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psnet.ahrq.gov/node/846170/psn-pdf
March 15, 2023 - Duplicate Therapies in Retail Pharmacy
March 15, 2023
Punatar N, Molla M, Lee S. Duplicate Therapies in Retail Pharmacy. PSNet [internet]. 2023.
https://psnet.ahrq.gov/web-mm/duplicate-therapies-retail-pharmacy
The Cases
Case 1: A middle-aged man with a past medical history of heart failure with reduced ejection f…
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psnet.ahrq.gov/node/33626/psn-pdf
January 01, 2006 - In Conversation with…Jack Barker, PhD
January 1, 2006
In Conversation with…Jack Barker, PhD. PSNet [internet]. 2006.
https://psnet.ahrq.gov/perspective/conversation-withjack-barker-phd
Editor's Note: Jack Barker, PhD, is Vice President of Research and Development for Mach One
Leadership and a commercial pilot for …
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effectivehealthcare.ahrq.gov/sites/default/files/study-size-planning-chapter-9.pptx
January 01, 2013 - Slide 1
Study Size Planning for Observational Comparative Effectiveness Research
Prepared for:
Agency for Healthcare Research and Quality (AHRQ)
www.ahrq.gov
Study Size Planning for Observational Comparative Effectiveness Research
This slide set is based on a user guide titled Developing a Protocol for Observation…
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psnet.ahrq.gov/node/50859/psn-pdf
January 31, 2020 - In Conversation With... David Gruen, MD
January 31, 2020
In Conversation With.. David Gruen, MD. PSNet [internet]. 2020.
https://psnet.ahrq.gov/perspective/conversation-david-gruen-md
Editor’s note: David R. Gruen, MD, MBA, FACR is the Chief Medical Officer, Imaging at IBM Watson
Health and is a thought leader and…
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digital.ahrq.gov/ahrq-funded-projects/enabling-health-care-decisionmaking-through-use-health-information-technology/annual-summary/2010
January 01, 2010 - Enabling Health Care Decisionmaking through the Use of Health Information Technology - 2010
Project Name
Enabling Health Care Decisionmaking through the Use of Health Information Technology
Principal Investigator
Lobach, David
Organization
Duke University
Contract Num…
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psnet.ahrq.gov/issue/second-victim-contested-term
December 08, 2021 - Study
The second victim: a contested term?
Citation Text:
Tumelty M-E. The second victim: a contested term? J Patient Saf. 2021;17(8):e1488-e1493. doi:10.1097/pts.0000000000000558.
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Format:
DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged P…
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psnet.ahrq.gov/issue/effective-healthcare-teams-require-effective-team-members-defining-teamwork-competencies
September 27, 2016 - Study
Effective healthcare teams require effective team members: defining teamwork competencies.
Citation Text:
Leggat SG. Effective healthcare teams require effective team members: defining teamwork competencies. BMC Health Serv Res. 2007;7:17.
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Format:
Goog…
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psnet.ahrq.gov/issue/rules-safety-and-narrativisation-identity-hospital-operating-theatre-case-study
June 24, 2010 - Commentary
Rules, safety and the narrativisation of identity: a hospital operating theatre case study.
Citation Text:
McDonald R, Waring J, Harrison S. Rules, safety and the narrativisation of identity: a hospital operating theatre case study. Sociol Health Illn. 2006;28(2):178-202.
…
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psnet.ahrq.gov/issue/safe-tables-collaborative-statewide-experience
April 12, 2011 - Commentary
The Safe Tables Collaborative: a statewide experience.
Citation Text:
Wagner CA, Cecchettini D, Fletcher J. The safe tables collaborative: a statewide experience. Jt Comm J Qual Patient Saf. 2011;37(5):206-10, 193.
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Format:
Google Scholar PubMed BibT…
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www.ahrq.gov/sites/default/files/2024-01/barnsteiner-report.pdf
January 01, 2024 - initiatives
• Demonstrate the cost-effectiveness of safety
Voices of front-line nurses missing in decision … making and systems design
• Provide a means for direct caregivers’ input in reporting errors and identifying … communication
Nurses’ working environment does not support safety
Voices of front-line nurses missing in decision … making and systems design
Difficulties in translating research into practice
Policy not driven by
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/failure-to-rescue-1.pdf
March 01, 2020 - Chapter-2 - Failure-To-Rescue
Failure To Rescue 2-1
2. Failure To Rescue
Authors: Kendall K. Hall, M.D., M.S., Andrea Lim, and Bryan Gale, M.A.
Introduction
Background
Failure to rescue (FTR) is failure or delay in recognizing and responding to a hospitalized patient
experiencing complications from a disease p…
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digital.ahrq.gov/sites/default/files/docs/citation/EHR_Usability_Toolkit_Background_Report.pdf
January 26, 2006 - The National Center for Cognitive Informatics and Decision Making in Healthcare (NCCD)
funded by the … at Houston
Principal Investigator and Co-director,
National Center for Cognitive
Informatics and Decision … Making in
Healthcare
Co-director, Center for Cognitive
Informatics and Decisionmaking, School
of
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/instrumental-variable-methods_research.pdf
April 01, 2010 - An analytical framework for quantifying components of variability in prescriber decisions
The DEcIDE (Developing Evidence to Inform Decisions about Effectiveness) network is part of
AHRQ‟s Effective Health Care Program. It is a collaborative network of research centers that
support the rapid development of n…
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psnet.ahrq.gov/perspective/conversation-andrew-gettinger-md
September 01, 2017 - In Conversation With… Andrew Gettinger, MD
September 1, 2017
Also Read an Essay
Citation Text:
In Conversation With… Andrew Gettinger, MD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 20…
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/cre.pdf
September 26, 2019 - Chapter-6 - Carbapenem-Resistant-Enterobacteriaceae
Carbapenem-Resistant Enterobacteriaceae 6-1
6. Carbapenem-Resistant Enterobacteriaceae
Authors: Elizabeth Gall, M.H.S., and Anna Long, M.P.H.
Reviewer: Caroline Logan, Ph.D., and Pranita Tamma, M.D.
Introduction
Background
Carbapenem-resistant Enterobacteria…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/warm-handoff-slides-final508.pptx
June 02, 2025 - PowerPoint Presentation
Warm Handoff Plus
AHRQ
Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families
The Agency for Healthcare Research and Quality, or AHRQ, funded the development of a Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Fami…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/warm-handoff-slides-final508.pdf
June 02, 2025 - Warm Handoff Plus
Warm Handoff Plus
AHRQ
Guide to Improving Patient Safety in
Primary Care Settings by Engaging
Patients and Families
Presenter
Presentation Notes
The Agency for Healthcare Research and Quality, or AHRQ, funded the development of a Guide to Improving Patient Safety in Pr…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Mohr.pdf
February 01, 2004 - Learning from Errors in Ambulatory Pediatrics
355
Learning from Errors in
Ambulatory Pediatrics
Julie J. Mohr, Carole M. Lannon, Kathleen A. Thoma, Donna Woods,
Eric J. Slora, Richard C. Wasserman, Lynne Uhring
Abstract
Background: Approximately 70 percent of pediatric care occurs in ambulatory
settings, …
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/ambulatory/6bb-toolkit-fasttrack-complete.pdf
October 01, 2021 - Engage in
shared decision making?
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/teambased-a.pdf
May 01, 2016 - Team-Based Care: Work in Partnership With Your Health Care Team
Team-Based Care: Work in Partnership
With Your Health Care Team
What is it?
Team-based care is a way for you and your doctor
and others in your doctor’s office to work as a team to
care for you. In team-based care, an entire team works
together wit…