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  1. Medication Mix-Up Leads to Patient Death | PSNet

    psnet.ahrq.gov/web-mm/medication-mix-leads-patient-death
    July 08, 2022 - Medication Mix-Up Leads to Patient Death Citation Text: Sanchez L, Romano PS. Medication Mix-Up Leads to Patient Death. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2023. Copy Citation Format: Google Scholar BibTeX En…

  2. A National Web Conference on Use of Health IT for Aging Adults - Q&As (pdf file)

    digital.ahrq.gov/sites/default/files/docs/hit-aging-adults-qa-071717.pdf
    July 17, 2017 - A National Web Conference on Use of Health IT for Aging Adults - Q&As A National Web Conference on the Use of Health IT to Improve Care Planning and Communication With Aging Adults…

  3. Optimizing the Value of Patient-Reported Outcome Measures in Improving Care Delivery through Health Information Technology | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/optimizing-value-patient-reported-outcome-measures-improving-care-delivery
    January 01, 2024 - Optimizing the Value of Patient-Reported Outcome Measures in Improving Care Delivery through Health Information Technology Project Final Report ( PDF , 473.77 KB) Disclaimer Disclaimer The findings and conclusions in this document are those of the author(s), who are responsible f…

  4. Comparison Tables for Making Healthcare Safer Reports | Agency for Healthcare Research and Quality

    www.ahrq.gov/research/findings/making-healthcare-safer/comparison.html
    June 01, 2025 - Comparison Tables for Making Healthcare Safer Reports The tables below compare all editions of the Agency for Healthcare Research and Quality’s Making Health Care Safer report . The first edition , published in 2001, was developed following the 1999 publication of To Err is Human: Building a Safer Health Sys…

  5. Personal Health Literacy | PSNet

    psnet.ahrq.gov/primer/personal-health-literacy
    October 31, 2023 - Personal Health Literacy Citation Text: Bakerjian D. Personal Health Literacy. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2023. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged…

  6. Burnout | PSNet

    psnet.ahrq.gov/primer/burnout
    November 20, 2024 - Burnout Citation Text: Yellowlees P, Rea M. Burnout. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2022. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Do…

  7. Incorporating Patient Preferences in Patient-Centered Clinical Decision Support (pdf file)

    cdsic.ahrq.gov/sites/default/files/2025-06/TPC%20Topic%20Highlight%20Patient%20Preferences.pdf
    January 01, 2025 - Incorporating Patient Preferences in Patient-Centered Clinical Decision Support AHRQ Pub. No. 25-0055 June 2025 Incorporating Patient Preferences in Patient-Centered Clinical Decision Support Patient preferences can support a patient’s care experience and healthcare decision making. This resource shows differe…

  8. Failure to Rescue | PSNet

    psnet.ahrq.gov/primer/failure-rescue
    September 15, 2024 - Failure to Rescue Citation Text: Tokareva I, Romano P. Failure to Rescue. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2025. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubM…

  9. Research White Paper: Standardized Library of Depression Outcome Measures (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/standardized-library-depression-white-paper.pdf
    May 01, 2020 - Research White Paper: Standardized Library of Depression Outcome Measures Research White Paper Standardized Library of Depression Outcome Measures Research White Paper Standardized Library of Depression Outcome Measures Prepared for: Agency for Healthcare Research and Qual…

  10. Norepinephrine Dosing Error Associated with Multiple Health System Vulnerabilities | PSNet

    psnet.ahrq.gov/web-mm/norepinephrine-dosing-error-associated-multiple-health-system-vulnerabilities
    November 27, 2019 - Norepinephrine Dosing Error Associated with Multiple Health System Vulnerabilities Citation Text: Duby JJ, Schomer K, Oyewole V, et al. Norepinephrine Dosing Error Associated with Multiple Health System Vulnerabilities. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Departm…

