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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 - Taxonomic Guidance for Remedial Actions
75
Taxonomic Guidance for Remedial Actions
Bruce Thomadsen, Shi-Woei Lin
Abstract
Objectives: This project developed a taxonomy to provide guidance in selecting
remedial actions to address problems uncovered during root cause analyses of
events in a medical setting. M…
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psnet.ahrq.gov/web-mm/tale-two-falls
March 27, 2024 - A Tale of Two Falls
Citation Text:
Jackson V, Satake A. A Tale of Two Falls. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2024.
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integrationacademy.ahrq.gov/about/academy-team/niac-bios
June 01, 2022 - An official website of the Department of Health & Human Services
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www.ahrq.gov/cahps/quality-improvement/improvement-guide/4-approach-qi-process/index.html
January 01, 2020 - Section 4: Ways To Approach the Quality Improvement Process (Page 1 of 2)
Contents
On Page 1 of 2:
4.A. Focusing on Microsystems
4.B. Understanding and Implementing the Improvement Cycle
On Page 2 of 2:
4.C. An Overview of Improvement Models
4.D. Tools To Enhance Quality Improvement Initiatives
Re…
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www.uspreventiveservicestaskforce.org/uspstf/sites/default/files/inline-files/benefit.pdf
December 01, 2007 - Update on the Methods of the U.S. Preventive Services Task Force: Estimating Certainty and Magnitude of Net Benefit
Update on the Methods of the U.S. Preventive Services Task Force:
Estimating Certainty and Magnitude of Net Benefit
George F. Sawaya, MD; Janelle Guirguis-Blake, MD, MPH; Michael LeFevre, MD, MSPH; Russ…
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psnet.ahrq.gov/node/867035/psn-pdf
October 30, 2024 - A Tale of Two Falls
October 30, 2024
Jackson V, Satake A. A Tale of Two Falls. PSNet [internet]. 2024.
https://psnet.ahrq.gov/web-mm/tale-two-falls
The Cases
Case #1: A 79-year-old woman with a history of impaired cognition at baseline was brought from a skilled
nursing facility to the emergency department (ED) f…
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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 - The New York Model: Root Cause Analysis Driving Patient Safety Initiative to Ensure Correct Surgical and Invasive Procedures
1
The New York Model: Root Cause Analysis
Driving Patient Safety Initiative to Ensure
Correct Surgical and Invasive Procedures
Lawrence L. Faltz, MD, FACP; John N. Morley, MD, FACP…
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/continuous-outcomes-quantitative-synthesis_methods.pdf
March 01, 2011 - Methods Guide
for Comparative Effectiveness Reviews
Handling Continuous Outcomes in Quantitative
Synthesis
ii
This report is based on research conducted by the Oregon Evidence-based Practice Center (EPC)
under contract to the Agency for Healthcare…
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/methods-future-presentation-format_research.pdf
January 01, 2019 - Defining an Optimal Format for Presenting Research Needs
Methods Future Research Needs Report
Number 3
Defining an Optimal Format
for Presenting Research Needs
Methods Future Research Needs Report
Number 3
Defining an Optimal Format
for Presenting Research Needs
Pre…
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www.uspreventiveservicestaskforce.org/uspstf/recommendation/breast-cancer-screening-january-2016
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Final Recommendation Statement
Breast Cancer: Screening
January 11, 2016
Recommendations made by the USPSTF are independent of the U.S. government. They should…
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www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/research/reaching-adolescents-full.pdf
April 01, 2024 - Person-Centered Preventive Healthcare: Reaching Adolescents to Deliver Preventive Services
Person-Centered Preventive Healthcare:
Reaching Adolescents to Deliver Preventive Services
Prepared for
Agency for Healthcare Research and Quality
Center for Evidence and Practice Improvement
Prepared by
RTI I…
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www.uspreventiveservicestaskforce.org/uspstf/document/evidence-summary/diabetes-mellitus-type-2-in-adults-screening-2003
February 03, 2003 - Share to Facebook
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Evidence Summary
Diabetes Mellitus (Type 2) in Adults: Screening, 2003
February 03, 2003
Recommendations made by the USPSTF are independent of the U.S. government. …
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digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/research
January 01, 2023 -
determines the impact on clinician override rates of interrupting clinician workflow only for high-severity … prescribing among ambulatory patients by examining the behavior of general internists with respect to high-severity
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effectivehealthcare.ahrq.gov/products/safety-vaccines/protocol
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psnet.ahrq.gov/web-mm/missed-pneumonia
June 01, 2005 - Missed Pneumonia
Citation Text:
Rohde JM, Flanders S. Missed Pneumonia. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2012.
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psnet.ahrq.gov/web-mm/hyponatremia-secondary-home-parenteral-nutrition-error
May 27, 2020 - Hyponatremia Secondary to Home Parenteral Nutrition Error
Citation Text:
Haas K, Lee A. Hyponatremia Secondary to Home Parenteral Nutrition Error. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2021.
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psnet.ahrq.gov/web-mm/poor-prognosis
March 15, 2016 - SPOTLIGHT CASE
Poor Prognosis
Citation Text:
Lamont EB. Poor Prognosis. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2004.
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psnet.ahrq.gov/web-mm/pocket-syringe-swap
July 01, 2006 - Pocket Syringe Swap
Citation Text:
Kulli JC. Pocket Syringe Swap. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2011.
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digital.ahrq.gov/sites/default/files/docs/improving-hit-safety-qa-020717.pdf
February 07, 2017 - A National Web Conference on Improving Health IT Safety through the Use Natural Language Processing to Improve Accuracy of EHR Documentation - Q&As
…
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psnet.ahrq.gov/web-mm/wheres-feeding-tube
September 01, 2003 - Where's the Feeding Tube?
Citation Text:
Metheny NA, Meert KL. Where's the Feeding Tube?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2008.
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