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psnet.ahrq.gov/node/846935/psn-pdf
March 29, 2023 - Maternal Safety and Perinatal Mental Health
March 29, 2023
Allen C, Van CM, Mossburg S. Maternal Safety and Perinatal Mental Health . PSNet [internet]. 2023.
https://psnet.ahrq.gov/perspective/maternal-safety-and-perinatal-mental-health
Maternal patient safety is a critical aspect of healthcare given the complex pr…
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psnet.ahrq.gov/node/33804/psn-pdf
March 03, 2016 - In Conversation With… Paul McGann, MD
March 1, 2016
In Conversation With… Paul McGann, MD. PSNet [internet]. 2016.
https://psnet.ahrq.gov/perspective/conversation-paul-mcgann-md
Editor's note: Dr. McGann is the Chief Medical Officer for Quality Improvement at the Centers for
Medicare & Medicaid Services (CMS). He…
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psnet.ahrq.gov/node/854897/psn-pdf
October 31, 2023 - Weight and Height Juxtaposition in the Electronic Medical
Record Causing an Accidental Medication Overdose
October 31, 2023
Jain NP, Dakwa D. Weight and Height Juxtaposition in the Electronic Medical Record Causing an
Accidental Medication Overdose. PSNet [internet]. 2023.
https://psnet.ahrq.gov/web-mm/weight-and-…
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psnet.ahrq.gov/web-mm/weight-and-height-juxtaposition-electronic-medical-record-causing-accidental-medication
March 15, 2023 - Weight and Height Juxtaposition in the Electronic Medical Record Causing an Accidental Medication Overdose
Citation Text:
Jain NP, Dakwa D. Weight and Height Juxtaposition in the Electronic Medical Record Causing an Accidental Medication Overdose. PSNet [internet]. Rockville (MD): Agency for Healthcare Rese…
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/glaucoma-treatment_research-protocol.pdf
November 16, 2010 - Source: www.effectivehealthcare.ahrq.gov
Published Online: November 16, 2010
Evidence-based Practice Center Systematic Review Protocol
Project Title: Comparative Effectiveness of Treatment for Open-Angle Glaucoma
I. Background and Objectives for the Systematic Review
The Agency for Healthcare Research and…
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psnet.ahrq.gov/node/49478/psn-pdf
April 01, 2005 - Compare and Contrast
April 1, 2005
Cho KC, Chertow GM. Compare and Contrast. PSNet [internet]. 2005.
https://psnet.ahrq.gov/web-mm/compare-and-contrast
Case Objectives
Define contrast nephropathy (CN)
List risk factors for CN
Implement pharmacologic strategies for CN prophylaxis
Follow an algorithm for CN risk …
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digital.ahrq.gov/sites/default/files/docs/publication/r18hs017216-johnson-final-report-2011.pdf
January 01, 2011 - Progress Report 5 R18 HS017216-03 Johnson, Kevin B., MD, MS
1
STEPStools: Developing Web Services for Safe Pediatric Dosing
Kevin B. Johnson, MD, MS (PI)
Professor, Biomedical Informatics
Professor, Pediatrics
Vanderbilt University Medical Center
Nashville, TN
Cynthia S. Gadd, PhD (Co-Investigato…
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psnet.ahrq.gov/node/49604/psn-pdf
June 01, 2010 - Tacit Handover, Overt Mishap
June 1, 2010
Cooper JB, Kamdar BB. Tacit Handover, Overt Mishap. PSNet [internet]. 2010.
https://psnet.ahrq.gov/web-mm/tacit-handover-overt-mishap
The Case
A 61-year-old man was admitted for management of an infected aortic stent, which had been placed 3
years earlier to treat an abdo…
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psnet.ahrq.gov/print/pdf/node/74277
January 01, 2021 - PSNet
Curated Library
AHRQ: Agency for Healthcare Research and Quality
Medication/Drug Errors
Curated Library
Primers
Medication Administration Errors
Paul MacDowell, PharmD, BCPS, Ann Cabri, PharmD, and Michaela Davis, MSN, RN, CNS | March,
12 2021
Medication administration errors are a persistent patient saf…
-
psnet.ahrq.gov/node/49786/psn-pdf
March 01, 2017 - Consequences of Medical Overuse
March 1, 2017
Morgan DJ, Foy AJ. Consequences of Medical Overuse. PSNet [internet]. 2017.
https://psnet.ahrq.gov/web-mm/consequences-medical-overuse
Case Objectives
Define overuse and overdiagnosis.
