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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/124-cusp-science-safety-fg.docx
April 01, 2025 - Examples include the Situation, Background, Assessment, and Recommendation (SBAR) format that allows
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psnet.ahrq.gov/node/33608/psn-pdf
February 01, 2024 - Understand the context of the solutions to determine what is already being done to address the
recommendation
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www.ahrq.gov/news/events/nac/2016-04-nac/nacmtg0416-minutes.html
August 01, 2016 - Topics with a final recommendation include breast cancer screening, depression screening, screening for
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psnet.ahrq.gov/perspective/conversation-david-gruen-md
January 31, 2020 - pathology and radiology images will grow. 3 AI can also be expected to play a more direct role in the recommendation
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/stakeholders-engagement-others_research-2012.pdf
January 01, 2012 - the role of the meeting participants (e.g. share information, generate
solutions/answers, develop a recommendation
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www.ahrq.gov/news/events/nac/2015-03-nac/nacmtg0315-minutes.html
July 01, 2015 - Preventive Services Task Force (USPSTF) produced a final recommendation on screening for vitamin D in
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Thomadsen.pdf
December 23, 2004 - The
problem with following that recommendation, of course, is that the more active
and effective tools
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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-Faltz_56.pdf
March 27, 2008 - error-reporting requirements,
and the Federal voluntary reporting program14 that is an outgrowth of IOM’s recommendation
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Sehgal_64.pdf
April 02, 2008 - – July 2007
Top 10 search strings Top 10 taxonomy areas
“SBAR” (Situation/Background/Assessment/Recommendation
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-201-fullreport.pdf
March 01, 2019 - Education in Proper Use of New Asthma Medication Delivery Device for Children With Asthma
1
Education in Proper Use of New Asthma Medication
Delivery Device for Children with Asthma
Section 1. Basic Measure Information
1.A. Measure Name
Education in Proper Use of New Asthma Medication Delivery Device for Child…
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-166-fullreport.pdf
March 01, 2018 - Family Experiences with Coordination of Care (FECC) Measure Set
1
Family Experiences with Coordination of Care (FECC)
Measure Set
Section 1. Basic Measure Information
1.A. Measure Name
Family Experiences with Coordination of Care (FECC) Measure Set
1.B. Measure Number
0166 FECC Survey/Measure Set
1.C. Measu…
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www.ahrq.gov/sites/default/files/2025-03/thomas-report.pdf
January 01, 2025 - Final Progress Report: Caregiver innovations to reduce harm in Neonatal Intensive Care
Title: Caregiver innovations to reduce harm in Neonatal Intensive Care (P30HS024459);…
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www.ahrq.gov/sites/default/files/2024-10/weinger-france-report.pdf
January 01, 2024 - Final Progress Report: Cancer Patient Safety Learning Laboratory (CaPSLL): Preventing Clinical Deterioration in Outpatients
FINAL REPORT
Title: Cancer Patient Safety Learning Laboratory (CaPSLL): Preventing Clinical Deterioration in
Outpatients
Principal Investigators: Matthew B. Weinger, MD, MS, & Daniel Josep…
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digital.ahrq.gov/sites/default/files/docs/citation/r18hs018932-hess-final-report-2015.pdf
January 01, 2015 - Participants, Incidence, Prevalence)
In Crossing the Quality Chasm, the Institute of Medicine’s first recommendation
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psnet.ahrq.gov/issue/clinician-factors-associated-delayed-diagnosis-appendicitis
October 26, 2022 - Study
Clinician factors associated with delayed diagnosis of appendicitis.
Citation Text:
Michelson KA, McGarghan FLE, Patterson EE, et al. Clinician factors associated with delayed diagnosis of appendicitis. Diagnosis (Berl). 2023;10(2):183-186. doi:10.1515/dx-2022-0119.
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psnet.ahrq.gov/issue/patient-safety-out-hours-primary-care-review-patient-records
June 16, 2021 - Study
Patient safety in out-of-hours primary care: a review of patient records.
Citation Text:
Smits M, Huibers L, Kerssemeijer B, et al. Patient safety in out-of-hours primary care: a review of patient records. BMC Health Serv Res. 2010;10:335. doi:10.1186/1472-6963-10-335.
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psnet.ahrq.gov/issue/preventing-unintended-retained-foreign-objects
January 25, 2023 - Sentinel Event Alerts
Preventing unintended retained foreign objects.
Citation Text:
Preventing unintended retained foreign objects. Sentinel event alert. 2013;(51):1-5.
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Format:
Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId …
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psnet.ahrq.gov/issue/modern-palliative-radiation-treatment-do-complexity-and-workload-contribute-medical-errors
April 07, 2021 - Study
Modern palliative radiation treatment: do complexity and workload contribute to medical errors?
Citation Text:
D'Souza N, Holden L, Robson S, et al. Modern palliative radiation treatment: do complexity and workload contribute to medical errors? Int J Radiat Oncol Biol Phys. 2012;84…
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psnet.ahrq.gov/issue/improving-handoffs-emergency-department
July 19, 2017 - Commentary
Improving handoffs in the emergency department.
Citation Text:
Cheung DS, Kelly JJ, Beach C, et al. Improving handoffs in the emergency department. Ann Emerg Med. 2010;55(2):171-80. doi:10.1016/j.annemergmed.2009.07.016.
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Format:
DOI Google Scholar…
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psnet.ahrq.gov/issue/development-and-implementation-checklists-obstetrics
July 13, 2010 - Commentary
The development and implementation of checklists in obstetrics.
Citation Text:
Medicine S for M-F, Bernstein PS, Combs A, et al. The development and implementation of checklists in obstetrics. Am J Obstet Gynecol. 2017;217(2):B2-B6. doi:10.1016/j.ajog.2017.05.032.
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