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psnet.ahrq.gov/web-mm/strongyloides-hidden-traveler-and-potentially-lethal-missed-diagnosis
August 25, 2021 - Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … care and not proprietary interests of a commercial interest. … Prior to his current illness he frequently traveled to see his family in Haiti, the Dominican Republic … Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services
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psnet.ahrq.gov/web-mm/hindsight-2020-thrombolytics-alcohol-intoxication
December 18, 2024 - Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … care and not proprietary interests of a commercial interest. … the FABS score but was developed for telemedicine consultations, which is more appropriate for the current … Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services
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psnet.ahrq.gov/periodic-issue/periodic-issue-473
March 25, 2025 - The current issue highlights what's new this week in patient
safety literature, news, conferences … Past issues of the PSNet Weekly Update are
available to browse. … WebM&M presents current and past monthly issues of Cases & Commentaries and
Perspectives … Most medication safety research occurs in the inpatient setting, with less focus on ambulatory care. … Most medication safety research occurs in the inpatient setting, with less focus on ambulatory care.
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psnet.ahrq.gov/web-mm/lost-transitions-care-managing-opioid-dependent-patient-frequent-hospitalizations
October 27, 2022 - Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … care and not proprietary interests of a commercial interest. … distributing health care goods or services consumed by, or used on patients” and relevant financial … Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services
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psnet.ahrq.gov/node/837215/psn-pdf
July 08, 2022 - care and not
proprietary interests of a commercial interest.? … distributing health care goods or services consumed by, or used on patients” and relevant financial … relationships as “financial relationships in any amount occurring within the past 24 months that create … The evaluation of acute neurological deficits can be complicated, as many different conditions can present … Acute Stroke Imaging Research Roadmap IV:
imaging selection and outcomes in acute stroke clinical trials
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psnet.ahrq.gov/perspective/conversation-withbarbara-blakeney-ms-rn
August 01, 2005 - Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … care for the past 3 years. … I think that the current research could offer huge benefits. … The Leapfrog Group, an organization representing the interests of health care purchasers, has aggressively … Aiken, PhD, RN Director, Center for Health Outcomes and Policy Research Claire M.
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psnet.ahrq.gov/node/864867/psn-pdf
April 10, 2024 - care and
not proprietary interests of a commercial interest. … relationships in any amount occurring within the past 24 months that
create a conflict of interest. … the FABS score but was developed for telemedicine
consultations, which is more appropriate for the current … ’s past medical history to obtain a more
comprehensive picture of their clinical presentation. … Available at]
This project was funded under contract number 75Q80119C00004 from the Agency for Healthcare
Research
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psnet.ahrq.gov/node/847934/psn-pdf
April 26, 2023 - https://psnet.ahrq.gov/primer/patient-safety-indicators
Background
Over the past 25 years, policymakers … AHRQ’s PSIs have since been updated and refined annually to stay current with coding
updates (such as … procedure-associated conditions. … Current Context
Based on various types of data analyses using multiple approaches, there has been a … Care Policy and Research
University of California, Davis
itokareva@ucdavis.edu
Patrick S.
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psnet.ahrq.gov/node/33702/psn-pdf
November 01, 2010 - His research interests include comparative effectiveness; the use of
outcomes data to improve the quality … For the past 8 years, he has
served as the Clinical Lead for the Agency for Healthcare Research and … The first track was that we did a fairly comprehensive review of the
health services research literature … it might even involve state or county health agencies running and sharing
the data with hospitals. … focus on measures related to those conditions.
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psnet.ahrq.gov/perspective/conversation-withpatrick-s-romano-md-mph
July 10, 2024 - Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … His research interests include comparative effectiveness; the use of outcomes data to improve the quality … For the past 8 years, he has served as the Clinical Lead for the Agency for Healthcare Research and Quality's … focus on measures related to those conditions.
