical mistake occurs
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psnet.ahrq.gov/issue/more-hospitals-move-confront-medical-errors-head
June 21, 2023 - clinicians, health system leaders, and improvement experts to discuss actions after medical error occurs
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-assessment.docx
June 02, 2025 - Evaluate once a week and whenever a change occurs in the wound. … As healing occurs in dark-skinned persons, the new skin is pink and may never darken. … In full thickness wounds it occurs from the edges only.
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www.ahrq.gov/es/topics/index.html?page=1
January 01, 2012 - First
‹ previous
‹‹
1
2
Health Literacy Health literacy occurs
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psnet.ahrq.gov/issue/corridor-care-emergency-department-managing-patient-care-non-clinical-areas-safely-and
May 19, 2021 - This article outlines how ED overcrowding occurs and provides several approaches to mitigate risks and
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psnet.ahrq.gov/issue/patient-and-clinician-experiences-uncertainty-diagnostic-process-current-understanding-and
March 11, 2020 - article provides an overview of the literature on diagnosis-related uncertainty, where uncertainty occurs
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psnet.ahrq.gov/issue/inattentional-blindness-medicine
March 31, 2021 - Inattentional blindness occurs when a person is focused so intently on one task that they miss other
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psnet.ahrq.gov/issue/err-human-apologize-hard
September 28, 2022 - related actions that aid in rebuilding trust between clinicians, patients, and families when error occurs
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psnet.ahrq.gov/issue/ashp-guidelines-managing-drug-product-shortages
September 06, 2023 - assessments, establishing a drug shortage team, and communicating with patients and providers when a shortage occurs
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digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/decision-tree
January 01, 2023 - When a situation occurs multiple times and requires a decision or solution.
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effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pdf/epc-rev-team-confidentiality-form.pdf
September 01, 2018 - agreement; or until AHRQ sends the EPC written notice releasing them from this
Agreement, whichever occurs … agreement; or until AHRQ sends the EPC written notice releasing them from this Agreement, whichever occurs
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psnet.ahrq.gov/node/49485/psn-pdf
August 29, 2024 - Specific
ophthalmologic findings determine the diagnosis.(5) AION occurs at the optic nerve head as … PION occurs anywhere posterior to the optic nerve head to the optic
nerve chiasm. … (Figure 2) with their eyes free from external pressure.(6) These data clearly demonstrate that
ION occurs … Cortical blindness is usually associated with embolic events or profound hypotension
and most commonly occurs
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psnet.ahrq.gov/issue/medical-error-care-unrepresented-disclosure-and-apology-vulnerable-patient-population
March 13, 2024 - ethical , legal, and clinical reasons for health care to examine how to respond when such a situation occurs
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/overviewhandouts2.html
December 01, 2017 - For every meeting that occurs at your facility, indicate how often it occurs, who leads the meeting,
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/prevention-chronic-care/improve/coordination/webinar04/formative_evaluation_webinar.pptx
July 15, 2013 - stakeholders in defining problem and potential solutions
9
Implementation-Focused
Formative Evaluation
Occurs … replicate implementation strategy in other settings
10
Progress-Focused
Formative Evaluation
Occurs
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/patfamilyengagement/CUSP-Patient-Family-Engagement.pptx
May 01, 2013 - postdischarge complications and avoidable readmissions
IDEAL Discharge
What if an Adverse Event Occurs … to help and care for patients without harming them, but adverse events happen
When an adverse even occurs
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psnet.ahrq.gov/issue/restorative-just-culture-exploration-enabling-conditions-successful-implementation
February 08, 2023 - culture aim to balance organizational and individual accountability and responsibility when an error occurs