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effectivehealthcare.ahrq.gov/sites/default/files/04_dementia_potential_high_impact_june_2012.pdf
January 01, 2012 - devices,
diagnostic tests and procedures, therapeutic interventions, rehabilitative interventions, behavioral
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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-Adams-Pizarro_109.pdf
January 08, 2008 - from the
ED Collaborative Improvement Guide.12 These change ideas represented a mix of systems and
behavioral
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/nurse-role-dxsafety.pdf
September 02, 2022 - interprofessional consensus group convened by SIDM in 2019.52
Patient Safety Vignettes
Vignette 1: Behavioral
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hcup-us.ahrq.gov/reports/statbriefs/sb198-Hospital-Stays-Medicare-Advantage-Versus-Traditional-Medicare.pdf
December 01, 2014 - Preadult disorders
74: Other mental conditions
75: Personal history of mental disorder; mental and behavioral
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www.ahrq.gov/data/apcd/backgroundrpt/review.html
July 01, 2022 - Inventory and Prioritization of Measures To Support the Growing Effort in Transparency Using All-Payer Claims Databases
Reviewing the Landscape of All-Payer Claims Databases
Previous Page Next Page
Table of Contents
Inventory and Prioritization of Measures To Support the Growing Effort in Transparen…
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs028119-hartung-final-report-2024.pdf
January 01, 2024 - Prescription Drug Monitoring Program Integration in the Electronic Health Record - Final Report
Title Page
Title: Prescription Drug Monitoring Program Integration in the Electronic Health Record
Principal Investigator: Daniel Hartung, PharmD, MPH
Team Members: Steven Kassakian, MD; Sanae Ibrahimi, PhD; Michelle…
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psnet.ahrq.gov/node/33594/psn-pdf
November 18, 2021 - Debriefing for Clinical Learning
November 18, 2021
Edwards JJ, Wexner S, Nichols A. Debriefing for Clinical Learning. PSNet [internet]. 2021.
https://psnet.ahrq.gov/primer/debriefing-clinical-learning
Updated in September 2021. Originally published in December 2011 by researchers at the University of
California, S…
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/hro-protocol.pdf
January 01, 2023 - Making Healthcare Safer IV: High Reliability Organization (HRO) as a Patient Safety Practice
Evidence-based Practice Center Rapid Review Protocol
Project Title: Making Healthcare Safer IV: High Reliability Organization
(HRO) as a Patient Safety Practice
Review Questions
Review Question
Based on t…
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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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psnet.ahrq.gov/web-mm/delayed-diagnosis-and-treatment-occult-hemothorax-following-complicated-central-line
April 01, 2008 - Delayed Diagnosis and Treatment of an Occult Hemothorax Following Complicated Central Line Insertion Leads to Cardiac Arrest
Citation Text:
Raff G, Goudy B. Delayed Diagnosis and Treatment of an Occult Hemothorax Following Complicated Central Line Insertion Leads to Cardiac Arrest. PSNet [internet]. Rockvil…
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psnet.ahrq.gov/web-mm/unexplained-apnea-under-anesthesia
December 01, 2005 - SPOTLIGHT CASE
Unexplained Apnea Under Anesthesia
Citation Text:
Barach P. Unexplained Apnea Under Anesthesia. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2003.
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Format:
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effectivehealthcare.ahrq.gov/sites/default/files/s5.pdf
October 01, 2007 - ORIGINAL ARTICLE
Emerging Methods in Comparative Effectiveness
and Safety
Symposium Overview and Summary
Kathleen N. Lohr, PhD
Background: Interest in new methods for comparative effective-
ness, drug and patient safety, and related studies is burgeoning. The
advent of Medicare Part D for outpatient prescription dr…
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psnet.ahrq.gov/web-mm/dangerous-shift
July 24, 2013 - SPOTLIGHT CASE
Dangerous Shift
Citation Text:
Patterson ES. Dangerous Shift. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2008.
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Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endno…
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digital.ahrq.gov/sites/default/files/docs/publication/k08hs017951-rand-final-report-2015.pdf
January 01, 2015 - Using Health Information Technology to Improve Delivery of HPV Vaccine - Final Report
Program Director/Principal Investigator (Last, First, Middle): Rand, Cynthia M.
Title: Using Health Information Technology to Improve Delivery of HPV Vaccine
PI: Cynthia M. Rand…
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psnet.ahrq.gov/web-mm/crossing-line
December 01, 2012 - SPOTLIGHT CASE
Crossing the Line
Citation Text:
Feldman JP, Gould MK. Crossing the Line. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2004.
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psnet.ahrq.gov/web-mm/snfs-opening-black-box
August 27, 2012 - SNFs: Opening the Black Box
Citation Text:
Ouslander JG, Bonner A. SNFs: Opening the Black Box. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2013.
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psnet.ahrq.gov/perspective/conversation-withbarbara-blakeney-ms-rn
August 01, 2005 - In Conversation with…Barbara A. Blakeney, MS, RN
August 1, 2005
Also Read an Essay
Citation Text:
In Conversation with…Barbara A. Blakeney, MS, RN. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Ser…
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psnet.ahrq.gov/perspective/conversation-withalbert-wu-md-mph-0
March 24, 2025 - In Conversation with…Albert Wu, MD, MPH
May 1, 2011
Citation Text:
In Conversation with…Albert Wu, MD, MPH. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2011.
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…
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psnet.ahrq.gov/web-mm/hidden-mystery
December 01, 2011 - SPOTLIGHT CASE
Hidden Mystery
Citation Text:
Brunette DD. Hidden Mystery. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2005.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/shareddec-1.pdf
September 08, 2016 - Shared Decisionmaking To Improve Patient Safety, Education, and Empowerment
Case Study
Problem Addressed
In many health care situations, there is not necessarily a
“correct” decision. Often, multiple options are available,
such as testing or treatment, where risks and expected
outcomes must be balanced with patie…