State how much of all care is estimated to be overuse.
Describe why the likelihood…
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digital.ahrq.gov/sites/default/files/docs/impact-pcc-qa-032317.pdf
March 23, 2017 - A National Web Conference on Effective Design and Use of Patient Portals and Their Impact on Patient-Centered Care - Q&A
A National Web Conference on Effective Design and Use of
Patient Portals and Their Impact on Patient-Centered Care
Questions and Answers
March 23,…
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psnet.ahrq.gov/node/72516/psn-pdf
November 25, 2020 - Premature Closure: Was It Just Syncope?
November 25, 2020
Maurier D, Barnes DK. Premature Closure: Was It Just Syncope? PSNet [internet]. 2020.
https://psnet.ahrq.gov/web-mm/premature-closure-was-it-just-syncope
Disclosure of Relevant Financial Relationships: As a provider accredited by the Accreditation Council fo…
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psnet.ahrq.gov/node/49682/psn-pdf
April 01, 2013 - From Possible to Probable to Sure to Wrong—Premature
Closure and Anchoring in a Complicated Case
April 1, 2013
Newman-Toker DE. From Possible to Probable to Sure to Wrong—Premature Closure and Anchoring in a
Complicated Case. PSNet [internet]. 2013.
https://psnet.ahrq.gov/web-mm/possible-probable-sure-wrong-premat…
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/psoriasis-chronic_disposition-comments.pdf
November 27, 2012 - Disposition of Comments Report for Biologic and Nonbiologic Systemic Agents and Phottherapy for Treatment of Chronic Plaque Psoriasis
Source: http://effectivehealthcare.ahrq.gov/search-for-guides-reviews-and-
reports/?pageaction=displayproduct&productID=1325
Published Online: November 27, 2012
Comparative…
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs019792-li-final-report-2014.pdf
January 01, 2014 - Exploring Clinically-relevant Image Retrieval for Diabetic Retinopathy Diagnosis - Final Report
AHRQ Grant Final Report
Title of Project:
Exploring Clinically-relevant Image Retrieval for Diabetic Retinopathy…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_5-mutual-support-speaker-notes.pdf
July 01, 2023 - Mutual Support: Obstetric Hemorrhage
SPPC‐II
Toolkit
Hospital AIM
Team
Leads
SPPC II
Mutual Support
Obstetric Hemorrhage
Module 5 of 8
‐
SCRIPT
Welcome to Module 5 of the SPPC‐II Teamwork Toolkit. In this module, we will discuss the
diffe…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/item-sets/elicitation/about-patient-narratives-elicitation-protocol-cg30-2315.pdf
April 24, 2018 - About the CAHPS Patient Narratives Elicitation Protocol
CAHPS® Clinician & Group Survey and Instructions
About the CAHPS Patient Narrative Elicitation Protocol
Document No. 2315
Updated April 24, 2018
About the CAHPS® Patient Narrative
Elicitation Protocol
Introduction .................................…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Singh-R_68.pdf
April 20, 2008 - Building Self-Empowered Teams for Improving Safety in Postoperative Pain Management
Building Self-Empowered Teams for Improving Safety
in Postoperative Pain Management
Ranjit Singh, MA, MB, BChir (Cantab), MBA; Bruce Naughton, MD;
Diana Anderson, EdM; Donna McCourt, RN, BSN; Gurdev Singh, MScEng, PhD
Abstrac…
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/peripheral-nerve-blocks-disposition-comments.pdf
August 15, 2025 - Disposition of Comments: Peripheral Nerve Blocks for Postoperative Pain Management in Cardiothoracic Surgery: A Systematic Review
Systematic Review Disposition of Comments Report
Title: Peripheral Nerve Blocks for Postoperative Pain Management in Cardiothoracic Surgery:
A Systematic Review
Dr…
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www.ahrq.gov/sites/default/files/wysiwyg/news/events/nac/nac-meeting-minutes-2021-nov.pdf
January 01, 2021 - AHRQ National Advisory Council (NAC) Meeting Minutes from November 17, 2021
National Advisory Council, November 17, 2021 Page 1
Agency for Healthcare Research and Quality (AHRQ)
National Advisory Council (NAC)
Virtual Meeting
November 17, 2021
SUMMARY
NAC Members Present
Edmondo J. Robinson, M.D., M.B.A., …