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effectivehealthcare.ahrq.gov/sites/default/files/pdf/deliberative-methods_research.pdf
February 01, 2013 - Knowledge Brief #1 Public Deliberation on Health Topics
Community Forum Knowledge Brief
Number 1: Public Deliberation on Health Topics
AHRQ’s Effective Health Care Program
and the Community Forum
The Effective Health Care Program was initiated
in 2005 to provide valid evidence about the
comparative effect…
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www.ahrq.gov/pqmp/publications/search.html
January 01, 2021 - All Publications
The following list presents materials published as a result of the AHRQ-CMS Pediatric Quality Measures Program (PQMP).
Results
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Provider Specialty and R…
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digital.ahrq.gov/sites/default/files/docs/nlp-slides-041112.pdf
April 11, 2012 - A National Web Conference on the Use of Natural Language Processing (NLP) to Improve Quality Improvement
A National Web Conference on the Use
of Natural Language Processing (NLP)
to Improve Quality Management
Presenters:
Brian Hazlehurst, PhD
Alexander Turchin, MD, MS
April 11, 2012
http://www.ahrq.go…
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digital.ahrq.gov/sites/default/files/docs/survey/telemedicine-pediatric-primary-care-satisfaction-survey.pdf
June 16, 2021 - Telemedicine for Pediatric Primary Care: Satisfaction Survey
Telemedicine for Pediatric Primary Care: Satisfaction
Survey
University of Rochester; Rochester, New York
This is a questionnaire designed to be completed by caregivers in an urgent care, emergency
department, or ambulatory car…
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psnet.ahrq.gov/node/49422/psn-pdf
November 01, 2003 - 40 of K
November 1, 2003
Lesar TS. 40 of K. PSNet [internet]. 2003.
https://psnet.ahrq.gov/web-mm/40-k
The Case
An 81-year-old female maintained on warfarin for a history of chronic atrial fibrillation and mitral valve
replacement developed asymptomatic runs of ventricular tachycardia while hospitalized. The unit…
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psnet.ahrq.gov/node/40592/psn-pdf
July 06, 2011 - Intrahospital transport to the radiology department: risk
for adverse events, nursing surveillance, utilization of a
MET and practice implications.
July 6, 2011
Ott LK, Hoffman LA, Hravnak M. Intrahospital Transport to the Radiology Department: Risk for Adverse
Events, Nursing Surveillance, Utilization of a MET an…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide67.html
October 01, 2014 - 67. For the Patient Willing To Quit (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Strategy A4. Assist —Aid the patient in quitting (provide counseling and medication) (Continued)
Provide intra-treatment social support.
Provide a supportive clin…
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psnet.ahrq.gov/node/45590/psn-pdf
August 02, 2017 - Improving Diagnostic Accuracy Project 2016–2017.
August 2, 2017
Washington, DC: National Quality Forum; October 2016.
https://psnet.ahrq.gov/issue/improving-diagnostic-accuracy-project-2016-2017
The Improving Diagnosis in Health Care report provided recommendations to help achieve safe, reliable
diagnosis. This we…
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psnet.ahrq.gov/node/42491/psn-pdf
September 18, 2013 - The incidence of diagnostic error in medicine.
September 18, 2013
Graber ML. The incidence of diagnostic error in medicine. BMJ Qual Saf. 2013;22 Suppl 2:ii21-ii27.
doi:10.1136/bmjqs-2012-001615.
https://psnet.ahrq.gov/issue/incidence-diagnostic-error-medicine
This review examines eight research methods used to es…
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www.ahrq.gov/patients-consumers/patient-involvement/patients-risk-of-falls.html
September 01, 2015 - New Tools Help Health Providers Reduce Patients' Risk of Falls
For older adults, falls are serious, no matter the setting. These falls can cause bone fractures, disability, and even death. Among people 75 and older, falls are far more likely to cause admissions into a long term care facility than for adults 10…
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psnet.ahrq.gov/node/35015/psn-pdf
June 16, 2011 - Keeping Patients Safe: Transforming the Work
Environment of Nurses.
