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psnet.ahrq.gov/issue/errors-upstream-and-downstream-universal-protocol-associated-wrong-surgery-events-veterans
November 21, 2012 - Study
Errors upstream and downstream to the Universal Protocol associated with wrong surgery events in the Veterans Health Administration.
Citation Text:
Paull DE, Mazzia L, Neily J, et al. Errors upstream and downstream to the Universal Protocol associated with wrong surgery events in t…
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psnet.ahrq.gov/issue/effect-facility-complexity-perceptions-safety-climate-operating-room-size-matters
December 21, 2014 - Study
The effect of facility complexity on perceptions of safety climate in the operating room: size matters.
Citation Text:
Carney BT, West P, Neily J, et al. The effect of facility complexity on perceptions of safety climate in the operating room: size matters. Am J Med Qual. 2010;25…
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psnet.ahrq.gov/issue/effect-promoting-high-quality-staff-interactions-fall-prevention-nursing-homes-cluster
July 13, 2010 - Study
Effect of promoting high-quality staff interactions on fall prevention in nursing homes: a cluster-randomized trial.
Citation Text:
Colón-Emeric CS, Corazzini K, McConnell ES, et al. Effect of Promoting High-Quality Staff Interactions on Fall Prevention in Nursing Homes: A Cluster-…
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psnet.ahrq.gov/issue/remote-patient-monitoring-during-covid-19-unexpected-patient-safety-benefit
July 20, 2022 - Commentary
Remote patient monitoring during COVID-19: an unexpected patient safety benefit.
Citation Text:
Pronovost PJ, Cole MD, Hughes RM. Remote patient monitoring during COVID-19: an unexpected patient safety benefit. JAMA. 2022;327(12):1125-1126. doi:10.1001/jama.2022.2040.
Copy C…
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psnet.ahrq.gov/issue/enhancing-patient-safety-national-standard-cyber-resiliency-healthcare
September 23, 2020 - Commentary
Enhancing patient safety: a national standard for cyber resiliency in healthcare.
Citation Text:
Samuelson-Kiraly C, Mitchell JI, Kingston D, et al. Enhancing patient safety: A national standard for cyber resiliency in healthcare. Healthc Manage Forum. 2024;37(1):9-12. doi:10.…
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psnet.ahrq.gov/issue/creating-safer-health-care-system-finding-constraint
February 24, 2011 - Commentary
Creating a safer health care system: finding the constraint.
Citation Text:
Pauker SG, Zane EM, Salem D. Creating a safer health care system: finding the constraint. JAMA. 2005;294(22):2906-8.
Copy Citation
Format:
Google Scholar PubMed BibTeX EndNote X3 XML En…
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psnet.ahrq.gov/issue/preventable-adverse-drug-events-hospitalized-patients-comparative-study-intensive-care-and
March 31, 2021 - Study
Classic
Preventable adverse drug events in hospitalized patients: a comparative study of intensive care and general care units.
Citation Text:
Cullen DJ, Sweitzer BJ, Bates DW, et al. Preventable adverse drug events in hospitalized patients. Crit Care Me…
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psnet.ahrq.gov/issue/critical-errors-infrequently-performed-trauma-procedures-after-training
June 27, 2018 - Study
Critical errors in infrequently performed trauma procedures after training.
Citation Text:
Mackenzie CF, Shackelford SA, Tisherman SA, et al. Critical errors in infrequently performed trauma procedures after training. Surgery. 2019;166(5):835-843. doi:10.1016/j.surg.2019.05.031.
…
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psnet.ahrq.gov/issue/recommendations-improve-usability-drug-drug-interaction-clinical-decision-support-alerts
February 14, 2024 - Commentary
Recommendations to improve the usability of drug–drug interaction clinical decision support alerts.
Citation Text:
Payne TH, Hines LE, Chan RC, et al. Recommendations to improve the usability of drug-drug interaction clinical decision support alerts. J Am Med Inform Assoc. 201…
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digital.ahrq.gov/ahrq-funded-projects/state-and-regional-demonstrations-health-information-technology/annual-summary/2010
January 01, 2010 - State and Regional Demonstrations in Health Information Technology - 2010
Project Name
State and Regional Demonstration in Health Information Technology: Tennessee
Principal Investigator
Frisse, Mark E.
Organization
Vanderbilt Center for Better Health
Contract Number …
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/traumatic-brain-injury-rehabilitation_disposition-comments.pdf
October 07, 2012 - Commentators are not required to provide their names or affiliations in order to submit
suggestions … Accordingly,
we urge the authors to expound on this suggestion and to do so forcefully in their final
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www.ahrq.gov/sites/default/files/wysiwyg/topics/IAWG-July-2024-meeting-notes.pdf
January 01, 2024 - Future focus
areas for suggestion included:
• The evolving role of AI in diagnosis.
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/poDYcagnw7SqKNNbrFt_CV
June 11, 2019 - USPSTF Grades and Levels of Evidence
What the USPSTF Grades Mean and Suggestions for Practice
Grade … Suggestions for Practice
B The USPSTF recommends the service.
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/cer-212-urinary-incontinence-disposition-comments.pdf
August 08, 2018 - Thank you for this suggestion. … We considered implementing this suggestion but this
concern is true for several of the pharmacological … American
Urogynecologic Society is very supportive of
this effort, and we have several comments
and suggestions
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www.uspreventiveservicestaskforce.org/uspstf/document/evidence-summary/breast-cancer-screening-2002
September 03, 2002 - broader search conducted for the systematic evidence review on which this article is based; 46 and suggestions
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/evidence-based-reports/nutrtp5.pdf
October 01, 2011 - Thus, there is no suggestion that quantitative analyses of citation
relationships can distinguish topics
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cds.ahrq.gov/sites/default/files/workgroups/38971/CDS_Connect_WG_December_2021_Summary.pdf
January 01, 2021 - CDS Connect Work Group Agenda - December 2021
Clinical Decision Support (CDS) Connect Work Group (WG)
Meeting Summary
December 16, 2021
3:00 – 4:00 pm ET
Attendees: 39 people, including 5 phone dial-ins
Organization Attendees
AHRQ Sponsors Chris Dymek, Edward Lomotan, Mario Teran, James Swiger (4)
…
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/cer-269-respectful-maternity-care-summary.pdf
January 01, 2024 - Executive Summary_Comparative Effectiveness Review No. 269: Respectful Maternity Care
Comparative Effectiveness Review
Number 269
Respectful Maternity Care
Dissemination and Implementation of Perinatal Safety Culture
To Improve Equitable Maternal Healthcare Delivery and Outcomes
Executive Summary
…
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/masks-prevention-covid-surveillance-report.pdf
July 17, 2020 - Surveillance Report: Masks for Prevention of COVID-19 in Community and Healthcare Settings
Surveillance Report: July 17, 2020
Masks for Prevention of COVID-19 in
Community and Healthcare Settings:
Surveillance Report
Background
This surveillance report summarizes the search and update for the rapid review and l…
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psnet.ahrq.gov/node/49389/psn-pdf
February 01, 2003 - Procedural Mishap: Learning Curve?
February 1, 2003
Gibbs VC, Leape L. Procedural Mishap: Learning Curve? PSNet [internet]. 2003.
https://psnet.ahrq.gov/web-mm/procedural-mishap-learning-curve
The Case
A 28-year-old multiparous obese female presented for laparoscopic tubal ligation. The patient had
undesired fert…