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psnet.ahrq.gov/periodic-issue/periodic-issue-454
September 25, 2024 - Spotlight Case
Errors in Managing an Open Wound of the Elbow Leading to Multiple Complications and Operations
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cdsic.ahrq.gov/sites/default/files/2024-02/Final%20TPC%20Workgroup%20Charter%20to%20AHRQ%2012.5.23.pdf
January 01, 2024 - The CDSiC is composed of three centers: the Operations Center, the Stakeholder Center, and the
Innovation
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psnet.ahrq.gov/node/49644/psn-pdf
December 01, 2011 - psnet.ahrq.gov//#references
https://psnet.ahrq.gov//#references
Rahul Sharma, MD, MBA Assistant Director for Operations
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effectivehealthcare-admin.ahrq.gov/sites/default/files/pregnancy-horizon-scan-high-impact-1412.pdf
December 01, 2014 - details on methods, please refer to the full AHRQ Healthcare Horizon Scanning
System Protocol and Operations
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effectivehealthcare-admin.ahrq.gov/sites/default/files/developmental-delays-horizon-scan-high-impact-1506.pdf
December 01, 2015 - details on methods, please refer to the full AHRQ Healthcare Horizon Scanning
System Protocol and Operations
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effectivehealthcare-admin.ahrq.gov/sites/default/files/developmental-delays-horizon-scan-high-impact-1512.pdf
December 01, 2015 - details on methods, please refer to the full AHRQ Healthcare Horizon Scanning
System Protocol and Operations
-
effectivehealthcare-admin.ahrq.gov/sites/default/files/developmental-delays-horizon-scan-high-impact-1412.pdf
December 01, 2014 - details on methods, please refer to the full AHRQ Healthcare Horizon Scanning
System Protocol and Operations
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psnet.ahrq.gov/node/866846/psn-pdf
September 24, 2024 - psnet.ahrq.gov/issue/harms-promoting-zero-harm
promoting culture and processes that support safe and reliable
operations
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psnet.ahrq.gov/node/33876/psn-pdf
August 01, 2018 - management and leaders at each hospital
localized the incorporation of a just culture into their daily operations
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psnet.ahrq.gov/node/845473/psn-pdf
March 15, 2023 - Research must continue to understand the impact these new technologies may have on healthcare
operations
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psnet.ahrq.gov/primer/improving-patient-safety-and-team-communication-through-daily-huddles
December 15, 2024 - reluctance to simplify), recognizing the complex and unpredictable nature of healthcare (sensitively to operations
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psnet.ahrq.gov/web-mm/central-not-epidural
August 28, 2024 - Debora Simmons, PhD, RN Executive Operations Director National Center for Cognitive Informatics
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/slides.html
December 01, 2014 - Input provided by nursing home staff familiar with nursing home operations and by leading clinicians.
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psnet.ahrq.gov/web-mm/x-ray-flip
August 10, 2019 - preoccupation with failure avoidance, (ii) reluctance to simplify interpretations, (iii) sensitivity to operations
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/010-ss-evidence-decolonization.pptx
April 01, 2025 - Results: 39 percent full bundle adherence led to 42 percent decrease in complex S. aureus SSIs in all operations
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/ontime-preventablehospitaledvisits-overview.pptx
May 01, 2017 - factors associated with adverse events
Input provided by nursing home staff familiar with nursing home operations
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psnet.ahrq.gov/perspective/wild-west-patient-safety-office-based-anesthesia
April 01, 2003 - PubMedId RIS
Download Citation
Perspective
Over the last decade, surgical operations
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www.ahrq.gov/research/findings/factsheets/it/hitportfolio/index.html
January 01, 2020 - during blood transfusion and other complex procedures; providing a tool for improving rapid response operations
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psnet.ahrq.gov/periodic-issue/periodic-issue-473
March 25, 2025 - Spotlight Case
Misdiagnosis of Small Bowel Obstruction in the Setting of Previous Abdominal Operations
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psnet.ahrq.gov/node/33763/psn-pdf
March 01, 2014 - was the establishment of formal infection prevention and control
programs under health care facility operations