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psnet.ahrq.gov/node/857259/psn-pdf
November 30, 2023 - Medication Mix-Up Leads to Patient Death
November 30, 2023
Sanchez L, Romano PS. Medication Mix-Up Leads to Patient Death. PSNet [internet]. 2023.
https://psnet.ahrq.gov/web-mm/medication-mix-leads-patient-death
The Case
An 81-year-old man was transferred from an outside hospital and admitted to the intensive car…
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www.ahrq.gov/prevention/resources/depression/depsum1.html
April 01, 2013 - Screening for Depression in Adults
Summary of the Evidence
The summaries of the evidence briefly present evidence of effectiveness for preventive health services used in primary care clinical settings, including screening tests, counseling, and chemoprevention. They summarize the more detailed Systematic Evid…
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psnet.ahrq.gov/node/854897/psn-pdf
October 31, 2023 - Weight and Height Juxtaposition in the Electronic Medical
Record Causing an Accidental Medication Overdose
October 31, 2023
Jain NP, Dakwa D. Weight and Height Juxtaposition in the Electronic Medical Record Causing an
Accidental Medication Overdose. PSNet [internet]. 2023.
https://psnet.ahrq.gov/web-mm/weight-and-…
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psnet.ahrq.gov/node/33769/psn-pdf
June 01, 2014 - Patient Advocacy in Patient Safety: Have Things
Changed?
June 1, 2014
Haskell H. Patient Advocacy in Patient Safety: Have Things Changed? PSNet [internet]. 2014.
https://psnet.ahrq.gov/perspective/patient-advocacy-patient-safety-have-things-changed
Perspective
In 1981, a cancer patient named Paula Carroll founded…
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psnet.ahrq.gov/web-mm/resuscitation-errors-shocking-problem
October 19, 2022 - SPOTLIGHT CASE
Resuscitation Errors: A Shocking Problem
Citation Text:
Edelson DP, Abella BS. Resuscitation Errors: A Shocking Problem. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2007.
Copy Citation
Format:
…
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www.ahrq.gov/sites/default/files/2024-07/peters-report.pdf
January 01, 2024 - Final Progress Report: How Do Consumers View the Risks of Medical Errors?
FINAL REPORT
Title of Project: How Do Consumers View the Risks
of Medical Errors?
Principal Investigator: Ellen Peters
Team Member: Paul Slovic
Organization: Decision Research
Inclusive Dates of Project: 09/01/2001 – 08/31/2003
Federal …
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www.ahrq.gov/sites/default/files/2024-07/seid-sobo-report.pdf
January 01, 2024 - Final Progress Report: Managing the Health Needs of Vulnerable Children
Title of Project: Managing The Health Needs of Vulnerable Children
Principal Investigator and Team Members: Michael Seid, PhD, Elisa J. Sobo, PhD
Organization: Children’s Hospital Research Center
Inclusive Dates of Project: 9/30/2001 - 9/29/…
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/head-neck-cancer-update_research-protocol.pdf
February 04, 2014 - Conformal radiotherapy refers to modalities in which cytotoxic radiation beams are
“shaped” to cover … Brachytherapy refers to treatment with ionizing radiation whose source is applied to the
surface of … OIS refers to the minimum
number of patients (and events
when assessing dichotomous
outcomes) needed … Dose-
response
association
Optional This association, either across or within
studies, refers to … Strength of
association
(magnitude of
effect)
Optional Strength of association refers to the
likelihood
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psnet.ahrq.gov/node/73153/psn-pdf
April 28, 2021 - Packing refers to any material (e.g., ribbon or rolled gauze, cotton wadding, lap pads, iodoform gauze … patients and may contribute to
missed diagnoses and unnecessary care.16
Take-Home Points
Packing refers
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/ehc-presentation-quantitative-synthesis-chapter-5.pdf
February 01, 2018 - .11228
http://dx.doi.org/10.1001/2012.jama.11228
Consistency (indirect and direct)
• Consistency refers … contrast-based models
• In NMA, arm-based models differ from contrast-based models.
► This distinction refers
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digital.ahrq.gov/sites/default/files/docs/citation/IntegratingCDSIntoWorkflow.pdf
September 01, 2011 - Coordination of outside results refers to issues both in obtaining and tracking CRC screening
results … Data organization and presentation refers to the ease or difficulty with which a provider
determines … Interface flexibility refers to the rigidity/flexibility of the computer interface and
navigation features … Connecting decision support to quality reporting refers to
both positive and negative consequences of
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digital.ahrq.gov/sites/default/files/docs/survey/nyc-reach-regional-extension-center-provider-survey.pdf
June 16, 2021 - ______________
Internal Medicine OB/GYN Geriatrics
Throughout the survey, "your practice" refers … Throughout the survey, "your practice" refers to the practice that received help with EHR implementation
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www.uspreventiveservicestaskforce.org/uspstf/document/final-research-plan/genital-herpes-screening-november-2016
August 06, 2015 - All other settings
Language
English
Languages other than English
* “Asymptomatic” refers
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hcup-us.ahrq.gov/datainnovations/raceethnicitytoolkit/or17.pdf
June 16, 2014 - Missing Values
• Specify date format on the missing value grid
Direct Method
• "Direct Method" refers
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psnet.ahrq.gov/node/33829/psn-pdf
March 01, 2017 - Third, enacting culture refers to
performing work in ways that embody the desired culture, rather than
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.326_slideshow.ppt
June 01, 2014 - utilizing a ʺhall passʺ structure may have prevented the harm
22
22
Take-Home Points
Patient wandering refers
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/stem-cell-children_surveillance.pdf
October 29, 2012 - assessed in the original CER) – A3
Major change in evidence
This category of signals (A4-A7) refers … Signals (Continued)
Quantitative signals (B1-B2)*
Change in statistical significance (B1)
Refers … Change in effect size of at least 50% (B2)
Refers to a situation in which the new result indicates
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hcup-us.ahrq.gov/reports/methods/2006_3.pdf
January 01, 2006 - Note: “DRG” refers to Diagnosis Related Groups. … Note: “CCS” refers to Clinical Classifications Software. … Note: “CCS” refers to Clinical Classifications Software. … Note: “CCS” refers to Clinical Classifications Software. … Note: “CCS” refers to Clinical Classifications Software.
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psnet.ahrq.gov/perspective/conversation-withcarolyn-clancy-md
September 01, 2005 - In its purest form, the concept refers to the translation of basic research discoveries into clinical … applications, followed by patient-oriented studies to demonstrate benefit.( 1 ) Increasingly, it also refers
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www.uspreventiveservicestaskforce.org/uspstf/recommendation/gestational-diabetes-screening-2008
May 15, 2008 - Rationale
Importance: Pregestational diabetes refers … Gestational diabetes refers to any degree of glucose intolerance with onset or first recognition during