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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/Improving_diagnosis_flyer.pdf
April 01, 2019 - Impoving Diagnosis
Improving Diagnosis
Diagnostic error is a significant and under-recognized threat to patient
safety.
■ Diagnostic errors affect more than 12 million Americans each year and may seriously harm approximately
4 million.
■ Fifty-five percent of patients said diagnostic errors were a chief conce…
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/4fdC2JLwP_um_yZe4WZRaa
April 01, 2009 - Using Aspirin for the Primary Prevention of Cardiovascular Disease
How do I determine benefit?
An individual’s potential clinical benefit
from aspirin depends on his or her
baseline risk.
MI Risk Factors for Men
y Age
y Diabetes
y Total cholesterol level
y HDL cholesterol level
y High blood pressure
y Smok…
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www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/resources/tools/reduce/antibiotic-faqs.html
July 01, 2017 - Antibiotic Stewardship FAQs
AHRQ Safety Program for Long-Term Care: HAIs/CAUTI
The frequently asked questions (FAQs) that are intended to support long-term care (LTC) facilities in the implementation of efforts to reduce the overuse of antibiotics. The answers to these commonly asked questions are…
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digital.ahrq.gov/population/medically-underserved-populations
January 01, 2024 - Medically Underserved Populations
An evidence-based IT program with chatbot to support caregiving and clinical care for people with dementia: The CareHeroes development and usability pilot.
Citation
Ruggiano N, Brown EL, Clarke PJ, Hristidis V, Roberts L, Framil Suarez CV, All…
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/dWD2487zXk6uwpv2B4-LQM
January 12, 2016 - U.S. Preventive Services Task Force Issues Final
Recommendations on Screening for Breast Cancer
Task Force confirms mammography is an important tool for women ages 40 to 74; recommends
women ages 50 to 74 be screened regularly and women in their 40s make an individual decision in
partnership with their doctors
…
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digital.ahrq.gov/population/physician
January 01, 2025 - Physician
A web-based tool to perform a values clarification for stroke prevention in patients with atrial fibrillation: Design and preliminary testing study.
Citation
Dorsch MP, Flynn AJ, Greer KM, Ganai S, Barnes GD, Zikmund-Fisher B. A web-based tool to perform a values cla…
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www.ahrq.gov/patient-safety/settings/hospital/candor/demo-program/grants/next-steps.html
August 01, 2022 - Demonstration Grants Final Evaluation Report
Recommendations for AHRQ’s Next Steps
Previous Page Next Page
Table of Contents
Demonstration Grants Final Evaluation Report
Executive Summary
Detailed Findings
Evaluation Issues
Contributions to Patient Safety and Medical Liability
Lessons Le…
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psnet.ahrq.gov/node/866847/psn-pdf
September 25, 2024 - In Conversation with Carole Stockmeier about Zero Harm:
Striving to Reduce Preventable Harms – Point,
Counterpoint, and Areas of Agreement
September 25, 2024
Stockmeier CA, Mossburg S, Lee M. In Conversation with Carole Stockmeier about Zero Harm: Striving to
Reduce Preventable Harms – Point, Counterpoint, and Are…
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www.ahrq.gov/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/health-promotion-education/strategy6r-reminder-systems.html
March 01, 2020 - Strategy 6R: Reminder Systems for Immunizations and Preventive Services
Contents
6.R.1. The Problem
6.R.2. The Intervention
6.R.2.a. Reminder Systems for Patients
6.R.2.b. Reminder Systems for Physicians
References
Download Strategy 6R:
Reminder Systems for Immunizations and Preventiv…
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psnet.ahrq.gov/node/33565/psn-pdf
September 01, 2024 - Healthcare-associated Infections
June 15, 2024
Healthcare - Associated Infections. PSNet [internet]. 2019.
https://psnet.ahrq.gov/primer/health-care-associated-infections
PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that
they reflect current research and practice …
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psnet.ahrq.gov/web-mm/updates-management-high-risk-pulmonary-embolism
December 02, 2020 - Early anticoagulation is associated with reduced mortality for acute pulmonary embolism.
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psnet.ahrq.gov/web-mm/e-prescribing-e-error
February 03, 2021 - To maximize the benefits of e-prescribing, including improved transmission and reduced medication errors
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psnet.ahrq.gov/node/49801/psn-pdf
August 01, 2017 - monitoring is a different but complementary approach to detect problems early and has been
associated with reduced
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/psychiatric-readmissions_research-protocol.pdf
December 31, 2014 - psychiatric-readmissions-protocols-140904
Evidence-based Practice Center
Technical Brief Protocol
Project Title: Management Strategies to Reduce Psychiatric Readmi…
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effectivehealthcare.ahrq.gov/sites/default/files/dementia-agitation-aggression_disposition-comments.pdf
March 21, 2016 - Summary
Page: ES-1, middle of paragraph 4
The sentence "These treatments are also associated with reduced … For most
individuals, there is a reduced quality of life due to dementia which
is further worsened … For some individuals with
dementia, side effects of antipsychotic medications can
contribute to a reduced … expressions in dementia would discontinue
and the need for psychotropic meds would be dramatically reduced … (e.g., AP use) and increases the
risk of death and has other serious side effects (over-sedation,
reduced
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/jmCXJwxefa67VY4NfD8gUg
June 26, 2018 - Denosumab reduced the risk of hip fracture (1 RCT [n = 7868];
RR, 0.60 [95% CI, 0.37-0.97]), but bisphosphonates … Evidence was limited for
men: zoledronic acid reduced the risk of radiographic vertebral fractures (1 … RELEVANCE In women, screening to prevent osteoporotic fractures may
reduce hip fractures, and treatment reduced … fractures
Reduced fracture-
related morbidity
Reduced fracture-
related mortality
Health outcomes … Raloxifene
Raloxifene (60 mg/d) reduced radiographic vertebral fracture (7.5% vs
12.5%; RR, 0.64 [95%
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/3qpQqeeozW8nV3a4_BWntp
June 20, 2019 - Data on the link between sexual behaviors and
reduced risk for HIV transmission are strongest for consis … On the other hand, 2 ran-
domized trials found that more intense counseling reduced
drug use behaviors … reviews (199, 200) found
that isoniazid prophylaxis was effective at preventing tuber-
culosis (risk reduced … by 60%–86%) and
death (risk reduced by 21%–23%) in patients
with a positive skin test result (199, 200 … 7b In asymptomatic patients with HIV
infection, does immediate
antiretroviral treatment result in
reduced
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digital.ahrq.gov/location/usa-nc-chapel-hill
January 01, 2023 - USA, NC, Chapel Hill
Development and Assessment of Artificial Intelligence (AI)-Enhanced Pretreatment Peer-review Process to Improve Patient Safety in Radiation Oncology
Description
This research develops and evaluates an artificial intelligence-enhanced pretreatment peer-revi…
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psnet.ahrq.gov/node/867596/psn-pdf
January 22, 2025 - Creation of root cause analysis and action (RCA2)
standard work by a multidisciplinary team to prevent
harm, reduce bias, and improve safety culture.
January 22, 2025
Musheno D, Harnish M, Roberts J, et al. Creation of root cause analysis and action (RCA2) standard work
by a multidisciplinary team to prevent harm,…
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psnet.ahrq.gov/node/867636/psn-pdf
February 26, 2025 - Early experience of peer advocate program: using quality
improvement to optimize behavioral and communication
disconnect in the operating room.
February 26, 2025
Eckhouse SR, Huston M, Smith ER, et al. Early experience of peer advocate program: using quality
improvement to optimize behavioral and communication dis…