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psnet.ahrq.gov/node/40669/psn-pdf
August 27, 2013 - STate Action on Avoidable Rehospitalizations.
August 27, 2013
Institute for Healthcare Improvement. 2009 -2013.
https://psnet.ahrq.gov/issue/state-action-avoidable-rehospitalizations
This Web site supports an initiative to reduce avoidable rehospitalizations by improving transitions in care
and communication betwe…
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psnet.ahrq.gov/node/36217/psn-pdf
March 04, 2015 - Will saying "I'm sorry" prevent a malpractice lawsuit?
March 4, 2015
Berlin L. Will Saying "I'm Sorry" Prevent a Malpractice Lawsuit? AJR Am J Roentgenol. 2006;187(1):10-5.
https://psnet.ahrq.gov/issue/will-saying-im-sorry-prevent-malpractice-lawsuit
In the context of a malpractice lawsuit filed after a communicati…
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www.ahrq.gov/research/shuttered/toolkitchecklist/facancil.html
July 01, 2018 - Facilities/Ancillary Services
Availability of other space for ancillary services. Examine general condition of facilities. Other experts will look at these areas from a different perspective.
Date: ____________ Location: _______________________ Team member: __________________________
Administrative Areas …
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www.ahrq.gov/nursing-home/resources/caring-communication.html
February 01, 2021 - Caring Messages Applicable During the COVID-19 Pandemic
Resource: Caring Messages Applicable During the COVID-19 Pandemic (PDF, 428 KB)
This document includes examples of caring communication in a variety of situations healthcare personnel are encountering today. These examples illustrate what it might sou…
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digital.ahrq.gov/ahrq-funded-projects/incorporating-health-information-technology-workflow-redesign/publication/workflow-toolkit
January 01, 2023 - Workflow Assessment for Health IT Toolkit.
Citation
University of Wisconsin-Madison’s Center for Quality and Productivity Improvement (CQPI). Workflow Assessment for Health IT Toolkit. Web based tool. Available at: https://digital.ahrq.gov/workflow
Link
https://digital.ahrq.gov/workflow
…
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psnet.ahrq.gov/perspective/safety-radiology
October 01, 2013 - sufficient for accurate diagnoses and the guidance of interventional procedures.( 15 )
Moreover, communicating
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digital.ahrq.gov/sites/default/files/docs/publication/r21hs020323-mollica-final-report-2014.pdf
January 01, 2014 - The Virtual Patient for Improving Quality of Care in Primary Healthcare - Final Report
The Virtual Patient for Improving Quality of Care in Primary Healthcare
Principal Investigator and Team Members:
PI: Richard F. Mollica, MD, MAR; J…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/workforce-financing/case_example_8.pdf
October 01, 2016 - New Models of Primary Care Workforce - Case Example #8: Methodist Healthcare Ministries: Wesley Health & Wellness Center
New Models of Primary Care
Workforce and Financing
Case
Example Methodist Health Care Ministries:
8 Wesley Health and Wellness Center
New Models of Primary Care Workforce
and Financing
…
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www.ahrq.gov/sites/default/files/2025-03/mcfarland-report.pdf
January 01, 2025 - Final Progress Report: Ambulatory Patient Safety of Clients in Treatment for Substance Abuse
TITLE PAGE
Title of Project: Ambulatory patient safety of clients in treatment for
substance abuse
Principal Investigator: Bentson McFarland, MD, PhD
Team Members: Colleen Lewy, PhD
Christina Nicolaidis, MD
Patri…
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cahpsdatabase.ahrq.gov/files/2017CAHPSHealthPlanChartbook.htm
October 01, 2017 - 2017 CAHPS Health Plan Survey Database
THE CAHPS DATABASE
2017 CAHPS Health Plan Survey Database
2017 Chartbook: What Consumers Say About Their Experiences With Their Health Plans and Medical Care
The content of this document may be used and reprinted without permissi…