June 16, 2011
Page A; Committee on the Work Environment for Nurses and Patient Safety, Board on Health Care
Services. Washington, DC: The National Academies Press; 2004. ISBN: 9780309090674.
https://psnet.ahrq.gov/issue/keeping-patients-safe-trans…
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psnet.ahrq.gov/node/48170/psn-pdf
July 31, 2019 - Developing resilience to combat nurse burnout.
July 31, 2019
Quick Safety. July 15, 2019;(50):1-4.
https://psnet.ahrq.gov/issue/developing-resilience-combat-nurse-burnout
This newsletter article discusses nurse burnout and how to reduce conditions that contribute to the problem
. Recommendations focus on the role …
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psnet.ahrq.gov/node/42687/psn-pdf
September 29, 2017 - Safety checklist compliance and a false sense of safety:
new directions for research.
September 29, 2017
Rydenfält C, Ek Å, Larsson PA. Safety checklist compliance and a false sense of safety: new directions for
research. BMJ Qual Saf. 2014;23(3):183-6. doi:10.1136/bmjqs-2013-002168.
https://psnet.ahrq.gov/issue/s…
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psnet.ahrq.gov/node/35719/psn-pdf
April 12, 2011 - Risk management, or just a different risk: a national
survey of newborn units following a patient safety alert.
April 12, 2011
Freer Y. Risk management, or just a different risk? Archives of Disease in Childhood - Fetal and Neonatal
Edition. 2006;91(5). doi:10.1136/adc.2005.089540.
https://psnet.ahrq.gov/issue/ris…
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psnet.ahrq.gov/node/35535/psn-pdf
July 13, 2010 - American College of Endocrinology and American
Association of Clinical Endocrinologists position
statement on patient safety and medical system errors in
diabetes and endocrinology.
July 13, 2010
Bates DW, Clark NG, Cook RI, et al. American College of Endocrinology and American Association of
Clinical Endocrinolo…
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psnet.ahrq.gov/node/73926/psn-pdf
October 06, 2021 - Good for You, Good for Us, Good for Everybody.
October 6, 2021
Ridge K. London, England: Crown Copyright; 2021. September 22, 2021.
https://psnet.ahrq.gov/issue/good-you-good-us-good-everybody
Overprescribing has attained prominence as a safety issue due to the current opioid epidemic, but it has
long reduced medi…
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psnet.ahrq.gov/node/43212/psn-pdf
September 27, 2017 - Errors of omission: missed nursing care.
September 27, 2017
Kalisch BJ, Xie B. Errors of Omission: Missed Nursing Care. West J Nurs Res. 2014;36(7):875-890.
doi:10.1177/0193945914531859.
https://psnet.ahrq.gov/issue/errors-omission-missed-nursing-care
Nurse staffing ratios have been linked to patient safety issues…
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psnet.ahrq.gov/node/33956/psn-pdf
March 07, 2005 - The Report of the Manitoba Pediatric Cardiac Surgery
Inquest: An Inquiry into Twelve Deaths at the Winnipeg
Health Sciences Center in 1994.
March 7, 2005
Inquest, Manitoba Pediatric Cardiac Surgery. Winnepeg, Manitoba: Provincial Court of Manitoba; 1999.
ISBN 0771115164.
https://psnet.ahrq.gov/issue/report-manito…
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psnet.ahrq.gov/node/37261/psn-pdf
December 19, 2011 - Creating complex health improvement programs as
mindful organizations: from theory to action.
December 19, 2011
Issel M, Narasimha KM. Creating complex health improvement programs as mindful organizations: from
theory to action. J Health Organ Manag. 2007;21(2):166-83.
https://psnet.ahrq.gov/issue/creating-complex…
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psnet.ahrq.gov/node/40142/psn-pdf
April 04, 2011 - Prevention of 3 "never events" in the operating room:
fires, gossypiboma, and wrong-site surgery.
April 4, 2011
Zahiri HR, Stromberg J, Skupsky H, et al. Prevention of 3 "never events" in the operating room: fires,
gossypiboma, and wrong-site surgery. Surg Innov. 2011;18(1):55-60. doi:10.1177/1553350610389196.
htt…