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101. About Network of Patient Safety Databases (NPSD) | PSO
     pso.ahrq.gov/common-formats/about-npsd
     November 01, 2024 - Page last reviewed November 2024 Page originally created November 2024 Internet Citation … Content last reviewed November 2024. Agency for Healthcare Research and Quality, Rockville, MD.

102. Catheter Care and Maintenance | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/education-bundles/indwelling-urinary-catheter-use/catheter-care/slides.html
     March 01, 2017 - damaged A resident identifier should be clearly displayed *Disclaimer: A multidisciplinary team reviewed … Rockville, MD: Agency for Healthcare Research and Quality; content last reviewed September 2015. … Rockville, MD: Agency for Healthcare Research and Quality; content last reviewed September 2015. … Rockville, MD: Agency for Healthcare Research and Quality; content last reviewed September 2015. … Rockville, MD: Agency for Healthcare Research and Quality; content last reviewed September 2015.

103. Tool: Teach-Back | Agency for Healthcare Research and Quality
     www.ahrq.gov/teamstepps-program/curriculum/communication/tools/teachback.html
     May 01, 2023 - Reinforcing this oral message with written instructions is important to ensure the process can be reviewed … Content last reviewed September 2020. Agency for Healthcare Research and Quality, Rockville, MD.

104. Screening for medication errors using an outlier detection system. | PSNet
     psnet.ahrq.gov/issue/screening-medication-errors-using-outlier-detection-system
     December 18, 2019 - The charts were reviewed using a coding system to evaluate the utility of the alerts generated. … About 75% of the chart-reviewed alerts created by the screening system identified possible medication

105. Incidence and types of preventable adverse events in elderly patients: population based review of medical records. | PSNet
     psnet.ahrq.gov/issue/incidence-and-types-preventable-adverse-events-elderly-patients-population-based-review
     June 23, 2015 - This retrospective study reviewed 15,000 medical records following hospital discharge to determine the … These events were subsequently reviewed by two study investigators to judge preventability.

106. Primary-Care-Based-Efforts (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/primary-care-based-efforts.pdf
     March 01, 2019 - Results The peer-reviewed literature search yielded: 535 articles. … The interventions reviewed were grouped into several categories: 5 • Primary care automated … Fifteen links in the gray literature met the same inclusion criteria as the peer-reviewed literature … Peer-Reviewed Literature In Table 2, two articles tested the impact of integrated IT systems that … Medical providers also reviewed goals of care with patients and their families.

107. From Topic Nomination to Clinical Practice: Making a Task Force Recommendation (pdf file)
     www.uspreventiveservicestaskforce.org/uspstf/sites/default/files/inline-files/from-topic-nomination-to-clinical-practice-resources-overview.pdf
     June 01, 2021 - research plan to website. 4 Review Evidence & Develop Draft Recommendation »EPC analyzes peer-reviewed … * USPSTF posts the final recommendation and evidence summary to website and publishes in a peer-reviewed … • The Task Force considers Topic X along with other nominated topics and previously reviewed topics … Review Evidence and Develop Draft Recommendation • EPC analyzes peer-reviewed evidence and develops … • USPSTF posts the final recommendation and evidence summary to website and publishes in a peer-reviewed

108. Map of PSOs | PSO
     pso.ahrq.gov/pso/listed/geographic
     October 01, 2022 - Related Links How to choose a PSO Page last reviewed October 2022 … Content last reviewed October 2022. Agency for Healthcare Research and Quality, Rockville, MD.

109. USPSTF Recommendations Development Process: A Graphic Overview | United States Preventive Services Taskforce
     www.uspreventiveservicestaskforce.org/uspstf/about-uspstf/methods-and-processes/uspstf-recommendations-development-process-graphic-overview
     May 01, 2021 - Review Evidence & Develop Draft Recommendation EPC analyzes peer-reviewed evidence; develops a draft … USPSTF posts the final recommendation statement and evidence summary to website and publishes in a peer-reviewed

110. Chapter 1. Administration | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/final-reports/ssi/ssi1.html
     April 01, 2018 - At the meeting, the overall project goals were discussed, project management and logistics were reviewed … The project milestones and deliverables were reviewed with specific focus on the project timeline and … to the Journal of the American Medical Informatics Association ( JAMIA ) and an open-access, peer-reviewed

