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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Regenstein_54.pdf
May 08, 2008 - Speaking Together
benefited from an enormously supportive cadre of forward-thinking chief executives
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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-Engleman_86.pdf
June 04, 2008 - initial series of information queries to representative members of the LabNet network has
clarified OIVD thinking
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Dickerman_84.pdf
June 04, 2008 - Attention to
systems thinking, evidence-based care, and the identification of a different design process
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/breast-abnormalities-tests-update_disposition-comments.pdf
February 13, 2012 - Therefore the patient population under
study does not contain a good representation of patients
thought … We believe that our finding that only women thought to be at very low
risk of malignancy (1% – 12%)
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/vitamin-d-calcium_disposition-comments.pdf
September 15, 2014 - Disposition of Comments Report for Vitamin D and Calcium: A Systematic Review of Health Outcomes (Update)
Evidence Report/Technology Assessment Disposition of Comments Report
Research Review Title: Vitamin D and Calcium: A Systematic Review of Health Outcomes
(Update)
Draft review available for public…
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/methods-guidance-tests-metaanalysis_methods.pdf
July 01, 2012 - Because of the above, the current thinking is that, in general, the study estimates of
sensitivity and
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digital.ahrq.gov/sites/default/files/docs/citation/r18hs024690-epstein-final-report-2021.pdf
January 01, 2021 - observed and
audio-recorded as patient families and teachers interacted with the prototype while “thinking
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digital.ahrq.gov/sites/default/files/docs/citation/r01hs025405-schmajuk-final-report-2024.pdf
January 01, 2024 - Design Thinking Phase Actions Taken
Human-centered design process We worked with patients and clinicians
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www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/using-health-it-to-support-qi.pdf
March 01, 2015 - measures,
down to the level of data elements such as numerators and denominators, keeps everyone’s
thinking
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psnet.ahrq.gov/web-mm/may-i-have-another-medication-error
March 01, 2009 - May I Have Another?—Medication Error
Citation Text:
Wolf MS. May I Have Another?—Medication Error. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2014.
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Format:
Google Scholar BibTeX EndNote X3 XML EndNote …
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effectivehealthcare.ahrq.gov/sites/default/files/cer-238-cervical-ripening-outpatient-setting-comments.pdf
March 22, 2021 - Disposition of Comments: Comparative Effectiveness Review No. 238 Cervical Ripening in the Outpatient Setting
Comparative Effectiveness Review Disposition of Comments Report
Research Review Title: Cervical Ripening in the Outpatient Setting
Draft report available for public comment from August 13, 2020…
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digital.ahrq.gov/sites/default/files/docs/survey/improving-sickle-cell-transitions-focus-group-moderator-guide-%20it-developers.pdf
June 16, 2021 - Improving Sickle Cell Transitions, Focus Group Moderator Guide: IT Developers
Improving Sickle Cell Transitions, Focus Group Moderator Guide: IT Developers
The Lewin Group, Inc., Falls Church Virginia
This is a focus group guide designed to be conducted with developers across a health care system.
The tool …
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psnet.ahrq.gov/web-mm/moving-pains
August 17, 2017 - SPOTLIGHT CASE
Moving Pains
Citation Text:
Schell H, Wachter R. Moving Pains. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2006.
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Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endn…
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psnet.ahrq.gov/node/73526/psn-pdf
July 28, 2021 - Medication Errors in Retail Pharmacies: Wrong Patient,
Wrong Instructions.
July 28, 2021
Li C, Marquez K. Medication Errors in Retail Pharmacies: Wrong Patient, Wrong Instructions. PSNet
[internet]. 2021.
https://psnet.ahrq.gov/web-mm/medication-errors-retail-pharmacies-wrong-patient-wrong-instructions
The Case
…
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psnet.ahrq.gov/web-mm/diagnosing-diagnostic-mistakes
April 30, 2014 - SPOTLIGHT CASE
Diagnosing Diagnostic Mistakes
Citation Text:
McNutt RA, Abrams RI, Hasler S. Diagnosing Diagnostic Mistakes. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2005.
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Format:
Google S…
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www.ahrq.gov/sites/default/files/2024-09/kellogg-report.pdf
January 01, 2024 - Final Progress Report: Emergency Physician Workload
Emergency Physician Workload
Grant Award Number: R03-HS024801
Principal Investigator: Kathryn M. Kellogg, MD, MPH
Team: Allan Fong, MS
Raj Ratwani, PhD
Rollin J. Fairbanks, MD, MS
Amy Will
Tracy Kim
Organization: MedStar Health
MedStar Institute for Inno…
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www.ahrq.gov/sites/default/files/2024-07/rothberg-report.pdf
January 01, 2024 - Final Progress Report: Patient-centered approach to reducing harm from VTE
Title: Patient-centered approach to reducing harm from VTE
Principal Investigator: Michael Rothberg, MD, MPH
Team Members: Aaron Hamilton, Bo Hu, Michael Kattan, Phuc Le, Lei Kou, Jacqueline Fox
Organization: Cleveland Clinic Foundation
In…
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psnet.ahrq.gov/web-mm/double-never-event-wrong-patient-and-wrong-side
August 20, 2018 - A Double “Never Event”: Wrong Patient and Wrong Side.
Citation Text:
Bellini A, Salcedo ES. A Double “Never Event”: Wrong Patient and Wrong Side.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2023.
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…
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www.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/pu1.html
October 01, 2014 - Preventing Pressure Ulcers in Hospitals
1. Are we ready for this change?
Previous Page Next Page
Table of Contents
Preventing Pressure Ulcers in Hospitals
Overview
Key Subject Area Index
1. Are we ready for this change?
2. How will we manage change?
3. What are the best practices in pressu…
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psnet.ahrq.gov/node/49618/psn-pdf
February 01, 2011 - One Toxic Drug Is Not Like Another
February 1, 2011
Holmboe ES. One Toxic Drug Is Not Like Another. PSNet [internet]. 2011.
https://psnet.ahrq.gov/web-mm/one-toxic-drug-not-another
Case Objectives
Distinguish between the three distinct regulatory processes of board certification, medical licensure,
and credential…