  11. The History of Patient Roles | Agency for Healthcare Research and Quality

    www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-patient-role2.html
    September 01, 2024 - The Patient’s Role in Diagnostic Safety and Excellence: From Passive Reception Toward Co-Design The History of Patient Roles Previous Page Next Page Table of Contents The Patient’s Role in Diagnostic Safety and Excellence: From Passive Reception Toward Co-Design Introduction The History of Pat…

  12. White Paper: Standardized Library of Lumbar Spondylolisthesis Outcome Measures (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/white-paper-lumbar-spondylolisthesis.pdf
    March 01, 2021 - White Paper: Standardized Library of Lumbar Spondylolisthesis Outcome Measures Research White Paper Standardized Library of Lumbar Spondylolisthesis Outcome Measures Research White Paper Standardized Library of Lumbar Spondylolisthesis Outcome Measures Prepared for: …

  13. Central Distributor SID Availability of Data Elements by year - 2002

    hcup-us.ahrq.gov/db/state/siddist/siddistvarnote2002.jsp
    May 01, 2020 - Central Distributor SID Availability of Data Elements by year - 2002 An official website of the Department of Health & Human Services Search All AHRQ Websites Careers Contact Us Espano…

  14. Spotlight

    psnet.ahrq.gov/sites/default/files/2024-07/spotlight_case_mismanagement_of_acute_decompensated_heart_failure_slides_final.pptx
    January 01, 2024 - Spotlight Spotlight Mismanagement of Acute Decompensated Heart Failure with Hypertensive Emergency 1 Source and Credits This presentation is based on the July 2024 AHRQ WebM&M Spotlight Case See the full article at https://psnet.ahrq.gov/webmm  CME credit is available  Commentary by: Jaenic Lee, MD Josh Fernel…

  15. Central Distributor SASD Availability of Data Elements by year - 2006

    hcup-us.ahrq.gov/db/state/sasddist/sasddistvarnote2006.jsp
    May 01, 2020 - Central Distributor SASD Availability of Data Elements by year - 2006 An official website of the Department of Health & Human Services Search All AHRQ Websites Careers Contact Us Espan…

  16. Central Distributor SASD Availability of Data Elements by year - 2005

    hcup-us.ahrq.gov/db/state/sasddist/sasddistvarnote2005.jsp
    May 01, 2020 - Central Distributor SASD Availability of Data Elements by year - 2005 An official website of the Department of Health & Human Services Search All AHRQ Websites Careers Contact Us Espan…

  17. The Second Victim Phenomenon: A Harsh Reality of Health Care Professions | PSNet

    psnet.ahrq.gov/perspective/second-victim-phenomenon-harsh-reality-health-care-professions
    November 13, 2024 - The Second Victim Phenomenon: A Harsh Reality of Health Care Professions Susan D. Scott RN, MSN | May 1, 2011  View more articles from the same authors. Citation Text: Scott SD. The Second Victim Phenomenon: A Harsh Reality of Health Care Professions. PSNet [intern…

  18. The Other Side | PSNet

    psnet.ahrq.gov/web-mm/other-side
    May 01, 2007 - SPOTLIGHT CASE The Other Side Citation Text: Vincent CA. The Other Side. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2003. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote t…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33599/psn-pdf
    August 30, 2023 - Personal Health Literacy August 30, 2023 Bakerjian D. Personal Health Literacy. PSNet [internet]. 2023. https://psnet.ahrq.gov/primer/personal-health-literacy Originally published in July 2017 by researchers at the University of California, San Francisco. Updated in August 2023 by Deb Bakerjian, PhD, RN, APRN, FAA…

  20. Clinical Decision Support Optimizing Necrotizing Enterocolitis Prevention Implementation in Neonatal Intensive Care Unit | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/clinical-decision-support-optimizing-necrotizing-enterocolitis-prevention
    January 01, 2023 - Clinical Decision Support Optimizing Necrotizing Enterocolitis Prevention Implementation in Neonatal Intensive Care Unit Project Final Report ( PDF , 951.03 KB) Disclaimer Disclaimer The findings and conclusions in this document are those of the author(s), who are responsible for…
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