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psnet.ahrq.gov/issue/avoiding-medical-emergencies
April 07, 2021 - Commentary
Avoiding medical emergencies.
Citation Text:
Omar Y. Avoiding medical emergencies. Br Dent J. 2013;214(5):255-9. doi:10.1038/sj.bdj.2013.217.
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psnet.ahrq.gov/issue/integrating-simulation-surgery-teaching-tool-and-credentialing-standard
July 02, 2008 - Commentary
Integrating simulation in surgery as a teaching tool and credentialing standard.
Citation Text:
Rehrig ST, Powers K, Jones DB. Integrating simulation in surgery as a teaching tool and credentialing standard. J Gastrointest Surg. 2008;12(2):222-33.
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-patient-experience-fry-webinar.pdf
January 01, 2014 - Understanding CAHPS® Surveys: A Primer for New Users
What Is Patient Experience and How
Does CAHPS Measure It?
Stephanie Fry
Senior Study Director
Westat
www.ahrq.gov/cahps
What is Patient Experience?
“Patient experience encompasses the range of interactions that
patients have with the health care system, inc…
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www.ahrq.gov/research/findings/final-reports/ssi/ssiexh28.html
April 01, 2018 - Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection
Exhibit 28. Count of missing values (with percentage)
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Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection
Executive Summary
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www.ahrq.gov/research/findings/final-reports/ssi/ssiexh68-70.html
April 01, 2018 - Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection
Exhibits 68 to 70
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Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection
Executive Summary
Chapter 1. Administration
Chapter …
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www.ahrq.gov/research/findings/final-reports/ssi/ssiexh65-67.html
April 01, 2018 - Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection
Exhibits 65 to 67
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Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection
Executive Summary
Chapter 1. Administration
Chapter …
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psnet.ahrq.gov/issue/safe-medication-prescribing-and-monitoring-outpatient-setting
January 06, 2018 - Commentary
Safe medication prescribing and monitoring in the outpatient setting.
Citation Text:
Shojania KG. Safe medication prescribing and monitoring in the outpatient setting. Can Med Assoc J. 2006;174(9). doi:10.1503/cmaj.050984.
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psnet.ahrq.gov/issue/reducing-cognitive-errors-dermatology-can-anything-be-done
September 29, 2010 - Commentary
Reducing cognitive errors in dermatology: can anything be done?
Citation Text:
Dunbar M, Helms SE, Brodell RT. Reducing cognitive errors in dermatology: can anything be done? J Am Acad Dermatol. 2013;69(5):810-813. doi:10.1016/j.jaad.2013.07.008.
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psnet.ahrq.gov/issue/how-major-public-hospital-protecting-doctors-silencing-patients-who-accuse-them
January 24, 2024 - Newspaper/Magazine Article
How a major public hospital is protecting doctors by silencing the patients who accuse them.
Citation Text:
How a major public hospital is protecting doctors by silencing the patients who accuse them. Kamb L. NBC News. June 14, 2024,
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psnet.ahrq.gov/issue/rapid-response-teams-whats-latest
December 12, 2012 - Commentary
Rapid response teams: what's the latest?
Citation Text:
Jackson SA. Rapid response teams: What's the latest? Nursing (Brux). 2017;47(12):34-41. doi:10.1097/01.NURSE.0000526885.10306.21.
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-0232-technicalspecs.pdf
June 02, 2025 - Hypertension Screening for Children Who Are Overweight or Obese: Technical Specifications
The percentage of children aged 3 through 17 years with an outpatient care visit and a BMI ≥85th
percentile who had a blood pressure percentile documented and classified as normal or abnormal during
the measure…
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psnet.ahrq.gov/issue/risk-mistaken-dnr-orders
October 19, 2022 - Study
Risk of mistaken DNR orders.
Citation Text:
Rohrer JE, Esler WV, Saeed Q, et al. Risk of mistaken DNR orders. Supportive Care in Cancer. 2006;14(8). doi:10.1007/s00520-006-0023-z.
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www.ahrq.gov/research/findings/final-reports/ssi/ssiexh32-34.html
April 01, 2018 - Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection
Exhibits 32 to 34
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Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection
Executive Summary
Chapter 1. Administration
Chapter …
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psnet.ahrq.gov/issue/office-based-anesthesia-new-frontiers-better-outcomes-and-emphasis-safety
March 10, 2011 - Review
Office-based anesthesia: new frontiers, better outcomes, and emphasis on safety.
Citation Text:
Desai MS. Office-based anesthesia: new frontiers, better outcomes, and emphasis on safety. Curr Opin Anaesthesiol. 2008;21(6):699-703. doi:10.1097/ACO.0b013e328313e879.
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psnet.ahrq.gov/issue/mock-trial-2009-rsna-annual-meeting-jury-exonerates-radiologist-failure-communicate-abnormal
October 23, 2018 - Commentary
Mock trial at 2009 RSNA annual meeting: jury exonerates radiologist for failure to communicate abnormal finding—but...
Citation Text:
Berlin L. Mock trial at 2009 RSNA annual meeting: Jury exonerates radiologist for failure to communicate abnormal finding--but.. Radiology. 20…
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psnet.ahrq.gov/issue/applying-toyota-production-system-using-patient-safety-alert-system-reduce-error
June 21, 2015 - Commentary
Applying the Toyota Production System: using a patient safety alert system to reduce error.
Citation Text:
Furman C, Caplan RA. Applying the Toyota Production System: using a patient safety alert system to reduce error. Jt Comm J Qual Patient Saf. 2007;33(7):376-386.
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psnet.ahrq.gov/issue/human-factors-complex-sociotechnical-systems
June 09, 2021 - Commentary
Human factors of complex sociotechnical systems.
Citation Text:
Carayon P. Human factors of complex sociotechnical systems. Appl Ergon. 2006;37(4):525-35.
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psnet.ahrq.gov/issue/improving-medication-safety-high-risk-medicare-beneficiaries-toolkit
October 23, 2019 - Government Resource
Improving Medication Safety in High Risk Medicare Beneficiaries Toolkit.
Citation Text:
Improving Medication Safety in High Risk Medicare Beneficiaries Toolkit. Touchette DR, Stubbings J, Schumock G. Effective Healthcare Research Report No. 38. Rockville, MD: Agen…
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psnet.ahrq.gov/issue/preventable-hospitalizations-window-primary-and-preventive-care-2000
October 06, 2016 - Government Resource
Preventable Hospitalizations: A Window Into Primary and Preventive Care, 2000.
Citation Text:
Preventable Hospitalizations: A Window Into Primary and Preventive Care, 2000. Kruzikas DT, Jiang HJ, Remus D, et al for Agency for Healthcare Research and Quality; Rockv…
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psnet.ahrq.gov/issue/physicians-information-technology-and-health-care-systems-journey-not-destination
May 04, 2010 - Commentary
Physicians, information technology, and health care systems: a journey, not a destination.
Citation Text:
McDonald CJ, Overhage M, Mamlin BW, et al. Physicians, information technology, and health care systems: a journey, not a destination. J Am Med Inform Assoc. 2004;11(2):1…