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psnet.ahrq.gov/node/50756/psn-pdf
December 18, 2019 - A Mistaken Dose of Naloxone?
December 18, 2019
Cutler E, Gunawardena D. A Mistaken Dose of Naloxone?. PSNet [internet]. 2019.
https://psnet.ahrq.gov/web-mm/mistaken-dose-naloxone
The Case
A 55-year-old man with widely metastatic gastric cancer presented to his oncologist's office for a follow-up
appointment. He h…
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psnet.ahrq.gov/web-mm/forgotten-med
July 01, 2006 - The Forgotten Med
Citation Text:
Cucina R. The Forgotten Med. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2005.
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Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS
…
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psnet.ahrq.gov/web-mm/acute-care-admission-behavioral-health-patient
July 19, 2023 - Acute Care Admission of the Behavioral Health Patient
Citation Text:
Weiss AP, Rosenbaum JF. Acute Care Admission of the Behavioral Health Patient. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2013.
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Format:
…
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psnet.ahrq.gov/web-mm/painful-dilemma
September 01, 2013 - A Painful Dilemma
Citation Text:
Davison SN. A Painful Dilemma. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2012.
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Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS
…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/fallspximpl-ig.pdf
June 02, 2025 - AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention Facilitator Training
AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention 1
On-Time Falls
Prevention:
Implementation
AHRQ’s Safety Program for Nursing
Homes: On-Time Falls Prevention
Facilitator Training
Implementatio…
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/administrative-data-validity_research.pdf
January 01, 2007 - PHS 398 (Rev. 9/04), Continuation Page
Award: CERTs Comparative Effectiveness Supplement (U18HS010399-06S1)
Project Title: Validation of Outcomes in Centers for Medicare & Medicaid Services (CMS) Data
Principal Investigator: Brian L. Strom, MD, MPH
Co-Principal Investigator: Sean Hennessy, PharmD…
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effectivehealthcare.ahrq.gov/sites/default/files/upenn-final-report-2005-certs-ce-supplement.pdf
January 01, 2005 - PHS 398 (Rev. 9/04), Continuation Page
Award: CERTs Comparative Effectiveness Supplement (U18HS010399-06S1)
Project Title: Validation of Outcomes in Centers for Medicare & Medicaid Services (CMS) Data
Principal Investigator: Brian L. Strom, MD, MPH
Co-Principal Investigator: Sean Hennessy, PharmD…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.383_slideshow.ppt
September 01, 2016 - PowerPoint Presentation
Spotlight
A Pill Organizing Plight
*
Source and Credits
This presentation is based on the September 2016
AHRQ WebM&M Spotlight Case
See the full article at https://psnet.ahrq.gov/webmm
CME credit is available
Commentary by: Brittany McGalliard, PharmD; Rita Shane, PharmD; and Sonja Ro…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/system/systemredesignsafetynet/systemredesign.pptx
July 01, 2014 - PowerPoint Presentation
System Redesign for Value in
Safety-Net Hospitals and Systems:
Challenges and Implications
Boston University School of Public Health
prepared for
Agency for Healthcare Research and Quality
ACTION II
The work reported here was done under AHRQ ACTION II Task Order Contract No. HHSA29020100002…
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psnet.ahrq.gov/node/33697/psn-pdf
June 01, 2010 - What Do We Know About Emergency Department Safety?
June 1, 2010
Sklar DP, Crandall CS. What Do We Know About Emergency Department Safety? PSNet [internet]. 2010.
https://psnet.ahrq.gov/perspective/what-do-we-know-about-emergency-department-safety
Perspective
Emergency medicine has evolved from a location, with var…
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www.ahrq.gov/sites/default/files/2024-09/etchegaray3-report.pdf
January 01, 2024 - Linking Characteristics of High-Performing Hospitals With Patient Safety
Linking characteristics of high-performing hospitals with patient safety
Principal Investigator: Jason M. Etchegaray, PhD
Mentor: Eric J. Thomas, MD, MPH
The University of Texas Medical School at Houston and The University of Texas H…
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psnet.ahrq.gov/node/49432/psn-pdf
February 09, 2004 - Delay in Initiating Antibiotics Results in Fatal Error
February 1, 2004
Bellini LM. Delay in Initiating Antibiotics Results in Fatal Error. PSNet [internet]. 2004.
https://psnet.ahrq.gov/web-mm/delay-initiating-antibiotics-results-fatal-error
Case Objectives
Understand the importance of ongoing patient re-evaluati…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/implementation-guide.pdf
April 01, 2022 - Guide to Implementing and Sustaining a Program To Prevent CLABSI and CAUTI in the Intensive Care Unit Setting
AHRQ Safety Program for Intensive Care
Units: Preventing CLABSI and CAUTI
Guide to Implementing and Sustaining a Program
To Prevent CLABSI and CAUTI in the Intensive Care
Unit Setting
Overv…
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psnet.ahrq.gov/node/33626/psn-pdf
January 01, 2006 - In Conversation with…Jack Barker, PhD
January 1, 2006
In Conversation with…Jack Barker, PhD. PSNet [internet]. 2006.
https://psnet.ahrq.gov/perspective/conversation-withjack-barker-phd
Editor's Note: Jack Barker, PhD, is Vice President of Research and Development for Mach One
Leadership and a commercial pilot for …
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/co-nm-specialinnovation.pdf
January 01, 2020 - Electronic Student Health Questionnaire (eSHQ) enhances risk assessment for adolescents: Special Innovation Feature, August 2015
Page 1
The National Evaluation of the
CHIPRA Quality Demonstration Grant Program
SUMMARY
The electronic Student Health Questionnaire (eSHQ)
improved early identification of health ris…
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psnet.ahrq.gov/web-mm/abnormal-volunteer-results
July 18, 2016 - Abnormal Volunteer Results
Citation Text:
Fernandez C. Abnormal Volunteer Results. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2007.
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Format:
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www.ahrq.gov/sites/default/files/2024-02/hendee-report.pdf
January 01, 2024 - Final Progress Report: Improved Patient Safety Through Web-Based Education
FINAL REPORT
Title of Project: Improved Patient Safety Through Web-Based Education
Principal Investigator: William R. Hendee, PhD
Principal Team Members: Asta Sorensen, MA
Deborah Cummins, PhD
Patti Sokol, RN, JD
Holly Burt, MLIS…
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www.ahrq.gov/hai/tools/surgery/modules/on-boarding/science-of-safety-fac-notes.html
December 01, 2017 - The Science of Improving Patient Safety and Identifying Defects: Facilitator Notes
AHRQ Safety Program for Surgery
Slide 1: The Science of Improving Patient Safety and Identifying Defects
Say:
The topic of this module is the science of patient safety. The discussion will include the importance of unders…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_data_into_action_facnotes.docx
December 01, 2017 - Facilitator Guide: Turn Data Into Action
Turning Data Into Action – Facilitator Notes
Slide Title and Commentary
Slide Number and Slide
Title Slide
Turning Data Into Action: Using HSOPS and SSI Data as Part of a Meaningful Change
SAY:
In this module, you’ll learn about using data as part of your team’s improvemen…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/learn/learn-facilitator-guide.docx
May 01, 2017 - AHRQ Safety Program for Perinatal Care
Learn About the Comprehensive Unit-Based Safety Program for Perinatal Safety
Learn About the Comprehensive Unit-Based Safety Program for Perinatal Safety
SAY:
This module introduces the comprehensive unit-based safety program, also called CUSP, that we will use as the foundation …