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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49637/psn-pdf
    October 01, 2011 - The Dropped "No" October 1, 2011 Johnson AJ. The Dropped "No". PSNet [internet]. 2011. https://psnet.ahrq.gov/web-mm/dropped-no The Case A 62-year-old man with a history of cirrhosis was admitted with increasing abdominal girth and swelling in his legs. Because the leg swelling was somewhat more pronounced in his…

  2. Hospital Admission Due to High-Dose Methotrexate Drug Interaction | PSNet

    psnet.ahrq.gov/web-mm/hospital-admission-due-high-dose-methotrexate-drug-interaction
    October 01, 2003 - Hospital Admission Due to High-Dose Methotrexate Drug Interaction Citation Text: Siegel LC, Gandhi TK. Hospital Admission Due to High-Dose Methotrexate Drug Interaction. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2009. Copy Cit…

  3. Periodic Issue | PSNet

    psnet.ahrq.gov/periodic-issue/periodic-issue-473
    March 25, 2025 - March 5, 2025 Weekly Issue PSNet highlights the latest patient safety literature, news, and expert commentary, including Weekly Updates, WebM&M, and Perspectives on Safety. The current issue highlights what's new this week in patient safety literature, news, conferences, reports, …

  4. Health Disparities | Agency for Healthcare Research and Quality

    www.ahrq.gov/ncepcr/reports/2025-annual-report/health-disparities.html
    August 01, 2025 - AHRQ’s Investments in Primary Care Research for 2023 and 2024 Health Disparities Previous Page Next Page Table of Contents AHRQ’s Investments in Primary Care Research for 2023 and 2024 Acknowledgements and Authors Message from the Director of AHRQ’s National Center for Excellence in Primary Ca…

  5. Patient and Family Involvement in Care of Mechanically Ventilated Patients: Slide Presentation | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/tools/mvp/modules/cusp/patient-family-care-slides.html
    March 01, 2017 - Patient and Family Involvement in Care of Mechanically Ventilated Patients: Slide Presentation AHRQ Safety Program for Mechanically Ventilated Patients Slide 1: AHRQ Safety Program for Mechanically Ventilated Patients Patient and Family Involvement in Care of Mechanically Ventilated Patients Slide 2: Le…

  6. Strategic Plan: Children as a Priority Population | Agency for Healthcare Research and Quality

    www.ahrq.gov/cpi/about/mission/strategic-plan/CHStratPlan.html
    December 01, 1999 - Strategic Plan: Children as a Priority Population Describes AHRQ's Strategic Plan goals and objectives for including children in research as a priority population. Vision To establish the Agency for Healthcare Research and Quality (AHRQ) as one of the Nation's key public organizations for improving the qual…

  7. Selected Best Practices and Suggestions for Improvement (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4e_combo_psi08-postophipfx-bestpractices.pdf
    May 20, 2016 - Selected Best Practices and Suggestions for Improvement Toolkit for Using the AHRQ Quality Indicators How To Improve Hospital Quality and Safety 1 Tool D.4e Selected Best Practices and Suggestions for Improvement PSI 08: Postoperative Hip Fracture Why Focus on Postoperative Hip Fracture? • Hip fracture…

  8. III. Hotline Implementation and Refinement | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/reports/hotline/implement3.html
    May 01, 2016 - Developing and Testing the Health Care Safety Hotline: A Prototype Consumer Reporting System for Patient Safety Events III. Hotline Implementation and Refinement Previous Page Next Page Table of Contents Developing and Testing the Health Care Safety Hotline: A Prototype Consumer Reporting System for…

  9. eHealth Activity among African American and White Cancer Survivors - Final Report (pdf file)

    digital.ahrq.gov/sites/default/files/docs/citation/r01hs022955-thompson-final-report-2020.pdf
    January 01, 2020 - Communications of the ACM. 2006;49(1):51-55. 39. Nelson DE, Kreps GL, Hesse BW, et al.

