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effectivehealthcare.ahrq.gov/sites/default/files/pdf/methods-guidance-de-novo-processes_methods.pdf
September 01, 2009 - (See
recommendation below.)
7
Limitations in Quality Rating Scales
As much as possible, CER investigators
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www.uspreventiveservicestaskforce.org/uspstf/document/modeling-report-collaborative-modeling-of-us-breast-cancer-1/breast-cancer-screening-january-2016
December 31, 2015 - Share to Facebook
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Modeling Report: Collaborative Modeling of U.S. Breast Cancer Screening Strategies
Breast Cancer: Screening
December 31, 2015
Recommendations made by the USPSTF are…
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digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/examples/assess
January 01, 2023 - Assess Workflows
1. Examples of flowcharts
Physician Assistant (PA) Office Visit ( PDF , 21KB)
Nurse Only Visit ( PDF , 21KB)
2. Why and how do we assess workflow using flowcharts postimplementation?
You have now implemented your health IT system.
If you incur workflow-re…
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psnet.ahrq.gov/node/42168/psn-pdf
November 21, 2021 - Surviving Sepsis Campaign: international guidelines for
management of sepsis and septic shock: 2021.
November 21, 2021
Evans L, Rhodes A, Alhazzani W, et al. Surviving Sepsis Campaign: International Guidelines for
Management of Sepsis and Septic Shock 2021. Crit Care Med. 2021;49(11):e1063-e1143.
doi:10.1097/ccm.0…
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psnet.ahrq.gov/node/34117/psn-pdf
December 23, 2016 - Sentinel Event.
December 23, 2016
The Joint Commission.
https://psnet.ahrq.gov/issue/sentinel-event
Since 1998, The Joint Commission has issued sentinel event alerts in response to unexpected incidents
involving death or serious physical or psychological injury (or risk thereof). These events are identified as
se…
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psnet.ahrq.gov/node/847057/psn-pdf
April 05, 2023 - Implement strategies to prevent persistent medication
errors and hazards.
April 5, 2023
ISMP Medication Safety Alert! Acute care edition. March 23, 2023;28(6):1-4.
https://psnet.ahrq.gov/issue/implement-strategies-prevent-persistent-medication-errors-and-hazards
Medication mistakes are recognized contributors to p…
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psnet.ahrq.gov/node/44284/psn-pdf
September 09, 2015 - Operating room to intensive care unit handoffs and the
risks of patient harm.
September 9, 2015
McElroy LM, Collins KM, Koller FL, et al. Operating room to intensive care unit handoffs and the risks of
patient harm. Surgery. 2015;158(3):588-594. doi:10.1016/j.surg.2015.03.061.
https://psnet.ahrq.gov/issue/operatin…
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psnet.ahrq.gov/node/44832/psn-pdf
February 03, 2016 - Crowdsourcing diagnosis for patients with undiagnosed
illnesses: an evaluation of CrowdMed.
February 3, 2016
Meyer AND, Longhurst CA, Singh H. Crowdsourcing Diagnosis for Patients With Undiagnosed Illnesses:
An Evaluation of CrowdMed. J Med Internet Res. 2016;18(1):e12. doi:10.2196/jmir.4887.
https://psnet.ahrq.go…
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psnet.ahrq.gov/node/50641/psn-pdf
November 06, 2019 - Taking Action Against Clinician Burnout: A Systems
Approach to Professional Well-Being.
November 6, 2019
National Academies of Sciences, Engineering, and Medicine. Washington, DC: The National Academies
Press; 2019. ISBN: 9780309495509.
https://psnet.ahrq.gov/issue/taking-action-against-clinician-burnout-systems-a…
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digital.ahrq.gov/location/usa-tx-dallas
January 01, 2023 - USA, TX, Dallas
Impact of Health Information Technology Implementation on Diabetes Process and Outcome Measures
Description
This project evaluated the impact of an electronic health record on the quality of diabetes care as measured by compliance with recommended processes of …
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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/45048/psn-pdf
April 13, 2016 - Do not let "Depo-" medications be a depot for mistakes.
April 13, 2016
ISMP Medication Safety Alert! Acute Care Edition. March 24, 2016;21:1-4.
https://psnet.ahrq.gov/issue/do-not-let-depo-medications-be-depot-mistakes
Confusion due to look-alike and sound-alike medications are known to contribute to medication err…
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psnet.ahrq.gov/node/43827/psn-pdf
January 14, 2015 - The surprising way to stay safe in the hospital.
January 14, 2015
https://psnet.ahrq.gov/issue/surprising-way-stay-safe-hospital
This news article summarizes the results of a survey exploring how patients' perceptions of respect from
hospital staff corresponds with the potential for medical error. Recommended strat…
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www.ahrq.gov/topics/access-care.html
Topic: Access to Care
Access to health care means having "the timely use of personal health services to achieve the best health outcomes."
Access to health care consists of four components:
Coverage: facilitates entry into the health care system. Uninsured people are less likely to receive medical care and …
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psnet.ahrq.gov/node/35228/psn-pdf
March 04, 2011 - Best practices for safe handling of products containing
concentrated potassium.
March 4, 2011
Tubman M, Majumdar SR, Lee D, et al. Best practices for safe handling of products containing
concentrated potassium. BMJ. 2005;331(7511):274-7.
https://psnet.ahrq.gov/issue/best-practices-safe-handling-products-containing…
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psnet.ahrq.gov/node/39868/psn-pdf
February 04, 2011 - Review: bringing patient safety to the forefront through
structured computerisation during clinical handover.
February 4, 2011
Matic J, Davidson PM, Salamonson Y. Review: bringing patient safety to the forefront through structured
computerisation during clinical handover. J Clin Nurs. 2011;20(1-2):184-9. doi:10.111…
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psnet.ahrq.gov/node/43916/psn-pdf
November 30, 2016 - Safer Clinical Systems: Evaluation Findings.
November 30, 2016
Dixon-Woods M, Martin G, Tarrant C, et al. London, UK: Health Foundation; December 2014.
https://psnet.ahrq.gov/issue/safer-clinical-systems-evaluation-findings
This report discusses the results of a United Kingdom initiative exploring how safety strate…
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psnet.ahrq.gov/node/35415/psn-pdf
December 21, 2008 - Acting Locally: Working in Clinical Microsystems CD-
ROM.
December 21, 2008
Oakbrook Terrance, IL: Joint Commission Resources; 2005. ISBN 9780866889865.
https://psnet.ahrq.gov/issue/acting-locally-working-clinical-microsystems-cd-rom
This resource represents a collection of special articles published in the Joint …
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psnet.ahrq.gov/node/43331/psn-pdf
July 09, 2014 - Open wide: looking into the safety culture of dental
school clinics.
July 9, 2014
Ramoni R, Walji MF, Tavares A, et al. Open wide: looking into the safety culture of dental school clinics. J
Dent Edu. 2014;78(5):745-756.
https://psnet.ahrq.gov/issue/open-wide-looking-safety-culture-dental-school-clinics
Researche…
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psnet.ahrq.gov/node/43654/psn-pdf
April 02, 2015 - Nursing bedside clinical handover—an integrated review
of issues and tools.
April 2, 2015
Anderson J, Malone L, Shanahan K, et al. Nursing bedside clinical handover - an integrated review of
issues and tools. J Clin Nurs. 2015;24(5-6):662-671. doi:10.1111/jocn.12706.
https://psnet.ahrq.gov/issue/nursing-bedside-cl…