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psnet.ahrq.gov/web-mm/not-all-headaches-are-due-migraine-red-flags-dont-miss-diagnoses-and-diagnostic-pitfalls
February 17, 2021 - Not All Headaches are Due to Migraine: Red Flags, Don’t Miss Diagnoses, and Diagnostic Pitfalls
Citation Text:
Olson APJ. Not All Headaches are Due to Migraine: Red Flags, Don’t Miss Diagnoses, and Diagnostic Pitfalls. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Departme…
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psnet.ahrq.gov/node/39823/psn-pdf
April 04, 2011 - Cognitive error as the most frequent contributory factor in
cases of medical injury: a study on verdict's judgment
among closed claims in Japan.
April 4, 2011
Tokuda Y, Kishida N, Konishi R, et al. Cognitive error as the most frequent contributory factor in cases of
medical injury: a study on verdict's judgment am…
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psnet.ahrq.gov/node/46735/psn-pdf
January 31, 2018 - Influence of perceived difficulty of cases on student
osteopaths' diagnostic reasoning: a cross sectional
study.
January 31, 2018
Noyer AL, Esteves JE, Thomson OP. Influence of perceived difficulty of cases on student osteopaths'
diagnostic reasoning: a cross sectional study. Chiropr Man Therap. 2017;25:32. doi:10…
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psnet.ahrq.gov/issue/pediatric-medication-administration-errors-and-workflow-following-implementation-bar-code
July 02, 2019 - Study
Pediatric medication administration errors and workflow following implementation of a bar code medication administration system.
Citation Text:
Hardmeier A, Tsourounis C, Moore M, et al. Pediatric medication administration errors and workflow following implementation of a bar code …
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psnet.ahrq.gov/web-mm/double-dose-transfer
November 01, 2012 - Double Dose at Transfer
Citation Text:
Hackman JL. Double Dose at Transfer. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2012.
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Format:
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hcup-us.ahrq.gov/datainnovations/raceethnicitytoolkit/or22.jsp
July 01, 2014 - Record Linkage to Enhance STD/HIV Surveillance Data for Oregon's AI/AN Population
An official website of the Department of Health & Human Services
Search All AHRQ Websites
Careers
Contact Us…
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psnet.ahrq.gov/issue/hastened-death-due-disease-burden-and-distress-has-not-received-timely-quality-palliative
October 31, 2023 - Commentary
Hastened death due to disease burden and distress that has not received timely, quality palliative care is a medical error.
Citation Text:
Gallagher R, Passmore MJ, Baldwin C. Hastened death due to disease burden and distress that has not received timely, quality palliative ca…
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psnet.ahrq.gov/web-mm/laceration-needed-proper-exam-not-x-ray
November 25, 2020 - SPOTLIGHT CASE
A Laceration that Needed a Proper Exam, Not an X-Ray
Citation Text:
Wander J, Barnes DK. A Laceration that Needed a Proper Exam, Not an X-Ray.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2024.
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psnet.ahrq.gov/web-mm/see-patient-first
September 27, 2023 - But See the Patient First
Citation Text:
Sinigayan VR. But See the Patient First. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2021.
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psnet.ahrq.gov/node/73700/psn-pdf
September 15, 2021 - Preliminary study of patient safety and quality use cases
for ICD-11 MMS.
September 15, 2021
Fenton SH, Giannangelo KL, Stanfill MH. Preliminary study of patient safety and quality use cases for ICD-
11 MMS. J Am Med Inform Assoc. 2021;28(11):2346-2353. doi:10.1093/jamia/ocab163.
https://psnet.ahrq.gov/issue/preli…
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/masks-appendix-table-b-1-version-1.xlsx
April 09, 2020 - Appendix Table B-1. RCTs of Masks
B-1. RCTs Mask Use
Archived: This living report is not being updated. Findings may be used for research purposes, but should not be considered current.
Appendix Table B-1. Randomized controlled trials of mask use
Author
Registry # Publication Year Title Date Retrieved Source Link/U…
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effectivehealthcare.ahrq.gov/sites/default/files/masks-surveillance-2-appendix-table-a-1.xlsx
April 09, 2020 - B-1. RCTs Mask Use
Archived: This living report is not being updated. Findings may be used for research purposes, but should not be considered current.
Appendix Table A-1. Randomized controlled trials of mask use
Author
Registry # Publication Year Title Date Retrieved Source Link/URL Study Design Objectives Study Da…
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effectivehealthcare.ahrq.gov/sites/default/files/masks-appendix-table-b-1-version-2.xlsx
April 09, 2020 - B-1. RCTs Mask Use
Archived: This living report is not being updated. Findings may be used for research purposes, but should not be considered current.
Appendix Table B-1. Randomized controlled trials of mask use
Author
Registry # Publication Year Title Date Retrieved Source Link/URL Study Design Objectives Study Da…
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effectivehealthcare.ahrq.gov/sites/default/files/Masks-appendix-table-b-1-surveillance-report.xlsx
April 09, 2020 - B-1. RCTs Mask Use
Archived: This living report is not being updated. Findings may be used for research purposes, but should not be considered current.
Appendix Table B-1. Randomized controlled trials of mask use
Author
Registry # Publication Year Title Date Retrieved Source Link/URL Study Design Objectives Study Da…
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psnet.ahrq.gov/issue/new-enteral-connectors-raising-awareness
August 28, 2024 - Commentary
New enteral connectors: raising awareness.
Citation Text:
Guenter P. New Enteral Connectors. Nutrition in Clinical Practice. 2014;29(5). doi:10.1177/0884533614543330.
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DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubM…
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psnet.ahrq.gov/training-education
October 01, 2025 - Training and Education Overview
PSNet offers an unparalleled set of resources for patient safety training and education. In this section, you will have the opportunity to read WebM&M (Morbidity & Mortality) Spotlight Cases and complete the interactive learning modules for continuing medical education (CME), maintenan…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/b3b_pdi_resultspresentation.pptx
January 01, 2006 - Background for AHRQ Quality Indicators
Use this PowerPoint presentation as a template for your presentation.
Replace the charts with charts that you create with your data (use the Excel workbook from Tool B.3a for guidance) and replace the red text with your hospital’s information.
INSTRUCTIONS FOR USING THIS TOOL – …
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/multiple/Calibrate-Dx-Quick-Start-Clinicians.pdf
September 01, 2022 - Create a Safe Medicine List Together: Scripts
Clinician’s Quick-Start Guide
to Calibrate Dx
A Resource To Improve Diagnostic Decisions
What Is Calibrate Dx?
Calibrate Dx is a self-evaluation tool for clinicians to improve
their diagnostic decision making. The Agency for Healthcare
Research and Quality contracted …
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psnet.ahrq.gov/web-mm/back-basics
July 13, 2010 - Back to Basics
Citation Text:
Hellman R. Back to Basics. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2007.
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…
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psnet.ahrq.gov/node/848363/psn-pdf
May 03, 2023 - Impact of the percentage of overlapping surgery on
patient outcomes: a retrospective cohort study of 87,000
surgical cases.
May 3, 2023
Pitts CC, Ponce BA, Arguello AM, et al. Impact of the percentage of overlapping surgery on patient
outcomes: a retrospective cohort study of 87,000 surgical cases. Ann Surg. 2023;…