111. Lesselroth BJ, Felder RS, Adams SM, et al. "Design and implementation of a medication reconciliation kiosk: the Automated Patient History Intake Device (APHID)." | Digital Healthcare Research
     digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/lesselroth-bj-felder-rs
     January 01, 2023 - Medication lists are retrieved from the electronic health record and patient updates are captured and reviewed … Not all providers reviewed medications and only a few clinics used paper handouts or memory aids. … A small number of providers reviewed medication fill activity or recently expired prescriptions to validate

112. USPSTF Recommendations Development Process: A Graphic Overview (pdf file)
     www.uspreventiveservicestaskforce.org/uspstf/sites/default/files/inline-files/uspstf-recommendations-dev-process-graphic-overview-2021.pdf
     January 01, 2021 - Review Evidence & Develop Draft Recommendation • EPC analyzes peer-reviewed evidence; develops a draft … • USPSTF posts the final recommendation and evidence summary to website and publishes in a peer-reviewed

113. Bundled Payment: Effects on Health Care Spending and Quality (pdf file)
     effectivehealthcare.ahrq.gov/sites/default/files/related_files/bundled-payments-quality-effects_executive.pdf
     August 01, 2012 - A draft report was reviewed by 11 peer reviewers and posted for public comment. … System (IPPS), for which we reviewed 4 review articles. … Among the reviewed studies, 48 employed observational designs, while 9 were descriptive. … The reviewed studies included a heterogeneous set of bundled payment programs. … The interventions studied were often incompletely described in the reviewed articles.

114. Related Office of Inspector General (OIG) Reports | PSO
     pso.ahrq.gov/resources/oig-reports
     August 01, 2025 - National Incidence Among Medicare Beneficiaries (February 2014)   Page last reviewed … Content last reviewed August 2025. Agency for Healthcare Research and Quality, Rockville, MD.

115. Resources for Artificial Intelligence (AI) in Healthcare Safety | PSO
     pso.ahrq.gov/resources/ai-healthcare-safety
     February 01, 2025 - Opportunity to Examine the Impact of AI on Healthcare Safety   Page last reviewed … Content last reviewed February 2025. Agency for Healthcare Research and Quality, Rockville, MD.

116. Contact the PSO Program | PSO
     pso.ahrq.gov/contact
     February 01, 2025 - of Health and Human Services How to Complain and Get Heard Page last reviewed … Content last reviewed February 2025. Agency for Healthcare Research and Quality, Rockville, MD.

117. Disposition of Comments: Comparative Effectiveness Review No. 237_Integrating Palliative Care in Ambulatory Care of Noncancer Serious Illness (pdf file)
     effectivehealthcare.ahrq.gov/sites/default/files/cer-237-integrating-palliative-care-disposition-comments.pdf
     February 11, 2021 - Lack of sufficient clarity on how websites were reviewed and inclusion criteria 3. … What websites were reviewed and inclusion criteria: We clarified and added additional details to the … We reviewed U.S. national websites where we had either free access or memberships, and reviewed available … We had reviewed this previously as noted on the website list. … We have reviewed the references and clarified the inclusion/ exclusion criteria.

118. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33592/psn-pdf
     December 15, 2024 - https://psnet.ahrq.gov/primer/adverse-events-near-misses-and-errors PSNet primers are regularly reviewed … Last reviewed in 2024. … The physicians who reviewed his medical record judged that proper diagnostic management might have … of adverse events use a two-stage record review process in which patient charts are independently reviewed

119. Chart Review* Submission for Baseline, 12, & 18 Months (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/submission-form-mw.pdf
     June 02, 2025 - Retrospectively Going through the Schedule (*When you can’t get a list of eligible patients from the EHR)  Reviewed … eligible patients from the EHR: Off Randomized Number List using EHR produced denominator list: Off Reviewed

120. About the PSO Program | PSO
     pso.ahrq.gov/about
     October 01, 2020 - Page last reviewed October 2020 Page originally created January 2014 Internet Citation: … Content last reviewed October 2020. Agency for Healthcare Research and Quality, Rockville, MD.