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www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/workshop/guide4.html
October 01, 2017 - First, adult learning theory suggests that adults learn best through methods that build on their own
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/handouts2.html
December 01, 2017 - The Menu Worksheet displays ways other facilities have implemented On-Time and suggests reports that
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module4/module4_pu-implementation.docx
June 02, 2025 - First, adult learning theory suggests that adults learn best through methods that build on their own
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www.uspreventiveservicestaskforce.org/uspstf/recommendation/high-blood-pressure-adults-children-adolescents-screening-2003
April 01, 2003 - Hg reduction in SBP and 2.0 mm Hg reduction in DBP. 30 Evidence on the effects of stress management suggests
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/opioid-use-disorder_disposition-comments.pdf
December 06, 2016 - "Medication-assisted"
suggests that somehow medication is helping some
other more important or more … any one of these 3 approaches to treatment is clearly
better than another; what evidence we do have
suggests
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www.uspreventiveservicestaskforce.org/uspstf/document/evidence-summary4/lung-cancer-screening-december-2013
July 30, 2013 - This suggests that, if there is any benefit of chest radiography screening, the benefit of lung cancer … This difference also suggests possible inadequate randomization or inadequate sample size, because the … The 1% to 2.7% prevalence of unrecognized lung cancer suggests a preclinical pool of lung cancer in high-risk
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psnet.ahrq.gov/node/35601/psn-pdf
June 21, 2010 - Is employee discipline the solution for patient safety?
June 21, 2010
Mace KA. Is employee discipline the solution for patient safety? Nurs Manag. 2005;36(12):57-59.
https://psnet.ahrq.gov/issue/employee-discipline-solution-patient-safety
The author provides suggestions on how to support a blame-free culture and en…
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psnet.ahrq.gov/node/39848/psn-pdf
April 16, 2018 - Diagnostic error in acute care.
April 16, 2018
PA-PSRS Patient Saf Advis. September 2010;7:76-86.
https://psnet.ahrq.gov/issue/diagnostic-error-acute-care
Analyzing reports of diagnostic errors, this article discusses common causes and provides suggestions for
physicians and patients to prevent such events.
htt…
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psnet.ahrq.gov/node/33825/psn-pdf
January 01, 2017 - Rethinking Root Cause Analysis
January 1, 2016
Gupta K, Lyndon A. Rethinking Root Cause Analysis. PSNet [internet]. 2016.
https://psnet.ahrq.gov/perspective/rethinking-root-cause-analysis
Annual Perspective 2016
Introduction
Root cause analysis (RCA) is a systematic process to analyze adverse events and near miss…
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psnet.ahrq.gov/node/49659/psn-pdf
July 01, 2012 - Sloppy and Paste
July 1, 2012
Hirschtick RE. Sloppy and Paste. PSNet [internet]. 2012.
https://psnet.ahrq.gov/web-mm/sloppy-and-paste
The Case
A 78-year-old man with hypertension and diabetes presented to an emergency department (ED) with new
onset chest pain. The ED physician reviewed the patient's electronic me…
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/hospitals/red-toolkit/postdisphone.docx
June 02, 2025 - Postdischarge Followup Phone Call Script (Patient Version)
This form reinforces the information provided to the patient at discharge. The patient’s discharge information should be available to the interviewer at the time of this call.
CALLER: Hello Mr./Ms. _____________. I am [caller’s name], a [type of clinician] from…
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/hospitals/red-toolkit/postdisphone.pdf
June 02, 2025 - Postdischarge Followup Phone Call Script (Patient Version)
1
Postdischarge Followup Phone Call Script (Patient Version)
This form reinforces the information provided to the patient at discharge. The patient’s discharge
information should be available to the interviewer at the time of this call.
CALLER: Hello Mr…
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/gout_consumer.pdf
January 01, 2017 - Managing Gout: A Review of the Research for Adults
Managing Gout
A Review of the Research for Adults
e
Is This Information Right for Me?
This information is right for you if:
� Your health care professional* has said that you have gout.
� You are age 18 or older. This information is from research on adults.
…
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www.uspreventiveservicestaskforce.org/uspstf/recommendation/preeclampsia-screening-1996
January 01, 1996 - Clinical experience, however, suggests that early detection and treatment of preeclampsia is beneficial
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www.uspreventiveservicestaskforce.org/uspstf/recommendation/sexually-transmitted-infections-behavioral-counseling-2008
October 15, 2008 - Little evidence suggests that single-session interventions or interventions lasting less than 30 minutes
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digital.ahrq.gov/sites/default/files/docs/citation/r01hs024556-vest-final-report-2019.pdf
January 01, 2019 - Also, the reliance on both approaches within workflows suggests the need for developers
to increase
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psnet.ahrq.gov/node/35892/psn-pdf
July 23, 2010 - Medical errors: should you apologize?
July 23, 2010
Weiss GG. Medical errors. Should you apologize? Medical economics. 2006;83(8):50-4.
https://psnet.ahrq.gov/issue/medical-errors-should-you-apologize
This article discusses disclosure of adverse events from various perspectives and provides suggestions on
apologiz…
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psnet.ahrq.gov/node/36574/psn-pdf
March 09, 2009 - Studying organisational cultures and their effects on
safety.
March 9, 2009
Hopkins A. Studying organisational cultures and their effects on safety. Saf Sci. 2006;44(10).
doi:10.1016/j.ssci.2006.05.005.
https://psnet.ahrq.gov/issue/studying-organisational-cultures-and-their-effects-safety
The author shares exampl…
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psnet.ahrq.gov/node/35506/psn-pdf
June 16, 2019 - ISMP medication error report analysis.
June 16, 2019
Cohen MR.
https://psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-1
This monthly selection of medication error reports provides examples of drug misadministration, confusion
with drug names, and administration of chemotherapy to the wrong patient, plu…
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psnet.ahrq.gov/web-mm/delayed-diagnosis-mesenteric-ischemia
March 31, 2021 - Although the root causes of diagnostic errors have not been fully elucidated, research in the field suggests