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psnet.ahrq.gov/web-mm/communication-failure-whos-charge
April 01, 2018 - Communication Failure—Who's in Charge?
Citation Text:
Fackler J, Schwartz JM. Communication Failure—Who's in Charge?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2011.
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meps.ahrq.gov/data_stats/nhc_acronyms.shtml
December 31, 1996 - NHC acronyms and terms
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psnet.ahrq.gov/web-mm/its-sarah-not-stephen
January 01, 2015 - SPOTLIGHT CASE
It's Sarah, Not Stephen!
Citation Text:
Sarkar U. It's Sarah, Not Stephen!. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2013.
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digital.ahrq.gov/program-overview/research-reports/2022-year-review/research-themes-and-findings
January 01, 2022 - Research Themes and Findings
The DHR program funds research that demonstrates how digital healthcare solutions can be designed and implemented to improve healthcare system performance and patient health outcomes. Our funded research focuses on advancing patient safety, care, and shared dec…
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digital.ahrq.gov/program-overview/research-reports/2021-year-review/research-overview
January 01, 2021 - Research Overview
Digital healthcare knowledge and tools can enhance the efforts of patients, clinicians, and health systems working to improve healthcare quality and safety. AHRQ’s DHR program funds research to create actionable findings on what and how digital healthcare works best for t…
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psnet.ahrq.gov/innovations
February 26, 2025 - Innovations
The PSNet Innovations page highlights pioneering advances that can improve patient safety. PSNet innovations are defined as “new or updated interventions, approaches, systems, tools, policies, organizational structures or business models implemented to improve or enhance quality of care and reduce harm.” …
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meps.ahrq.gov/data_files/publications/st559/stat559.shtml
February 01, 2025 - Average Annual Total Expenses, Total Utilization, and Sources of Payment for Outpatient Prescription Opioids in
the U.S. Adult Civilian Noninstitutionalized Population, 2021-2022
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psnet.ahrq.gov/curated-library/diagnostic-error
September 01, 2025 - Breadcrumb
Home
The PSNet Collection
Curated Libraries
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Diagnostic Error
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Created By: Karen Cosby, AHRQ
Date Created: May 8, …
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www.ahrq.gov/patient-safety/news-events/summit-research-2020/questions.html
March 01, 2021 - Summary of Patient Safety Research Opportunities
AHRQ Summit and Roundtable on Research Priorities for Patient Safety Improvement
Research questions, topics, and key themes that were addressed as part of the Patient Safety Roundtable and Patient Safety Summit included the items listed below. It is important t…
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psnet.ahrq.gov/node/863650/psn-pdf
February 28, 2024 - ABCDEF Bundle + Data Literacy Training, Performance
Measurement Tracking, and Performance Feedback
February 28, 2024
https://psnet.ahrq.gov/innovation/abcdef-bundle-data-literacy-training-performance-measurement-tracking-
and-performance
Summary
To improve patient care and outcomes in the intensive care unit (ICU…
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www.ahrq.gov/ncepcr/reports/2024-annual-report/recent-grants-systems.html
May 01, 2024 - Investments in Primary Care Research for 2021 and 2022
Healthcare Systems and Infrastructure
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Table of Contents
Investments in Primary Care Research for 2021 and 2022
Acknowledgments and Authors
Message from the Acting Director of AHRQ's National Center for Excellence in P…
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www.ahrq.gov/ncepcr/reports/2024-annual-report/overview.html
April 01, 2024 - Investments in Primary Care Research for 2021 and 2022
2. Overview of AHRQ's Recent Investments in Primary Care Research
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Table of Contents
Investments in Primary Care Research for 2021 and 2022
Acknowledgments and Authors
Message from the Acting Director of AHRQ's Nationa…
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www.ahrq.gov/ncepcr/reports/2025-annual-report/patient-safety.html
August 01, 2025 - AHRQ’s Investments in Primary Care Research for 2023 and 2024
Patient Safety
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 Care R…
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psnet.ahrq.gov/web-mm/engaging-seriously-ill-older-patients-advance-care-planning
December 22, 2018 - SPOTLIGHT CASE
Engaging Seriously Ill Older Patients in Advance Care Planning
Citation Text:
Heyland DK. Engaging Seriously Ill Older Patients in Advance Care Planning. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017. …
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www.ahrq.gov/sites/default/files/wysiwyg/diagnostic/IAWG-October2024-mtg.pdf
January 17, 2025 - Federal Interagency Workgroup: Improving Diagnostic Safety and Quality in Healthcare
Federal Interagency Workgroup:
Improving Diagnostic Safety and Quality in Healthcare
October Meeting Summary
Workgroup Goal: Established by Senate Report 115-150. The Senate Committee on
Appropriations requested “AHRQ to co…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/teachback-module-accessible.pdf
January 01, 2013 - Static Teach-back Interactive Module
Teach-back
1. Title
Teach-Back
Improving Patient Safety by Engaging Patients and Families in Effective Clinician-
Patient Communication
1 Teach-back Interactive Module
2. AHRQ
Sponsored by the Agency for Healthcare
Research and Quality (AHRQ), this tea…
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psnet.ahrq.gov/web-mm/autopsy-revelation
December 01, 2007 - Autopsy Revelation
Citation Text:
Shojania KG. Autopsy Revelation. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2004.
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hcup-us.ahrq.gov/db/maphosp.pdf
March 05, 2025 - HCUP Hospital Identifiers
HCUP (1/21/2025) i Hospital Identifiers
HCUP HOSPITAL IDENTIFIERS
Table of Contents
HCUP HOSPITAL IDENTIFIERS .................................................................................................. 1
HCUP State Databases .................................................…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Clair.pdf
January 01, 2004 - A New Model of Tracheostomy Care: Closing the Research–Practice Gap
521
A New Model of Tracheostomy Care:
Closing the Research–Practice Gap
Joel St. Clair
Abstract
Performance improvements have brought about fundamental changes in the
past year at Walter Reed Army Medical Center (WRAMC), where a concerted …
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psnet.ahrq.gov/web-mm/endotracheal-tube-fallout-patient-severe-obesity-during-eye-surgery
January 29, 2021 - Endotracheal Tube Fallout in a Patient with Severe Obesity During Eye Surgery.
Citation Text:
Bohringer C. Endotracheal Tube Fallout in a Patient with Severe Obesity During Eye Surgery.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services.…