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psnet.ahrq.gov/node/49617/psn-pdf
January 01, 2011 - Failure to Reevaluate
December 1, 2010
Wong-Beringer A. Failure to Reevaluate. PSNet [internet]. 2010.
https://psnet.ahrq.gov/web-mm/failure-reevaluate
The Case
A 61-year-old woman receiving palliative chemotherapy for non–small-cell lung cancer at a community
hospital developed methicillin-resistant staphylococc…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/central-catheter-insertion.pptx
April 01, 2022 - Central Venous Catheter Insertion
Central Venous Catheter Insertion
Avoiding Improper Placement Techniques
AHRQ Safety Program for Intensive Care Units: Preventing CLABSI and CAUTI
AHRQ Pub. No. 17(22)-0019
April 2022
AHRQ Safety Program for Intensive Care Units: CLABSI/CAUTI
1
Disrupting the Lifecycle of a Cathet…
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psnet.ahrq.gov/node/49826/psn-pdf
April 01, 2018 - Air on the Side of Caution
April 1, 2018
Robertson JM, Pozner CN. Air on the Side of Caution. PSNet [internet]. 2018.
https://psnet.ahrq.gov/web-mm/air-side-caution
The Case
A young woman with morbid obesity was scheduled for cardiac catheterization to evaluate shortness of
breath and chest pain. A decision was m…
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psnet.ahrq.gov/node/33727/psn-pdf
March 01, 2012 - Can Research Help Us Improve the Medical Liability
System?
March 1, 2012
Kachalia A. Can Research Help Us Improve the Medical Liability System? PSNet [internet]. 2012.
https://psnet.ahrq.gov/perspective/can-research-help-us-improve-medical-liability-system
Perspective
The United States medical malpractice liabili…
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/7K93Ldpe86aLuGS65CPKYp
July 01, 2005 - Screening for Overweight in Children and Adolescents: Where Is the Evidence?
Screening for Overweight in Children and
Adolescents: Where Is the Evidence?
A Commentary by the Childhood Obesity Working Group of
the U.S. Preventive Services Task Force
_____________________________________________________________…
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www.ahrq.gov/sites/default/files/2024-01/cohen-report.pdf
January 01, 2024 - pharmacy staffs’ and patients’
abilities to capture the error; yet the intervention was very effective in reducing … Reducing the at-risk behavior of working on more than one patient’s
medications during product verification
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psnet.ahrq.gov/sites/default/files/2023-04/april_2023_spotlight_the_dose_makes_the_poison.pdf
January 01, 2023 - Reducing the risk of harm from medication errors in children.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/004-ss-antimicrobial-prophylaxis-part-2.pptx
April 01, 2025 - topical vancomycin in spinal surgeries
Among the RCTs included, no benefit of topical vancomycin in reducing
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/cer-216-telehealth-evidence-summary.pdf
April 01, 2019 - • Intermediate outcomes
– Access: Telehealth consultations improved
access by reducing wait times … heart attacks; remote consultations
in emergency care decrease time from presentation
to decision, reducing
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www.ahrq.gov/sites/default/files/2024-01/dierks-report.pdf
January 01, 2024 - Our experimental results indicated that specific interventions directed at reducing
time pressures and
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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-Conlon_50.pdf
May 06, 2008 - It has been instrumental in both discovering and managing
unexpected events and also in reducing unexpected
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effectivehealthcare.ahrq.gov/system/files/docs/topic-brief-radiation-therapy-bone-metastases.pdf
August 01, 2022 - Palliative Radiation Therapy in Reducing Pain in Patients With Bone Metastasis. … that face the patient and their healthcare providers, in realizing the benefits
of treatment while reducing
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psnet.ahrq.gov/node/73104/psn-pdf
January 04, 2021 - In a review of recommendations for reducing workforce exposure,
investigators identified a set of six … healthcare facilities that are recommended to
be included in any approach to improve practices for reducing
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/contentcalls/framework-slides/CUSP-A-Framework-for-Success-Mar-7-2012-508.ppt
January 01, 2012 - Project Report - Lean Sigma
*
National Content Webinar
CUSP: A Framework for Success
March 7, 2012
*
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Today’s Speakers
Marge Cannon, Medical Officer, CMS
Minet Javellana, Health Insurance Specialist, CMS
Barb Edson, Vice President of Clinical Quality, HRET
Chris George, Director of National Projects, MHA…
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integrationacademy.ahrq.gov/products/topic-briefs/community-engagement-for-whole-person-care
February 01, 2025 - The support offered by the ECSS improved efficiency and effectiveness of patient care, reducing provider … goals of the Pennsylvania OUD-COE program (PDF - 3.0 MB) as implemented at The Wright Center include: Reducing … deaths of patients with OUD, with a secondary goal of reducing costs in the process.
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www.ahrq.gov/sites/default/files/2024-02/goldstein-report.pdf
January 01, 2024 - Patients were considered exposed for 48 hours after stopping IV aminoglycoside or
reducing to <3 NTMx
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digital.ahrq.gov/computerized-provider-order-entry-ambulatory
January 01, 2023 - They also provide tools aimed at improving patient care and reducing medical errors and costs.
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psnet.ahrq.gov/node/33638/psn-pdf
August 01, 2006 - may not have been viable had it not been for something else: a malpractice crisis that
was markedly reducing
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psnet.ahrq.gov/node/73554/psn-pdf
July 28, 2021 - expansion of EMS’ role to provide more
direct care in the community with the objective of not only reducing
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psnet.ahrq.gov/web-mm/mark-my-tooth
June 01, 2014 - Effectiveness of an educational program in reducing the incidence of wrong-site tooth extraction.