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psnet.ahrq.gov/web-mm/dangers-missing-epidural-abscess-multiple-visits-and-delayed-diagnosis-severely-negative
April 27, 2022 - Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … care and not proprietary interests of a commercial interest. … distributing health care goods or services consumed by, or used on patients” and relevant financial … Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services
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psnet.ahrq.gov/web-mm/delay-appropriate-diagnosis-and-treatment-leading-death-pulmonary-embolism
December 31, 2024 - Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … care and not proprietary interests of a commercial interest. … distributing health care goods or services consumed by, or used on patients” and relevant financial … Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services
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psnet.ahrq.gov/Webmm/submit-case-info
April 05, 2025 - The subject matter/issue closely relates to a current case. … Health care providers may anonymously submit de-identified cases that highlight medical errors or other … Weekly Issue
Past Weekly Issues
Curated Libraries
Clinical Areas
Patient Safety 101 … Toolkit
About PSNet
Contact
Editorial Team
Technical Expert Panel
Terms and Conditions … Search
Agency for Healthcare Research and Quality
5600 Fishers Lane
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psnet.ahrq.gov/web-mm/hurried-team-huddle-and-poor-communication-unsafe-practice-during-anesthesia-emergency
September 27, 2023 - Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … care and not proprietary interests of a commercial interest. … medications and comorbid conditions. … Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services
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psnet.ahrq.gov/node/73899/psn-pdf
September 29, 2021 - care and
not proprietary interests of a commercial interest. … distributing health care goods or services consumed by, or used on patients” and relevant financial … relationships as “financial relationships in any amount occurring within the past 12 months that create … Rockville, MD: Agency for Healthcare Research and Quality (US); 2008. … UNC Health Care Guideline.
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psnet.ahrq.gov/periodic-issue/periodic-issue-350
July 08, 2022 - The current issue highlights what's new this week in patient
safety literature, news, conferences … Past issues of the PSNet Weekly Update are
available to browse. … WebM&M presents current and past monthly issues of Cases & Commentaries and
Perspectives … Study
Long-term risk of overdose or mental health crisis after opioid dose tapering … Study
Long-term risk of overdose or mental health crisis after opioid dose tapering
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psnet.ahrq.gov/node/860049/psn-pdf
January 04, 2024 - myasthenia-crisis-after-delayed-diagnosis-medically-complex-patient
The Case
A 9-year-old girl with a past … tests may prevent delays in
diagnosis; possibilities include routing to the ordering provider, the current … Medical errors in US pediatric inpatients with chronic conditions.
Pediatrics. 2012;130(4). … text]
This project was funded under contract number 75Q80119C00004 from the Agency for Healthcare
Research … Department of Health and Human Services.
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psnet.ahrq.gov/node/866993/psn-pdf
October 30, 2024 - People are often treated poorly or blamed for negative health outcomes
associated with substance use … Past negative experiences in health care make people very hesitant to go
back. … For
individuals with a bigger copay, donated supply from state or local public health departments and … We know that SUDs are chronic health conditions, and we want to create an
environment where people can … Sarah Mossburg: What opportunities do you see for research about harm reduction?
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psnet.ahrq.gov/node/73902/psn-pdf
September 29, 2021 - care and
not proprietary interests of a commercial interest. … distributing health care goods or services consumed by, or used on patients” and relevant financial … relationships as “financial relationships in any amount occurring within the past 12 months that create … However, medical management alone is controversial and is a current area of study in the field
of spinal … This project was funded under contract number 75Q80119C00004 from the Agency for Healthcare
Research
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psnet.ahrq.gov/node/60609/psn-pdf
June 24, 2020 - care and not
proprietary interests of a commercial interest. … distributing health care goods or services consumed by, or used on patients” and relevant financial … relationships as “financial relationships in any amount occurring within the past 12 months that create … communication—preferably a warm
handoff—helps ensure that incoming staff are fully informed about patients’ conditions … This project was funded under contract number 75Q80119C00004 from the Agency for Healthcare
Research