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psnet.ahrq.gov/node/49455/psn-pdf
July 01, 2004 - The Worst Headache
July 1, 2004
Edlow JA. The Worst Headache. PSNet [internet]. 2004.
https://psnet.ahrq.gov/web-mm/worst-headache
The Case
A 48-year-old woman with a history of migraine headaches and hypertension presented to her outpatient
clinic with a 4-day history of headache. While shopping 4 days earlier, …
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www.ahrq.gov/sites/default/files/2024-11/devita-report.pdf
January 01, 2024 - Final Progress Report: METs: Preventing Patient Crisies; Protecting Patients in Crisis
AHRQ Final Report
Title of Project: METs: Preventing Patient Crisies; Protecting Patients in Crisis
AHRQ grant: 1 R13 HS 15757-01
Awarded May, 2005.
Dates of project: May 2005-May 2006.
Date of Conference: June 25 and 26, 2005.
…
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www.ahrq.gov/sites/default/files/2024-02/whitney-report.pdf
January 01, 2024 - Final Progress Report: A new approach to the allocation of decisional authority
FINAL REPORT
A new approach to the allocation of decisional authority
Simon Whitney, MD, JD, Principal Investigator
Team members
Robert Volk, PhD, vice chair for research, Baylor College of Medicine, Department of
Family …
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www.ahrq.gov/sites/default/files/2024-10/smucker-report.pdf
January 01, 2024 - Final Progress Report: Patient Safety in Hospice Care
AHRQ Grant Final Progress Report
Title of Project: Patient Safety in Hospice Care
Principal Investigator: Douglas R. Smucker, MD, MPH, Adjunct Professor, University
of Cincinnati Department of Family and Community Medicine
Team Members:
• Nancy Elder, MD, Ass…
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psnet.ahrq.gov/node/49552/psn-pdf
January 01, 2008 - How Do Providers Recover From Errors?
January 1, 2008
West CP. How Do Providers Recover From Errors? PSNet [internet]. 2008.
https://psnet.ahrq.gov/web-mm/how-do-providers-recover-errors
Case Objectives
Describe the provider-specific prevalence of medical errors.
Appreciate the impact of medical errors on care pr…
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psnet.ahrq.gov/node/49600/psn-pdf
April 01, 2010 - Bad Writing, Wrong Medication
April 1, 2010
Devine B. Bad Writing, Wrong Medication. PSNet [internet]. 2010.
https://psnet.ahrq.gov/web-mm/bad-writing-wrong-medication
Case Objectives
Differentiate between a medication error and an adverse drug event.
Appreciate the system complexities involved in medication erro…
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psnet.ahrq.gov/perspective/conversation-suchi-saria-phd
March 27, 2024 - In Conversation With… Suchi Saria, PhD
July 1, 2019
Citation Text:
In Conversation With… Suchi Saria, PhD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
Copy Citation
Format:
…
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psnet.ahrq.gov/node/60857/psn-pdf
August 26, 2020 - Nothing Called Small Surgery
August 26, 2020
Manske C. Nothing Called Small Surgery. PSNet [internet]. 2020.
https://psnet.ahrq.gov/web-mm/nothing-called-small-surgery
The Case
A 56-year-old female presented to surgical clinic with pain and swelling in left great toe associated with
progressive deformity of the …
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psnet.ahrq.gov/node/33663/psn-pdf
September 15, 2008 - Implementing a Patient Safety Program at a Large
National Health System
January 1, 2008
Hauck LD, Jacob J. Implementing a Patient Safety Program at a Large National Health System. PSNet
[internet]. 2008.
