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psnet.ahrq.gov/innovation/michigan-hospital-medicine-safety-consortium-hms-finds-infectious-diseases-id-physician
July 23, 2024 - quality officer, chief nursing officer), vascular access team members, ID physicians, interventional radiology
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/CHIPRA205-Materials_VIIIA.pdf
June 02, 2025 - Pt medical hx SNOMED-CT
Radiology I.S.
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/CHIPRA202-Materials_VIIIA.pdf
June 02, 2025 - Pt medical hx SNOMED-CT
Radiology I.S.
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/CHIPRA204-Materials_VIIIA.pdf
June 02, 2025 - Pt medical hx SNOMED-CT
Radiology I.S.
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www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/about/ncepcr-older-adults-presentation.pptx
March 15, 2025 - Quantitative studies have found that more fragmentation is independently associated with more radiology
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psnet.ahrq.gov/web-mm/be-picky-about-your-piccs-fragmented-care-and-poor-communication-discharge-leads-picc
July 19, 2023 - Health sreese@ucdavis.edu Margaret Brown-McManus, MSN, RN, CNL Unit Director Patient Care Services, Radiology
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/mhs4-infection-prevention-mdro-protocol.pdf
July 01, 2023 - settings and long-term care settings, and does not include ambulatory care clinics, free-
standing radiology
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psnet.ahrq.gov/web-mm/ebola-are-we-ready
July 01, 2012 - Clinical outcomes after bedside and interventional radiology paracentesis procedures.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-November_45.pdf
January 01, 2007 - Need for a blood transfusion because of excessive blood loss due to poor communication
between the radiology
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hcup-us.ahrq.gov/reports/statbriefs/sb30.pdf
May 01, 2007 - biopsy of the urinary tract 5,500 6.8%
Laparoscopy (gastrointestinal only) 3,300 4.1%
Therapeutic radiology
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psnet.ahrq.gov/innovation/algorithm-based-decision-support-system-guides-trauma-staff-during-initial-treatment
May 31, 2023 - Algorithm-Based Decision Support System Guides Trauma Staff During Initial Treatment, Leading to Fewer Medical Errors
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March 3, 2021
Innovation…
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psnet.ahrq.gov/web-mm/pseudo-obstruction-real-perforation
April 01, 2015 - SPOTLIGHT CASE
Pseudo-obstruction But a Real Perforation
Citation Text:
Paski SC, Dominitz JA. Pseudo-obstruction But a Real Perforation. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017.
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psnet.ahrq.gov/web-mm/delayed-diagnosis-and-treatment-occult-hemothorax-following-complicated-central-line
April 01, 2008 - Delayed Diagnosis and Treatment of an Occult Hemothorax Following Complicated Central Line Insertion Leads to Cardiac Arrest
Citation Text:
Raff G, Goudy B. Delayed Diagnosis and Treatment of an Occult Hemothorax Following Complicated Central Line Insertion Leads to Cardiac Arrest. PSNet [internet]. Rockvil…
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digital.ahrq.gov/sites/default/files/docs/citation/r01hs025412-bajaj-final-report-2024.pdf
January 01, 2024 - Health-IT generated PROs to Improve Outcomes in Cirrhosis - Final Report
Health-IT generated PROs to Improve Outcomes in Cirrhosis
PI: Jasmohan S Bajaj, MD
Subsites: Mayo Clinic, Rochester, CITI US Corporation, and Richmond Institute for Veterans
Research at the …
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psnet.ahrq.gov/node/72689/psn-pdf
January 29, 2021 - But See the Patient First
January 29, 2021
Sinigayan VR. But See the Patient First. PSNet [internet]. 2021.
https://psnet.ahrq.gov/web-mm/see-patient-first
The Case
A 55-year-old man with acute myeloid leukemia presented to the emergency department (ED) with a chief
complaint of fever. Five days previously, he …
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psnet.ahrq.gov/perspective/conversation-withpatrick-s-romano-md-mph
July 10, 2024 - In Conversation with...Patrick S. Romano, MD, MPH
November 1, 2010
Citation Text:
In Conversation with..Patrick S. Romano, MD, MPH. PSNet [internet]. 2010.In Conversation with...Patrick S. Romano, MD, MPH. PSNet [internet]. Rockville (MD): Agency for Healthcare Rese…
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effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/white-paper-lung-cancer.pdf
August 01, 2021 - Standardized Library of Lung Cancer Outcome Measures
Research White Paper
Standardized Library of Lung Cancer Outcome
Measures
Research White Paper
Standardized Library of Lung Cancer Outcome
Measures
Prepared for:
Agency for Healthcare Research and Quality
U.S. Dep…
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psnet.ahrq.gov/web-mm/delay-malignancy-diagnosis-reflects-systemic-failures
September 25, 2019 - Delay in Malignancy Diagnosis Reflects Systemic Failures
Citation Text:
Mieu H, Olson KA. Delay in Malignancy Diagnosis Reflects Systemic Failures. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2023.
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psnet.ahrq.gov/node/866995/psn-pdf
October 30, 2024 - A Cognitive and Communication Blind Spot Contributes
to Permanent Paralysis
October 30, 2024
Utter GH. A Cognitive and Communication Blind Spot Contributes to Permanent Paralysis. PSNet
[internet]. 2024.
https://psnet.ahrq.gov/web-mm/cognitive-and-communication-blind-spot-contributes-permanent-paralysis
Disclosur…
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs023602-singh-final-report-2017.pdf
January 01, 2017 - range of missed abnormal results, with 6.8% to 62% missed laboratory results and 1.0% to
35.7% missed radiology