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www.ahrq.gov/sites/default/files/2025-05/goldman2-report.pdf
January 01, 2025 - Final Progress Report: Risk and Recovery in Complex Environments: Labor and Delivery as a Model
RISK AND RECOVERY IN COMPLEX ENVIRONMENTS:
LABOR AND DELIVERY AS A MODEL
Final Progress Report
Grant Award: 1 UC1 HS014376-01
June 30, 2006
Marlene B. Goldman, MS, ScD, Meghan M. Dierks, MD, Ronald G. Marcus, MD, Luk…
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digital.ahrq.gov/sites/default/files/docs/cds-slides-10192021.pdf
October 19, 2021 - AHRQ National Web Conference on Clinical Decision Support Efforts That Assist Clinical Cognitive Processes - Slides
AHRQ National Web Conference
on Clinical Decision Support Efforts
That Assist Clinical Cognitive Processes
Moderated by:
Roland Gamache, PhD, MBA, FAMIA
Agency for Healthcare Research and Quality
…
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psnet.ahrq.gov/web-mm/acute-respiratory-arrest-pregnancy
August 15, 2018 - Acute Respiratory Arrest in Pregnancy
Citation Text:
Sibai B. Acute Respiratory Arrest in Pregnancy. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2010.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNot…
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psnet.ahrq.gov/web-mm/breathe-easy-safe-tracheostomy-management
June 07, 2023 - Breathe Easy: Safe Tracheostomy Management
Citation Text:
Russell MS, Russell MD. Breathe Easy: Safe Tracheostomy Management. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2015.
Copy Citation
Format:
Google Scholar Bib…
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psnet.ahrq.gov/node/49677/psn-pdf
February 01, 2013 - CVC Placement: Speak Now or Do Not Use the Line
February 1, 2013
Ault M, Rosen B. CVC Placement: Speak Now or Do Not Use the Line. PSNet [internet]. 2013.
https://psnet.ahrq.gov/web-mm/cvc-placement-speak-now-or-do-not-use-line
The Case
A 48-year-old woman with a history of hypertension, psychiatric illness, and a…
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psnet.ahrq.gov/node/865984/psn-pdf
May 29, 2024 - Fatal Oversight: Misdiagnosis of Nocturnal Chest Pain
with Elevated D-dimer.
May 29, 2024
Agusala V, Deen J, Schaefer S. Fatal Oversight: Misdiagnosis of Nocturnal Chest Pain with Elevated D-
dimer. PSNet [internet]. 2024.
https://psnet.ahrq.gov/web-mm/fatal-oversight-misdiagnosis-nocturnal-chest-pain-elevated-d-d…
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psnet.ahrq.gov/node/49475/psn-pdf
March 01, 2005 - Techno Trip
March 1, 2005
Cook RI. Techno Trip. PSNet [internet]. 2005.
https://psnet.ahrq.gov/web-mm/techno-trip
The Case
A 70-year-old woman was admitted to a community hospital after developing confusion and right-sided
weakness. A CT scan of her brain showed an acute subdural hematoma. The hospital arranged a…
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psnet.ahrq.gov/node/33693/psn-pdf
February 01, 2010 - The Role of Graduate Medical Education (GME) in
Improving Patient Safety
February 1, 2010
Baron RB, Vidyarthi A. The Role of Graduate Medical Education (GME) in Improving Patient Safety. PSNet
[internet]. 2010.
https://psnet.ahrq.gov/perspective/role-graduate-medical-education-gme-improving-patient-safety
Perspec…
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www.ahrq.gov/research/findings/final-reports/ptmgmt/design.html
July 01, 2018 - Patient Self-Management Support Programs: An Evaluation
Design Options for a Self-Management Support Program
Previous Page Next Page
Table of Contents
Patient Self-Management Support Programs: An Evaluation
Acknowledgments
Introduction and Purpose
Summary
Background
Methodology
Design Op…
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www.ahrq.gov/patient-safety/patients-families/consumer-exp/reporting/chapter5.html
August 01, 2022 - Designing Consumer Reporting Systems for Patient Safety Events
Chapter 5
Previous Page Next Page
Table of Contents
Designing Consumer Reporting Systems for Patient Safety Events
Executive Summary
Chapter 1. Background
Chapter 2. Conceptual Framework and Design
Chapter 3. Description of Metho…