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psnet.ahrq.gov/primer/patient-safety-101
January 16, 2025 - Patient Safety 101
Citation Text:
Patient Safety 101. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
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psnet.ahrq.gov/curated-library/diagnostic-errors-case-studies
November 10, 2025 - Breadcrumb
Home
The PSNet Collection
Curated Libraries
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Diagnostic Errors Case Studies
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Created By: Maria Mirica, PRIDE Group
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psnet.ahrq.gov/web-mm/delayed-clozapine-prescription-elderly-man-dementia
August 06, 2014 - Delayed Clozapine Prescription in an Elderly Man With Dementia
Citation Text:
Tsourounis C, Ghomeshi KK. Delayed Clozapine Prescription in an Elderly Man With Dementia. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
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hcup-us.ahrq.gov/datainnovations/clinicalcontentenhancementtoolkit/hi26.pdf
September 27, 2012 - eHHIC: High-Level Analysis of Transmitted Laboratory Data
1 | P a g e
Hawaii Health Information Corporation
Enhancing Hawaii Hospital Information Content (eHHIC)
Deliverable 3:
High-Level Analysis of
Transmitted Laboratory
Data
Page 2 of 12
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psnet.ahrq.gov/web-mm/outbreak
January 29, 2015 - Outbreak
Citation Text:
Rothman R, Stapleton S. Outbreak. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2011.
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs024984-gray-final-report-2019.pdf
January 01, 2019 - HOPE-Genomics: Empowering Cancer Patients through Innovations in Information Technology-Based Precision Medicine - Final Report
AHRQ Grant Final Progress Report
Title of Project:
HOPE-Genomics: Empowering Cancer …
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digital.ahrq.gov/sites/default/files/docs/resource/Logan_QMforColonoscopy_Fields_v4.pdf
December 12, 2008 - Quality Measures for Colonoscopy
12/12/2008 Logan_QMforColonoscopy_Fields_v4.doc 1
Quality Measures for Colonoscopy, CORI v4
Report total # colonoscopies in the defined period, the average age of patients undergoing
those procedures, and the proportion of patients of each gender (including Unspecified).
In a…
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psnet.ahrq.gov/innovation/project-nurture-engages-pregnant-people-substance-use-disorder-improves-maternal-and
September 23, 2024 - Project Nurture Engages Pregnant People with Substance Use Disorder, Improves Maternal and Infant Outcomes.
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March 11, 2021
Innovation
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psnet.ahrq.gov/web-mm/saline-flush-leads-acute-paralysis-awake-patient-risks-improper-medication-labeling
February 01, 2019 - Saline Flush Leads to Acute Paralysis of an Awake Patient: Risks of Improper Medication Labeling in an Operating Room
Citation Text:
Kriss RS. Saline Flush Leads to Acute Paralysis of an Awake Patient: Risks of Improper Medication Labeling in an Operating Room. PSNet [internet]. Rockville (MD): Agency for H…
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psnet.ahrq.gov/node/74253/psn-pdf
January 12, 2022 - Patient Safety Events and the Role of Patient Safety
Organizations During the COVID-19 Pandemic
January 12, 2022
Dickman R, Sharma P, Higgins D, et al. Patient Safety Events and the Role of Patient Safety Organizations
During the COVID-19 Pandemic. PSNet [internet]. 2022.
https://psnet.ahrq.gov/perspective/patient…
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psnet.ahrq.gov/node/49434/psn-pdf
February 01, 2004 - Undiagnosed Vaginal Bleeding
February 1, 2004
Mandelblatt J. Undiagnosed Vaginal Bleeding . PSNet [internet]. 2004.
https://psnet.ahrq.gov/web-mm/undiagnosed-vaginal-bleeding
The Case
The patient is a 34-year-old gravida 3, para 3 woman with a 2-year history of increasingly profuse vaginal
bleeding. Over the past…
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meps.ahrq.gov/data_files/publications/st474/stat474.shtml
June 01, 2015 - STATISTICAL BRIEF #474:
Premiums and Employee Contributions for Employer-Sponsored Health Insurance: Private versus Public Sector, 2013
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An official website of the Department of Health & Human Ser…
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meps.ahrq.gov/data_files/publications/st416/stat416.shtml
July 01, 2013 - STATISTICAL BRIEF #416:
Employer-Sponsored Single, Employee-Plus-One, and Family Health Insurance Coverage in the Private Sector: Selection and Cost, 2012
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An official website of the Department of…
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meps.ahrq.gov/data_files/publications/st472/stat472.shtml
April 01, 2015 - STATISTICAL BRIEF #472:
Top Five Most Costly Conditions among Children, Ages 0-17, 2012: Estimates for the U.S. Civilian Noninstitutionalized Population
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An official website of the Department of H…
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psnet.ahrq.gov/node/33695/psn-pdf
April 01, 2010 - The Role of the National Quality Forum (NQF) in the Quest
for Transparency in U.S. Hospitals' Patient Safety
Performance
April 1, 2010
Roberts LL, Ward MM, Evans TC. The Role of the National Quality Forum (NQF) in the Quest for
Transparency in U.S. Hospitals' Patient Safety Performance. PSNet [internet]. 2010.
ht…
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/vte-prophyalaxis_executive.pdf
May 01, 2013 - 1
Pharmacologic and Mechanical Prophylaxis
of Venous Thromboembolism Among Special
Populations
Executive Summary
Introduction
Background
Pulmonary embolism (PE) and deep
vein thrombosis (DVT) are collectively
known as venous thromboembolism
(VTE). VTE affects an estimated 900,000
Americans every year, resul…
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/documentation-burden-prepub-disposition-comments.pdf
May 21, 2024 - Disposition of Comments_Technical Brief No. 47: Measuring Documentation Burden in Healthcare
Source: https://effectivehealthcare.ahrq.gov/products/documentation-burden/prepub-tech-brief
Published Online: May 21, 2024
1
Technical Brief Disposition of Comments Report
Title: Measuring Documentation Burde…
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hcup-us.ahrq.gov/db/nation/neds/NEDS_Introduction_2015.jsp
January 01, 2015 - THE HCUP NATIONWIDE EMERGENCY DEPARTMENT SAMPLE (NEDS), 2015
An official website of the Department of Health & Human Services
Search All AHRQ Websites
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www.uspreventiveservicestaskforce.org/uspstf/document/evidence-summary20/suicide-risk-in-adolescents-adults-and-older-adults-screening
April 15, 2013 - Share to Facebook
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archived
Evidence Summary
Suicide Risk in Adolescents, Adults and Older Adults: Screening
April 15, 2013
Recommendations made by the USPSTF are independent of the U.S. go…
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/medication-adherence-interventions_disposition-comments.pdf
September 11, 2012 - and the search strategies
were explicitly stated and logical. the appendices were quite helpful in
determining