  10. Final Progress Report: Leveraging a Social Network of Elders and Families To Improve Medication Safety at Transitions of Care (pdf file)

    www.ahrq.gov/sites/default/files/2024-01/quintana-report.pdf
    January 01, 2024 - network, built for the project (https://www.infosagehealth.org), to find resources and manage tasks and communications

  11. Current State of Diagnostic Safety: Implications for Research, Practice, and Policy - Issue Brief (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/topics/dxsafety-current-state.pdf
    January 01, 2024 - usability issues, information overload, absence of face-to-face communication for certain high-risk communications

  12. Using a Clinical Decision Support Tool to Improve Fall/Injury Prevention Care Planning (pdf file)

    digital.ahrq.gov/sites/default/files/docs/publication/action-cp-cds-training.pdf
    February 15, 2008 - Using a Clinical Decision Support Tool to Improve Fall/Injury Prevention Care Planning Using a Clinical Decision Support Tool to Improve Fall/Injury Prevention Care Planning Description: This offering provides Information to educate nurses in using a new clinical decision support (CDS) tool to facilitate car…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49565/psn-pdf
    July 01, 2008 - Wrong Route for Nutrients July 1, 2008 Scott-Cawiezell JR. Wrong Route for Nutrients. PSNet [internet]. 2008. https://psnet.ahrq.gov/web-mm/wrong-route-nutrients The Case An 82-year-old man living in a skilled nursing facility (SNF) had not been eating or drinking well for about 6 months. He had lost weight and d…

  14. Spotlight Case July 2008 (ppt file)

    psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.245_slideshow.ppt
    July 01, 2011 - Spotlight Case July 2008 Spotlight Case Watch the Warfarin! 1 2 Source and Credits This presentation is based on the July 2011 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available Commentary by: Raman Khanna, MD, and Margaret Fang, MD, MPH; University of California, Sa…

  15. AHRQ's Health Services Research Dissertation Grant Program: New Starts, Fiscal Year 2012 | Agency for Healthcare Research and Quality

    www.ahrq.gov/funding/training-grants/grants/active/dissrt12/dissrt12.html
    October 01, 2014 - AHRQ's Health Services Research Dissertation Grant Program: New Starts, Fiscal Year 2012 Fiscal Year 2012 This fact sheet presents information about AHRQ's research dissertation grant program and describes the 14 dissertation grant awards funded by the agency in Fiscal Year 2012.   Contents Introduction…

  16. April 2022 CDS Connect Work Group Summary (pdf file)

    cds.ahrq.gov/sites/default/files/workgroups/143366/CDS_Connect_WG_April_2022_Summary.pdf
    January 01, 2022 - April 2022 CDS Connect Work Group Summary Clinical Decision Support (CDS) Connect Work Group (WG) Meeting Summary April 21, 2022 3:00 – 4:00 pm ET Attendees: 31 people, including 6 phone dial-ins Organization Attendees AHRQ Sponsors Edwin Lomatan, Mario Teran, Roland Gamache (3) WG Members Alex Go…

  17. Medication-Assisted Treatment for Opioid Use Disorder Self-Assessment Checklist (pdf file)

    integrationacademy.ahrq.gov/sites/default/files/2021-02/self-assessment_508_compliant.pdf
    January 01, 2021 - Medication-Assisted Treatment for Opioid Use Disorder Self-Assessment Checklist Medication-Assisted Treatment for Opioid Use Disorder Self-Assessment Checklist The Self-Assessment Checklist for implementing medication-assisted treatment (MAT) for opioid use disorder (OUD) in primary care and ambulatory care settin…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49460/psn-pdf
    September 01, 2004 - Security Lapse September 1, 2004 Mason D. Security Lapse. PSNet [internet]. 2004. https://psnet.ahrq.gov/web-mm/security-lapse The Case A medical student learned that the hospital's radiology image library was accessible throughout the university's computer system, meaning that patient x-rays could be viewed in d…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49541/psn-pdf
    August 21, 2007 - Mark My Tooth August 21, 2007 Smith RA. Mark My Tooth. PSNet [internet]. 2007. https://psnet.ahrq.gov/web-mm/mark-my-tooth The Case A 45-year-old healthy man was scheduled to have two teeth extracted for progressive dental caries. The patient underwent the extractions, awoke from the anesthesia, and then realized…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49667/psn-pdf
    October 01, 2012 - Looking for Meds in All the Wrong Places October 1, 2012 Manias E. Looking for Meds in All the Wrong Places. PSNet [internet]. 2012. https://psnet.ahrq.gov/web-mm/looking-meds-all-wrong-places The Case A 40-year-old uninsured woman with anxiety ran out of her prescribed clonazepam and had a seizure. She went to t…
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