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www.ahrq.gov/patient-safety/resources/learning-lab/index.html
August 01, 2025 - design concept that was then built as a high-fidelity physical mockup, implementation of OR design concepts … Implement and evaluate MedSafeMap’s impact on Concepts for Applying Resilience Engineering (CARE) and
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digital.ahrq.gov/sites/default/files/docs/citation/r01hs025984-malone-final-report-2023.pdf
January 01, 2023 - Meaningful Drug Interaction Alerts – Final Report
Title Page
Title of Project: Meaningful Drug Interaction Alerts
Principal Investigator: Daniel C Malone, PhD, FAMCP
Other Team Members:
Sheila Gephart, RN, PhD
Vignesh…
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digital.ahrq.gov/sites/default/files/docs/citation/r01hs025375-zhou-final-report-2022.pdf
January 01, 2022 - Improving Allergy Documentation and Clinical Decision Support in the Electronic Health Record (EHR) - Final Report
Title of Project:
Improving Allergy Documentation and Clinical Decision Support in the Electronic Health
Record (EHR)
Principal Investigator
Li Zhou, PhD, MD, Division of General Int…
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effectivehealthcare.ahrq.gov/sites/default/files/tech-brief-37-opiod-use-adults-comments.pdf
November 03, 2020 - improve education and training
of the healthcare workforce, these specific
items fall within the listed concepts … Many studies described and
defined these concepts variably. … problematic
Polypharmacy and potentially inappropriate
medications are distinct, if somewhat
overlapping concepts
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digital.ahrq.gov/sites/default/files/docs/citation/r18hs022693-scholle-final-report-2014.pdf
January 01, 2014 - We discussed and identified themes that suggest a relationship among concepts and
ones that reveal how
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www.ahrq.gov/sites/default/files/wysiwyg/topics/dxsafety-patient-experience-vol1.pdf
July 01, 2023 - experience, strategies that can be categorized (in accordance with a recent NQF report) as “measure
concepts
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/pneumonia-antibiotic-treatment_executive.pdf
November 01, 2014 - concentrations to tailor antibiotic doses of
individual patients and (2) broad applications of PK/PD
concepts
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hcup-us.ahrq.gov/reports/methods/2012_01.pdf
January 01, 2012 - Insurance Conceptual Differences
Problem: Because the concepts of HCUP “payer” and CPS “insurance”
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digital.ahrq.gov/sites/default/files/docs/citation/k08hs024134-smith-final-report-2019.pdf
January 01, 2019 - Developing an Interactive, Patient-Centered mHealth Tool to Enhance Post-Cystectomy Care - Final Report
ACKNOWLEDGMENT OF AGENCY SUPPORT
$464,524
FINAL PROGRESS REPORT
TITLE OF PROJECT
Developing an Interactive, Patient-Centered mHealth Tool to Enhance Post…
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psnet.ahrq.gov/web-mm/dangerous-shift
July 24, 2013 - SPOTLIGHT CASE
Dangerous Shift
Citation Text:
Patterson ES. Dangerous Shift. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2008.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endno…
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digital.ahrq.gov/sites/default/files/docs/publication/uc1hs015316-blair-final-report-2008.pdf
January 01, 2008 - Title Page
Grant Final Report
Grant ID: 5UC1HS015316
Taconic Health Information Network & Community
(THINC)
Inclusive dates: 09/30/04 - 03/31/08
Principal Investigator:
A. John Blair, III, MD
Team members:
Rainu Kaushal, MD (Co-Principal Investigator)
Lisa M. Kern, MD (Investiga…
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psnet.ahrq.gov/perspective/conversation-withbarbara-blakeney-ms-rn
August 01, 2005 - In Conversation with…Barbara A. Blakeney, MS, RN
August 1, 2005
Also Read an Essay
Citation Text:
In Conversation with…Barbara A. Blakeney, MS, RN. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Ser…
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psnet.ahrq.gov/perspective/conversation-withalbert-wu-md-mph-0
March 24, 2025 - In Conversation with…Albert Wu, MD, MPH
May 1, 2011
Citation Text:
In Conversation with…Albert Wu, MD, MPH. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2011.
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Format:
…
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psnet.ahrq.gov/node/837791/psn-pdf
August 05, 2022 - Patient Safety in the Ambulatory Care Setting
August 5, 2022
Schiff G, Mossburg SE, Dowell P, et al. Patient Safety in the Ambulatory Care Setting. PSNet [internet].
2022.
https://psnet.ahrq.gov/perspective/patient-safety-ambulatory-care-setting
Introduction
There is no way to review the year 2021 in quality and …
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psnet.ahrq.gov/node/74713/psn-pdf
January 26, 2022 - Patient Safety Events Involving Opioid Dose Stacking
January 26, 2022
Porras H, Lammers C. Patient Safety Events Involving Opioid Dose Stacking. PSNet [internet]. 2022.
https://psnet.ahrq.gov/web-mm/patient-safety-events-involving-opioid-dose-stacking
Disclosure of Relevant Financial Relationships: As a provider ac…
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psnet.ahrq.gov/sites/default/files/2022-01/final_spotlight_stacked_opioid_administration_01.03.2022.pdf
January 01, 2022 - Spotlight
Spotlight
Patient Safety Events Involving Opioid
Dose Stacking
Source and Credits
• This presentation is based on the January 2022 AHRQ WebM&M
Spotlight Case
o See the full article at https://psnet.ahrq.gov/webmm
o CME credit is available
o Commentary by: Hollie Porras, PharmD, BCPS and Cathy Lammers…
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psnet.ahrq.gov/web-mm/transitions-adolescent-medicine
August 04, 2021 - Transitions in Adolescent Medicine
Citation Text:
Okumura MJ, Williams RG. Transitions in Adolescent Medicine. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2015.
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Format:
Google Scholar BibTeX EndNote X3 …
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hcup-us.ahrq.gov/reports/factsandfigures/2007/sources_methods.jsp
January 01, 2007 - HCUP Facts and Figures 2007: Statistics on Hospital-Based Care in the United States
An official website of the Department of Health & Human Services
Search All AHRQ Websites
Careers
Contact …
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psnet.ahrq.gov/web-mm/diagnosing-diagnostic-mistakes
April 30, 2014 - SPOTLIGHT CASE
Diagnosing Diagnostic Mistakes
Citation Text:
McNutt RA, Abrams RI, Hasler S. Diagnosing Diagnostic Mistakes. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2005.
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Format:
Google S…
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psnet.ahrq.gov/perspective/unfinished-patient-safety-agenda
August 01, 2005 - The Unfinished Patient Safety Agenda
Linda H. Aiken, PhD, RN | August 1, 2005
Also Read a Conversation
View more articles from the same authors.
Citation Text:
Aiken LH. The Unfinished Patient Safety Agenda. PSNet [internet]. Rockville (MD): Agency for Healthc…