https://psnet.ahrq.gov/perspective/implementing-patient-safety-program-large-national-health-system
Perspectiv…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/nursing-home-survey-items-composite-spanish.pdf
September 01, 2024 - SOPS® Nursing Home Survey Items and Composite Measures (Spanish)
SOPS® Nursing Home Survey Items and
Composite Measures
Version: 1.0
Language: Spanish
Notes
• For more information on getting started, selecting a sample, determining data collection
methods, establishing data collection procedures, conduct…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/hospital/about/measures-child-hcahps-909.pdf
March 20, 2017 - Patient Experience Measures from the CAHPS® Child Hospital Survey
CAHPS® Child Hospital Survey and Instructions
Patient Experience Measures from the CAHPS Child Hospital Survey
Document No. 909
Updated 3/20/17
Patient Experience Measures from the
CAHPS® Child Hospital Survey
Introduction..................…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/spanish-composite-measures.pdf
December 01, 2011 - Spanish Medical Office Survey on Patient Safety Culture Items and Dimensions
D-1
Spanish Translation of AHRQ’s Medical Office Survey on Patient Safety
December 2011
This document explains the process that was used to develop a Spanish translation of the Agency for Healthcare
Research and Quality (AHRQ) Medica…
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psnet.ahrq.gov/node/49549/psn-pdf
December 06, 2007 - Elopement
December 1, 2007
Gerardi D. Elopement. PSNet [internet]. 2007.
https://psnet.ahrq.gov/web-mm/elopement
Case Objectives
Define elopement and differentiate it from wandering and leaving against medical advice.
Identify leading contributors to elopement events.
Describe strategies for preventing elopement…
-
psnet.ahrq.gov/node/49528/psn-pdf
January 01, 2015 - The "Customer" Is Always Right
February 1, 2007
Sehgal NL. The "Customer" Is Always Right. PSNet [internet]. 2007.
https://psnet.ahrq.gov/web-mm/customer-always-right
Case Objectives
Understand the importance of identifying a patient's agenda.
Appreciate the factors that contribute to unmet patient expectations.
…
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www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/action-alliance-webinar-august-2024.pdf
January 01, 2024 - NAA National Webinar August 2024
Empowering Frontline Staff with Competencies
for Patient Safety
NATIONAL WEBINAR SERIES
August 20, 2024
Housekeeping Instructions
• This webinar will be recorded and available for viewing on the NAA website
• Please use the ‘Chat’ function to engage with us throughout to webina…
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psnet.ahrq.gov/node/49798/psn-pdf
July 01, 2017 - Pseudo-obstruction But a Real Perforation
July 1, 2017
Paski SC, Dominitz JA. Pseudo-obstruction But a Real Perforation. PSNet [internet]. 2017.
https://psnet.ahrq.gov/web-mm/pseudo-obstruction-real-perforation
Case Objectives
Recognize acute colonic pseudo-obstruction and implement a medical management plan.
Ide…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/situ/simulation.pptx
May 01, 2017 - AHRQ Safety Program for Perinatal Care: Facilitation Instructions for Conducting In Situ Simulations
AHRQ Safety Program for Perinatal Care
Establishing a Program of
In Situ Simulations
AHRQ Publication No. 17-0003-22-EF
May 2017
1
Learning Objectives
2
AHRQ Safety Program for Perinatal Care
In Situ Simulation…
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psnet.ahrq.gov/innovation/virtual-hospitalist-program-address-hospitals-challenges-start-covid-19-pandemic
October 30, 2024 - A Virtual Hospitalist Program to Address a Hospital’s Challenges at the Start of the COVID-19 Pandemic
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April 27, 2022
Innovation
Conta…
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psnet.ahrq.gov/node/49508/psn-pdf
January 01, 2007 - Language Barrier
April 1, 2006
Flores G. Language Barrier. PSNet [internet]. 2006.
https://psnet.ahrq.gov/web-mm/language-barrier
The Case
A previously healthy 10-month-old girl was taken to a pediatrician's office by her monolingual Spanish-
speaking parents when they noted that their daughter had generalized we…
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psnet.ahrq.gov/node/49645/psn-pdf
February 01, 2012 - E-prescribing: E for error?
February 1, 2012
Ashton EW. E-prescribing: E for error? PSNet [internet]. 2012.
https://psnet.ahrq.gov/web-mm/e-prescribing-e-error
Case Objectives
Define e-prescribing.
Describe ways in which e-prescribing can reduce health care costs.
State how commonly prescription errors occur wit…