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psnet.ahrq.gov/node/50931/psn-pdf
February 26, 2020 - Timely diagnosis of esophageal perforation
February 26, 2020
Utter GH, Cooke DT. Timely diagnosis of esophageal perforation. PSNet [internet]. 2020.
https://psnet.ahrq.gov/web-mm/timely-diagnosis-esophageal-perforation
The Case
A man with mixed connective tissue disease on low-dose prednisone and methotrexate pre…
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www.ahrq.gov/sites/default/files/wysiwyg/funding/training-grants/grants/active/dissrt12/dissrt12.pdf
January 31, 2014 - AHRQ's Health Services Research Dissertation Grant Program: New Starts Fiscal Year 2012
Introduction
The mission of the Agency for
Healthcare Research and Quality
(AHRQ) is to improve the safety,
quality, efficiency, and effectiveness of
health care for all Americans. To help
achieve the Agency's mission, AHRQ
suppo…
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psnet.ahrq.gov/node/33679/psn-pdf
January 01, 2009 - Disclosure of Medical Error
January 1, 2009
Kachalia A. Disclosure of Medical Error. PSNet [internet]. 2009.
https://psnet.ahrq.gov/perspective/disclosure-medical-error
Perspective
Disclosure of medical error is inextricably linked to today's patient safety efforts. Health care experts
advocate that greater discl…
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psnet.ahrq.gov/node/33631/psn-pdf
April 01, 2006 - Count and Be Counted: Preparing Future Pharmacists to
Promote a Culture of Safety
April 1, 2006
Alldredge BK, Koda-Kimble MA. Count and Be Counted: Preparing Future Pharmacists to Promote a
Culture of Safety. PSNet [internet]. 2006.
https://psnet.ahrq.gov/perspective/count-and-be-counted-preparing-future-pharmacis…
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psnet.ahrq.gov/node/33850/psn-pdf
January 01, 2018 - EHR Copy and Paste and Patient Safety
January 1, 2018
Dean SM. EHR Copy and Paste and Patient Safety. PSNet [internet]. 2018.
https://psnet.ahrq.gov/perspective/ehr-copy-and-paste-and-patient-safety
Perspective
Although the ability to copy and paste text is a central benefit of computing in general, and electronic…
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psnet.ahrq.gov/node/49578/psn-pdf
January 01, 2009 - Hospital Admission Due to High-Dose Methotrexate Drug
Interaction
January 1, 2009
Siegel LC, Gandhi TK. Hospital Admission Due to High-Dose Methotrexate Drug Interaction. PSNet
[internet]. 2009.
https://psnet.ahrq.gov/web-mm/hospital-admission-due-high-dose-methotrexate-drug-interaction
The Case
A 40-year-old wo…
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psnet.ahrq.gov/node/49781/psn-pdf
January 01, 2017 - Hazards of Loading Doses
January 1, 2017
Mucksavage JJ, Tesoro EP. Hazards of Loading Doses. PSNet [internet]. 2017.
https://psnet.ahrq.gov/web-mm/hazards-loading-doses
The Case
A 40-year-old woman was recently discharged after a prolonged hospitalization for seizures and a cardiac
arrest. Two days after discharg…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.314_slideshow.ppt
February 01, 2014 - PowerPoint Presentation
Spotlight Case
Multifactorial Medication Mishap
1
This presentation is based on the February 2014
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available
Commentary by: Annie Yang, PharmD, BCPS
NYU Langone Medical Center
Editor, AHRQ WebM&M: Robe…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/03-sops-overview-webcast-tyler.pdf
January 01, 2025 - AHRQ’s Surveys on Patient Safety Culture® for New Users - Rose Tyler
AHRQ’s SOPS Program
www.ahrq.gov/sops
Rose Tyler
User Network for AHRQ’s Surveys on Patient Safety Culture, Westat
http://www.ahrq.gov/sops
SOPS Surveys and Databases
• Surveys of providers and staff about the extent to which their
organizatio…
-
www.ahrq.gov/patient-safety/reports/engage/summary.html
March 01, 2017 - Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families
Executive Summary
Previous Page Next Page
Table of Contents
Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families
Executive Summary
Introduction
Limitations of …
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/improve/program-part2-slides.pptx
November 01, 2019 - Acute Care ASP Development
