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www.uspreventiveservicestaskforce.org/home/getfilebytoken/XU6eC2BfW2jbZGN4UCd94s
June 01, 2012 - Therefore, health care professionals
may choose to provide counseling to these
patients, rather than … Each year, more than half a million Americans die from heart
disease and more than 100,000 die from … Clinicians
may choose to selectively provide this service to
patients rather than incorporating
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psnet.ahrq.gov/node/49586/psn-pdf
May 01, 2009 - When the ACT returned normal rather than prolonged
(as it should have been after the heparin), the anesthesiologist … He quickly realized that the
heparin vial from the garbage was a 10 units/mL concentration rather than … and three were injured when nurses
administered heparin flushes prepared from 10,000 units/mL vials rather … than from similar-looking vials
containing the 10 units/mL concentration used to flush intravenous … heparin selections had a four-fold higher
incidence of averted programming errors identified by the DERS than
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psnet.ahrq.gov/node/49637/psn-pdf
October 01, 2011 - As a result, the
truncated report read, "DVT is seen…" rather than "No DVT is seen…" Based on the verbal … discrepancy between the called report and the finalized report, they should
have had the images re-reviewed rather … than accepting reassurance from the on-call resident that the
dictating radiologist had the necessary … VRS tend to have fewer errors when the entire report is dictated as a whole rather than being dictated … it seems that the
likelihood of him/her choosing the first when they meant the latter would be less than
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psnet.ahrq.gov/node/43571/psn-pdf
October 01, 2014 - successful implementation, highlighting that failure to follow up on
concerns raised may actually erode, rather … than enhance, safety culture.
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psnet.ahrq.gov/node/34053/psn-pdf
March 02, 2011 - recommendations to
reduce the incidence of VAP, including use of semi-recumbent positioning, sucralfate rather … than H2-
antagonists, and aspiration of subglottic secretions in select patient populations.
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psnet.ahrq.gov/node/44056/psn-pdf
May 19, 2018 - As payment models
increasingly shift toward paying for value rather than volume, the negative financial
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.188_slideshow.ppt
November 01, 2008 - production and quality of work-life pressures
A: Communication is not a macrocognitive function, but rather … Narratives (“stories”) are primary vehicle for compactly constructing meaning in a shared conversation, rather … than a one-way transfer of independent data elements via a noisy communication channel
L: Handoff procedures … ” approach following a undesired outcome, as it may serve as a barrier to making health care safer
Rather … than making changes on a single case, explore applying desired trade-off weightings across a range of
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effectivehealthcare.ahrq.gov/sites/default/files/s5.pdf
October 01, 2007 - especially valuable for
evaluating outcomes under conditions of actual use of health
care services (rather … than through RCTs); randomization
occurs by “clusters” that can be defined by physicians, prac-
tices … Control and Prevention,
is another approach for detecting ADEs treated in such
settings (ie, outpatient rather … residual confounding or cen-
soring of data.15 Individual-agent simulations (in which
individuals, rather … One such variable may be physicians’ preferences for
using one type of pharmaceutical rather than another
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psnet.ahrq.gov/node/33728/psn-pdf
May 01, 2012 - Hospital and we could identify triggers
in real time, we decided to cast the net a little bit wider rather … than a little bit narrower. … , it's not just preventability—it's the ability
to actually intervene in real time and to mitigate rather … than just prevent—so it changes the equation. … than just preventability?
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psnet.ahrq.gov/node/33712/psn-pdf
June 01, 2011 - It's an organizational problem more than a technological one. … The epiphany was to approach these issues as system problems rather than manifestations of individual … than to wait
until a larger number of events have occurred. … take a certain kind of
consistent courage in all parts of organizations to face potential problems rather … than to make a series of
optimistic assumptions.
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psnet.ahrq.gov/node/40600/psn-pdf
September 09, 2011 - likely to
engage in innovations, and that those reacting positively will internalize their innovations rather … than
approach the market.
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psnet.ahrq.gov/node/37791/psn-pdf
September 29, 2017 - survive as a field if similar
requirements were placed for interventions that mostly target systems rather … than individuals.
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psnet.ahrq.gov/node/43301/psn-pdf
May 01, 2015 - conducted can result
in staff perceiving that the rounds are being used for monitoring and evaluation rather … than for their
intended purpose of identifying and addressing safety concerns.
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/atrial-fibrillation_disposition-comments.pdf
June 28, 2013 - Because the
dronedarone trials were placebo-controlled rather
than compared to active therapy they … Because the emphasis of our report is on the state
of the evidence rather than how this evidence is … Final outcomes are those which a patient can feel
or experience rather than something like recurrence … In addition,
final outcomes have a direct link to a health
outcome rather than requiring multiple steps … TEP #2 Results Page 52, lines 24-26: the breakdown of the studies now is 64 rather
than 62?
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digital.ahrq.gov/sites/default/files/docs/publication/r01hs014891-gazelle-final-report-2008.pdf
January 01, 2008 - than the potential to improve quality and safety. … than the potential to improve
quality and safety. … Our analysis was more comprehensive than prior studies. … than at 100% (that is, by 90% of the adjusted slope). … The modeled percentage over
three days dropped by more than half from more than 40% to under 20%.
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psnet.ahrq.gov/node/46902/psn-pdf
August 20, 2018 - apprehension occurred especially if the concern was based on a general feeling that something might be
wrong rather … than hard evidence—what the authors refer to as "soft" intelligence.
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psnet.ahrq.gov/node/46645/psn-pdf
January 23, 2019 - suggest that
interventions designed to reduce opioid prescribing should target the outpatient setting rather … than the
emergency department.
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psnet.ahrq.gov/node/44096/psn-pdf
November 03, 2015 - editorial highlights the need for constant vigilance and a universal approach for preventing never
events rather … than a specific focus on weekend work.
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psnet.ahrq.gov/node/40449/psn-pdf
December 21, 2014 - These reported benefits in pediatric settings
may have resulted from any number of cointerventions rather … than adoption of a PMET itself.
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psnet.ahrq.gov/node/33647/psn-pdf
March 01, 2007 - A nurse administered epinephrine intravenously (rather than the appropriate
route? … Amazingly, less than a year later, she returned to her hospital for emergency treatment. … such as a wife who informed a nurse that
her husband was being placed in his roommate's hospital bed rather … than his own.(2)
https://psnet.ahrq.gov/perspective/role-patient-improving-patient-safety
https://psnet.ahrq.gov