Antibiotic Stewardship Program Development: Part 2
Acute Care
AHRQ Safety Program for Improving
Antibiotic Use
AHRQ Pub. No. 17(20)-0028-EF
November 2019
ASP Development – Part 2
AHRQ Safety Program for Improving Antibiotic Use – Acute Care
1
Objectives
By the end of this module, parti…
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cdsic.ahrq.gov/sites/default/files/2022-05/Final%20Workgroup%20Charter_CDS%20Outcomes%20and%20Objectives_DTP%20Formatted.pdf
January 01, 2022 - Final Workgroup Charter: CDS Outcomes and Objectives
FINAL WORKGROUP CHARTER: CDS
OUTCOMES AND OBJECTIVES
A P R I L 2 0 2 2
Agency for Healthcare
Research and Quality:
Clinical Decision Support
Innovation Collaborative
(CDSiC)
Presented by:
NORC at the University of Chicago
Presented to:…
-
cdsic.ahrq.gov/sites/default/files/2023-01/Final%20Workgroup%20Charter_Trust%20and%20Patient-Centeredness_Personnel%20Update_Jan26.pdf
January 01, 2023 - FINAL WORKGROUP CHARTER: TRUST AND PATIENT-CENTEREDNES
FINAL WORKGROUP CHARTER: TRUST AND
PATIENT-CENTEREDNESS
O C T O B E R 2 0 2 2
Agency for Healthcare
Research and Quality:
Clinical Decision Support
Innovation Collaborative
(CDSiC)
Presented by:
NORC at the University of Chicago
…
-
cdsic.ahrq.gov/sites/default/files/2023-01/Final%20Workgroup%20Charter_Scaling_%20Measurement_%20and%20Dissemination_Personnel%20Update_Jan26.pdf
January 01, 2023 - FINAL WORKGROUP CHARTER: SCALING, MEASUREMENT, AND DISSEMINATION OF CDS
FINAL WORKGROUP CHARTER: SCALING,
MEASUREMENT, AND DISSEMINATION OF CDS
O C T O B E R 2 0 2 2
Agency for Healthcare
Research and Quality:
Clinical Decision Support
Innovation Collaborative
(CDSiC)
Presented by:
NORC at th…
-
digital.ahrq.gov/sites/default/files/Final%20Workgroup%20Charter_Scaling_%20Measurement_%20and%20Dissemination_Personnel%20Update_Jan26.pdf
October 01, 2022 - FINAL WORKGROUP CHARTER: SCALING, MEASUREMENT, AND DISSEMINATION OF CDS
FINAL WORKGROUP CHARTER: SCALING,
MEASUREMENT, AND DISSEMINATION OF CDS
O C T O B E R 2 0 2 2
Agency for Healthcare
Research and Quality:
Clinical Decision Support
Innovation Collaborative
(CDSiC)
Presented by:
NORC at th…
-
digital.ahrq.gov/sites/default/files/Final%20Workgroup%20Charter_Trust%20and%20Patient-Centeredness_Personnel%20Update_Jan26.pdf
October 01, 2022 - FINAL WORKGROUP CHARTER: TRUST AND PATIENT-CENTEREDNES
FINAL WORKGROUP CHARTER: TRUST AND
PATIENT-CENTEREDNESS
O C T O B E R 2 0 2 2
Agency for Healthcare
Research and Quality:
Clinical Decision Support
Innovation Collaborative
(CDSiC)
Presented by:
NORC at the University of Chicago
…
-
digital.ahrq.gov/sites/default/files/Final%20Workgroup%20Charter_CDS%20Outcomes%20and%20Objectives_DTP%20Formatted.pdf
April 01, 2022 - Final Workgroup Charter: CDS Outcomes and Objectives
FINAL WORKGROUP CHARTER: CDS
OUTCOMES AND OBJECTIVES
A P R I L 2 0 2 2
Agency for Healthcare
Research and Quality:
Clinical Decision Support
Innovation Collaborative
(CDSiC)
Presented by:
NORC at the University of Chicago
Presented to:…
-
www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/podcasts/use-roll-ups-20111001-transcript.pdf
June 02, 2025 - Use of "Roll-ups" to Report CAHPS Survey Results and Other Quality Measures
Transcript release date 10/1/11 www.talkingquality.ahrq.gov
Use of “Roll-ups” to Report CAHPS
Survey Results and Other Quality Measures
Moderator: Lise Rybowski, Consultant, TalkingQuality; President, The Severyn Group
Speakers: …
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psnet.ahrq.gov/topics-0
March 03, 2025 - Topics
Guides for key topics in patient safety through context, epidemiology, and relevant AHRQ PSNet content. The Patient Safety 101 Primer provides an overview of the patient safety field and covers key definitions and concepts.
Featured Topics in Patient Safety
Updated Date: March 3, 2025
…
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psnet.ahrq.gov/perspective/burnout-among-health-professionals-and-its-effect-patient-safety
December 22, 2018 - Annual Perspective
Burnout Among Health Professionals and Its Effect on Patient Safety
Audrey Lyndon, PhD | January 1, 2015
View more articles from the same authors.
Citation Text:
Lyndon A. Burnout Among Health Professionals and Its Effect on Patient Safety…